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Medicaid director briefs committee on program scale, justice‑setting coverage pilot and proposed work requirements for adult expansion
Summary
State Medicaid Director Jennifer Strohecker told the interim Health and Human Services Committee Utah’s Medicaid program serves about 350,000 people and spends roughly $5.3 billion annually, and she briefed members on a new policy to activate Medicaid coverage inside custodial settings ahead of release and on a state proposal for community engagement (work) requirements for adult‑expansion enrollees.
Jennifer Strohecker, Utah’s state Medicaid director, gave a program overview noting about 350,000 Utahns receive Medicaid benefits each month and said total program spending for fiscal year 2024 was about $5.3 billion. "When you look specifically at what does that cost per day, that's $14,000,000 a day and $600,000 every hour," Strohecker said, and she noted the agency employs 348 staff to operate the program.
Breakdown and costs: Strohecker said children make up roughly half of enrollees and that average monthly cost per child is about $530, while individuals served under disability programs average roughly $5,000 per month. She described Utah’s mixed delivery model: about 75% of enrollees are in managed care arrangements and about 25% remain under fee‑for‑service. She explained the federal matching formula (FMAP) and said Utah’s FMAP stood at about 64.36% and was projected to decline to roughly 62.4% the next year; she told members each 1 percentage‑point FMAP change affects the state general fund by about $20 million.
Justic…
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