SoonerCare adult fast facts, 06/2012

              June 2012
280,183
281,448
282,717
283,496
285,196
284,555
277,000
278,000
279,000
280,000
281,000
282,000
283,000
284,000
285,000
286,000
Jan-12 Feb-12 Mar-12 Apr-12 May-12 Jun-12
Adult Enrollment Trend
Black or
African
American,
38,705,
14%
American
Indian,
28,046,
10%
Asian or
Pacific
Islander,
4,275, 1%
Caucasian,
204,207,
72%
Multiple
Race, 9,322,
3%
Race Breakdown of Adult Enrollment
SoonerCare Adult Fast Facts
SoonerCare Adult Breakdown
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.
Adults age 19 and over account for approximately 37 percent of the enrollees in the SoonerCare program. Adults that are enrolled under
the SoonerCare program can receive a vast array of treatment and services such as inpatient and outpatient hospital, behavioral health,
prescribed drugs, and other health services. It is the vision at OHCA that all Oklahomans enjoy optimal health status through having access to
quality health care regardless of their ability to pay. For more information go to our website at www.okhca.org.
Qualifying Group Enrollment by Age Group
Total Percent 19 - 25 26 - 34 35 - 54 55 - 64 65+
Aged/Blind/Disabled (ABD) 133,413 46.9% 7,687 11,313 40,791 26,970 46,652
Adults in t he Children/Parents Group 84,622 29.7% 32,755 31,360 19,776 700 31
Oklahoma Cares 912 0.3% 130 125 411 246 0
SoonerPlan 44,651 15.7% 19,081 16,202 8,734 629 5
Other 20,957 7.4% 215 716 4,824 4,253 10,949
Total Adult Enrollment 284,555 Males 82,712 Females 201,843
19 - 25,
59,868, 21%
26 - 34,
59,716, 21%
35 - 54,
74,536, 26%
55 - 64,
32,798, 12%
65+, 57,637,
20%
Age Breakdown of Adult Enrollment
Hispanic Ethnicity 18,764
Top 10 Paid Adult Services Categorized as:
Members Served
(Unduplicated) Claims Paid Amount Paid
Nursing Home Services 13,038 44,587 $37,703,969.62
Inpatient Services 9,667 11,471 $26,503,770.82
Physician Services 97,830 248,852 $21,098,995.65
Prescribed Drugs Services 92,036 265,723 $15,394,177.76
Community Support Services 3,364 31,525 $13,951,514.24
Outpatient Services 43,524 60,145 $11,632,341.48
State Program (SP) Services 14,502 57,750 $10,440,009.02
ICF-MR Services 1,570 3,339 $8,706,026.93
Personal Care Services 16,198 199,433 $7,197,742.81
Targeted Case Manager (TCM) Services 19,246 82,802 $5,641,463.32
All Paid Services in Reporting Month:
Members Served
(Unduplicated) Claims Paid Amt Paid
245,157 1,801,946 $267,388,501.18
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. For this report ADULT is defined as an individual age 19 and older.
SFY2012 Enrollment Year to Date 387,226
Adults with Long-Term Care - 15,596
Adults with Third Party Liability - 15,070
Adult Dual Enrollees - 108,216
OTHER Group includes—TEFRA-Refugee-Qualified Medicare Beneficiary-SLMB-DDSD Supported Living and TB patients. For more information go to www.okhca.org under
Individuals and Programs. Insure Oklahoma members are NOT included in the figures above.
Program Enrollment Percent
SoonerCare Traditional (Fee-For-Service) 150,256 52.8%
SoonerCare Choice 89,648 31.5%
SoonerPlan 44,651 15.7%
Delivery System Breakdown of Adult Enrollment