The Michigan Federal TBI Program

Each year about 10,600 serious traumatic brain injuries occur to Michigan residents. Of this number, TBI contributes to almost 1,600 deaths and more than 9,000 TBI-related hospitalizations that do not result in death.

Reliable data are not available to count the number of traumatic brain injuries that are not treated in hospitals. Not everyone who experiences a TBI will suffer long-term harm, but many will. The Centers for Disease Control and Prevention estimate that 2 percent of Americans are living with a disability due to TBI - approximately 200,000 Michigan residents.

Annually, Michigan Medicaid covers nearly 1,500 TBI-related hospitalizations. Overall, 67,000 people received treatment services for TBI (including an annual average of 1,500 hospitalizations, other clinical care, and nursing home care among others) through the Michigan Medicaid Fee for Service or a Medicaid Health Plan during the four year period October 1, 1998 - September 30, 2002. Of these people, about 3,500 individuals also received Home Help personal care services, and over 12,000 received services from the Community Mental Health Services Programs during the same timeframe.

Michigan Medicaid Fee for Service component pays at least $11 million dollars a year for TBI-related services. The study identified this amount based on services provided during the fiscal years 1999-2002. Actual costs to the State from TBI are much greater because those clients whose care was covered by the Michigan Medicaid Fee for Service program account for only one third of all identified cases of TBI - the rest are enrolled in a (managed care) Medicaid Health Plan. This $11 million in costs only covers services that are specifically identified as resulting from the diagnosis of TBI. Actual direct treatment services related to TBI are believed to be even greater and, if counted, would add significantly to the costs identified. In addition to Medicaid Fee for Service, $9 million was paid for Home Help personal care services for individuals with TBI during FY2002.

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