SoonerCare adult fast facts, 06/2013

              June 2013
290,683
291,742
289,739
291,422
293,416
294,135
287,000
288,000
289,000
290,000
291,000
292,000
293,000
294,000
295,000
Jan-13 Feb-13 Mar-13 Apr-13 May-13 Jun-13
Adult Enrollment Trend
Black or
African
American,
39,947,
14% American
Indian,
26,518, 9%
Asian or
Pacific
Islander,
4,593, 1%
Caucasian,
211,583,
72%
Multiple
Race,
11,494, 4%
Race Breakdown of Adult Enrollment
SoonerCare Adult Fast Facts
SoonerCare Adult Breakdown
7/15/2013
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) 135,122 45.9% 7,718 11,367 40,876 28,549 46,612
Adults in t he Children/Parents Group 86,351 29.4% 31,713 32,344 21,482 790 22
Oklahoma Cares 729 0.2% 97 99 329 204 0
SoonerPlan 50,556 17.2% 19,843 19,010 10,943 753 7
Other 21,377 7.3% 217 734 4,854 4,515 11,057
Total Adult Enrollment 294,135 Males 88,592 Females 205,543
19 - 25,
59,588, 20%
26 - 34,
63,554, 21%
35 - 54,
78,484, 27%
55 - 64,
34,811, 12%
65+, 57,698,
20%
Age Breakdown of Adult Enrollment
Hispanic Ethnicity 20,736
Top 10 Paid Adult Services Categorized as:
Members Served
(Unduplicated) Claims Paid Amount Paid
Nursing Home Services 13,305 45,274 $42,717,783.09
Inpatient Services 10,206 10,987 $31,852,587.17
Physician Services 101,035 256,882 $21,558,973.07
Prescribed Drugs Services 80,005 253,322 $16,674,039.54
Community Support Services 3,498 32,335 $14,626,715.09
Outpatient Services 44,950 61,193 $11,698,416.82
State Program (SP) Services 18,683 64,147 $11,080,250.44
ICF-MR Services 1,539 3,737 $8,617,628.55
Personal Care Services 15,792 198,242 $7,356,197.93
Targeted Case Manager (TCM) Services 19,351 83,955 $6,545,071.78
All Paid Services in Reporting Month:
Members Served
(Unduplicated) Claims Paid Amt Paid
288,643 1,856,339 $227,584,997.49
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.
SFY2013 Enrollment Year to Date 407,768
Adults with Long-Term Care - 15,473
Adults with Third Party Liability - 15,708
Adult Dual Enrollees - 108,613
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) 139,795 47.5%
SoonerCare Choice 103,784 35.3%
SoonerPlan 50,556 17.2%
Delivery System Breakdown of Adult Enrollment