59
Minnesota Health Care Programs Managed Care Enrollment Totals April 2014 Table of Contents Programs Enrollment Summary By Benefit Families and Children under 65 County Detail County MSC SNPs PIN SNP Aged Living Arr NHC County Detail FFP Enrollment Summary by Elig Grp Jeanine Heller, Manager Managed Care Purchasing and Payment Policy Minnesota Department of Human Services [email protected] Enrollment Summary CY 2013 - Overall enrollment summary by eligibility and age Total enrollment by program for each health plan by benefit set. SNBC has been separated into two different totals: • Integrated (combines Medicaid and Medicare Parts A, B and D). • Non-Integrated (Medicaid only), this category has been split between recipients with Medicare coverage and those without. MSHO and SNBC integrated must have both Medicare Part A and Part B. Total enrollment for clients under age 65 (MA and program N) for each health plan by county. Total enrollment for recipients enrolled in MSC+, Special Needs Plans which includes (MSHO and SNBC) and Preferred Integrate Networks (Adults with SPMI and Children with SED) for each health plan by county. Enrollment for clients enrolled in MSC+ and Special Needs Plans which includes (MSHO and SNBC) for each health plan by county. This report indicates whether the client is in the Community, Institutionalized, Nursing Home Certifiable (EW waiver) and other waivers or programs (CAC, CADI, TBI, MR/RC or Home Care). This is the total enrollment for each health plan by county for enrollees under age 65. This report lists only the programs for which we collect FFP (MinnesotaCare Programs BB, FF & LL and MA). This report also lists clients eligible for Non-Citizen Medical Assistance (NMED) who are pregnant (PC) and MinnesotaCare children under 19 with a family income above 150% FPG. This group will receive enhanced funding of 65% FFP. The MA totals include MSC+, MSHO and SNBC.

April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

  • Upload
    others

  • View
    1

  • Download
    0

Embed Size (px)

Citation preview

Page 1: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

Minnesota Health Care Programs Managed Care Enrollment TotalsApril 2014

Table of Contents

Programs

Enrollment Summary By Benefit

Families and Children under 65 County Detail

County MSC SNPs PIN

SNP Aged Living Arr NHC County Detail

FFP

Enrollment Summary by Elig Grp

Jeanine Heller, ManagerManaged Care Purchasing and Payment PolicyMinnesota Department of Human [email protected]

Enrollment Summary CY 2013 - Overall enrollment summary by eligibility and age

Total enrollment by program for each health plan by benefit set. SNBC has been separated into two different totals: • Integrated (combines Medicaid and Medicare Parts A, B and D). • Non-Integrated (Medicaid only), this category has been split between recipients with Medicare coverage and those without.

MSHO and SNBC integrated must have both Medicare Part A and Part B.

Total enrollment for clients under age 65 (MA and program N) for each health plan by county.

Total enrollment for recipients enrolled in MSC+, Special Needs Plans which includes (MSHO and SNBC) and Preferred Integrate Networks (Adults with SPMI and Children with SED) for each health plan by county.

Enrollment for clients enrolled in MSC+ and Special Needs Plans which includes (MSHO and SNBC) for each health plan by county. This report indicates whether the client is in the Community, Institutionalized, Nursing Home Certifiable (EW waiver) and other waivers or programs (CAC, CADI, TBI, MR/RC or Home Care).

This is the total enrollment for each health plan by county for enrollees under age 65. This report lists only the programs for which we collect FFP (MinnesotaCare Programs BB, FF & LL and MA). This report also lists clients eligible for Non-Citizen Medical Assistance (NMED) who are pregnant (PC) and MinnesotaCare children under 19 with a family income above 150% FPG. This group will receive enhanced funding of 65% FFP. The MA totals include MSC+, MSHO and SNBC.

Page 2: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

ProgramsApril 2014

Families & ChildrenProgram MA Medical Assistance (includes Pregnant Women, Adults w/o children and Non-citizen MAMinnesotaCare MinnesotaCare Adults (Parents and Adults w/o Children)MinnesotaCare Child MinnesotaCare Children under 21

Elderly/Disabled MHM Moving Home MinnesotaMSC + Minnesota Senior Care Plus - MA and Non-Citizen MA > 65MSHO Minnesota Senior Health Options SNBC Special Needs Basic CarePINs Preferred Integrated Network (SPMI Adults; SED Children)

Page 3: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

April 2014 Managed Care Enrollment Summary - By Benefit Set

Blue PlusHealth

PartnersHennepin

Health

Itasca Medical

Care Medica

Metropolitan Health

PlanPrimeWest

Health

South Country Health

Alliance UCare Total

10,389 8,163 449 14,404 1,181 947 26,635 62,168 771 548 30 822 96 76 1,771 4,114

66,790 89,359 7,560 6,280 104,040 25,141 25,008 243,099 567,277

Duals1 3,177 1,030 165 2,623 449 756 798 2,056 11,054 Non Duals 158 259 3 419 84 10 15 1,043 1,991

8,388 3,041 486 9,520 584 2,025 1,647 9,640 35,331 1 1

295 191 592 1,078 Duals 10,993 972 1,154 1,037 9,695 23,851 Non Duals 8,346 1,357 763 742 9,362 20,570 Children 4 4 Adults 440 440

11,160 8,711 0 479 15,226 0 1,277 1,023 28,406 66,282 78,514 93,689 7,560 6,934 136,385 3,741 30,040 29,839 274,895 661,597 66,790 89,359 7,560 6,280 104,040 0 25,141 25,008 243,099 567,277 3,335 1,289 0 168 3,042 533 766 813 3,099 13,045 8,388 3,041 0 486 9,520 584 2,025 1,647 9,640 35,331

1 0 0 0 0 0 0 0 0 1 0 0 0 0 19,339 2,624 2,108 2,371 19,057 45,499 0 0 0 0 444 0 0 0 0 444

89,674 102,400 7,560 7,413 151,611 3,741 31,317 30,862 303,301 727,8791 Duals include enrollees with both Part A and B, Part A only, Part B only2 Integrated - Combines Medicaid, Medicare Parts A, B and D3 Non-Integrated - Medicaid only

Basic PlusBasic Plus 1

Minnesota Senior Care Plus (MSC+)

Special Needs BasicCare (SNBC) Non-Integrated3

Total Enrollment

MinnesotaCare

PMAPMSC PlusMSHO

Minnesota Care

Medical Assistance (MA)

Program Totals

Moving Home Minnesota (MHM)2

SNBCPINs

MA Total (includes the following programs)

Minnesota Senior Health Option (MSHO)2

Special Needs BasicCare (SNBC) - Integrated2

Preferred Integrated Network (PINs)

MHM

Page 4: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

April 2014 Families and ChildrenEnrollment Totals Under Age 65

Does Not Included MSHO, MSC+ or SNBCProgram NM - Non-Citizen MA (Pregnant Women)MA Exp - MA < 75% FPG

Page 1 4/11/2014

MnCareMnCare

Child MA Total MNCareMnCare

Child MA Total MnCareMnCare

Child MA Total MNCareMnCare

Child MA Total MnCareMnCare

Child MA TotalAitkin 001Anoka 002 1,004 69 9,500 10,573Becker 003 240 8 2,322 2,570 145 12 1,654 1,811Beltrami 004 297 22 319 77 3 80Benton 005 128 2 1,692 1,822Big Stone 006 39 5 44 7 3 10Blue Earth 007 358 17 1,800 2,175Brown 008 128 9 137Carlton 009 230 15 2,526 2,771Carver 010 183 17 1,775 1,975Cass 011 384 22 2,703 3,109 106 3 975 1,084Chippewa 012 106 6 1,069 1,181Chisago 013 150 9 1,342 1,501Clay 014 221 18 2,958 3,197 154 10 2,642 2,806Clearwater 015 73 6 79 4 1 5Cook 016Cottonwood 017 50 10 620 680Crow Wing 018 529 49 4,099 4,677 332 25 1,851 2,208Dakota 019 955 82 9,451 10,488 712 45 7,249 8,006Dodge 020 63 5 68Douglas 021 218 16 234 60 3 63Faribault 022 91 5 841 937Fillmore 023 28 5 257 290Freeborn 024 266 14 1,814 2,094Goodhue 025 186 10 196Grant 026 57 4 61 25 1 26Hennepin 027 1,932 146 23,451 25,529 7,560 7,560 10,256 555 67,759 78,570Houston 028 28 2 306 336Hubbard 029 259 13 272 41 1 42Isanti 030 212 8 2,111 2,331Itasca 031 258 8 266 449 30 6,280 6,759Jackson 032 71 4 609 684Kanabec 033 147 9 156

BLUE PLUS HEALTHPARTNERS HENNEPIN HEALTH ITASCA MEDICAL CARE MEDICA

Page 5: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

April 2014 Families and ChildrenEnrollment Totals Under Age 65

Does Not Included MSHO, MSC+ or SNBCProgram NM - Non-Citizen MA (Pregnant Women)MA Exp - MA < 75% FPG

Page 2 4/11/2014

MnCareMnCare

Child MA Total MNCareMnCare

Child MA Total MnCareMnCare

Child MA Total MNCareMnCare

Child MA Total MnCareMnCare

Child MA Total

BLUE PLUS HEALTHPARTNERS HENNEPIN HEALTH ITASCA MEDICAL CARE MEDICA

Kandiyohi 034 356 29 4,168 4,553Kittson 035Koochiching 036LacQuiParle 037 66 3 439 508Lake 038Lake of Woods 039LeSueur 040 186 19 1,302 1,507Lincoln 041 45 4 380 429Lyon 042 156 13 1,794 1,963McLeod 043 157 13 170 38 38 56 1 57Mahnomen 044Marshall 045Martin 046 153 12 1,301 1,466Meeker 047 113 8 121 20 1 21 72 3 75Mille Lacs 048 159 11 1,899 2,069Morrison 049 200 22 222 142 3 145Mower 050Murray 051 81 9 594 684Nicollet 052 187 15 1,104 1,306Nobles 053 117 18 2,180 2,315Norman 054Olmsted 055 73 10 624 707Otter Tail 056 414 30 3,438 3,882 200 16 1,788 2,004Pennington 057Pine 058Pipestone 059 47 3 50 13 13Polk 060 98 6 1,570 1,674Pope 061 76 7 83 17 2 19Ramsey 062 992 64 12,655 13,711 1,607 98 24,068 25,773Red Lake 063Redwood 064 139 14 906 1,059Renville 065 100 5 105 17 1 18Rice 066 285 15 2,353 2,653 146 5 996 1,147

Page 6: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

April 2014 Families and ChildrenEnrollment Totals Under Age 65

Does Not Included MSHO, MSC+ or SNBCProgram NM - Non-Citizen MA (Pregnant Women)MA Exp - MA < 75% FPG

Page 3 4/11/2014

MnCareMnCare

Child MA Total MNCareMnCare

Child MA Total MnCareMnCare

Child MA Total MNCareMnCare

Child MA Total MnCareMnCare

Child MA Total

BLUE PLUS HEALTHPARTNERS HENNEPIN HEALTH ITASCA MEDICAL CARE MEDICA

Rock 067 67 5 492 564Roseau 068St. Louis 069 1,089 63 12,886 14,038Scott 070 275 21 2,886 3,182Sherburne 071 190 12 2,063 2,265Sibley 072 68 5 73Stearns 073 1,204 88 8,815 10,107Steele 074 152 4 156Stevens 075 40 3 43 24 24Swift 076 96 7 843 946Todd 077 179 14 193 86 10 96Traverse 078 21 4 25 1 1Wabasha 079 64 3 67Wadena 080 92 7 99 24 1 25Waseca 081 93 13 106Washington 082 531 33 5,061 5,625Watonwan 083 69 5 523 597Wilkin 084 45 5 481 531 28 2 329 359Winona 085Wright 086 458 41 2,820 3,319 189 7 1,457 1,653 454 41 3,867 4,362Yellow Medicine 087 79 10 731 820

Program Total 10,389 771 66,790 8,163 548 89,359 - - 7,560 449 30 6,280 14,404 822 104,040 Health Plan Total 77,950 98,070 7,560 6,759 119,266

Page 7: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

April 2014 Families and ChildrenEnrollment Totals Under Age 65

SOUTH COUNTRY HEALTH PRIMEWEST HEALTH ALLIANCE UCARE MN PROGRAM TOTALS

MnCare MnCare MnCare MnCare Child MA Total MnCare Child MA Total MNCare Child MA Total MnCare Child MA Total

Aitkin 001 341 14 2,186 2,541 341 14 2,186 2, 541Anoka 002 3,022 200 24,474 27,696 4, 026 269 33,974 38, 269Becker 003 75 4 232 311 460 24 4,208 4, 692Beltrami 004 16 5,838 6,085 605 41 5,838 6, 484Benton 005 299 32 2,774 3,105 427 34 4,466 4, 927Big Stone 006 1 489 518 74 9 489 572 Blue Earth 007 287 17 3,819 4,123 645 34 5,619 6, 298Brown 008 68 4 2,100 2,172 56 5 61 252 18 2,100 2, 370Carlton 009 175 10 1,174 1,359 405 25 3,700 4, 130Carver 010 478 29 2,843 3,350 661 46 4,618 5, 325Cass 011 131 9 827 967 621 34 4,505 5, 160Chippewa 012 48 3 381 432 154 9 1,450 1, 613Chisago 013 466 30 3,015 3,511 616 39 4,357 5, 012Clay 014 108 11 478 597 483 39 6,078 6, 600Clearwater 015 2 1,219 1,263 119 9 1,219 1, 347Cook 016 170 6 630 806 170 6 630 806 Cottonwood 017 91 7 771 869 141 17 1,391 1, 549Crow Wing 018 260 16 1,871 2,147 1, 121 90 7,821 9, 032Dakota 019 2,383 164 15,090 17,637 4, 050 291 31,790 36, 131Dodge 020 38 3 896 937 78 6 910 994 179 14 1,806 1, 999Douglas 021 23 3,492 3,761 524 42 3,492 4, 058Faribault 022 85 2 782 869 176 7 1,623 1, 806Fillmore 023 203 8 1,757 1,968 231 13 2,014 2, 258Freeborn 024 160 5 1,976 2,141 426 19 3,790 4, 235Goodhue 025 151 17 3,128 3,296 144 10 154 481 37 3,128 3, 646Grant 026 1 787 829 123 6 787 916 Hennepin 027 1,686 131 38,365 40,182 13, 874 832 137,135 151, 841Houston 028 165 9 1,027 1,201 193 11 1,333 1, 537Hubbard 029 8 2,889 2,986 389 22 2,889 3, 300Isanti 030 353 23 2,421 2,797 565 31 4,532 5, 128Itasca 031 707 38 6,280 7, 025Jackson 032 35 3 320 358 106 7 929 1, 042Kanabec 033 70 2 2,265 2,337 67 3 70 284 14 2,265 2, 563

Does Not Included MSHO, MSC+ or SNBCProgram NM - Non-Citizen MA (Pregnant Women) Page 4 4/11/2014MA Exp - MA < 75% FPG

Page 8: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

April 2014 Families and ChildrenEnrollment Totals Under Age 65

SOUTH COUNTRY HEALTH PRIMEWEST HEALTH ALLIANCE UCARE MN PROGRAM TOTALS

MnCare MnCare MnCare MnCare Child MA Total MnCare Child MA Total MNCare Child MA Total MnCare Child MA Total

Kandiyohi 034 180 6 1,491 1,677 536 35 5,659 6, 230Kittson 035 63 5 460 528 63 5 460 528 Koochiching 036 241 9 1,684 1,934 241 9 1,684 1, 934LacQuiParle 037 19 2 160 181 85 5 599 689 Lake 038 201 9 1,067 1,277 201 9 1,067 1, 277Lake of Woods 039 94 2 481 577 94 2 481 577 LeSueur 040 86 7 1,009 1,102 272 26 2,311 2, 609Lincoln 041 24 3 104 131 69 7 484 560 Lyon 042 93 9 983 1,085 249 22 2,777 3, 048McLeod 043 14 3,009 3,176 404 28 3,009 3, 441Mahnomen 044 54 1 385 440 54 1 385 440 Marshall 045 111 11 716 838 111 11 716 838 Martin 046 63 5 1,010 1,078 216 17 2,311 2, 544Meeker 047 4 2,284 2,396 313 16 2,284 2, 613Mille Lacs 048 238 24 1,567 1,829 397 35 3,466 3, 898Morrison 049 147 16 3,786 3,949 56 1 57 545 42 3,786 4, 373Mower 050 373 33 4,938 5,344 373 33 4,938 5, 344Murray 051 31 139 170 112 9 733 854 Nicollet 052 103 4 1,591 1,698 290 19 2,695 3, 004Nobles 053 48 8 710 766 165 26 2,890 3, 081Norman 054 78 4 830 912 78 4 830 912 Olmsted 055 1,257 86 11,853 13,196 1, 330 96 12,477 13, 903Otter Tail 056 205 15 807 1,027 819 61 6,033 6, 913Pennington 057 179 18 1,366 1,563 179 18 1,366 1, 563Pine 058 457 31 4,015 4,503 457 31 4,015 4, 503Pipestone 059 2 1,145 1,185 98 5 1,145 1, 248Polk 060 232 21 2,391 2,644 330 27 3,961 4, 318Pope 061 12 1,236 1,343 188 21 1,236 1, 445Ramsey 062 4,342 295 47,169 51,806 6, 941 457 83,892 91, 290Red Lake 063 49 1 343 393 49 1 343 393 Redwood 064 92 11 597 700 231 25 1,503 1, 759Renville 065 10 1,668 1,751 190 16 1,668 1, 874Rice 066 149 12 2,492 2,653 580 32 5,841 6, 453

Does Not Included MSHO, MSC+ or SNBCProgram NM - Non-Citizen MA (Pregnant Women) Page 5 4/11/2014MA Exp - MA < 75% FPG

Page 9: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

April 2014 Families and ChildrenEnrollment Totals Under Age 65

SOUTH COUNTRY HEALTH PRIMEWEST HEALTH ALLIANCE UCARE MN PROGRAM TOTALS

MnCare MnCare MnCare MnCare Child MA Total MnCare Child MA Total MNCare Child MA Total MnCare Child MA Total

Rock 067 36 3 344 383 103 8 836 947 Roseau 068 148 9 1,133 1,290 148 9 1,133 1, 290St. Louis 069 1,460 68 8,500 10,028 2, 549 131 21,386 24, 066Scott 070 878 72 6,276 7,226 1, 153 93 9,162 10, 408Sherburne 071 722 49 5,193 5,964 912 61 7,256 8, 229Sibley 072 70 3 1,359 1,432 54 1 55 192 9 1,359 1, 560Stearns 073 319 19 5,900 6,238 1, 523 107 14,715 16, 345Steele 074 127 1 3,891 4,019 70 7 77 349 12 3,891 4, 252Stevens 075 2 682 711 91 5 682 778 Swift 076 15 1 223 239 111 8 1,066 1, 185Todd 077 84 7 2,992 3,083 39 2 41 388 33 2,992 3, 413Traverse 078 1 403 414 32 5 403 440 Wabasha 079 73 6 896 975 73 4 820 897 210 13 1,716 1, 939Wadena 080 54 7 1,916 1,977 25 2 27 195 17 1,916 2, 128Waseca 081 65 10 1,779 1,854 70 70 228 23 1,779 2, 030Washington 082 1,459 90 9,473 11,022 1, 990 123 14,534 16, 647Watonwan 083 47 3 735 785 116 8 1,258 1, 382Wilkin 084 73 7 810 890 Winona 085 459 34 4,096 4,589 459 34 4,096 4, 589Wright 086 221 12 1,663 1,896 1, 322 101 9,807 11, 230Yellow Medicine 087 56 5 262 323 135 15 993 1, 143

Program Total 96 25,141 947 76 25,008 26, 635 1,771 243,099 62, 168 4,114 567,277Health Plan Total 26,418 26,031 271, 505 633, 559

Does Not Included MSHO, MSC+ or SNBCProgram NM - Non-Citizen MA (Pregnant Women) Page 6 4/11/2014MA Exp - MA < 75% FPG

Page 10: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

Elderly, Disabled and Mental Health Managed Care ProgramsEnrollment Totals April 2014

MSC + - Minnesota Senior Care PlusMSHO - Minnesota Senior Health OptionsSNBC - Special Needs Basic Care Page 1 4/11/2014 PINs-Preferred Integrated Networks (SPMI Adults; SED Children)

MHM MSC + MSHO Total MSC + MSHO Total MSC + MSHO Total MSC + MSHO SNBC PINs Total MSC + MSHO SNBC TotalAitkin 001 13 98 111 7 71 181 259Anoka 002 90 201 291 95 149 244 129 436 1,034 1,599Becker 003 79 203 282 40 142 335 517Beltrami 004Benton 005 40 149 189 13 26 39 23 163 219 405Big Stone 006Blue Earth 007 68 68Brown 008Carlton 009 34 164 198 30 170 207 407Carver 010 39 98 137 12 43 55 25 84 127 236Cass 011* 55 95 150 15 57 325 397Chippewa 012 21 177 198Chisago 013 43 47 90 5 9 14 21 102 177 300Clay 014 35 297 332 28 196 713 937Clearwater 015Cook 016 4 39 43 26 26Cottonwood 017 11 29 40Crow Wing 018* 60 197 257 27 193 656 876Dakota 019 240 194 434 78 259 337 189 425 804 440 1,858Dodge 020Douglas 021Faribault 022 29 88 117Fillmore 023 71 179 250Freeborn 024Goodhue 025Grant 026Hennepin 027 535 1,060 1,595 1,256 3,227 4,274 8,757 533 584 2,624 3,741Houston 028 20 88 108Hubbard 029Isanti 030 30 40 70 29 100 133 262Itasca 031 168 486 654 572 572Jackson 032 20 61 81Kanabec 033Kandiyohi 034 81 307 388 48 48Kittson 035 12 66 78 25 25

Metropolitan Health PlanItasca Medical

CareHealthPartners MedicaBlue Plus

Page 11: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

Elderly, Disabled and Mental Health Managed Care ProgramsEnrollment Totals April 2014

MSC + - Minnesota Senior Care PlusMSHO - Minnesota Senior Health OptionsSNBC - Special Needs Basic Care Page 2 4/11/2014 PINs-Preferred Integrated Networks (SPMI Adults; SED Children)

MHM MSC + MSHO Total MSC + MSHO Total MSC + MSHO Total MSC + MSHO SNBC PINs Total MSC + MSHO SNBC TotalMetropolitan Health Plan

Itasca Medical CareHealthPartners MedicaBlue Plus

Koochiching 036 9 35 44 23 108 151 282LacQuiParle 037 8 116 124Lake 038 17 38 55 10 72 82Lake of Woods 039 36 3 39 1 1LeSueur 040 20 119 139Lincoln 041 19 59 78Lyon 042 30 219 249McLeod 043Mahnomen 044 8 44 52 1 13 86 100Marshall 045 8 86 94 50 50Martin 046 17 151 168Meeker 047Mille Lacs 048 10 87 97 15 175 149 339Morrison 049* 83 83 166 178 344Mower 050 123 100 223Murray 051 7 102 109Nicollet 052 29 91 120Nobles 053 51 161 212Norman 054 5 51 56 7 66 70 143Olmsted 055 258 295 553Otter Tail 056 85 404 489 31 228 464 723Pennington 057 21 136 157 118 118Pine 058 33 79 112 22 110 185 317Pipestone 059Polk 060 89 294 383 30 73 374 477Pope 061Ramsey 062 427 380 807 400 1,133 1,533 522 818 3,183 4,523Red Lake 063 4 33 37 24 24Redwood 064 35 84 119Renville 065Rice 066 128 187 315 21 51 134 206Rock 067 13 54 67Roseau 068 17 142 159 77 77St. Louis 069 201 289 490 307 1,005 2,094 3,406Scott 070 78 127 205 36 96 132 85 269 204 558

Page 12: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

Elderly, Disabled and Mental Health Managed Care ProgramsEnrollment Totals April 2014

MSC + - Minnesota Senior Care PlusMSHO - Minnesota Senior Health OptionsSNBC - Special Needs Basic Care Page 3 4/11/2014 PINs-Preferred Integrated Networks (SPMI Adults; SED Children)

MHM MSC + MSHO Total MSC + MSHO Total MSC + MSHO Total MSC + MSHO SNBC PINs Total MSC + MSHO SNBC TotalMetropolitan Health Plan

Itasca Medical CareHealthPartners MedicaBlue Plus

Sherburne 071 26 97 123 6 18 24 23 189 218 430Sibley 072Stearns 073 92 286 378 31 47 78 35 257 641 933Steele 074Stevens 075Swift 076 25 120 145Todd 077* 71 71 121 97 218Traverse 078 Wabasha 079Wadena 080* 109 109 127 230 357Waseca 081Washington 082 1 96 114 211 63 182 245 59 144 390 593Watonwan 083 9 52 61Wilkin 084 10 53 63 4 30 36 70Winona 085 102 283 385Wright 086 85 219 304 15 19 34 38 194 257 489Yellow Medicine 087 9 118 127

Program Total 1 3,335 8,388 1,289 3,041 168 486 3,042 9,520 19,339 440 533 584 2,624 Health Plan Total 11,724 4,330 654 32,341 3,741

Page 13: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

Elderly, Disabled and Mental Health Managed Care ProgramsEnrollment Totals April 2014

MSC + - Minnesota Senior Care PlusMSHO - Minnesota Senior Health OptionsSNBC - Special Needs Basic Care Page 4 4/11/2014 PINs-Preferred Integrated Networks (SPMI Adults; SED Children)

Aitkin 001Anoka 002Becker 003Beltrami 004Benton 005Big Stone 006Blue Earth 007Brown 008Carlton 009Carver 010Cass 011*Chippewa 012Chisago 013Clay 014Clearwater 015Cook 016Cottonwood 017Crow Wing 018*Dakota 019Dodge 020Douglas 021Faribault 022Fillmore 023Freeborn 024Goodhue 025Grant 026Hennepin 027Houston 028Hubbard 029Isanti 030Itasca 031Jackson 032Kanabec 033Kandiyohi 034Kittson 035

MSC + MSHO SNBC Total MSC + MSHO SNBC Total MSC + MSHO SNBC Total MHM MSC + MSHO SNBC PINs Total5 32 37 - 25 201 181 - 407

135 426 1,119 1,680 - 449 1,212 2,153 - 3,814 - 119 345 335 - 799

316 150 548 1,014 - 316 150 548 - 1,014 18 58 150 226 - 94 396 369 - 859

15 115 52 182 - 15 115 52 - 182 41 445 488 974 - 109 445 488 - 1,042

78 181 247 506 - 78 181 247 - 506 8 48 151 207 - 72 382 358 - 812

13 65 124 202 - 89 290 251 - 630 12 46 58 - 82 198 325 - 605 6 9 81 96 - 27 186 81 - 294

12 78 173 263 - 81 236 350 - 667 - 63 493 713 - 1,269

78 118 97 293 - 78 118 97 - 293 5 5 - 9 39 26 - 74 8 132 106 246 - 19 161 106 - 286

1 1 30 153 183 - 117 543 657 - 1,317 113 454 809 1,376 - 620 1,332 1,613 440 4,005

16 94 117 227 10 26 36 - 26 120 117 - 263 40 385 395 820 - 40 385 395 - 820

7 66 123 196 - 36 154 123 - 313 20 47 82 149 - 91 226 82 - 399

172 176 338 686 - 172 176 338 - 686 74 349 411 834 - 74 349 411 - 834

6 46 49 101 - 6 46 49 - 101 1 1 1,200 2,873 4,614 8,687 - 3,524 7,744 11,513 - 22,781

8 81 77 166 - 28 169 77 - 274 135 71 168 374 - 135 71 168 - 374

11 67 137 215 - 70 207 270 - 547 - 168 486 572 - 1,226

4 22 31 57 - 24 83 31 - 138 40 130 157 327 - 40 130 157 - 327

18 54 223 295 - 99 361 271 - 731 5 20 25 - 17 86 25 - 128

PrimeWest HealthSouth Country Health

Alliance UCare County Total

Page 14: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

Elderly, Disabled and Mental Health Managed Care ProgramsEnrollment Totals April 2014

MSC + - Minnesota Senior Care PlusMSHO - Minnesota Senior Health OptionsSNBC - Special Needs Basic Care Page 5 4/11/2014 PINs-Preferred Integrated Networks (SPMI Adults; SED Children)

Koochiching 036LacQuiParle 037Lake 038Lake of Woods 039LeSueur 040Lincoln 041Lyon 042McLeod 043Mahnomen 044Marshall 045Martin 046Meeker 047Mille Lacs 048Morrison 049*Mower 050Murray 051Nicollet 052Nobles 053Norman 054Olmsted 055Otter Tail 056Pennington 057Pine 058Pipestone 059Polk 060Pope 061Ramsey 062Red Lake 063Redwood 064Renville 065Rice 066Rock 067Roseau 068St. Louis 069Scott 070

MSC + MSHO SNBC Total MSC + MSHO SNBC Total MSC + MSHO SNBC Total MHM MSC + MSHO SNBC PINs TotalPrimeWest Health

South Country Health Alliance UCare County Total

1 1 14 14 - 47 143 151 - 341 1 13 54 68 - 9 129 54 - 192

13 13 - 30 48 72 - 150 - 36 3 1 - 40

7 60 126 193 - 27 179 126 - 332 1 21 25 47 - 20 80 25 - 125

12 34 169 215 - 42 253 169 - 464 49 291 235 575 - 49 291 235 - 575

- 9 57 86 - 152 4 20 24 - 12 106 50 - 168 5 111 275 391 - 22 262 275 - 559

33 245 132 410 - 33 245 132 - 410 3 51 117 171 - 28 313 266 - 607

95 39 125 259 31 31 - 95 319 303 - 717 56 156 351 563 - 179 256 351 - 786

12 33 45 - 7 114 33 - 154 10 86 158 254 - 39 177 158 - 374 8 46 125 179 - 59 207 125 - 391 1 4 5 - 13 121 70 - 204

180 419 1,141 1,740 - 438 714 1,141 - 2,293 22 40 62 - 138 672 464 - 1,274 5 45 50 - 26 181 118 - 325 6 55 158 219 - 61 244 343 - 648

26 124 79 229 - 26 124 79 - 229 12 40 52 - 131 407 374 - 912

12 177 120 309 - 12 177 120 - 309 1 1 688 1,662 3,921 6,271 - 2,037 3,993 7,105 - 13,135

1 12 13 - 5 45 24 - 74 11 44 111 166 - 46 128 111 - 285

30 136 128 294 - 30 136 128 - 294 37 103 179 319 - 186 341 313 - 840 3 27 65 95 - 16 81 65 - 162 4 33 37 - 21 175 77 - 273

121 429 1,450 2,000 - 629 1,723 3,544 - 5,896 202 202 - 199 492 406 - 1,097

Page 15: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

Elderly, Disabled and Mental Health Managed Care ProgramsEnrollment Totals April 2014

MSC + - Minnesota Senior Care PlusMSHO - Minnesota Senior Health OptionsSNBC - Special Needs Basic Care Page 6 4/11/2014 PINs-Preferred Integrated Networks (SPMI Adults; SED Children)

Sherburne 071Sibley 072Stearns 073Steele 074Stevens 075Swift 076Todd 077*Traverse 078 Wabasha 079Wadena 080*Waseca 081Washington 082Watonwan 083Wilkin 084Winona 085Wright 086Yellow Medicine 087

Program TotalHealth Plan Total

MSC + MSHO SNBC Total MSC + MSHO SNBC Total MSC + MSHO SNBC Total MHM MSC + MSHO SNBC PINs TotalPrimeWest Health

South Country Health Alliance UCare County Total

8 69 245 322 - 63 373 463 - 899 16 152 70 238 - 16 152 70 - 238

61 155 566 782 - 219 745 1,207 - 2,171 139 229 375 743 - 139 229 375 - 743

15 90 71 176 - 15 90 71 - 176 2 19 63 84 - 27 139 63 - 229

61 51 125 237 57 57 - 61 300 222 - 583 10 77 32 119 - 10 77 32 - 119

33 106 133 272 13 29 42 - 46 135 133 - 314 39 22 94 155 43 43 - 39 301 324 - 664 50 118 178 346 - 50 118 178 - 346

54 277 386 717 1 272 717 776 - 1,766 3 55 71 129 - 12 107 71 - 190

- 14 83 36 - 133 21 77 314 412 - 123 360 314 - 797 22 81 213 316 - 160 513 470 - 1,143 1 22 51 74 - 10 140 51 - 201

766 2,025 2,108 813 1,647 2,371 3,099 9,640 19,057 1 13,045 35,331 45,499 440 4,899 4,831 31,796 94,316

Page 16: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

April 2014 Elderly/MnDHO/SNBCLiving Arrangement/Nursing Home Certifiable

Comm/Non-NHC: Community resident w/no waiverComm/NHC - Community resident with waiver services

1 of 344/11/2014

Institutional - SNF/ICF-DDCAC, CADI, MR/RC, TBI - HCB Waiver Services

MHM MSC+ MSHO MSC+ MSHO MSC+ MSHO MSC+ MSHO SNBC MSC+ MSHO SNBCAitkin CADI 10

Comm/NHC 5 37 1 27Comm/Non-NHC 7 41 5 22 155Institutional 1 20 1 22 2MR/RC 14

Aitkin Total 13 98 7 71 181Anoka CAC 2

CADI 181Comm/NHC 36 142 26 60 46 185Comm/Non-NHC 44 39 62 78 61 169 715Institutional 10 20 7 11 22 82 22MR/RC 102TBI 12

Anoka Total 90 201 95 149 129 436 1,034Becker CADI 50

Comm/NHC 25 89 9 60Comm/Non-NHC 30 35 16 38 255Institutional 24 79 15 44 9MR/RC 20TBI 1

Becker Total 79 203 40 142 335Beltrami CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RC

Beltrami TotalBecker CADI 44

Comm/NHC 13 70 3 12 7 57Comm/Non-NHC 10 19 7 6 7 38 157Institutional 17 60 3 8 9 68 6MR/RC 11TBI 1

Becker Total 40 149 13 26 23 163 219

Itasca Medical Care Medica Metropolitan Health

PlanBlue Plus HealthPartnersLiving Arrange/

NH Cert. Status

Page 17: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

April 2014 Elderly/MnDHO/SNBCLiving Arrangement/Nursing Home Certifiable

Comm/Non-NHC: Community resident w/no waiverComm/NHC - Community resident with waiver services

2 of 344/11/2014

Institutional - SNF/ICF-DDCAC, CADI, MR/RC, TBI - HCB Waiver Services

MHM MSC+ MSHO MSC+ MSHO MSC+ MSHO MSC+ MSHO SNBC MSC+ MSHO SNBC

Itasca Medical Care Medica Metropolitan Health

PlanBlue Plus HealthPartnersLiving Arrange/

NH Cert. StatusBig Stone CADI

Comm/NHCComm/Non-NHCInstitutional

Big Stone TotalBlue Earth CADI

Comm/NHC 30Comm/Non-NHC 24Institutional 14MR/RCTBI

Blue Earth Total 68Brown CAC

CADIComm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Brown TotalCarlton CADI 31

Comm/NHC 17 93 12 99Comm/Non-NHC 7 20 14 34 162Institutional 10 51 4 37 1MR/RC 12TBI 1

Carlton Total 34 164 30 170 207Carver CAC

CADI 30Comm/NHC 16 59 1 13 14 48Comm/Non-NHC 12 14 7 16 5 14 80Institutional 11 25 4 14 6 22 3MR/RC 14

Carver Total 39 98 12 43 25 84 127

Page 18: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

April 2014 Elderly/MnDHO/SNBCLiving Arrangement/Nursing Home Certifiable

Comm/Non-NHC: Community resident w/no waiverComm/NHC - Community resident with waiver services

3 of 344/11/2014

Institutional - SNF/ICF-DDCAC, CADI, MR/RC, TBI - HCB Waiver Services

MHM MSC+ MSHO MSC+ MSHO MSC+ MSHO MSC+ MSHO SNBC MSC+ MSHO SNBC

Itasca Medical Care Medica Metropolitan Health

PlanBlue Plus HealthPartnersLiving Arrange/

NH Cert. StatusCass CADI 22

Comm/NHC 13 33 16Comm/Non-NHC 33 50 9 33 287Institutional 9 12 6 8 2MR/RC 11TBI 3

Cass Total 55 95 15 57 325Chippewa CADI

Comm/NHC 6 62Comm/Non-NHC 9 35Institutional 6 80MR/RC

Chippewa Total 21 177Chisago CADI 23

Comm/NHC 18 28 3 10 37Comm/Non-NHC 17 11 3 4 9 25 102Institutional 8 8 2 2 2 40MR/RC 49TBI 3

Chisago Total 43 47 5 9 21 102 177Clay CAC 2

CADI 145Comm/NHC 19 155 14 90Comm/Non-NHC 11 55 11 66 482Institutional 5 87 3 40 9MR/RC 71TBI 4

Clay Total 35 297 28 196 713Clearwater CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RC

Clearwater Total

Page 19: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

April 2014 Elderly/MnDHO/SNBCLiving Arrangement/Nursing Home Certifiable

Comm/Non-NHC: Community resident w/no waiverComm/NHC - Community resident with waiver services

4 of 344/11/2014

Institutional - SNF/ICF-DDCAC, CADI, MR/RC, TBI - HCB Waiver Services

MHM MSC+ MSHO MSC+ MSHO MSC+ MSHO MSC+ MSHO SNBC MSC+ MSHO SNBC

Itasca Medical Care Medica Metropolitan Health

PlanBlue Plus HealthPartnersLiving Arrange/

NH Cert. StatusCook Comm/NHC 9

Comm/Non-NHC 3 10 23Institutional 1 20MR/RC 2TBI 1

Cook Total 4 39 26Cottonwood CADI

Comm/NHC 1 13Comm/Non-NHC 7 3Institutional 3 13MR/RCTBI

Cottonwood Total 11 29Crow Wing CADI 45

Comm/NHC 20 107 11 99Comm/Non-NHC 25 51 8 64 562Institutional 15 39 8 30 12MR/RC 37TBI

Crow Wing Total 60 197 27 193 656Dakota CAC 4

CADI 174Comm/NHC 118 101 13 101 105 183Comm/Non-NHC 87 55 54 123 57 162 500Institutional 35 38 11 35 27 80 10MR/RC 103TBI 13

Dakota Total 240 194 78 259 189 425 804Dodge CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RC

Dodge Total

Page 20: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

April 2014 Elderly/MnDHO/SNBCLiving Arrangement/Nursing Home Certifiable

Comm/Non-NHC: Community resident w/no waiverComm/NHC - Community resident with waiver services

5 of 344/11/2014

Institutional - SNF/ICF-DDCAC, CADI, MR/RC, TBI - HCB Waiver Services

MHM MSC+ MSHO MSC+ MSHO MSC+ MSHO MSC+ MSHO SNBC MSC+ MSHO SNBC

Itasca Medical Care Medica Metropolitan Health

PlanBlue Plus HealthPartnersLiving Arrange/

NH Cert. StatusDouglas CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Douglas TotalFaribault CADI

Comm/NHC 5 24Comm/Non-NHC 11 31Institutional 13 33MR/RC

Faribault Total 29 88Fillmore CADI

Comm/NHC 23 71Comm/Non-NHC 18 30Institutional 30 78MR/RC

Fillmore Total 71 179Freeborn CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RC

Freeborn TotalGoodhue CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RC

Goodhue TotalGrant CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RC

Grant Total

Page 21: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

April 2014 Elderly/MnDHO/SNBCLiving Arrangement/Nursing Home Certifiable

Comm/Non-NHC: Community resident w/no waiverComm/NHC - Community resident with waiver services

6 of 344/11/2014

Institutional - SNF/ICF-DDCAC, CADI, MR/RC, TBI - HCB Waiver Services

MHM MSC+ MSHO MSC+ MSHO MSC+ MSHO MSC+ MSHO SNBC MSC+ MSHO SNBC

Itasca Medical Care Medica Metropolitan Health

PlanBlue Plus HealthPartnersLiving Arrange/

NH Cert. StatusHennepin CAC 2 1

CADI 695 326Comm/NHC 85 437 453 1,560 160 313Comm/Non-NHC 338 407 612 986 3,061 267 199 2,080Institutional 112 216 191 681 150 106 72 87MR/RC 326 122TBI 40 8

Hennepin Total 535 1,060 1,256 3,227 4,274 533 584 2,624Houston CADI

Comm/NHC 8 29Comm/Non-NHC 6 19Institutional 6 40MR/RC

Houston Total 20 88Hubbard CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RC

Hubbard TotalIsanti CADI 21

Comm/NHC 10 22 9 35Comm/Non-NHC 10 3 8 19 88Institutional 10 15 12 46 3MR/RC 19TBI 2

Isanti Total 30 40 29 100 133Itasca CADI 41

Comm/NHC 70 243Comm/Non-NHC 68 125 455Institutional 30 118 11MR/RC 64TBI 1

Itasca Total 168 486 572

Page 22: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

April 2014 Elderly/MnDHO/SNBCLiving Arrangement/Nursing Home Certifiable

Comm/Non-NHC: Community resident w/no waiverComm/NHC - Community resident with waiver services

7 of 344/11/2014

Institutional - SNF/ICF-DDCAC, CADI, MR/RC, TBI - HCB Waiver Services

MHM MSC+ MSHO MSC+ MSHO MSC+ MSHO MSC+ MSHO SNBC MSC+ MSHO SNBC

Itasca Medical Care Medica Metropolitan Health

PlanBlue Plus HealthPartnersLiving Arrange/

NH Cert. StatusJackson CADI

Comm/NHC 9 21Comm/Non-NHC 4 13Institutional 7 27MR/RC

Jackson Total 20 61Kanabec CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Kanabec TotalKandiyohi CADI 4

Comm/NHC 14 109Comm/Non-NHC 56 64 40Institutional 11 134 1MR/RC 3TBI

Kandiyohi Total 81 307 48Kittson Comm/NHC 3 18

Comm/Non-NHC 5 10 20Institutional 4 38 1MR/RC 4

Kittson Total 12 66 25Koochiching CADI 9

Comm/NHC 11 2 11Comm/Non-NHC 7 9 17 61 128Institutional 2 15 4 36 2MR/RC 12

Koochiching Total 9 35 23 108 151Lac Qui Parle CADI

Comm/NHC 3 38Comm/Non-NHC 4 13Institutional 1 65MR/RC

Lac Qui Parle Total 8 116

Page 23: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

April 2014 Elderly/MnDHO/SNBCLiving Arrangement/Nursing Home Certifiable

Comm/Non-NHC: Community resident w/no waiverComm/NHC - Community resident with waiver services

8 of 344/11/2014

Institutional - SNF/ICF-DDCAC, CADI, MR/RC, TBI - HCB Waiver Services

MHM MSC+ MSHO MSC+ MSHO MSC+ MSHO MSC+ MSHO SNBC MSC+ MSHO SNBC

Itasca Medical Care Medica Metropolitan Health

PlanBlue Plus HealthPartnersLiving Arrange/

NH Cert. StatusLake CADI 8

Comm/NHC 11 21 7Comm/Non-NHC 1 6 2 60Institutional 5 11 1 1MR/RC 3

Lake Total 17 38 10 72Lake of the Woods Comm/NHC 10 1

Comm/Non-NHC 9 1 1Institutional 17 1

Lake of the Woods Total 36 3 1LeSueur CADI

Comm/NHC 12 66Comm/Non-NHC 2 18Institutional 6 35MR/RC

LeSueur Total 20 119Lincoln CADI

Comm/NHC 10 14Comm/Non-NHC 5 4Institutional 4 41MR/RC

Lincoln Total 19 59Lyon CADI

Comm/NHC 10 94Comm/Non-NHC 16 33Institutional 4 92MR/RC

Lyon Total 30 219McLeod CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RCTBI

McLeod Total

Page 24: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

April 2014 Elderly/MnDHO/SNBCLiving Arrangement/Nursing Home Certifiable

Comm/Non-NHC: Community resident w/no waiverComm/NHC - Community resident with waiver services

9 of 344/11/2014

Institutional - SNF/ICF-DDCAC, CADI, MR/RC, TBI - HCB Waiver Services

MHM MSC+ MSHO MSC+ MSHO MSC+ MSHO MSC+ MSHO SNBC MSC+ MSHO SNBC

Itasca Medical Care Medica Metropolitan Health

PlanBlue Plus HealthPartnersLiving Arrange/

NH Cert. StatusMahnomen CADI 6

Comm/NHC 3 14 1 4Comm/Non-NHC 4 17 8 73Institutional 1 13 1 1MR/RC 6

Mahnomen Total 8 44 1 13 86Marshall CADI 9

Comm/NHC 2 48Comm/Non-NHC 6 15 29Institutional 23MR/RC 12

Marshall Total 8 86 50Martin CADI

Comm/NHC 2 59Comm/Non-NHC 13 31Institutional 2 61MR/RCTBI

Martin Total 17 151Meeker CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RC

Meeker TotalMille Lacs CADI 20

Comm/NHC 3 51 48Comm/Non-NHC 6 12 10 46 117Institutional 1 24 5 81 1MR/RC 10TBI 1

Mille Lacs Total 10 87 15 175 149

Page 25: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

April 2014 Elderly/MnDHO/SNBCLiving Arrangement/Nursing Home Certifiable

Comm/Non-NHC: Community resident w/no waiverComm/NHC - Community resident with waiver services

10 of 344/11/2014

Institutional - SNF/ICF-DDCAC, CADI, MR/RC, TBI - HCB Waiver Services

MHM MSC+ MSHO MSC+ MSHO MSC+ MSHO MSC+ MSHO SNBC MSC+ MSHO SNBC

Itasca Medical Care Medica Metropolitan Health

PlanBlue Plus HealthPartnersLiving Arrange/

NH Cert. StatusMorrison CADI 16

Comm/NHC 44 83Comm/Non-NHC 10 35 154Institutional 29 48 5MR/RC 2TBI 1

Morrison Total 83 166 178Mower CADI

Comm/NHC 63 71Comm/Non-NHC 42 15Institutional 18 14MR/RCTBI

Mower Total 123 100Murray CADI

Comm/NHC 4 33Comm/Non-NHC 2 25Institutional 1 44MR/RC

Murray Total 7 102Nicollet CADI

Comm/NHC 13 52Comm/Non-NHC 12 13Institutional 4 26MR/RC

Nicollet Total 29 91Nobles CADI

Comm/NHC 7 60Comm/Non-NHC 34 52Institutional 10 49MR/RC

Nobles Total 51 161Norman CADI 6

Comm/NHC 19 1 19Comm/Non-NHC 4 12 5 6 56Institutional 1 20 1 41 5MR/RC 3

Norman Total 5 51 7 66 70

Page 26: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

April 2014 Elderly/MnDHO/SNBCLiving Arrangement/Nursing Home Certifiable

Comm/Non-NHC: Community resident w/no waiverComm/NHC - Community resident with waiver services

11 of 344/11/2014

Institutional - SNF/ICF-DDCAC, CADI, MR/RC, TBI - HCB Waiver Services

MHM MSC+ MSHO MSC+ MSHO MSC+ MSHO MSC+ MSHO SNBC MSC+ MSHO SNBC

Itasca Medical Care Medica Metropolitan Health

PlanBlue Plus HealthPartnersLiving Arrange/

NH Cert. StatusOlmsted CAC

CADIComm/NHC 91 116Comm/Non-NHC 101 119Institutional 66 60MR/RCTBI

Olmsted Total 258 295Otter Tail CAC 1

CADI 73Comm/NHC 30 154 8 81Comm/Non-NHC 44 74 17 76 347Institutional 11 176 6 71 5MR/RC 34TBI 4

Otter Tail Total 85 404 31 228 464Pennington CADI 16

Comm/NHC 9 60Comm/Non-NHC 9 36 75Institutional 3 40 2MR/RC 25

Pennington Total 21 136 118Pine CADI 11

Comm/NHC 15 57 10 45Comm/Non-NHC 14 18 9 39 160Institutional 4 4 3 26 6MR/RC 8

Pine Total 33 79 22 110 185Pipestone CAC

CADIComm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Pipestone Total

Page 27: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

April 2014 Elderly/MnDHO/SNBCLiving Arrangement/Nursing Home Certifiable

Comm/Non-NHC: Community resident w/no waiverComm/NHC - Community resident with waiver services

12 of 344/11/2014

Institutional - SNF/ICF-DDCAC, CADI, MR/RC, TBI - HCB Waiver Services

MHM MSC+ MSHO MSC+ MSHO MSC+ MSHO MSC+ MSHO SNBC MSC+ MSHO SNBC

Itasca Medical Care Medica Metropolitan Health

PlanBlue Plus HealthPartnersLiving Arrange/

NH Cert. StatusPolk CADI 61

Comm/NHC 38 135 13 33Comm/Non-NHC 32 38 13 17 260Institutional 19 121 4 23 11MR/RC 41TBI 1

Polk Total 89 294 30 73 374Pope CAC

CADIComm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Pope TotalRamsey CADI 393

Comm/NHC 167 211 62 475 277 326Comm/Non-NHC 177 106 268 451 163 338 2,479Institutional 83 63 70 207 82 154 80MR/RC 212TBI 19

Ramsey Total 427 380 400 1,133 522 818 3,183Red Lake CADI 2

Comm/NHC 2 19Comm/Non-NHC 2 8 19Institutional 6 2MR/RC 1

Red Lake Total 4 33 24Redwood CADI

Comm/NHC 8 23Comm/Non-NHC 12 23Institutional 15 38

Redwood Total 35 84

Page 28: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

April 2014 Elderly/MnDHO/SNBCLiving Arrangement/Nursing Home Certifiable

Comm/Non-NHC: Community resident w/no waiverComm/NHC - Community resident with waiver services

13 of 344/11/2014

Institutional - SNF/ICF-DDCAC, CADI, MR/RC, TBI - HCB Waiver Services

MHM MSC+ MSHO MSC+ MSHO MSC+ MSHO MSC+ MSHO SNBC MSC+ MSHO SNBC

Itasca Medical Care Medica Metropolitan Health

PlanBlue Plus HealthPartnersLiving Arrange/

NH Cert. StatusRenville CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Renville TotalRice CADI 20

Comm/NHC 50 118 10 23Comm/Non-NHC 43 28 7 9 94Institutional 35 41 4 19 4MR/RC 16TBI

Rice Total 128 187 21 51 134Rock CADI

Comm/NHC 4 18Comm/Non-NHC 4 13Institutional 5 23MR/RCTBI

Rock Total 13 54Roseau CADI 4

Comm/NHC 5 58Comm/Non-NHC 5 22 61Institutional 7 62 4MR/RC 8

Roseau Total 17 142 77St Louis CAC 1

CADI 240Comm/NHC 89 160 122 478Comm/Non-NHC 49 35 103 280 1,555Institutional 63 94 82 247 40MR/RC 199TBI 59

St Louis Total 201 289 307 1,005 2,094

Page 29: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

April 2014 Elderly/MnDHO/SNBCLiving Arrangement/Nursing Home Certifiable

Comm/Non-NHC: Community resident w/no waiverComm/NHC - Community resident with waiver services

14 of 344/11/2014

Institutional - SNF/ICF-DDCAC, CADI, MR/RC, TBI - HCB Waiver Services

MHM MSC+ MSHO MSC+ MSHO MSC+ MSHO MSC+ MSHO SNBC MSC+ MSHO SNBC

Itasca Medical Care Medica Metropolitan Health

PlanBlue Plus HealthPartnersLiving Arrange/

NH Cert. StatusScott CADI 43

Comm/NHC 26 55 4 33 41 109Comm/Non-NHC 34 35 30 55 36 95 109Institutional 18 37 2 8 8 65 33MR/RC 18TBI 1

Scott Total 78 127 36 96 85 269 204Sherburne CADI 55

Comm/NHC 10 49 1 6 9 103Comm/Non-NHC 3 17 3 7 9 32 118Institutional 13 31 2 5 5 54 10MR/RC 31TBI 4

Sherburne Total 26 97 6 18 23 189 218Sibley CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RC

Sibley TotalStearns CAC 2

CADI 71Comm/NHC 30 132 7 23 13 103Comm/Non-NHC 40 56 19 19 15 99 504Institutional 22 98 5 5 7 55 5MR/RC 56TBI 3

Stearns Total 92 286 31 47 35 257 641Steele CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Steele Total

Page 30: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

April 2014 Elderly/MnDHO/SNBCLiving Arrangement/Nursing Home Certifiable

Comm/Non-NHC: Community resident w/no waiverComm/NHC - Community resident with waiver services

15 of 344/11/2014

Institutional - SNF/ICF-DDCAC, CADI, MR/RC, TBI - HCB Waiver Services

MHM MSC+ MSHO MSC+ MSHO MSC+ MSHO MSC+ MSHO SNBC MSC+ MSHO SNBC

Itasca Medical Care Medica Metropolitan Health

PlanBlue Plus HealthPartnersLiving Arrange/

NH Cert. StatusStevens CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Stevens TotalSwift CADI

Comm/NHC 10 50Comm/Non-NHC 7 25Institutional 8 45MR/RC

Swift Total 25 120Todd CAC

CADI 15Comm/NHC 33 52Comm/Non-NHC 15 32 81Institutional 23 37MR/RC 1

Todd Total 71 121 97Traverse CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RC

Traverse TotalWabasha CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Wabasha Total

Page 31: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

April 2014 Elderly/MnDHO/SNBCLiving Arrangement/Nursing Home Certifiable

Comm/Non-NHC: Community resident w/no waiverComm/NHC - Community resident with waiver services

16 of 344/11/2014

Institutional - SNF/ICF-DDCAC, CADI, MR/RC, TBI - HCB Waiver Services

MHM MSC+ MSHO MSC+ MSHO MSC+ MSHO MSC+ MSHO SNBC MSC+ MSHO SNBC

Itasca Medical Care Medica Metropolitan Health

PlanBlue Plus HealthPartnersLiving Arrange/

NH Cert. StatusWadena CADI 35

Comm/NHC 35 45Comm/Non-NHC 22 35 180Institutional 52 47 4MR/RC 11

Wadena Total 109 127 230Waseca CAC

CADIComm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Waseca TotalWashington CADI 63

Comm/NHC 1 40 56 11 82 27 71Comm/Non-NHC 22 29 38 62 12 38 266Institutional 34 29 14 38 20 35 8MR/RC 49TBI 4

Washington Total 1 96 114 63 182 59 144 390Watonwan CADI

Comm/NHC 2 17Comm/Non-NHC 4 11Institutional 3 24MR/RCTBI

Watonwan Total 9 52Wilkin CADI 4

Comm/NHC 3 26 1 10Comm/Non-NHC 5 10 2 8 31Institutional 2 17 1 12MR/RC 1

Wilkin Total 10 53 4 30 36

Page 32: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

April 2014 Elderly/MnDHO/SNBCLiving Arrangement/Nursing Home Certifiable

Comm/Non-NHC: Community resident w/no waiverComm/NHC - Community resident with waiver services

17 of 344/11/2014

Institutional - SNF/ICF-DDCAC, CADI, MR/RC, TBI - HCB Waiver Services

MHM MSC+ MSHO MSC+ MSHO MSC+ MSHO MSC+ MSHO SNBC MSC+ MSHO SNBC

Itasca Medical Care Medica Metropolitan Health

PlanBlue Plus HealthPartnersLiving Arrange/

NH Cert. StatusWinona CADI

Comm/NHC 42 124Comm/Non-NHC 38 52Institutional 22 107MR/RCTBI

Winona Total 102 283Wright CAC 1

CADI 50Comm/NHC 37 116 4 6 12 96Comm/Non-NHC 22 25 11 12 13 43 175Institutional 26 78 1 13 55 7MR/RC 21TBI 3

Wright Total 85 219 15 19 38 194 257Yellow Medicine CADI

Comm/NHC 3 43Comm/Non-NHC 3 18Institutional 3 57

Yellow Medicine Total 9 118Plan Total CAC 0 0 0 0 0 0 0 0 0 15 0 0 1

CADI 0 0 0 0 0 0 0 0 0 2,746 0 0 326Comm/NHC 1 1,273 3,853 217 1,251 70 243 1,238 4,243 0 160 313 0Comm/Non-NHC 0 1,273 1,729 840 1,240 68 125 1,253 2,969 14,276 267 199 2,080Institutional 0 789 2,806 232 550 30 118 551 2,308 478 106 72 87MR/RC 0 0 0 0 0 0 0 0 0 1,642 0 0 122TBI 0 0 0 0 0 0 0 0 0 182 0 0 8

1 3,335 8,388 1,289 3,041 168 486 3,042 9,520 19,339 533 584 2,624Plan Total

Page 33: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

April 2014 Elderly/MnDHO/SNBCLiving Arrangement/Nursing Home Certifiable

Comm/Non-NHC: Community resident w/no waiverComm/NHC - Community resident with waiver services

18 of 344/11/2014

Institutional - SNF/ICF-DDCAC, CADI, MR/RC, TBI - HCB Waiver Services

Aitkin CADIComm/NHCComm/Non-NHCInstitutionalMR/RC

Aitkin TotalAnoka CAC

CADIComm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Anoka TotalBecker CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Becker TotalBeltrami CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RC

Beltrami TotalBecker CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Becker Total

Living Arrange/NH Cert. Status MSC+ MSHO SNBC MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC Total

0 0 0 10 103 10 0 9 74 0 832 14 0 14 77 155 246

8 0 2 50 2 540 0 0 14 14

5 32 0 25 201 181 4070 0 0 2 2

152 0 0 0 333 33349 189 0 157 576 0 73381 184 816 0 248 470 1,531 2,249

5 53 16 0 44 166 38 248124 0 0 0 226 226

11 0 0 0 23 23135 426 1,119 0 449 1,212 2,153 3,814

0 0 0 50 500 34 149 0 1830 46 73 255 3740 39 123 9 1710 0 0 20 200 0 0 1 10 119 345 335 799

28 0 0 0 28 28158 83 0 158 83 0 241109 22 487 0 109 22 487 618

49 45 14 0 49 45 14 10819 0 0 0 19 19

316 150 548 0 316 150 548 1,01422 0 0 0 66 66

4 17 0 27 156 0 1839 10 115 0 33 73 272 3785 31 2 0 34 167 8 209

11 0 0 0 22 220 0 0 1 1

18 58 150 0 94 396 369 859

County TotalUCarePrimeWest Health SCHA

Page 34: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

April 2014 Elderly/MnDHO/SNBCLiving Arrangement/Nursing Home Certifiable

Comm/Non-NHC: Community resident w/no waiverComm/NHC - Community resident with waiver services

19 of 344/11/2014

Institutional - SNF/ICF-DDCAC, CADI, MR/RC, TBI - HCB Waiver Services

Living Arrange/NH Cert. Status

Big Stone CADIComm/NHCComm/Non-NHCInstitutional

Big Stone TotalBlue Earth CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Blue Earth TotalBrown CAC

CADIComm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Brown TotalCarlton CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Carlton TotalCarver CAC

CADIComm/NHCComm/Non-NHCInstitutionalMR/RC

Carver Total

MSC+ MSHO SNBC MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC Total

County TotalUCarePrimeWest Health SCHA

11 0 0 0 11 113 38 0 3 38 0 415 28 33 0 5 28 33 667 49 8 0 7 49 8 64

15 115 52 0 15 115 52 18253 0 0 0 53 53

14 166 0 44 166 0 21018 160 360 0 42 160 360 562

9 119 17 0 23 119 17 15952 0 0 0 52 52

6 0 0 0 6 641 445 488 0 109 445 488 1,042

1 0 0 0 1 143 0 0 0 43 43

27 74 0 27 74 0 10126 34 137 0 26 34 137 19725 73 10 0 25 73 10 108

52 0 0 0 52 524 0 0 0 4 4

78 181 247 0 78 181 247 50615 0 0 0 46 46

3 31 0 32 223 0 2552 8 119 0 23 62 281 3663 9 2 0 17 97 3 117

13 0 0 0 25 252 0 0 0 3 3

8 48 151 0 72 382 358 8121 0 0 0 1 1

19 0 0 0 49 497 26 0 38 146 0 1843 15 74 0 27 59 154 2403 24 19 0 24 85 22 131

11 0 0 0 25 2513 65 124 0 89 290 251 630

Page 35: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

April 2014 Elderly/MnDHO/SNBCLiving Arrangement/Nursing Home Certifiable

Comm/Non-NHC: Community resident w/no waiverComm/NHC - Community resident with waiver services

20 of 344/11/2014

Institutional - SNF/ICF-DDCAC, CADI, MR/RC, TBI - HCB Waiver Services

Living Arrange/NH Cert. Status

Cass CADIComm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Cass TotalChippewa CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RC

Chippewa TotalChisago CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Chisago TotalClay CAC

CADIComm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Clay TotalClearwater CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RC

Clearwater Total

MSC+ MSHO SNBC MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC Total

County TotalUCarePrimeWest Health SCHA

0 0 0 22 221 13 0 14 62 0 769 30 0 51 113 287 4512 3 0 17 23 2 42

0 0 0 11 110 0 0 3 3

12 46 0 82 198 325 6056 0 0 0 6 6

1 2 0 7 64 0 714 4 64 0 13 39 64 1161 3 2 0 7 83 2 92

9 0 0 0 9 96 9 81 0 27 186 81 294

30 0 0 0 53 532 27 0 30 95 0 1256 25 101 0 35 65 203 3034 26 5 0 16 76 5 97

37 0 0 0 86 860 0 0 3 3

12 78 173 0 81 236 350 6670 0 0 2 20 0 0 145 1450 33 245 0 2780 22 121 482 6250 8 127 9 1440 0 0 71 710 0 0 4 40 63 493 713 1,269

3 0 0 0 3 325 38 0 25 38 0 6321 51 85 0 21 51 85 15732 29 8 0 32 29 8 69

1 0 0 0 1 178 118 97 0 78 118 97 293

Page 36: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

April 2014 Elderly/MnDHO/SNBCLiving Arrangement/Nursing Home Certifiable

Comm/Non-NHC: Community resident w/no waiverComm/NHC - Community resident with waiver services

21 of 344/11/2014

Institutional - SNF/ICF-DDCAC, CADI, MR/RC, TBI - HCB Waiver Services

Living Arrange/NH Cert. Status

Cook Comm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Cook TotalCottonwood CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Cottonwood TotalCrow Wing CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Crow Wing TotalDakota CAC

CADIComm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Dakota TotalDodge CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RC

Dodge Total

MSC+ MSHO SNBC MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC Total

County TotalUCarePrimeWest Health SCHA

0 0 9 0 95 0 8 10 23 41

0 1 20 0 210 0 0 2 20 0 0 1 1

5 0 9 39 26 746 0 0 0 6 6

3 40 0 4 53 0 572 36 81 0 9 39 81 1293 56 7 0 6 69 7 82

10 0 0 0 10 102 0 0 0 2 2

8 132 106 0 19 161 106 2860 0 0 45 45

11 70 0 42 276 0 3181 16 60 0 49 175 563 787

3 23 0 26 92 12 1300 0 0 37 370 0 0 0 0

1 30 153 0 117 543 657 1,3170 0 0 4 4

145 0 0 0 319 31931 200 0 267 585 0 85272 175 546 0 270 515 1,046 1,83110 79 6 0 83 232 16 331

102 0 0 0 205 20510 0 0 0 23 23

113 454 809 0 620 1,332 1,613 3,56512 0 0 0 12 12

4 50 4 7 0 8 57 0 657 22 76 4 10 0 11 32 76 1195 22 4 2 9 0 7 31 4 42

25 0 0 0 25 2516 94 117 10 26 0 26 120 117 263

Page 37: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

April 2014 Elderly/MnDHO/SNBCLiving Arrangement/Nursing Home Certifiable

Comm/Non-NHC: Community resident w/no waiverComm/NHC - Community resident with waiver services

22 of 344/11/2014

Institutional - SNF/ICF-DDCAC, CADI, MR/RC, TBI - HCB Waiver Services

Living Arrange/NH Cert. Status

Douglas CADIComm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Douglas TotalFaribault CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RC

Faribault TotalFillmore CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RC

Fillmore TotalFreeborn CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RC

Freeborn TotalGoodhue CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RC

Goodhue TotalGrant CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RC

Grant Total

MSC+ MSHO SNBC MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC Total

County TotalUCarePrimeWest Health SCHA

82 0 0 0 82 8216 178 0 16 178 0 19412 82 269 0 12 82 269 36312 125 12 0 12 125 12 149

32 0 0 0 32 320 0 0 0 0

40 385 395 0 40 385 395 8204 0 0 0 4 4

1 16 0 6 40 0 461 32 102 0 12 63 102 1775 18 1 0 18 51 1 70

16 0 0 0 16 167 66 123 0 36 154 123 313

16 0 0 0 16 166 22 0 29 93 0 1227 10 58 0 25 40 58 1237 15 4 0 37 93 4 134

4 0 0 0 4 420 47 82 0 91 226 82 399

26 0 0 0 26 2638 56 0 38 56 0 9457 48 243 0 57 48 243 34877 72 21 0 77 72 21 170

48 0 0 0 48 48172 176 338 0 172 176 338 686

69 0 0 0 69 6924 125 0 24 125 0 14917 81 206 0 17 81 206 30433 143 48 0 33 143 48 224

88 0 0 0 88 8874 349 411 0 74 349 411 834

8 0 0 0 8 81 21 0 1 21 0 222 15 35 0 2 15 35 523 10 2 0 3 10 2 15

4 0 0 0 4 46 46 49 0 6 46 49 101

Page 38: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

April 2014 Elderly/MnDHO/SNBCLiving Arrangement/Nursing Home Certifiable

Comm/Non-NHC: Community resident w/no waiverComm/NHC - Community resident with waiver services

23 of 344/11/2014

Institutional - SNF/ICF-DDCAC, CADI, MR/RC, TBI - HCB Waiver Services

Living Arrange/NH Cert. Status

Hennepin CACCADIComm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Hennepin TotalHouston CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RC

Houston TotalHubbard CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RC

Hubbard TotalIsanti CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Isanti TotalItasca CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Itasca Total

MSC+ MSHO SNBC MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC Total

County TotalUCarePrimeWest Health SCHA

1 0 0 0 4 4731 0 0 0 1,752 1,752

570 1,509 0 1,268 3,819 0 5,0871 500 907 3,471 0 1,717 2,499 8,613 12,829

130 457 111 0 539 1,426 348 2,313254 0 0 0 702 702

46 0 0 0 94 941 1,200 2,873 4,614 0 3,524 7,744 11,513 22,781

6 0 0 0 6 62 29 0 10 58 0 685 26 59 0 11 45 59 1151 26 1 0 7 66 1 74

11 0 0 0 11 118 81 77 0 28 169 77 274

8 0 0 0 8 867 32 0 67 32 0 9954 28 152 0 54 28 152 23414 11 1 0 14 11 1 26

7 0 0 0 7 7135 71 168 0 135 71 168 374

21 0 0 0 42 422 21 0 21 78 0 99

17 97 0 18 39 185 2429 29 2 0 31 90 5 126

17 0 0 0 36 360 0 0 2 2

11 67 137 0 70 207 270 5470 0 0 41 410 70 243 0 3130 68 125 455 6480 30 118 11 1590 0 0 64 640 0 0 1 10 168 486 572 1,226

Page 39: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

April 2014 Elderly/MnDHO/SNBCLiving Arrangement/Nursing Home Certifiable

Comm/Non-NHC: Community resident w/no waiverComm/NHC - Community resident with waiver services

24 of 344/11/2014

Institutional - SNF/ICF-DDCAC, CADI, MR/RC, TBI - HCB Waiver Services

Living Arrange/NH Cert. Status

Jackson CADIComm/NHCComm/Non-NHCInstitutionalMR/RC

Jackson TotalKanabec CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Kanabec TotalKandiyohi CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Kandiyohi TotalKittson Comm/NHC

Comm/Non-NHCInstitutionalMR/RC

Kittson TotalKoochiching CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RC

Koochiching TotalLac Qui Parle CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RC

Lac Qui Parle Total

MSC+ MSHO SNBC MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC Total

County TotalUCarePrimeWest Health SCHA

1 0 0 0 1 12 7 0 11 28 0 392 10 27 0 6 23 27 56

5 2 0 7 32 2 411 0 0 0 1 1

4 22 31 0 24 83 31 13823 0 0 0 23 23

9 54 0 9 54 0 6323 48 123 0 23 48 123 194

8 28 2 0 8 28 2 387 0 0 0 7 72 0 0 0 2 2

40 130 157 0 40 130 157 32713 0 0 0 17 17

6 9 0 20 118 0 13811 28 186 0 67 92 226 385

1 17 2 0 12 151 3 16621 0 0 0 24 24

1 0 0 0 1 118 54 223 0 99 361 271 7311 6 0 4 24 0 283 9 0 8 19 20 471 5 0 5 43 1 49

0 0 0 4 45 20 0 17 86 25 128

0 0 0 9 91 2 0 5 22 0 27

11 0 35 70 128 2331 0 7 51 2 60

0 0 0 12 121 14 0 47 143 151 341

9 0 0 0 9 95 0 3 43 0 46

1 2 39 0 5 15 39 596 1 0 1 71 1 73

5 0 0 0 5 51 13 54 0 9 129 54 192

Page 40: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

April 2014 Elderly/MnDHO/SNBCLiving Arrangement/Nursing Home Certifiable

Comm/Non-NHC: Community resident w/no waiverComm/NHC - Community resident with waiver services

25 of 344/11/2014

Institutional - SNF/ICF-DDCAC, CADI, MR/RC, TBI - HCB Waiver Services

Living Arrange/NH Cert. Status

Lake CADIComm/NHCComm/Non-NHCInstitutionalMR/RC

Lake TotalLake of the Woods Comm/NHC

Comm/Non-NHCInstitutional

Lake of the Woods TotalLeSueur CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RC

LeSueur TotalLincoln CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RC

Lincoln TotalLyon CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RC

Lyon TotalMcLeod CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RCTBI

McLeod Total

MSC+ MSHO SNBC MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC Total

County TotalUCarePrimeWest Health SCHA

0 0 0 8 84 0 15 28 0 437 0 8 8 60 762 0 7 12 1 20

0 0 0 3 313 0 30 48 72 150

0 10 1 0 110 9 1 1 110 17 1 0 180 36 3 1 40

14 0 0 0 14 142 31 0 14 97 0 1112 17 102 0 4 35 102 1413 12 2 0 9 47 2 58

8 0 0 0 8 87 60 126 0 27 179 126 332

1 0 0 0 1 11 5 0 11 19 0 30

7 18 0 5 11 18 349 4 0 4 50 4 58

2 0 0 0 2 21 21 25 0 20 80 25 125

24 0 0 0 24 244 14 0 14 108 0 1226 10 131 0 22 43 131 1962 10 3 0 6 102 3 111

11 0 0 0 11 1112 34 169 0 42 253 169 464

38 0 0 0 38 3817 126 0 17 126 0 14315 51 161 0 15 51 161 22717 114 7 0 17 114 7 138

25 0 0 0 25 254 0 0 0 4 4

49 291 235 0 49 291 235 575

Page 41: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

April 2014 Elderly/MnDHO/SNBCLiving Arrangement/Nursing Home Certifiable

Comm/Non-NHC: Community resident w/no waiverComm/NHC - Community resident with waiver services

26 of 344/11/2014

Institutional - SNF/ICF-DDCAC, CADI, MR/RC, TBI - HCB Waiver Services

Living Arrange/NH Cert. Status

Mahnomen CADIComm/NHCComm/Non-NHCInstitutionalMR/RC

Mahnomen TotalMarshall CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RC

Marshall TotalMartin CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Martin TotalMeeker CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RC

Meeker TotalMille Lacs CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Mille Lacs Total

MSC+ MSHO SNBC MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC Total

County TotalUCarePrimeWest Health SCHA

0 0 0 6 60 4 18 0 220 4 25 73 1020 1 14 1 160 0 0 6 60 9 57 86 1520 0 0 9 9

2 7 0 4 55 0 592 7 0 8 22 29 59

6 0 0 29 0 290 0 0 12 12

4 20 0 12 106 50 16828 0 0 0 28 28

1 47 0 3 106 0 1093 26 145 0 16 57 145 2181 38 21 0 3 99 21 123

80 0 0 0 80 801 0 0 0 1 1

5 111 275 0 22 262 275 55919 0 0 0 19 19

12 109 0 12 109 0 12113 47 108 0 13 47 108 1688 89 1 0 8 89 1 98

4 0 0 0 4 433 245 132 0 33 245 132 410

18 0 0 0 38 381 17 0 4 116 0 1202 13 94 0 18 71 211 300

21 1 0 6 126 2 1342 0 0 0 12 122 0 0 0 3 3

3 51 117 0 28 313 266 607

Page 42: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

April 2014 Elderly/MnDHO/SNBCLiving Arrangement/Nursing Home Certifiable

Comm/Non-NHC: Community resident w/no waiverComm/NHC - Community resident with waiver services

27 of 344/11/2014

Institutional - SNF/ICF-DDCAC, CADI, MR/RC, TBI - HCB Waiver Services

Living Arrange/NH Cert. Status

Morrison CADIComm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Morrison TotalMower CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Mower TotalMurray CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RC

Murray TotalNicollet CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RC

Nicollet TotalNobles CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RC

Nobles TotalNorman CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RC

Norman Total

MSC+ MSHO SNBC MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC Total

County TotalUCarePrimeWest Health SCHA

9 0 0 0 25 2532 21 16 0 32 164 0 19637 12 113 8 0 37 65 267 36926 6 3 7 0 26 90 8 124

0 0 0 2 20 0 0 1 1

95 39 125 31 0 95 319 303 71721 0 0 0 21 21

24 83 0 87 154 0 24122 43 271 0 64 58 271 39310 30 19 0 28 44 19 91

39 0 0 0 39 391 0 0 0 1 1

56 156 351 0 179 256 351 7862 0 0 0 2 2

6 0 4 39 0 434 28 0 2 29 28 592 0 1 46 0 47

3 0 0 0 3 312 33 0 7 114 33 154

20 0 0 0 20 204 45 0 17 97 0 1146 28 121 0 18 41 121 180

13 4 0 4 39 4 4713 0 0 0 13 13

10 86 158 0 39 177 158 37412 0 0 0 12 12

10 0 7 70 0 778 27 100 0 42 79 100 221

9 3 0 10 58 3 7110 0 0 0 10 10

8 46 125 0 59 207 125 3910 0 0 6 6

1 2 0 2 40 0 421 0 9 19 56 841 0 2 62 5 69

0 0 0 3 31 4 0 13 121 70 204

Page 43: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

April 2014 Elderly/MnDHO/SNBCLiving Arrangement/Nursing Home Certifiable

Comm/Non-NHC: Community resident w/no waiverComm/NHC - Community resident with waiver services

28 of 344/11/2014

Institutional - SNF/ICF-DDCAC, CADI, MR/RC, TBI - HCB Waiver Services

Living Arrange/NH Cert. Status

Olmsted CACCADIComm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Olmsted TotalOtter Tail CAC

CADIComm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Otter Tail TotalPennington CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RC

Pennington TotalPine CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RC

Pine TotalPipestone CAC

CADIComm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Pipestone Total

MSC+ MSHO SNBC MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC Total

County TotalUCarePrimeWest Health SCHA

4 0 0 0 4 4134 0 0 0 134 134

53 142 0 144 258 0 402105 205 861 0 206 324 861 1,391

22 72 34 0 88 132 34 254105 0 0 0 105 105

3 0 0 0 3 3180 419 1,141 0 438 714 1,141 2,293

0 0 0 1 10 0 0 73 73

8 11 0 46 246 0 29212 17 0 73 167 347 587

2 12 0 19 259 5 2830 0 0 34 340 0 0 4 4

22 40 0 138 672 464 1,2740 0 0 16 16

1 24 0 10 84 0 942 7 0 11 43 75 1292 14 0 5 54 2 61

0 0 0 25 255 45 0 26 181 118 325

10 0 0 0 21 213 27 0 28 129 0 1573 20 137 0 26 77 297 400

8 3 0 7 38 9 548 0 0 0 16 16

6 55 158 0 61 244 343 6481 0 0 0 1 19 0 0 0 9 9

7 35 0 7 35 0 4214 22 51 0 14 22 51 87

5 67 3 0 5 67 3 7514 0 0 0 14 14

1 0 0 0 1 126 124 79 0 26 124 79 229

Page 44: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

April 2014 Elderly/MnDHO/SNBCLiving Arrangement/Nursing Home Certifiable

Comm/Non-NHC: Community resident w/no waiverComm/NHC - Community resident with waiver services

29 of 344/11/2014

Institutional - SNF/ICF-DDCAC, CADI, MR/RC, TBI - HCB Waiver Services

Living Arrange/NH Cert. Status

Polk CADIComm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Polk TotalPope CAC

CADIComm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Pope TotalRamsey CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Ramsey TotalRed Lake CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RC

Red Lake TotalRedwood CADI

Comm/NHCComm/Non-NHCInstitutional

Redwood Total

MSC+ MSHO SNBC MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC Total

County TotalUCarePrimeWest Health SCHA

0 0 0 61 614 15 0 55 183 0 2384 10 0 49 65 260 3744 15 0 27 159 11 197

0 0 0 41 410 0 0 1 1

12 40 0 131 407 374 9121 0 0 0 1 1

17 0 0 0 17 175 67 0 5 67 0 723 36 79 0 3 36 79 1184 74 4 0 4 74 4 82

17 0 0 0 17 172 0 0 0 2 2

12 177 120 0 12 177 120 309458 0 0 0 851 851

241 798 0 747 1,810 0 2,5571 395 634 3,196 0 1,003 1,529 5,676 8,208

52 230 47 0 287 654 127 1,068193 0 0 0 405 40527 0 0 0 46 46

1 688 1,662 3,921 0 2,037 3,993 7,105 13,1350 0 0 2 2

1 4 0 3 23 0 267 0 2 15 19 361 0 0 7 2 9

0 0 0 1 11 12 0 5 45 24 74

5 0 0 0 5 51 13 0 9 36 0 456 24 95 0 18 47 95 1604 7 11 0 19 45 11 75

11 44 111 0 46 128 111 285

Page 45: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

April 2014 Elderly/MnDHO/SNBCLiving Arrangement/Nursing Home Certifiable

Comm/Non-NHC: Community resident w/no waiverComm/NHC - Community resident with waiver services

30 of 344/11/2014

Institutional - SNF/ICF-DDCAC, CADI, MR/RC, TBI - HCB Waiver Services

Living Arrange/NH Cert. Status

Renville CADIComm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Renville TotalRice CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Rice TotalRock CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Rock TotalRoseau CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RC

Roseau TotalSt Louis CAC

CADIComm/NHCComm/Non-NHCInstitutionalMR/RCTBI

St Louis Total

MSC+ MSHO SNBC MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC Total

County TotalUCarePrimeWest Health SCHA

3 0 0 0 3 34 32 0 4 32 0 36

10 25 103 0 10 25 103 13816 79 12 0 16 79 12 107

8 0 0 0 8 82 0 0 0 2 2

30 136 128 0 30 136 128 29417 0 0 0 37 37

11 43 0 71 184 0 25520 33 132 0 70 70 226 366

6 27 5 0 45 87 9 14124 0 0 0 40 40

1 0 0 0 1 137 103 179 0 186 341 313 840

15 0 0 0 15 151 14 0 5 32 0 37

7 37 0 4 20 37 612 6 2 0 7 29 2 38

10 0 0 0 10 101 0 0 0 1 1

3 27 65 0 16 81 65 1620 0 0 4 4

10 0 5 68 0 732 11 0 7 33 61 1012 12 0 9 74 4 87

0 0 0 8 84 33 0 21 175 77 273

0 0 0 1 1126 0 0 0 366 366

51 197 0 262 835 0 1,09737 125 1,153 0 189 440 2,708 3,33733 107 37 0 178 448 77 703

118 0 0 0 317 31716 0 0 0 75 75

121 429 1,450 0 629 1,723 3,544 5,896

Page 46: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

April 2014 Elderly/MnDHO/SNBCLiving Arrangement/Nursing Home Certifiable

Comm/Non-NHC: Community resident w/no waiverComm/NHC - Community resident with waiver services

31 of 344/11/2014

Institutional - SNF/ICF-DDCAC, CADI, MR/RC, TBI - HCB Waiver Services

Living Arrange/NH Cert. Status

Scott CADIComm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Scott TotalSherburne CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Sherburne TotalSibley CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RC

Sibley TotalStearns CAC

CADIComm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Stearns TotalSteele CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Steele Total

MSC+ MSHO SNBC MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC Total

County TotalUCarePrimeWest Health SCHA

27 0 0 0 70 700 71 197 0 268

157 0 100 185 266 5512 0 28 110 35 173

13 0 0 0 31 313 0 0 0 4 4

202 0 199 492 406 1,09734 0 0 0 89 89

2 24 0 22 182 0 2044 21 169 0 19 77 287 3832 24 10 0 22 114 20 156

28 0 0 0 59 594 0 0 0 8 8

8 69 245 0 63 373 463 89912 0 0 0 12 12

6 82 0 6 82 0 884 29 38 0 4 29 38 716 41 12 0 6 41 12 59

8 0 0 0 8 816 152 70 0 16 152 70 238

0 0 0 2 248 0 0 0 119 119

25 59 0 75 317 0 39234 55 487 0 108 229 991 1,328

2 41 6 0 36 199 11 24622 0 0 0 78 78

3 0 0 0 6 661 155 566 0 219 745 1,207 2,171

47 0 0 0 47 4757 137 0 57 137 0 19452 53 258 0 52 53 258 36330 39 20 0 30 39 20 89

45 0 0 0 45 455 0 0 0 5 5

139 229 375 0 139 229 375 743

Page 47: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

April 2014 Elderly/MnDHO/SNBCLiving Arrangement/Nursing Home Certifiable

Comm/Non-NHC: Community resident w/no waiverComm/NHC - Community resident with waiver services

32 of 344/11/2014

Institutional - SNF/ICF-DDCAC, CADI, MR/RC, TBI - HCB Waiver Services

Living Arrange/NH Cert. Status

Stevens CADIComm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Stevens TotalSwift CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RC

Swift TotalTodd CAC

CADIComm/NHCComm/Non-NHCInstitutionalMR/RC

Todd TotalTraverse CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RC

Traverse TotalWabasha CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Wabasha Total

MSC+ MSHO SNBC MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC Total

County TotalUCarePrimeWest Health SCHA

8 0 0 0 8 83 42 0 3 42 0 454 17 39 0 4 17 39 608 31 5 0 8 31 5 44

18 0 0 0 18 181 0 0 0 1 1

15 90 71 0 15 90 71 1765 0 0 0 5 5

1 5 0 11 55 0 661 5 42 0 8 30 42 80

9 1 0 8 54 1 6315 0 0 0 15 15

2 19 63 0 27 139 63 2291 0 0 0 1 1

17 0 0 0 32 3223 19 27 0 23 131 0 15434 23 101 16 0 34 86 182 302

4 9 14 0 4 83 0 876 0 0 0 7 7

61 51 125 57 0 61 300 222 5832 0 0 0 2 2

1 20 0 1 20 0 215 19 25 0 5 19 25 494 38 4 0 4 38 4 46

1 0 0 0 1 110 77 32 0 10 77 32 119

19 0 0 0 19 199 34 4 9 0 13 43 0 56

15 31 81 6 9 0 21 40 81 1429 41 2 3 11 0 12 52 2 66

30 0 0 0 30 301 0 0 0 1 1

33 106 133 13 29 0 46 135 133 314

Page 48: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

April 2014 Elderly/MnDHO/SNBCLiving Arrangement/Nursing Home Certifiable

Comm/Non-NHC: Community resident w/no waiverComm/NHC - Community resident with waiver services

33 of 344/11/2014

Institutional - SNF/ICF-DDCAC, CADI, MR/RC, TBI - HCB Waiver Services

Living Arrange/NH Cert. Status

Wadena CADIComm/NHCComm/Non-NHCInstitutionalMR/RC

Wadena TotalWaseca CAC

CADIComm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Waseca TotalWashington CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Washington TotalWatonwan CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Watonwan TotalWilkin CADI

Comm/NHCComm/Non-NHCInstitutionalMR/RC

Wilkin Total

MSC+ MSHO SNBC MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC Total

County TotalUCarePrimeWest Health SCHA

3 0 0 0 38 385 4 6 0 5 90 0 95

20 12 82 12 0 20 81 262 36314 6 2 25 0 14 130 6 150

7 0 0 0 18 1839 22 94 43 0 39 301 324 664

1 0 0 0 1 132 0 0 0 32 32

15 51 0 15 51 0 6615 23 110 0 15 23 110 14820 44 4 0 20 44 4 68

30 0 0 0 30 301 0 0 0 1 1

50 118 178 0 50 118 178 34650 0 0 0 113 113

15 117 1 93 326 0 42030 124 287 0 102 253 553 908

9 36 4 0 77 138 12 22743 0 0 0 92 922 0 0 0 6 6

54 277 386 1 272 717 776 1,7668 0 0 0 8 8

2 12 0 4 29 0 331 20 49 0 5 31 49 85

23 6 0 3 47 6 567 0 0 0 7 71 0 0 0 1 1

3 55 71 0 12 107 71 1900 0 0 4 40 4 36 0 400 7 18 31 560 3 29 0 320 0 0 1 10 14 83 36 133

Page 49: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

April 2014 Elderly/MnDHO/SNBCLiving Arrangement/Nursing Home Certifiable

Comm/Non-NHC: Community resident w/no waiverComm/NHC - Community resident with waiver services

34 of 344/11/2014

Institutional - SNF/ICF-DDCAC, CADI, MR/RC, TBI - HCB Waiver Services

Living Arrange/NH Cert. Status

Winona CADIComm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Winona TotalWright CAC

CADIComm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Wright TotalYellow Medicine CADI

Comm/NHCComm/Non-NHCInstitutional

Yellow Medicine TotalPlan Total CAC

CADIComm/NHCComm/Non-NHCInstitutionalMR/RCTBI

Plan Total

MSC+ MSHO SNBC MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC Total

County TotalUCarePrimeWest Health SCHA

56 0 0 0 56 566 26 0 48 150 0 1989 17 243 0 47 69 243 3596 34 5 0 28 141 5 174

9 0 0 0 9 91 0 0 0 1 1

21 77 314 0 123 360 314 7971 0 0 0 2 2

36 0 0 0 86 867 36 0 60 254 0 314

12 21 141 0 58 101 316 4753 24 11 0 42 158 18 218

23 0 0 0 44 441 0 0 0 4 4

22 81 213 0 160 513 470 1,1436 0 0 0 6 6

0 3 43 0 461 6 44 0 4 24 44 72

16 1 0 3 73 1 771 22 51 0 10 140 51 201

0 0 2 0 0 3 0 0 7 0 0 0 28 280 0 236 0 0 312 0 0 2,424 0 0 0 6,044 6,044

320 821 0 249 707 0 1,206 4,324 0 1 4,733 15,755 0 20,489267 443 1,629 307 416 1,569 1,516 3,369 14,555 0 5,791 10,490 34,109 50,390179 761 81 257 524 128 377 1,947 442 0 2,521 9,086 1,216 12,823

0 0 150 0 0 346 0 0 1,484 0 0 0 3,744 3,7440 0 10 0 0 13 0 0 145 0 0 0 358 358

766 2,025 2,108 813 1,647 2,371 3,099 9,640 19,057 1 13,045 35,331 45,499 93,876

Page 50: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

MinnesotaCare MA and Medical Assistance Enrollment Totals for April 2014

BB-MCare Adults w/o Children <=200% (Citizen or Qualified Non-Citizen)FF-MCare Parents <=275% FPGLL-MCare Children < 21 <= 200% FPG; Pregnant Women

Prog MA-Medical AssistanceS-CHIP = Prog NM (PC) and LL (MnCare Children under 21 >200% FPG)

HENNEPIN HEALTH

METROPOLITAN HEALTH PLAN

BB FF LL MA S-CHIP BB FF LL MA S-CHIP MA BB FF LL MA S-CHIP BB FF LL MA S-CHIP MAAitkin 001 111 259Anoka 002 291 516 428 69 9,735 9 1,601Becker 003 110 130 8 2,604 65 80 12 2,170Beltrami 004 169 124 22 63 13 3Benton 005 189 76 51 2 1,731 405Big Stone 006 25 14 5 5 2 3Blue Earth 007 226 129 17 1,868Brown 008 66 61 9Carlton 009 198 110 119 15 2,933Carver 010 137 96 85 17 1,825 5 236Cass 011 189 192 22 2,853 69 35 3 1,372Chippewa 012 51 53 6 1,265 3Chisago 013 90 75 72 9 1,356 300Clay 014 119 94 18 3,290 97 55 10 3,579Clearwater 015 35 38 6 3 1 1Cook 016 43 26Cottonwood 017 20 26 10 660Crow Wing 018 284 240 49 4,356 200 129 25 2,727Dakota 019 415 496 82 9,856 27 340 310 45 7,576 10 1,862Dodge 020 41 20 5Douglas 021 119 96 16 46 13 3Faribault 022 56 35 5 958Fillmore 023 251 7 20 5 257Freeborn 024 161 103 14 1,813Goodhue 025 127 55 10Grant 026 32 25 4 19 6 1Hennepin 027 1,064 666 146 25,021 24 7,560 6,825 3,013 555 76,207 311 3,742Houston 028 109 13 15 2 306Hubbard 029 149 109 13 29 12 1Isanti 030 70 90 120 8 2,372Itasca 031 188 68 8 245 204 30 6,933 572Jackson 032 34 36 4 690Kanabec 033 103 44 9Kandiyohi 034 163 182 29 4,550 6 48Kittson 035 79 25

BLUE PLUS MEDICAITASCA MEDICAL CAREHEALTHPARTNERS

Page 51: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

MinnesotaCare MA and Medical Assistance Enrollment Totals for April 2014

BB-MCare Adults w/o Children <=200% (Citizen or Qualified Non-Citizen)FF-MCare Parents <=275% FPGLL-MCare Children < 21 <= 200% FPG; Pregnant Women

Prog MA-Medical AssistanceS-CHIP = Prog NM (PC) and LL (MnCare Children under 21 >200% FPG)

HENNEPIN HEALTH

METROPOLITAN HEALTH PLAN

BB FF LL MA S-CHIP BB FF LL MA S-CHIP MA BB FF LL MA S-CHIP BB FF LL MA S-CHIP MABLUE PLUS MEDICAITASCA MEDICAL CAREHEALTHPARTNERS

Koochiching 036 44 282LacQuiParle 037 38 28 3 563Lake 038 55 82Lake of Woods 039 39 1LeSueur 040 105 81 19 1,441Lincoln 041 27 18 4 458Lyon 042 80 74 13 2,036 7McLeod 043 100 54 13 30 8 44 12 1Mahnomen 044 52 100Marshall 045 94 50Martin 046 86 66 12 1,470Meeker 047 55 58 8 11 9 1 51 21 3Mille Lacs 048 97 71 87 11 2,238Morrison 049 113 87 22 83 81 59 3 344Mower 050 223Murray 051 37 42 9 703Nicollet 052 112 74 15 1,223 1Nobles 053 47 60 18 2,363 29Norman 054 56 143Olmsted 055 555 33 33 10 623 1Otter Tail 056 202 209 30 3,926 106 94 16 2,512Pennington 057 157 119Pine 058 112 317Pipestone 059 21 25 3 10 3Polk 060 383 50 48 6 2,047Pope 061 43 33 7 15 2 2Ramsey 062 520 412 64 13,448 9 842 553 98 25,582 20 4,527Red Lake 063 37 24Redwood 064 65 74 14 1,025Renville 065 53 45 5 10 6 1Rice 066 169 110 15 2,663 7 79 63 5 1,200 1Rock 067 36 31 5 559Roseau 068 159 77St. Louis 069 491 612 464 63 16,294Scott 070 205 123 130 21 3,010 8 558

Page 52: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

MinnesotaCare MA and Medical Assistance Enrollment Totals for April 2014

BB-MCare Adults w/o Children <=200% (Citizen or Qualified Non-Citizen)FF-MCare Parents <=275% FPGLL-MCare Children < 21 <= 200% FPG; Pregnant Women

Prog MA-Medical AssistanceS-CHIP = Prog NM (PC) and LL (MnCare Children under 21 >200% FPG)

HENNEPIN HEALTH

METROPOLITAN HEALTH PLAN

BB FF LL MA S-CHIP BB FF LL MA S-CHIP MA BB FF LL MA S-CHIP BB FF LL MA S-CHIP MABLUE PLUS MEDICAITASCA MEDICAL CAREHEALTHPARTNERS

Sherburne 071 123 78 105 12 2,086 430Sibley 072 37 29 5Stearns 073 378 716 464 88 8,884 9 934Steele 074 93 57 4Stevens 075 20 20 3 15 8Swift 076 51 44 7 987 1Todd 077 96 82 14 71 53 32 10 218Traverse 078 10 10 4 1Wabasha 079 42 22 3Wadena 080 46 46 7 109 21 3 1 357Waseca 081 52 40 13Washington 082 212 272 238 33 5,305 1 595Watonwan 083 33 35 5 583 1Wilkin 084 24 21 5 544 18 10 2 399Winona 085 385Wright 086 225 228 41 3,123 2 106 81 7 1,491 194 255 41 4,350 7Yellow Medicine 087 33 44 10 857

Program Total 5,553 4,629 771 78,423 93 4,345 3,200 548 93,602 86 7,560 245 204 30 6,933 0 9,105 4,833 822 136,078 320 3,742Health Plan Total 89,469 101,781 7,412 151,158

Page 53: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

MinnesotaCare MA and Medical Assistance Enrollment Totals for April 2014

BB-MCare Adults w/o Children <=200% (Citizen or Qualified Non-Citizen)FF-MCare Parents <=275% FPGLL-MCare Children < 21 <= 200% FPG; Pregnant Women

Prog MA-Medical AssistanceS-CHIP = Prog NM (PC) and LL (MnCare Children under 21 >200% FPG)

Aitkin 001Anoka 002Becker 003Beltrami 004Benton 005Big Stone 006Blue Earth 007Brown 008Carlton 009Carver 010Cass 011Chippewa 012Chisago 013Clay 014Clearwater 015Cook 016Cottonwood 017Crow Wing 018Dakota 019Dodge 020Douglas 021Faribault 022Fillmore 023Freeborn 024Goodhue 025Grant 026Hennepin 027Houston 028Hubbard 029Isanti 030Itasca 031Jackson 032Kanabec 033Kandiyohi 034Kittson 035

COUNTY TOTALBB FF LL MA S-CHIP BB FF LL MA S-CHIP BB FF LL MA S-CHIP BB FF LL MA S-CHIP TOTAL

213 128 14 2,223 213 128 14 2,593 - 2,948 1,653 1,171 200 26,120 31 2,169 1,599 269 37,747 40 41,824

58 17 4 232 233 227 24 5,006 - 5,490 116 112 16 6,852 348 249 41 6,852 - 7,490

178 115 32 2,999 1 254 166 34 5,324 1 5,779 7 21 1 671 37 37 9 671 - 754

164 121 17 4,793 390 250 34 6,661 - 7,335 28 39 4 2,605 1 31 24 5 125 124 18 2,605 1 2,873

131 43 10 1,381 241 162 25 4,512 - 4,940 292 184 29 3,041 4 388 269 46 5,239 9 5,951

85 46 9 885 343 273 34 5,110 - 5,760 27 21 3 476 1 78 74 9 1,741 4 1,906

282 181 30 3,277 357 253 39 5,023 - 5,672 67 41 11 477 283 190 39 7,346 - 7,858

24 18 2 1,512 62 57 9 1,512 - 1,640 109 61 6 635 109 61 6 704 - 880

46 37 7 1,017 66 63 17 1,677 - 1,823 1 147 112 16 2,054 631 481 90 9,138 - 10,340

1,385 897 164 16,429 35 2,140 1,703 291 35,723 72 39,929 16 20 3 1,121 2 38 38 6 942 4 95 78 14 2,063 6 2,256

120 125 23 4,313 285 234 42 4,313 - 4,874 53 32 2 979 109 67 7 1,937 - 2,120

111 92 8 1,906 118 112 13 2,414 - 2,657 686 92 66 5 1,973 2 253 169 19 4,472 2 4,915

70 81 17 3,958 4 99 44 10 296 180 37 3,958 4 4,475 15 26 1 888 66 57 6 888 - 1,017

1 887 593 131 46,927 130 8,776 4,272 832 159,458 465 173,803 100 63 9 1,193 113 78 11 1,608 - 1,810

44 45 8 3,263 222 166 22 3,263 - 3,673 196 156 23 2,635 286 276 31 5,077 - 5,670

433 272 38 7,505 - 8,248 21 14 3 378 55 50 7 1,068 - 1,180

27 43 2 2,592 37 30 3 167 117 14 2,592 - 2,890 128 49 6 1,782 4 291 231 35 6,380 10 6,947

28 35 5 485 28 35 5 589 - 657

UCARE MNSOUTH COUNTRY HEALTH

ALLIANCEPRIMEWEST HEALTH

Page 54: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

MinnesotaCare MA and Medical Assistance Enrollment Totals for April 2014

BB-MCare Adults w/o Children <=200% (Citizen or Qualified Non-Citizen)FF-MCare Parents <=275% FPGLL-MCare Children < 21 <= 200% FPG; Pregnant Women

Prog MA-Medical AssistanceS-CHIP = Prog NM (PC) and LL (MnCare Children under 21 >200% FPG)

Koochiching 036LacQuiParle 037Lake 038Lake of Woods 039LeSueur 040Lincoln 041Lyon 042McLeod 043Mahnomen 044Marshall 045Martin 046Meeker 047Mille Lacs 048Morrison 049Mower 050Murray 051Nicollet 052Nobles 053Norman 054Olmsted 055Otter Tail 056Pennington 057Pine 058Pipestone 059Polk 060Pope 061Ramsey 062Red Lake 063Redwood 064Renville 065Rice 066Rock 067Roseau 068St. Louis 069Scott 070

COUNTY TOTALBB FF LL MA S-CHIP BB FF LL MA S-CHIP BB FF LL MA S-CHIP BB FF LL MA S-CHIP TOTAL

UCARE MNSOUTH COUNTRY HEALTH

ALLIANCEPRIMEWEST HEALTH

1 164 76 9 1,698 164 76 9 2,025 - 2,274 15 4 2 228 53 32 5 791 - 881

127 74 9 1,080 127 74 9 1,217 - 1,427 49 45 2 481 49 45 2 521 - 617 42 41 7 1,198 4 147 122 26 2,639 4 2,938 16 8 3 151 43 26 7 609 - 685 59 26 9 1,197 1 139 100 22 3,233 8 3,502

72 81 14 3,580 3 246 155 28 3,580 3 4,012 32 22 1 385 32 22 1 537 - 592 58 53 11 740 58 53 11 884 - 1,006 30 33 5 1,400 1 116 99 17 2,870 1 3,103

36 72 4 2,694 153 160 16 2,694 - 3,023 142 96 24 1,737 213 183 35 4,072 - 4,503

61 86 16 4,045 41 15 1 31 296 247 42 4,503 - 5,088 203 157 33 5,487 15 203 157 33 5,710 15 6,118

27 4 184 64 46 9 887 - 1,006 65 34 4 1,840 6 177 108 19 3,063 7 3,374 30 14 8 879 10 77 74 26 3,242 39 3,458 44 33 4 835 44 33 4 1,034 - 1,115

765 421 86 13,578 19 798 454 96 14,756 20 16,124 117 88 15 869 425 391 61 7,307 - 8,184

98 76 18 1,416 98 76 18 1,692 - 1,884 268 185 31 4,234 268 185 31 4,663 - 5,147

10 27 2 1,372 2 41 55 5 1,372 2 1,475 122 103 21 2,443 172 151 27 4,873 - 5,223

47 48 12 1,541 1 105 83 21 1,541 1 1,751 1 2,806 1,344 295 53,322 118 4,168 2,309 457 96,880 147 103,961

30 17 1 356 30 17 1 417 - 465 47 45 11 762 1 112 119 25 1,787 1 2,044

31 40 10 1,959 3 94 91 16 1,959 3 2,163 87 54 12 2,792 16 335 227 32 6,655 24 7,273 16 17 3 439 52 48 8 998 - 1,106 68 78 9 1,170 68 78 9 1,406 - 1,561

1,066 386 68 10,500 1 1,678 850 131 27,285 1 29,945 444 392 72 6,461 15 567 522 93 10,234 23 11,439

Page 55: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

MinnesotaCare MA and Medical Assistance Enrollment Totals for April 2014

BB-MCare Adults w/o Children <=200% (Citizen or Qualified Non-Citizen)FF-MCare Parents <=275% FPGLL-MCare Children < 21 <= 200% FPG; Pregnant Women

Prog MA-Medical AssistanceS-CHIP = Prog NM (PC) and LL (MnCare Children under 21 >200% FPG)

Sherburne 071Sibley 072Stearns 073Steele 074Stevens 075Swift 076Todd 077Traverse 078 Wabasha 079Wadena 080Waseca 081Washington 082Watonwan 083Wilkin 084Winona 085Wright 086Yellow Medicine 087

Program TotalHealth Plan Total

COUNTY TOTALBB FF LL MA S-CHIP BB FF LL MA S-CHIP BB FF LL MA S-CHIP BB FF LL MA S-CHIP TOTAL

UCARE MNSOUTH COUNTRY HEALTH

ALLIANCEPRIMEWEST HEALTH

375 337 49 5,512 2 453 442 61 8,151 2 9,109 27 41 3 1,596 1 37 16 1 101 86 9 1,596 1 1,793

178 135 19 6,673 9 894 599 107 16,869 18 18,487 45 79 1 4,632 2 47 21 7 185 157 12 4,632 2 4,988

20 7 2 855 3 55 35 5 855 3 953 12 2 1 306 1 63 46 8 1,293 2 1,412

29 55 7 3,226 3 26 13 2 57 204 182 33 3,572 3 3,994 7 3 1 522 18 13 5 522 - 558

38 33 6 1,168 1 39 31 4 861 1 119 86 13 2,029 2 2,249 29 25 7 2,070 19 6 2 43 115 80 17 2,579 - 2,791 24 40 10 2,125 41 28 117 108 23 2,125 - 2,373

854 578 90 10,176 13 1,126 816 123 16,288 14 18,367 27 18 3 857 7 60 53 8 1,440 8 1,569

42 31 7 943 - 1,023 286 169 34 4,507 2 286 169 34 4,892 2 5,383 132 88 12 1,976 3 657 652 101 10,940 12 12,362

27 29 5 336 60 73 15 1,193 - 1,341

549 625 96 30,025 12 394 542 76 29,825 14 15,836 9,823 1,771 274,436 457 36,027 23,856 4,114 660,624 982302,323 725,60330,85131,307

Page 56: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

Enrollment Summary

Enrollment totals for MA Aged include MSHO. Enrollment totals reflect adjustments processed newborn additions and deletions due to death

April-14 Jan-14 Feb-14 Mar-14 Apr-14 May-14 Jun-14 Jul-14 Aug-14 Sep-14 Oct-14 Nov-14 Dec-14Blue PlusMA Adults 21 - 64 13,074 13,472 13,655 13,909MA Adults 21 - 64 < 75% FPG 9,704 10,388 11,635 12,399MA Aged - Institutionalized over 64 3,670 3,629 3,629 3,580MA Aged - Community over 64 8,336 8,290 8,220 8,133MA Children 36,849 37,795 38,579 39,099MA Pregnant Women All Ages 1,447 1,433 1,407 1,373MnCare Childless Adults 3,853 4,518 5,141 5,665MnCare Children 670 686 737 771MnCare Parents 3,760 4,109 4,443 4,720Total 81,363 84,320 87,446 89,649 0 0 0 0 0 0 0 0HealthPartnersMA Adults 21 - 64 17,524 17,969 18,383 18,827MA Adults 21 - 64 < 75% FPG 15,969 16,784 18,625 20,008MA Aged - Institutionalized over 64 799 790 786 779MA Aged - Community over 64 3,636 3,629 3,607 3,549MA Children 46,328 47,530 48,106 48,726MA Pregnant Women All Ages 1,751 1,800 1,762 1,778MnCare Childless Adults 2,898 3,636 4,140 4,577MnCare Children 434 470 525 548MnCare Parents 2,696 3,053 3,371 3,583Total 92,035 95,661 99,305 102,375 0 0 0 0 0 0 0 0Hennepin HealthMA Adults 21 - 64MA Adults 21 - 64 < 75% FPG 6,244 7,327 7,431 7,552MA Aged - Institutionalized over 64MA Aged - Community over 64MA ChildrenMA Pregnant Women All AgesMnCare Childless AdultsMnCare ChildrenMnCare ParentsTotal 6,244 7,327 7,431 7,552 0 0 0 0 0 0 0 0

Page 57: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

Enrollment Summary

Enrollment totals for MA Aged include MSHO. Enrollment totals reflect adjustments processed newborn additions and deletions due to death

April-14 Jan-14 Feb-14 Mar-14 Apr-14 May-14 Jun-14 Jul-14 Aug-14 Sep-14 Oct-14 Nov-14 Dec-14Itasca Medical CareMA Adults 21 - 64 1,299 1,330 1,341 1,362MA Adults 21 - 64 < 75% FPG 1,224 1,239 1,389 1,472MA Aged - Institutionalized over 64 150 152 145 148MA Aged - Community over 64 504 505 508 505MA Children 3,183 3,223 3,265 3,328MA Pregnant Women All Ages 119 115 116 118MnCare Childless Adults 215 228 240 245MnCare Children 28 29 34 30MnCare Parents 168 184 205 204Total 6,890 7,005 7,243 7,412 0 0 0 0 0 0 0 0MedicaMA Adults 21 - 64 17,807 18,599 19,151 19,525MA Adults 21 - 64 < 75% FPG 15,956 16,988 18,704 20,470MA Aged - Institutionalized over 64 2,938 2,900 2,892 2,837MA Aged - Community over 64 9,881 9,860 9,847 9,714MA Children 57,281 59,520 61,048 61,801MA Disabled - Basic Care 17,505 17,377 17,275 19,337MA PINS 480 472 462 444MA Pregnant Women All Ages 2,231 2,263 2,153 2,230MnCare Childless Adults 5,272 6,076 7,688 9,306MnCare Children 537 596 738 822MnCare Parents 3,505 4,091 4,642 5,093Total 133,393 138,742 144,600 151,579 0 0 0 0 0 0 0 0Metropolitan Health PlanMA Adults 21 - 64MA Adults 21 - 64 < 75% FPGMA Aged - Institutionalized over 64 185 180 177 176MA Aged - Community over 64 985 975 966 940MA ChildrenMA Disabled - Basic Care 2,827 2,778 2,743 2,624MA Pregnant Women All AgesMnCare Childless AdultsMnCare ChildrenMnCare ParentsTotal 3,997 3,933 3,886 3,740 0 0 0 0 0 0 0 0

Page 58: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

Enrollment Summary

Enrollment totals for MA Aged include MSHO. Enrollment totals reflect adjustments processed newborn additions and deletions due to death

April-14 Jan-14 Feb-14 Mar-14 Apr-14 May-14 Jun-14 Jul-14 Aug-14 Sep-14 Oct-14 Nov-14 Dec-14PrimeWest HealthMA Adults 21 - 64 4,890 5,022 5,073 5,201MA Adults 21 - 64 < 75% FPG 3,648 3,869 4,304 4,629MA Aged - Institutionalized over 64 962 961 948 940MA Aged - Community over 64 1,884 1,871 1,869 1,848MA Children 13,706 14,063 14,412 14,727MA Disabled - Basic Care 1,714 1,696 1,672 2,105MA Pregnant Women All Ages 544 546 563 581MnCare Childless Adults 399 440 474 554MnCare Children 49 61 91 96MnCare Parents 386 457 550 627Total 28,182 28,986 29,956 31,308 0 0 0 0 0 0 0 0South Country Health AllianceMA Adults 21 - 64 4,814 5,024 5,157 5,295MA Adults 21 - 64 < 75% FPG 3,410 3,774 4,299 4,648MA Aged - Institutionalized over 64 821 794 786 778MA Aged - Community over 64 1,710 1,707 1,698 1,679MA Children 13,333 13,907 14,275 14,596MA Disabled - Basic Care 2,008 1,990 1,967 2,370MA Pregnant Women All Ages 445 437 456 466MnCare Childless Adults 296 312 359 399MnCare Children 44 49 70 76MnCare Parents 329 356 462 548Total 27,210 28,350 29,529 30,855 0 0 0 0 0 0 0 0UCare MinnesotaMA Adults 21 - 64 46,030 47,553 48,980 50,286MA Adults 21 - 64 < 75% FPG 33,993 35,736 40,632 43,464MA Aged - Institutionalized over 64 2,311 2,313 2,334 2,315MA Aged - Community over 64 10,587 10,608 10,564 10,416MA Children 133,893 138,110 141,607 143,781MA Disabled - Basic Care 18,152 18,076 17,975 19,057MA Pregnant Women All Ages 5,405 5,523 5,556 5,528MnCare Childless Adults 10,070 11,263 13,896 16,181MnCare Children 1,335 1,425 1,683 1,770MnCare Parents 7,436 8,249 9,413 10,440Total 269,212 278,856 292,640 303,238 0 0 0 0 0 0 0 0

Page 59: April 2014 Managed Care Enrollment Documents€¦ · April 2014 Managed Care Enrollment Summary - By Benefit Set. Blue Plus. Health Partners. Hennepin Health Itasca Medical Care Medica

Enrollment Summary

Enrollment totals for MA Aged include MSHO. Enrollment totals reflect adjustments processed newborn additions and deletions due to death

April-14 Jan-14 Feb-14 Mar-14 Apr-14 May-14 Jun-14 Jul-14 Aug-14 Sep-14 Oct-14 Nov-14 Dec-14StatewideMA Adults 21 - 64 105,438 108,969 111,740 114,405 0 0 0 0 0 0 0 0MA Adults 21 - 64 < 75% FPG 90,148 96,105 107,019 114,642 0 0 0 0 0 0 0 0MA Aged - Institutionalized over 64 11,836 11,719 11,697 11,553 0 0 0 0 0 0 0 0MA Aged - Community over 64 37,523 37,445 37,279 36,784 0 0 0 0 0 0 0 0MA Children 304,573 314,148 321,292 326,058 0 0 0 0 0 0 0 0MA Disabled - Basic Care 42,206 41,917 41,632 45,493 0 0 0 0 0 0 0 0MA PINS 480 472 462 444 0 0 0 0 0 0 0 0MA Pregnant Women All Ages 11,942 12,117 12,013 12,074 0 0 0 0 0 0 0 0MnCare Childless Adults 23,003 26,473 31,938 36,927 0 0 0 0 0 0 0 0MnCare Children 3,097 3,316 3,878 4,113 0 0 0 0 0 0 0 0MnCare Parents 18,280 20,499 23,086 25,215 0 0 0 0 0 0 0 0Total 648,526 673,180 702,036 727,708 0 0 0 0 0 0 0 0