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November 2012 SoonerCare Fast Facts SoonerPlan, 48,669, 6% SoonerCare Choice, 515,033, 66% SoonerCare Traditional (Fee-For- Service), 221,564, 28% 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. 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 19,446 2.48% Aged/Blind/Disabled Adult 132,550 16.88% Children/Parents Child 484,041 61.64% Children/Parents Adult 78,111 9.95% Other Child 49 0.01% Other Adult 21,096 2.69% 862 0.11% SoonerPlan (Family Planning) 48,669 6.20% TEFRA 442 0.06% Total Enrollment 785,266 Adults 276,158 35% Children 509,108 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 492,290 234,911 58,065 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 63,048 25,587 11% 3,038 Asian or Pacific Islander 8,457 4,255 2% 647 Black or African American 65,194 37,171 13% 2,458 Caucasian 327,507 199,580 67% 18,126 Multiple Race 44,902 9,565 7% 1,630 Hispanic Ethnicity 100,620 17,859 15% 4,823 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 451,621 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. 15,741 108,473 913,243 4,784 16,483 14,018 12/21/2012 New Enrollees Oklahoma SoonerCare members that have not been enrolled in the past 6 months. Adults 8,622 Children 11,081 Total 19,703 815,767 Unless stated otherwise, CHILD is defined as an individual under the age of 21. 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. Age Breakdown % of FPL CHIP Enrollees PRENATAL 2,533 INFANT 150% to 185% 1,656 01-05 133% to 185% 10,073 06-12 100% to 185% 26,003 13-18 100% to 185% 18,006 Total 58,271 Data is currently unavailable.
|Okla State Agency||
Health Care Authority, Oklahoma
|Okla Agency Code||
|Title||SoonerCare fast facts total enrollment, 11/2012|
Oklahoma Health Care Authority.
|Purpose||Overall SoonerCare program member demographics and breakdowns.|
|For all issues click||
|Digital Format||PDF Adobe Reader required|
|ODL electronic copy||Downloaded from agency website: http://www.okhca.org/WorkArea/linkit.aspx?LinkIdentifier=id&ItemID=14421&libID=13404|
|Rights and Permissions||This Oklahoma State Government publication is provided for educational purposes under US copyright law. Other usage requires permission of copyright holders.|