This represents the percentage of the state's Medicaid program that is funded by the federal government 1 Federal Register, Vol. State Profiles 1998 . Will cover the cost of one eye examination year 365 days. Will cover eyeglasses. Contact lenses are not covered.
Participation is voluntary in most counties due to a provider shortage.
Access to physicians also is limited because a majority of the state is rural. Many regions have only one doctor, and some have none. In counties without a doctor, clients receive services either from a nurse practitioner or from a doctor who visits for limited periods at a time. Idaho has limited managed care enrollment. In fact, HMOs cover only 7.1 percent of the privately insured population.