When Governor Tom Wolf expanded Medicaid in 2015, more Pennsylvanians than ever were able to access quality health care coverage. The expansion opened up Medicaid to even more people living on low incomes, people who had been diagnosed with substance use disorder, and others.

Medicaid provides health coverage to millions of Americans, including children, pregnant women, parents, seniors and individuals with disabilities. In some states the program covers all low-income adults below a certain income level.

The Department of Human Services is focused on improving access to health care in Pennsylvania while reducing Medicaid spending. DHS has begun to reward health care providers for the quality of their care, focus on preventive screenings, and work to limit costly and sometimes unnecessary services, such as an overuse of emergency rooms.

This data is pulled from the U.S. Census website. This data is for years Calendar Years 2009-2014.
Product: SAHIE File Layout Overview
Small Area Health Insurance Estimates Program - SAHIE
Filenames: SAHIE Text and SAHIE CSV files 2009 – 2014
Source: Small Area Health Insurance Estimates Program, U.S. Census Bureau.
Internet Release Date: May 2016
Description: Model‐based Small Area Health Insurance Estimates (SAHIE) for Counties and States File Layout and Definitions

The Small Area Health Insurance Estimates (SAHIE) program was created to develop model-based estimates of health insurance coverage for counties and states. This program builds on the work of the Small Area Income and Poverty Estimates (SAIPE) program. SAHIE is only source of single-year health insurance coverage estimates for all U.S. counties.

For 2008-2014, SAHIE publishes STATE and COUNTY estimates of population with and without health insurance coverage, along with measures of uncertainty, for the full cross-classification of:
•5 age categories: 0-64, 18-64, 21-64, 40-64, and 50-64

•3 sex categories: both sexes, male, and female

•6 income categories: all incomes, as well as income-to-poverty ratio (IPR) categories 0-138%, 0-200%, 0-250%, 0-400%, and 138-400% of the poverty threshold

•4 races/ethnicities (for states only): all races/ethnicities, White not Hispanic, Black not Hispanic, and Hispanic (any race).

In addition, estimates for age category 0-18 by the income categories listed above are published.

Each year’s estimates are adjusted so that, before rounding, the county estimates sum to their respective state totals and for key demographics the state estimates sum to the national ACS numbers insured and uninsured.

This program is partially funded by the Centers for Disease Control and Prevention's (CDC), National Breast and Cervical Cancer Early Detection ProgramLink to a non-federal Web site (NBCCEDP). The CDC have a congressional mandate to provide screening services for breast and cervical cancer to low-income, uninsured, and underserved women through the NBCCEDP. Most state NBCCEDP programs define low-income as 200 or 250 percent of the poverty threshold. Also included are IPR categories relevant to the Affordable Care Act (ACA). In 2014, the ACA will help families gain access to health care by allowing Medicaid to cover families with incomes less than or equal to 138 percent of the poverty line. Families with incomes above the level needed to qualify for Medicaid, but less than or equal to 400 percent of the poverty line can receive tax credits that will help them pay for health coverage in the new health insurance exchanges.

We welcome your feedback as we continue to research and improve our estimation methods. The SAHIE program's age model methodology and estimates have undergone internal U.S. Census Bureau review as well as external review. See the SAHIE Methodological Review page for more details and a summary of the comments and our response.

The SAHIE program models health insurance coverage by combining survey data from several sources, including:
•The American Community Survey (ACS)
•Demographic population estimates
•Aggregated federal tax returns
•Participation records for the Supplemental Nutrition Assistance Program (SNAP), formerly known as the Food Stamp program
•County Business Patterns
•Medicaid
•Children's Health Insurance Program (CHIP) participation records
•Census 2010

Margin of error (MOE). Some ACS products provide
an MOE instead of confidence intervals. An MOE is the
difference between an estimate and its upper or lower
confidence bounds. Confidence bounds can be created
by adding the margin of error to the estimate (for the
upper bound) and subtracting the margin of error from
the estimate (for the lower bound). All published ACS
margins of error are based on a 90-percent confidence
level.

This dataset contains the total counts of Neonatal Abstinence Syndrome (NAS) babies born on to Medical Assistance (MA) by case county. The counts cover calendar years 2015 and 2016.

This data is pulled from the U.S. Census website. This data is for years 2009-2014.
Product: SAHIE File Layout Overview
Filenames: SAHIE Text and SAHIE CSV files 2009 – 2014
Source: Small Area Health Insurance Estimates Program, U.S. Census Bureau.
Internet Release Date: May 2016
Description: Model‐based Small Area Health Insurance Estimates (SAHIE) for Counties and States File Layout and Definitions

This data is pulled from the U.S. Census website. This data is for years 2009-2014.
Product: SAHIE File Layout Overview
Filenames: SAHIE Text and SAHIE CSV files 2009 – 2014
Source: Small Area Health Insurance Estimates Program, U.S. Census Bureau.
Internet Release Date: May 2016
Description: Model‐based Small Area Health Insurance Estimates (SAHIE) for Counties and States File Layout and Definitions

This dataset summarizes the number of dependent children (less than 18 years old) removed from households in the 2017 and 2018 federal fiscal years due to parental drug abuse. The data indicates if the children were placed in kinship care or not.
*Kinship care refers to the care of children by relatives or, in some jurisdictions, close family friends (often referred to as fictive kin). Relatives are the preferred resource for children who must be removed from their birth parents because it maintains the children's connections with their families.

Persons enrolled in Medical Assistance (Medicaid) for a given month. Includes Temporary Assistance for Needy Families (TANF), General Assistance (GA), Disabled, & Waiver categories.

This dataset contains the total counts of PA Department of Human Services (DHS) Medical Assistance (MA) individuals diagnosed with Opioid Use Disorder (OUD) or OUD Poisoning. Also included are individuals receiving MAT (Medication assisted treatment - the use of medications in combination with counseling and behavioral therapies for the treatment of substance use disorders.) NOT diagnosed in the same period. Limited to the Newly Eligible (Under the Medical Assistance Expansion Program. Find more information here: http://www.dhs.pa.gov/cs/groups/webcontent/documents/document/c_257436.pdf) segment of DHS population. Internally defined as DHS Category of Assistance = MG (Modified Adjusted Gross Income - MAGI) MG and Program Status = 91 (Newly Eligible). Counts are reported by Pennsylvania case county and covers calendar years 2015 -2017.