SoonerCare adult fast facts, 07/2012

              July 2012
281,448
282,717
283,496
285,196
284,555
285,795
279,000
280,000
281,000
282,000
283,000
284,000
285,000
286,000
287,000
Feb-12 Mar-12 Apr-12 May-12 Jun-12 Jul-12
Adult Enrollment Trend
Black or
African
American,
38,790,
14%
American
Indian,
28,095,
10%
Asian or
Pacific
Islander,
4,313, 1%
Caucasian,
204,911,
72%
Multiple
Race, 9,686,
3%
Race Breakdown of Adult Enrollment
SoonerCare Adult Fast Facts
SoonerCare Adult Breakdown
8/14/2012
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) 133,787 46.8% 7,690 11,337 40,852 27,130 46,778
Adults in t he Children/Parents Group 84,876 29.7% 32,764 31,557 19,816 709 30
Oklahoma Cares 927 0.3% 146 130 411 240 0
SoonerPlan 45,188 15.8% 19,231 16,409 8,899 644 5
Other 21,017 7.4% 212 718 4,818 4,299 10,970
Total Adult Enrollment 285,795 Males 83,360 Females 202,435
19 - 25,
60,043, 21%
26 - 34,
60,151, 21%
35 - 54,
74,796, 26%
55 - 64,
33,022, 12%
65+, 57,783,
20%
Age Breakdown of Adult Enrollment
Hispanic Ethnicity 18,979
Top 10 Paid Adult Services Categorized as:
Members Served
(Unduplicated) Claims Paid Amount Paid
Nursing Home Services 12,967 43,218 $37,793,870.84
Inpatient Services 10,095 11,238 $27,238,457.19
Physician Services 96,999 247,241 $20,962,825.10
Prescribed Drugs Services 91,675 266,593 $15,230,305.33
Community Support Services 3,342 29,843 $13,509,353.13
Outpatient Services 47,310 62,253 $12,225,470.10
State Program (SP) Services 18,474 61,914 $11,158,428.31
ICF-MR Services 1,560 3,452 $8,795,939.31
Personal Care Services 16,193 200,947 $7,225,479.38
Targeted Case Manager (TCM) Services 19,367 83,477 $5,396,822.72
All Paid Services in Reporting Month:
Members Served
(Unduplicated) Claims Paid Amt Paid
247,473 1,815,383 $211,427,219.86
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 285,889
Adults with Long-Term Care - 15,724
Adults with Third Party Liability - 14,901
Adult Dual Enrollees - 107,874
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) 150,376 52.6%
SoonerCare Choice 90,231 31.6%
SoonerPlan 45,188 15.8%
Delivery System Breakdown of Adult Enrollment