SoonerCare fast facts total enrollment, 10/2012

              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