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June 2013 SoonerCare Fast Facts SoonerPlan, 50,556, 6% SoonerCare Choice, 539,670, 69% SoonerCare Traditional (Fee-For- Service), 194,294, 25% 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 19,534 2.49% Aged/Blind/Disabled Adult 133,171 16.97% Children/Parents Child 481,444 61.37% Children/Parents Adult 77,213 9.84% Other Child 55 0.01% Other Adult 21,350 2.72% 729 0.09% SoonerPlan (Family Planning) 50,556 6.44% TEFRA 468 0.06% Total Enrollment 784,520 Adults 278,111 35% Children 506,409 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 4 90,385 236,437 57,698 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 61,574 24,578 11% 2,940 Asian or Pacific Islander 8,629 4,422 2% 612 Black or African American 64,242 37,630 13% 2,509 Caucasian 325,039 201,057 67% 18,360 Multiple Race 46,925 10,424 7% 1,655 Hispanic Ethnicity 103,368 18,757 16% 5,118 Race Breakdown of Total Enrollment OTHER Group includes—DDSD State-PKU-Q1-Q2-Refugee--SLMB-Soon to b e Sooners (STBS) and TB p atients . The Total Enrollment figure makes up 453,638 cases . A cas e is used to g roup members o f the same family living in the s ame ho us ehold. For more information go to www.okhca.org under Individuals then to Programs . Insure Oklahoma members are NOT included in the figures above. 15,480 108,648 1,040,332 4,697 16,502 13,358 7/15/2013 New Enrollees Oklahoma SoonerCare members that have not been enrolled in the past 6 months. Adults 7,728 Children 10,020 Total 17,748 814,380 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. INSURE OK DEPENDENTS (ESI & IP) 460 PRENATAL 2,652 INFANT 150% to 185% 1,598 01-05 133% to 185% 13,505 06-12 100% to 185% 35,228 13-18 100% to 185% 24,480 Total 77,923 Data is currently unavailable.
|Okla State Agency||
Health Care Authority, Oklahoma
|Okla Agency Code||
|Title||SoonerCare fast facts, 06/2013|
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=15060&libID=14043|
|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.|