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AUGUST 2001 

 

MEDICAID ELIGIBLES - AUGUST 2001

These figures represent the number of persons enrolled and eligible to receive services in the State of Oklahoma Medicaid program.  The aid group is the category under which the individual qualifies for Medicaid.

Aid Group Age Group Eligible % of Aid Group

% of Total

Aged/Blind/Disabled CHILD 10,095 9.24% 2.24%
Aged/Blind/Disabled ADULT 99,141 90.76% 22.04%
Medically Needy CHILD 389 20.81% 0.09%
Medically Needy ADULT 1,480 79.19% 0.33%
TANF/AFDC CHILD 292,369 88.04% 64.99%
TANF/AFDC ADULT 39,703 11.96% 8.83%
OTHER CHILD 78 1.17% 0.02%
OTHER ADULT 6,605 98.83% 1.47%

TANF/AFDC is defined as Temporary Aid to Needy Families formerly known as AFDC or Aid to Families and Dependant Children.

OTHER Group includes-Refugee-Qualified Medicare Beneficiary-Voc Rehab-DDSD Supported Living and TB patients.

CHILD is defined as an individual under the age of twenty one (21).

Total Eligibles 449,860 Adults 146,929 (33%)
Children 302,931 (67%)
New Certifications* 20,338 Adults 5,654
Children

14,684

* Current eligibles that did not have eligibility in the last 6 months
         
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SOONERCARE - AUGUST 2001

The SoonerCare figures represent the persons eligible above, grouped by their Managed Care Health plan provider.  The balance of the eligibles not accounted for below are covered within the Fee-For-Service payment system.

SoonerCare Plus
  Central Northeast Southwest
CommunityCare 19,304 19,005  
Heartland 58,027 34,442   
Prime Advantage     9,569
UniCare 16,126   5,782
Area totals      93,457 53,447 15,351
SoonerCare Plus Total  162,255
     
SoonerCare Choice Total 138,258
     
SoonerCare Total 300,513
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EXPANSION PROGRAMS - AUGUST 2001

The expansion figures represent the number of the above Medicaid eligibles whose eligibility was made possible by the expanded income standards.  Persons eligible for Medicaid under the expansion programs have income between the standard 150% of Federal poverty level guidelines and the expanded 185% of Federal Poverty level income guidelines.  The Title XXI (Children's Health Insurance Program-CHIP) program is for children under age 18, without another source of insurance coverage.  The Title XIX program is for children under 18 or pregnant women regardless of age that do have other insurance coverage.

Title XXI Title XIX
(Children through Age 17 without TPL) (Preg Women/Children with TPL)
Infant 47 Infant 0
01-05 2,699 01-05 206
06-12 7,056 06-12 559
13-18 4,235 13-20 678
----- ----- 21-64 218
Total Eligibles 14,037 Total Eligibles 1,661
TPL is defined as Third Party Liability or another source of coverage.

Data was compiled on 09/10/2001,  Numbers frequently change due to retro-certifications and other factors. Percents may not total due to rounding. For report purposes "Eligible" refers to persons enrolled in Medicaid for the report month. This report is based on data within the system prior to 09/10/2001.

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