Data methodology, data sources and findings of the medical and social complexity indicators
| Medical complexity indicators* | % (n) of Medicaid/CHIP-enrolled children in Oregon |
| High medical complexity: children with chronic, complex disease, PMCA=1 | 6.1% (23 681) |
| Moderate medical complexity: children with non-complex chronic disease, PMCA=2 | 18.3% (71 591) |
| No medical complexity: children without complex disease/healthy, PMCA=3 | 75.6% (295 310) |
| Social complexity indicators: descriptive information†‡ (data source) | Child factor % (n) of children | Family factor % (n) of children |
| Poverty – child: child access of TANF, below 37% federal poverty level (ICS data available 2000 to 2017) | 40.6% (158 650) | |
| Poverty – parent: parent access of TANF (ICS data available 2000 to 2017) | 31.2% (121 952) | |
| Foster care: child receives foster care services (ICS, child interacted with foster care system. Data available 2000 to 2017) | 13% (50 672) | |
| Parent death: death of parent/primary caregiver in Oregon (ICS - death certificate in Oregon, data available 1989 to 2017) | 1.3% (5 172) | |
| Parent incarceration: parent incarcerated or supervised by the Department of Corrections in Oregon (ICS - Department of Corrections for state felony charges, not including county/municipal charges. Data available 2000 to 2017) | 19.1% (74 707) | |
| Mental health – child: received mental health services through DHS/OHA (ICS - NMH caseloads. Data available 2000 to 2017) | 33.1% (129 212) | |
| Mental health – parent: received mental health services through DHS/OHA (ICS - NMH caseloads. Data available 2000 to 2017) | 40% (156 221) | |
| Substance abuse – child: substance abuse treatment through DHS/OHA (ICS - AD caseloads. Data available 2000 to 2014) | 4.5% (17 763) | |
| Substance abuse – parent: parent substance abuse treatment through DHS/OHA (ICS - AD caseloads. Data available 2000 to 2014) | 29% (113 124) | |
| Child abuse and neglect: ICD-9, ICD-10 dx codes related used by provider (OHA Medicaid claims data, 06/2014 to 06/2017) | 5.3% (20 589) | |
| Potential language barrier: language other than English listed in the primary language field (OHA Medicaid enrolment, most current data for family) | 20.5% (80 262) | |
| Parent disability: parent is eligible for Medicaid due to a recognised disability (OHA Medicaid enrolment, 2002 to 2017) | 3% (11 892) |
*Data source is based on Medicaid/CHIP claims and diagnostic information over a 3-year period and using the PMCA.
†Data dictionary here: https://www.oregon.gov/oha/HPA/dsi-tc/Documents/DataDictionary-Social-Indicators.pdf.
‡Look back period includes prenatal period through the lifetime of the child, unless an exception is noted due to the availability of data.
AD, alcohol and drug; CHIP, Child Health Insurance Program; DHS, Department of Human Services; ICD, International Classification of Diseases; ICS, Integrated Client Services; NMH, mental health; OHA, Oregon Health Authority; PMCA, Pediatric Medical Complexity Algorithm; TANF, Temporary Assistance for Needy Families.