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January 2013 SoonerCare Fast Facts Data was compiled 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 own-ers, 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 SoonerPlan, 49,313, 6% SoonerCare Choice, 533,998, 69% SoonerCare Traditional (Fee-For- Service), 196,254, 25% 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 19,577 2.51% Aged/Blind/Disabled Adult 132,548 17.00% Children/Parents Child 480,026 61.58% Children/Parents Adult 75,616 9.70% Other Child 54 0.01% Other Adult 21,161 2.71% 826 0.11% SoonerPlan (Family Planning) 49,313 6.33% TEFRA 444 0.06% Total Enrollment 779,565 Adults 274,389 35% Children 505,176 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 488,882 232,813 57,870 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 62,128 25,001 11% 2,982 Asian or Pacific Islander 8,396 4,241 2% 623 Black or African American 64,528 36,962 13% 2,469 Caucasian 324,797 198,573 67% 18,137 Multiple Race 45,327 9,612 7% 1,590 Hispanic Ethnicity 101,179 17,980 15% 4,907 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 450,045 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. 2/11/2013 4,789 16,705 13,791 15,667 108,379 952,696 New Enrollees Oklahoma SoonerCare members that have not been enrolled in the past 6 months. Adults 9,564 Children 12,436 Total 22,000 810,061 Age Breakdown % of FPL CHIP Enrollees INSURE OK DEPENDENTS (ESI & IP) 521 PRENATAL 2,620 INFANT 150% to 185% 1,920 01-05 133% to 185% 15,093 06-12 100% to 185% 37,340 13-18 100% to 185% 25,084 Total 82,578 Data is currently unavailable.
|Okla State Agency||
Health Care Authority, Oklahoma
|Okla Agency Code||
|Title||SoonerCare fast facts, 1/2013 total enrollment|
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=14607&libID=13590|
|Rights and Permissions||This Oklahoma state government publication is provided for educational purposes under U.S. copyright law. Other usage requires permission of copyright holders.|