SoonerCare fast facts, 02/2012

              February 2012
SoonerCare Fast Facts
SoonerPlan, 42,111,
5%
SoonerCare Choice,
478,156, 63%
SoonerCare
Traditional (Fee-For-
Service), 240,205,
32%
Data was compiled by Reporting & Statistics as of the report date. Numbers frequently change due to certifications occurring after the data is extracted and other factors. This report is
based on data within the system prior to the report date. A majority of the data is a “point in time” representation of the specific report month and is not cumulative.
Unless stated otherwise, CHILD is defined as an individual under the age of 21. The data is valid as of the report date and is subject to change.
CHIP Breakdown of Total Enrollment
Members qualifying for SoonerCare (Medicaid) eligibility under
the CHIP program are under age 19 and have income between
the maximum for standard eligibility and the expanded 185% of
Federal Poverty Level (FPL) income guidelines.
The Insure Oklahoma is a program to assist qualifying small business owners,
employees & their spouses (Employer-Sponsored Insurance—ESI) with
health insurance premiums and some individual Oklahomans (Individual
Plan—IP) with limited health coverage. www.insureoklahoma.org
Note that all subsequent figures are groups within the above total enrollment num-bers
(except Insure Oklahoma). SoonerPlan members are not entitled to the full
scope of benefits only family planning services are covered.
Delivery System Breakdown of Total Enrollment
Age Breakdown % of FPL CHIP Enrollees
PRENATAL 2,560
INFANT 150% to 185% 1,361
01-05 133% to 185% 10,480
06-12 100% to 185% 28,485
13-18 100% to 185% 20,020
Total 62,906
Other Enrollment Facts
Total Enrollment including Insure Oklahoma—
Unduplicated enrollees State Fiscal Year-to-Date (July through
report month including Insure Oklahoma) —
Other Breakdowns of Total Enrollment
Oklahoma SoonerCare (Medicaid) members residing in a long-term
care facility —
Oklahoma persons enrolled in both Medicare and Medicaid
(Dual Enrollees) —
Qualifying Group Age Group Enrollment % of Total
Aged/Blind/Disabled Child 19,319 2.54%
Aged/Blind/Disabled Adult 131,562 17.30%
Children/Parents Child 471,271 61.97%
Children/Parents Adult 73,649 9.68%
Other Child 57 0.01%
Other Adult 20,921 2.75%
1,152 0.15%
SoonerPlan (Family Planning) 42,111 5.54%
TEFRA 430 0.06%
Total Enrollment 760,472 Adults 264,478 35%
Children 495,994 65%
Oklahoma Cares (Breast & Cervical Cancer)
TOTAL ENROLLMENT —
OKLAHOMA SOONERCARE (MEDICAID)
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.
Age Breakdown of Total Enrollment
479,024 223,516 57,932
Children Age
18 and Under,
63%
Adults Age
19 to 64,
29%
Adults Age
65 and Over,
8%
Small Businesses
Enrolled in ESI
Employees w/
ESI
Individual Plan
(IP) Members
Children Adults Percent
Pregnant
Women
American Indian 63,185 25,962 12% 3,115
Asian or Pacific Islander 8,070 3,975 2% 617
Black or African American 64,873 35,996 13% 2,406
Caucasian 321,872 191,197 67% 17,756
Multiple Race 37,994 7,348 6% 1,450
Hispanic Ethnicity 93,513 16,162 14% 4,695
Race Breakdown of Total Enrollment
OTHER Gro up includ es—DDSD St at e-PKU-Q1-Q2 -Refug ee--SLMB-So o n t o b e So o ners (STBS) and TB p at ient s .
The Total Enrollment figure makes up 445,496 cases . A case is used to group members of the same family living in the
same household.
For more informat ion go to www.okhca.org under Individuals then to Programs . Insure Oklahoma members are NOT
included in the figures above.
15,751
108,059
935,435
5,075 17,774 13,705
3/12/2012
New Enrollees
Oklahoma SoonerCare members
that have not been enrolled in the
past 6 months.
Adults 8,070
Children 11,626
Total 19,696
791,951