TOPEKA, Kan. (AP) — Health officials are trying to determine why Medicaid enrollment grew at extremely low rates last year in Kansas.

The Kansas Health Institute reports Medicaid enrollment grew by 0.1 percent from 2012 to 2013. The normal yearly growth rate is about 3 percent, which reflects population growth and families becoming eligible or dropping out of Medicaid.

The Topeka Capital-Journal reports a KHI analyst said Medicaid’s transition to private management in Kansas last year, called KanCare, did not appear to effect enrollment because eligibility requirements were the same.

About 61,286 children were enrolled in the Children’s Health Insurance Program in Kansas in 2013, and 225,116 children and families were enrolled in Medicaid. Another 103,364 people were enrolled in Medicaid programs for the disabled and low-income senior citizens.