Dual Enrollees FF_07_2012 1
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18 and Under, 37 19 to 54, 34,268 55 to 64, 18,623 65 and Over, 54,983 Dual Enrollees by Age $647 $513 $515 $603 $502 $500 $400 $450 $500 $550 $600 $650 $700 Per Member Per Month American Indian, 7,687, 7% Asian or Pacific Islander, 1,534, 1% Black or African American, 13,746, 13% Caucasian, 83,613, 78% Multiple Race, 1,331, 1% Dual Enrollees by Race Dual Enrollees Fast Facts 8/15/2012 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. July 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 107,911 767,733 14% Dual Enrollees with Long-Term Care - 13,322 Dual Enrollees in PACE program - 86 Dual Enrollees in Waiver program - 17,807 Child Adult Total Female 13 67,466 67,479 Male 24 40,408 40,432 Total 37 107,874 107,911 Dual Enrollees by Gender and Age Hispanic Ethnicity - 3,477 108,059 108,312 108,113 108,199 108,253 107,911 107,000 108,000 109,000 110,000 Feb-12 Mar-12 Apr-12 May-12 Jun-12 Jul-12 Dual Enrollees Enrollment Trend Top 10 Paid Dual Enrollee Services Categorized as: Members Served (Unduplicated) Claims Paid Amount Paid Nursing Home Services 12,533 39,916 $33,051,506 ICF-ID Services 1,124 2,442 $6,248,818 Physician Services 42,149 104,143 $3,047,275 Inpatient Services 5,091 6,972 $2,066,549 Behavioral Health 4,271 24,084 $1,857,698 Non-Emergency Transportation (NET) Services 83,037 1 $1,212,940 MSDG Services 13,411 22,713 $1,069,997 Targeted Case Manager (TCM) Services 2,687 2,730 $953,523 Outpatient Services 15,462 22,827 $925,675 Community Mental Health Services 3,011 9,609 $676,998 All Paid Services in Reporting Month: Members Served (Unduplicated) Claims Paid Amount Paid 89,877 326,599 $53,936,448 NET and other capitated claims will show Claims Paid count of 1.
|Okla State Agency||
Health Care Authority, Oklahoma
|Okla Agency Code||'807'|
|Title||Dual enrollees fast facts, 07/2012|
Oklahoma Health Care Authority.
|Purpose||Dual Enrollees are members who are enrolled in both SoonerCare and Medicare.|
|For all issues click||H1300.6 D812e|
|Digital Format||PDF Adobe Reader required|
|ODL electronic copy||Downloaded from agency website: http://www.okhca.org/WorkArea/linkit.aspx?LinkIdentifier=id&ItemID=14024&libID=13007|
|Rights and Permissions||This Oklahoma State Government publication is provided for educational purposes under US copyright law. Other usage requires permission of copyright holders.|