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October 2012 SoonerCare Fast Facts SoonerPlan, 47,081, 6% SoonerCare Choice, 479,057, 62% SoonerCare Traditional (Fee-For- Service), 251,738, 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 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 19,520 2.51% Aged/Blind/Disabled Adult 132,627 17.05% Children/Parents Child 479,513 61.64% Children/Parents Adult 76,630 9.85% Other Child 51 0.01% Other Adult 21,094 2.71% 920 0.12% SoonerPlan (Family Planning) 47,081 6.05% TEFRA 440 0.06% Total Enrollment 777,876 Adults 273,169 35% Children 504,707 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 487,843 231,988 58,045 Children Age 18 and Under, 63% Adults Age 19 to 64, 30% Adults Age 65 and Over, 7% Small Businesses Enrolled in ESI Employees w/ ESI Individual Plan (IP) Members Children Adults Percent Pregnant Women American Indian 62,759 25,562 11% 3,072 Asian or Pacific Islander 8,442 4,193 2% 635 Black or African American 64,834 36,920 13% 2,477 Caucasian 324,778 197,239 67% 18,410 Multiple Race 43,894 9,255 7% 1,647 Hispanic Ethnicity 99,372 17,598 15% 4,845 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 449,867 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. 15,800 108,575 891,439 4,787 16,369 13,875 11/13/2012 New Enrollees Oklahoma SoonerCare members that have not been enrolled in the past 6 months. Adults 9,191 Children 12,421 Total 21,612 808,120 Unless stated otherwise, CHILD is defined as an individual under the age of 21. Age Breakdown % of FPL CHIP Enrollees INSURE OK DEPENDENTS (ESI & IP) 504 PRENATAL 2,552 INFANT 150% to 185% 1,634 01-05 133% to 185% 11,837 06-12 100% to 185% 32,538 13-18 100% to 185% 22,866 Total 71,931
Object Description
Okla State Agency |
Health Care Authority, Oklahoma |
Okla Agency Code |
'807' |
Title | SoonerCare fast facts total enrollment, 10/2012 |
Authors |
Oklahoma Health Care Authority. |
Publication Date | 2012-10 |
Publication type |
Statistics |
Purpose | Overall SoonerCare program member demographics and breakdowns. |
For all issues click |
H1300.6 F251f |
Digital Format | PDF Adobe Reader required |
ODL electronic copy | Downloaded from agency website: http://www.okhca.org/WorkArea/linkit.aspx?LinkIdentifier=id&ItemID=14313&libID=13296 |
Rights and Permissions | This Oklahoma State Government publication is provided for educational purposes under US copyright law. Other usage requires permission of copyright holders. |
Language | English |
Date created | 2012-12-13 |
Date modified | 2012-12-13 |
OCLC number | 890220985 |
Description
Title | TotalEnrollment10_12[2] 1 |
Full text | October 2012 SoonerCare Fast Facts SoonerPlan, 47,081, 6% SoonerCare Choice, 479,057, 62% SoonerCare Traditional (Fee-For- Service), 251,738, 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 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 19,520 2.51% Aged/Blind/Disabled Adult 132,627 17.05% Children/Parents Child 479,513 61.64% Children/Parents Adult 76,630 9.85% Other Child 51 0.01% Other Adult 21,094 2.71% 920 0.12% SoonerPlan (Family Planning) 47,081 6.05% TEFRA 440 0.06% Total Enrollment 777,876 Adults 273,169 35% Children 504,707 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 487,843 231,988 58,045 Children Age 18 and Under, 63% Adults Age 19 to 64, 30% Adults Age 65 and Over, 7% Small Businesses Enrolled in ESI Employees w/ ESI Individual Plan (IP) Members Children Adults Percent Pregnant Women American Indian 62,759 25,562 11% 3,072 Asian or Pacific Islander 8,442 4,193 2% 635 Black or African American 64,834 36,920 13% 2,477 Caucasian 324,778 197,239 67% 18,410 Multiple Race 43,894 9,255 7% 1,647 Hispanic Ethnicity 99,372 17,598 15% 4,845 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 449,867 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. 15,800 108,575 891,439 4,787 16,369 13,875 11/13/2012 New Enrollees Oklahoma SoonerCare members that have not been enrolled in the past 6 months. Adults 9,191 Children 12,421 Total 21,612 808,120 Unless stated otherwise, CHILD is defined as an individual under the age of 21. Age Breakdown % of FPL CHIP Enrollees INSURE OK DEPENDENTS (ESI & IP) 504 PRENATAL 2,552 INFANT 150% to 185% 1,634 01-05 133% to 185% 11,837 06-12 100% to 185% 32,538 13-18 100% to 185% 22,866 Total 71,931 |
Date created | 2012-12-13 |
Date modified | 2012-12-13 |