The Childrens Medical Security Plan (CMSP) Legislative Report for the first quarter of Fiscal Year 2025 indicates that as of September 30, 2024, there were 87,331 children eligible for the program, which provides access to primary and preventive health care services for children and adolescents not covered by other MassHealth benefits. The report highlights that enrollment premiums are set at zero for families with incomes below 200% of the Federal Poverty Level, while those above this threshold are subject to a sliding scale for premiums. The report also includes new demographic data for enrollment, showing a slight increase in eligible children from July to September 2024.
In terms of financials, the report details total expenditures for the first quarter amounting to $12,625,498, with a breakdown of claims filed: 111,883 medical claims, 71,908 dental claims, and 9,977 pharmacy claims. The report provides specific amounts paid for each type of service, with medical claims totaling $8,396,007, dental claims at $4,021,115, and pharmacy claims at $208,376. The data suggests that annual spending for CMSP is projected to reach approximately $35 million based on year-to-date expenditures.