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18 and Under, 38 19 to 54, 34,441 55 to 64, 18,515 65 and Over, 55,205 Dual Enrollees by Age $496 $485 $647 $513 $515 $603 $400 $450 $500 $550 $600 $650 $700 Per Member Per Month American Indian, 7,802, 7% Asian or Pacific Islander, 1,534, 1% Black or African American, 13,759, 13% Caucasian, 83,887, 78% Multiple Race, 1,217, 1% Dual Enrollees by Race Dual Enrollees Fast Facts 6/12/2012 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. May 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 108,199 766,431 14% Dual Enrollees with Long-Term Care - 13,403 Dual Enrollees in PACE program - 91 Dual Enrollees in Waiver program - 17,805 Child Adult Total Female 12 67,640 67,652 Male 26 40,521 40,547 Total 38 108,161 108,199 Dual Enrollees by Gender and Age Hispanic Ethnicity - 3,443 107,909 107,995 108,059 108,312 108,113 108,199 107,000 108,000 109,000 110,000 Dec-11 Jan-12 Feb-12 Mar-12 Apr-12 May-12 Dual Enrollees Enrollment Trend Top 10 Paid Dual Enrollee Services Categorized as: Members Served (Unduplicated) Claims Paid Amount Paid Nursing Home Services 13,162 46,195 $39,974,377 ICF-MR Services 1,124 2,910 $6,773,991 Physician Services 46,392 128,505 $4,010,325 Inpatient Services 6,265 8,811 $3,025,873 Behavioral Health 4,401 29,900 $2,278,321 MSDG Services 14,052 25,034 $1,253,402 Non-Emergency Transportation (NET) Services 83,109 1 $1,232,295 Outpatient Services 17,783 27,490 $1,162,289 Targeted Case Manager (TCM) Services 2,839 3,068 $992,387 Community Mental Health Services 3,627 13,203 $956,008 All Paid Services in Reporting Month: Members Served (Unduplicated) Claims Paid Amount Paid 90,837 474,601 $65,253,005 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, 05/2012|
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=13865|
|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.|