Dual Enrollees FF_06_2012 1
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18 and Under, 37 19 to 54, 34,364 55 to 64, 18,634 65 and Over, 55,218 Dual Enrollees by Age $485 $647 $513 $515 $603 $502 $400 $450 $500 $550 $600 $650 $700 Per Member Per Month American Indian, 7,741, 7% Asian or Pacific Islander, 1,541, 1% Black or African American, 13,733, 13% Caucasian, 83,977, 78% Multiple Race, 1,261, 1% Dual Enrollees by Race Dual Enrollees Fast Facts 7/10/2012 Race is self-reported by members at the time of enrollment. The multiple race members have selected two or more races. Hispanic is an ethnicity not a race. Hispanics can be of any race and are accounted for in a race category above. This publication is authorized by the Oklahoma Health Care Authority in accordance with state and federal regulations. OHCA is in compliance with the Title VI and Title VII of the 1964 Civil Rights Act and the Rehabilitation Act of 1973. For additional copies, you can go online to OHCA’s web site www.okhca.org under Research/Statistics and Data (www.okhca.org/research/data). The Oklahoma Health Care Authority does not discriminate on the basis of race, color, national origin, gender, religion, age or disability in employment or the provision of services. The data is valid as of the report date and is subject to change. CHILD is defined as an individual age 18 and under. Total Enrollment excludes Insure Oklahoma. June 2012 Dual Enrollees are members who are enrolled in both SoonerCare and Medicare. Dual Enrollees are entitled to Medicare Part A and/or Part B or Part C and qualify for some form of SoonerCare benefit. These members receive SoonerCare Supplemental or SoonerCare Traditional benefits. For more information go to our website at www.okhca.org. Total Dual Enrollment Total Enrollment Percent of Total 108,253 765,065 14% Dual Enrollees with Long-Term Care - 13,374 Dual Enrollees in PACE program - 89 Dual Enrollees in Waiver program - 17,813 Child Adult Total Female 12 67,707 67,719 Male 25 40,509 40,534 Total 37 108,216 108,253 Dual Enrollees by Gender and Age Hispanic Ethnicity - 3,462 107,995 108,059 108,312 108,113 108,199 108,253 107,000 108,000 109,000 110,000 Jan-12 Feb-12 Mar-12 Apr-12 May-12 Jun-12 Dual Enrollees Enrollment Trend Top 10 Paid Dual Enrollee Services Categorized as: Members Served (Unduplicated) Claims Paid Amount Paid Nursing Home Services 12,502 40,487 $33,103,234 ICF-MR Services 1,128 2,356 $6,223,439 Physician Services 42,234 105,739 $2,986,062 Inpatient Services 5,171 7,282 $2,204,721 Behavioral Health 4,238 25,606 $1,818,335 Targeted Case Manager (TCM) Services 2,875 3,098 $1,236,490 Non-Emergency Transportation (NET) Services 83,020 1 $1,231,321 MSDG Services 12,636 20,315 $991,599 Outpatient Services 14,628 21,106 $815,898 Community Mental Health Services 3,464 11,797 $763,371 All Paid Services in Reporting Month: Members Served (Unduplicated) Claims Paid Amount Paid 90,076 307,138 $54,348,926 NET and other capitated claims will show Claims Paid count of 1.
|Okla State Agency||
Health Care Authority, Oklahoma
|Okla Agency Code||
|Title||Dual enrollees fast facts, 06/2012|
Oklahoma Health Care Authority.
|Purpose||Enrollment demographics and breakdowns for SoonerCare members also enrolled in Medicare (Duals)|
|For all issues click||
|Digital Format||PDF, Adobe Reader required|
|ODL electronic copy||Downloaded from agency website: http://www.okhca.org/WorkArea/linkit.aspx?LinkIdentifier=id&ItemID=13941&libID=12924|
|Rights and Permissions||This Oklahoma state government publication is provided for educational purposes under U.S. copyright law. Other usage requires permission of copyright holders.|