Table 2

Nine-part health complexity variable and state-level findings for children enrolled in Oregon Medicaid/CHIP

Medical complexity
(three categories) 		Social complexity
(out of 12 potential social complexity indicators)
% (n) of Medicaid/CHIP-enrolled children in Oregon
3 or more indicators 1 to 2 Indicators None in
system-level data
High
medical complexity
(chronic, complex PMCA=1)		 #1
3%
(11 637) 		#2
2.4%
(9342) 		#3
0.7%
(2702)
Moderate
medical complexity
(non-complex, chronic PMCA=2)		 #4
9.5%
(36 908) 		#5
7.2%
(27 952) 		#6
1.7%
(6731)
No
medical complexity
(healthy PMCA=3)		#7
26.5%
(103 459)		#8
32.6%
(127 169)		#9
neither medically or socially complex
16.6% (64 682)

  • Yellow boxes refer to those that only have social complexity indicators, blue boxes refer to those with only medical complexity indicators, green boxes refer to those with both medical and social complexity indicators, and white boxes refer to those that have neither medical nor social complexity indicators, according to the system-level data.

  • CHIP, Child Health Insurance Program; PMCA, Pediatric Medical Complexity Algorithm.