Managed care enrollment figures, March 2015 4 834 231 1,208 349 18 1,889 646 2,902 Families and...

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Minnesota Health Care Programs Managed Care Enrollment Totals March 2015 Table of Contents Programs Enrollment Summary By Benefit 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. Families and Children Total enrollment for each health plan by county. • MinnesotaCare - Parents & Adults without Children (includes enrollees 65 and older eligible for MinnesotaCare) • MinnesotaCare Child - Under age 21 • Medical Assistance (MA) Parents and Children < age 65 Medical Assistance Exp (MA/AX) Adults without Children < age 65 County MSC SNPs PIN Total enrollment for recipients enrolled in MSC+, Special Needs Plans which includes (MSHO and SNBC) and Preferred Integrated Networks (Adults with SPMI and Children with SED) for each health plan by county. SNP Aged Living Arr NHC County Detail 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, DD/RC or Home Care). Enrollment Summary by Elig Grp Enrollment Summary CY 2015 - Overall enrollment summary by eligibility and age (December 2014 added for comparison). PLEASE NOTE: In previous versions of the Enrollment Report, a separate spreadsheet contained enrollment totals for repicients for which Federal Funding (FFP) was collected. FFP is collected on all managed care programs, except enrollees over 65 who receive MinnesotaCare coverage, so this spreadsheet was removed. Jeanine Heller, Manager Managed Care Purchasing and Payment Policy Minnesota Department of Human Services [email protected]

Transcript of Managed care enrollment figures, March 2015 4 834 231 1,208 349 18 1,889 646 2,902 Families and...

Minnesota Health Care Programs Managed Care Enrollment Totals March 2015

Table of Contents Programs

Enrollment Summary By Benefit 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.

Families and Children Total enrollment for each health plan by county.

• MinnesotaCare - Parents & Adults without Children (includes enrollees 65 and older eligible for MinnesotaCare)

• MinnesotaCare Child - Under age 21 • Medical Assistance (MA) Parents and Children < age 65

• Medical Assistance Exp (MA/AX) Adults without Children < age 65

County MSC SNPs PIN Total enrollment for recipients enrolled in MSC+, Special Needs Plans which includes (MSHO and SNBC) and

Preferred Integrated Networks (Adults with SPMI and Children with SED) for each health plan by county.

SNP Aged Living Arr NHC County Detail 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, DD/RC or Home Care).

Enrollment Summary by Elig Grp Enrollment Summary CY 2015 - Overall enrollment summary by eligibility and age (December 2014 added for comparison).

PLEASE NOTE: In previous versions of the Enrollment Report, a separate spreadsheet contained enrollment totals for repicients for which Federal Funding (FFP) was collected. FFP is collected on all managed care programs, except enrollees over 65 who receive MinnesotaCare coverage, so this spreadsheet was removed.

Jeanine Heller, Manager Managed Care Purchasing and Payment Policy Minnesota Department of Human Services [email protected]

Programs March 2015

Families & Children MinnesotaCare MinnesotaCare Adults (Parents and Adults without Children) MinnesotaCare Child MinnesotaCare Children Program MA Medical Assistance (Pregnant Women, Parents and Children Program MA Exp (MA/AX) Medical Assistance (Adults without Children)

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

March 2015 Managed Care Enrollment Total Summary

Blue Plus

Health Partners

Hennepin Health

Itasca Medical

Care Medica Metropolitan Health Plan

PrimeWest Health

South Country Health

Alliance UCare Total Families and Children

MinnesotaCare4 13,060 10,041 545 25,320 1,693 1,503 44,095 96,257 MinnesotaCare Child 728 473 29 1,246 125 93 2,344 5,038 Medical Assistance (MA) Parents/Children 62,798 66,128 5,302 104,773 23,646 23,691 239,247 525,585 Medical Assistance (MA/AX) Childless Adults 17,916 24,466 10,579 1,844 30,861 6,202 6,542 66,404 164,814

Elderly and Special Needs Products

Minnesota Senior Care Plus (MSC+) Duals1 3,136 1,091 162 2,541 694 747 2,376 10,747 Non Duals 185 302 2 481 16 18 1,233 2,237

Minnesota Senior Health Option (MSHO)2 7,964 3,070 466 9,784 1,943 1,526 9,979 34,732 Moving Home Minnesota (MHM)2 0 Special Needs BasicCare (SNBC) - Integrated2 258 580 838

Special Needs BasicCare (SNBC) - Non-Integrated3 Duals 11,153 1,264 1,004 950 10,059 24,430 Non Duals 8,465 1,359 631 589 9,881 20,925

Preferred Integrated Networks (PINs) Children 2 2 Adults 432 432

Program Totals MinnesotaCare 13,788 10,514 0 574 26,566 0 1,818 1,596 46,439 101,295 MA Total (includes the following programs) 91,999 95,057 10,579 7,776 168,492 2,623 34,394 34,643 339,179 784,742

Families and Children (under age 65) 80,714 90,594 10,579 7,146 135,634 0 29,848 30,233 305,651 690,399 MSC Plus 3,321 1,393 0 164 3,022 0 710 765 3,609 12,984 MSHO 7,964 3,070 0 466 9,784 0 1,943 1,526 9,979 34,732 MHM 0 0 0 0 0 0 0 0 0 0 SNBC 0 0 0 0 19,618 2,623 1,893 2,119 19,940 46,193 PINs 434 434

Total Enrollment 105,787 105,571 10,579 8,350 195,058 2,623 36,212 36,239 385,618 886,037 1 Duals include enrollees with both Part A and B, Part A only, Part B only 2 Integrated - Combines Medicaid, Medicare Parts A, B and D 3 Non-Integrated - Medicaid only 4 MinnesotaCare contains adults over 65 (M7)

Families and Children Enrollment Totals for March 2015

BLUE PLUS HEALTHPARTNERS HENNEPIN HEALTH ITASCA MEDICAL CARE MEDICA

MnCare MnCare

Child MA MA/AX MnCare MnCare

Child MA MA/AX MA/AX MnCare MnCare

Child MA MA/AX MnCare MnCare

Child MA MA/AX Aitkin 001 Anoka 002 1,358 72 8,567 3,037 Becker 003 263 12 2,216 565 279 18 1,588 396 Beltrami 004 294 10 185 9 Benton 005 135 10 1,245 360 Big Stone 006 42 4 9 2 Blue Earth 007 515 8 1,619 934 Brown 008 199 9 Carlton 009 219 11 2,093 706 Carver 010 268 18 1,794 536 Cass 011 428 19 2,517 704 213 11 881 318 Chippewa 012 137 10 1,159 210 Chisago 013 108 10 734 194 Clay 014 296 15 2,604 646 393 18 2,590 566 Clearwater 015 48 45 5 Cook 016 Cottonwood 017 58 10 605 158 Crow Wing 018 869 45 3,811 1,147 363 23 1,700 655 Dakota 019 1,260 87 9,028 2,457 1,056 56 6,542 2,171 Dodge 020 55 7 Douglas 021 227 13 137 6 Faribault 022 117 7 853 257 Fillmore 023 52 259 82 Freeborn 024 280 14 1,647 482 Goodhue 025 231 8 Grant 026 51 1 50 2 Hennepin 027 3,047 147 19,414 8,694 10,579 18,446 884 65,395 19,118 Houston 028 46 2 324 116 Hubbard 029 184 10 117 8 Isanti 030 218 8 1,779 458 Itasca 031 370 9 545 29 5,302 1,844 Jackson 032 108 2 527 157 Kanabec 033 157 14

Does Not Included Elderly or Disabled MA/AX - Childless Adults MnCare - Includes enrollees 65 and older MnCare Child - Enrollees under age 21

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Families and Children Enrollment Totals for March 2015

BLUE PLUS HEALTHPARTNERS HENNEPIN HEALTH ITASCA MEDICAL CARE MEDICA

MnCare MnCare

Child MA MA/AX MnCare MnCare

Child MA MA/AX MA/AX MnCare MnCare

Child MA MA/AX MnCare MnCare

Child MA MA/AX Kandiyohi 034 527 33 4,255 814 Kittson 035 Koochiching 036 LacQuiParle 037 105 2 430 112 Lake 038 Lake of Woods 039 LeSueur 040 220 21 1,254 337 Lincoln 041 57 7 357 119 Lyon 042 319 14 1,676 395 McLeod 043 156 7 132 9 88 4 Mahnomen 044 86 4 338 118 Marshall 045 Martin 046 169 13 1,157 355 Meeker 047 92 13 23 1 78 3 Mille Lacs 048 206 6 1,636 375 Morrison 049 224 17 198 8 Mower 050 Murray 051 106 3 597 118 Nicollet 052 217 13 917 406 Nobles 053 229 19 2,241 286 Norman 054 Olmsted 055 155 11 722 345 Otter Tail 056 474 20 3,291 909 310 21 1,729 423 Pennington 057 Pine 058 1 Pipestone 059 46 52 1 Polk 060 125 5 1,474 324 Pope 061 48 4 67 4 Ramsey 062 1,304 60 11,074 4,038 2,325 96 20,402 6,919 Red Lake 063 Redwood 064 212 13 844 200 Renville 065 118 4 62 7 Rice 066 360 15 2,282 619 169 7 1,066 299

Does Not Included Elderly or Disabled MA/AX - Childless Adults MnCare - Includes enrollees 65 and older MnCare Child - Enrollees under age 21

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Families and Children Enrollment Totals for March 2015

BLUE PLUS HEALTHPARTNERS HENNEPIN HEALTH ITASCA MEDICAL CARE MEDICA

MnCare MnCare

Child MA MA/AX MnCare MnCare

Child MA MA/AX MA/AX MnCare MnCare

Child MA MA/AX MnCare MnCare

Child MA MA/AX Rock 067 76 5 460 92 Roseau 068 St. Louis 069 1,161 40 10,350 3,796 Scott 070 433 17 2,961 790 Sherburne 071 263 18 1,745 414 Sibley 072 78 3 Stearns 073 534 38 3,107 919 Steele 074 165 6 Stevens 075 37 53 2 Swift 076 142 7 832 212 Todd 077 233 10 93 12 Traverse 078 18 2 9 Wabasha 079 67 5 Wadena 080 90 5 30 Waseca 081 90 7 Washington 082 844 34 4,898 1,901 Watonwan 083 120 12 489 113 Wilkin 084 69 4 463 127 25 307 59 Winona 085 Wright 086 629 58 2,892 766 555 23 1,550 418 541 28 3,710 820 Yellow Medicine 087 74 12 701 181

Program Total 13,060 728 62,798 17,916 10,041 473 66,128 24,466 10,579 545 29 5,302 1,844 25,320 1,246 104,773 30,861 Health Plan Total

Does Not Included Elderly or Disabled MA/AX - Childless Adults MnCare - Includes enrollees 65 and older MnCare Child - Enrollees under age 21

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Families and Children Enrollment Totals for March 2015

PRIMEWEST HEALTH SOUTH COUNTRY HEALTH

ALLIANCE UCARE MN PROGRAM TOTALS

MnCare MnCare

Child MA MA/AX MnCare MnCare

Child MA MA/AX MnCare MnCare

Child MA MA/AX MnCare MnCare

Child MA MA/AX Total Aitkin 001 435 20 1,858 713 435 20 1,858 713 3,026 Anoka 002 4,718 257 22,680 6,217 6,076 329 31,247 9,254 46,906 Becker 003 107 7 241 119 649 37 4,045 1,080 5,811 Beltrami 004 335 21 5,614 1,569 814 40 5,614 1,569 8,037 Benton 005 524 40 2,744 912 659 50 3,989 1,272 5,970 Big Stone 006 25 6 464 125 76 12 464 125 677 Blue Earth 007 452 22 3,393 838 967 30 5,012 1,772 7,781 Brown 008 98 5 1,986 544 62 5 359 19 1,986 544 2,908 Carlton 009 315 11 1,095 475 534 22 3,188 1,181 4,925 Carver 010 802 51 2,931 913 1,070 69 4,725 1,449 7,313 Cass 011 157 7 791 293 798 37 4,189 1,315 6,339 Chippewa 012 91 9 419 98 228 19 1,578 308 2,133 Chisago 013 785 37 3,495 1,133 893 47 4,229 1,327 6,496 Clay 014 115 5 556 212 804 38 5,750 1,424 8,016 Clearwater 015 80 4 1,010 280 173 9 1,010 280 1,472 Cook 016 255 7 588 282 255 7 588 282 1,132 Cottonwood 017 128 2 784 147 186 12 1,389 305 1,892 Crow Wing 018 263 11 1,679 493 1,495 79 7,190 2,295 11,059 Dakota 019 3,970 224 15,544 4,217 6,286 367 31,114 8,845 46,612 Dodge 020 38 2 810 155 166 20 904 210 259 29 1,714 365 2,367 Douglas 021 367 28 3,113 911 731 47 3,113 911 4,802 Faribault 022 166 6 813 168 283 13 1,666 425 2,387 Fillmore 023 288 9 1,689 410 340 9 1,948 492 2,789 Freeborn 024 343 10 2,036 473 623 24 3,683 955 5,285 Goodhue 025 247 16 3,116 951 278 14 756 38 3,116 951 4,861 Grant 026 44 2 750 180 145 5 750 180 1,080 Hennepin 027 2,823 150 35,921 9,286 24,316 1,181 120,730 47,677 193,904 Houston 028 213 5 973 302 259 7 1,297 418 1,981 Hubbard 029 155 13 2,672 732 456 31 2,672 732 3,891 Isanti 030 561 33 2,326 696 779 41 4,105 1,154 6,079 Itasca 031 915 38 5,302 1,844 8,099 Jackson 032 31 2 307 74 139 4 834 231 1,208 Kanabec 033 81 1 1,889 646 111 3 349 18 1,889 646 2,902

Does Not Included Elderly or Disabled MA/AX - Childless Adults MnCare - Includes enrollees 65 and older MnCare Child - Enrollees under age 21

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Families and Children Enrollment Totals for March 2015

PRIMEWEST HEALTH SOUTH COUNTRY HEALTH

ALLIANCE UCARE MN PROGRAM TOTALS

MnCare MnCare

Child MA MA/AX MnCare MnCare

Child MA MA/AX MnCare MnCare

Child MA MA/AX MnCare MnCare

Child MA MA/AX Total Kandiyohi 034 285 8 1,651 363 812 41 5,906 1,177 7,936 Kittson 035 67 5 433 117 67 5 433 117 622 Koochiching 036 327 13 1,601 491 327 13 1,601 491 2,432 LacQuiParle 037 13 2 123 53 118 4 553 165 840 Lake 038 247 12 861 333 247 12 861 333 1,453 Lake of Woods 039 88 3 391 165 88 3 391 165 647 LeSueur 040 156 11 1,081 202 376 32 2,335 539 3,282 Lincoln 041 46 5 118 22 103 12 475 141 731 Lyon 042 130 7 1,021 249 449 21 2,697 644 3,811 McLeod 043 192 14 2,930 750 568 34 2,930 750 4,282 Mahnomen 044 86 4 338 118 546 Marshall 045 140 5 701 174 140 5 701 174 1,020 Martin 046 134 12 1,069 232 303 25 2,226 587 3,141 Meeker 047 191 8 2,130 526 384 25 2,130 526 3,065 Mille Lacs 048 434 25 1,493 496 640 31 3,129 871 4,671 Morrison 049 179 20 3,672 1,053 80 681 45 3,672 1,053 5,451 Mower 050 558 30 4,391 1,071 558 30 4,391 1,071 6,050 Murray 051 30 1 189 31 136 4 786 149 1,075 Nicollet 052 215 12 1,621 317 432 25 2,538 723 3,718 Nobles 053 44 4 731 141 273 23 2,972 427 3,695 Norman 054 97 3 825 193 97 3 825 193 1,118 Olmsted 055 1,996 90 10,857 3,277 2,151 101 11,579 3,622 17,453 Otter Tail 056 350 23 828 235 1,134 64 5,848 1,567 8,613 Pennington 057 200 18 1,195 322 200 18 1,195 322 1,735 Pine 058 592 26 3,423 1,137 592 26 3,424 1,137 5,179 Pipestone 059 43 4 1,093 174 141 5 1,093 174 1,413 Polk 060 324 24 2,129 561 449 29 3,603 885 4,966 Pope 061 105 10 1,103 325 220 18 1,103 325 1,666 Ramsey 062 7,524 376 46,482 11,362 11,153 532 77,958 22,319 111,962 Red Lake 063 59 331 106 59 - 331 106 496 Redwood 064 88 11 604 126 300 24 1,448 326 2,098 Renville 065 98 11 1,747 387 278 22 1,747 387 2,434 Rice 066 516 27 2,840 539 1,045 49 6,188 1,457 8,739

Does Not Included Elderly or Disabled MA/AX - Childless Adults MnCare - Includes enrollees 65 and older MnCare Child - Enrollees under age 21

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Families and Children Enrollment Totals for March 2015

PRIMEWEST HEALTH SOUTH COUNTRY HEALTH

ALLIANCE UCARE MN PROGRAM TOTALS

MnCare MnCare

Child MA MA/AX MnCare MnCare

Child MA MA/AX MnCare MnCare

Child MA MA/AX MnCare MnCare

Child MA MA/AX Total Rock 067 31 331 81 107 5 791 173 1,076 Roseau 068 218 8 1,054 322 218 8 1,054 322 1,602 St. Louis 069 2,522 103 6,930 3,807 3,683 143 17,280 7,603 28,709 Scott 070 1,523 99 6,872 1,459 1,956 116 9,833 2,249 14,154 Sherburne 071 1,114 66 5,333 1,380 1,377 84 7,078 1,794 10,333 Sibley 072 79 2 1,391 368 84 1 241 6 1,391 368 2,006 Stearns 073 1,824 138 11,178 3,140 2,358 176 14,285 4,059 20,878 Steele 074 301 10 3,628 840 62 5 528 21 3,628 840 5,017 Stevens 075 47 4 645 161 137 6 645 161 949 Swift 076 20 2 231 49 162 9 1,063 261 1,495 Todd 077 120 8 2,744 789 29 1 475 31 2,744 789 4,039 Traverse 078 11 375 82 38 2 375 82 497 Wabasha 079 104 8 887 239 140 8 749 260 311 21 1,636 499 2,467 Wadena 080 173 9 1,861 513 17 310 14 1,861 513 2,698 Waseca 081 83 12 1,707 444 169 7 342 26 1,707 444 2,519 Washington 082 2,374 132 9,563 2,836 3,218 166 14,461 4,737 22,582 Watonwan 083 52 3 774 116 172 15 1,263 229 1,679 Wilkin 084 94 4 770 186 1,054 Winona 085 679 39 3,547 1,401 679 39 3,547 1,401 5,666 Wright 086 244 7 1,696 477 1,969 116 9,848 2,481 14,414 Yellow Medicine 087 94 5 233 80 168 17 934 261 1,380

Program Total 1,693 125 23,646 6,202 1,503 93 23,691 6,542 44,095 2,344 239,247 66,404 96,257 5,038 525,585 164,814 Health Plan Total 791,694

Does Not Included Elderly or Disabled MA/AX - Childless Adults MnCare - Includes enrollees 65 and older MnCare Child - Enrollees under age 21

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Elderly/Disabled Managed Care Programs Enrollment Totals March 2015

Blue Plus HealthPartners Itasca Medical Care Medica Metropolitan Health Plan

MSC + MSHO Total MSC + MSHO Total MSC + MSHO Total MSC + MSHO SNBC PINs Total SNBC Aitkin 001 15 104 119 7 70 169 246 Anoka 002 89 184 273 88 165 253 104 450 1,090 1,644 Becker 003 79 187 266 43 143 301 487 Beltrami 004 Benton 005 37 141 178 10 20 30 22 148 200 370 Big Stone 006 Blue Earth 007 74 74 Brown 008 Carlton 009 33 151 184 29 180 177 386 Carver 010 42 89 131 16 44 60 15 91 154 260 Cass 011* 57 81 138 11 57 293 361 Chippewa 012 18 167 185 Chisago 013 38 48 86 8 7 15 21 91 160 272 Clay 014 40 272 312 29 204 642 875 Clearwater 015 Cook 016 4 30 34 28 28 Cottonwood 017 17 27 44 Crow Wing 018* 57 205 262 19 195 585 799 Dakota 019 238 203 441 79 259 338 178 446 881 434 1,939 Dodge 020 Douglas 021 Faribault 022 26 73 99 2 2 Fillmore 023 66 161 227 1 1 Freeborn 024 Goodhue 025 Grant 026 Hennepin 027 612 1,128 1,740 1,398 3,511 5,021 9,930 2,623 Houston 028 17 80 97 Hubbard 029 Isanti 030 30 40 70 21 98 125 244 Itasca 031 164 466 630 438 438 Jackson 032 21 54 75 Kanabec 033 Kandiyohi 034 69 276 345 36 36

MSC+ - Minnesota Senior Care Plus MSHO-Minnesota Senior Health Options Page 10 PINs-Preferred Integrate Networks (SPMI Adults; SED Children) MHM-Moving Home Minnesota 3/2/2015 SNBC - Special Needs Basic Care

Elderly/Disabled Managed Care Programs Enrollment Totals March 2015

Blue Plus HealthPartners Itasca Medical Care Medica Metropolitan Health Plan

MSC + MSHO Total MSC + MSHO Total MSC + MSHO Total MSC + MSHO SNBC PINs Total SNBC Kittson 035 11 58 69 14 14 Koochiching 036 11 41 52 19 103 138 260 LacQuiParle 037 11 105 116 Lake 038 24 33 57 1 8 64 73 Lake of Woods 039 36 5 41 4 4 LeSueur 040 23 103 126 Lincoln 041 22 51 73 Lyon 042 34 198 232 McLeod 043 Mahnomen 044 7 35 42 16 80 96 Marshall 045 10 76 86 39 39 Martin 046 20 135 155 Meeker 047 Mille Lacs 048 12 102 114 15 148 141 304 Morrison 049* 68 68 2 147 177 326 Mower 050 127 92 219 1 1 Murray 051 7 94 101 Nicollet 052 26 81 107 Nobles 053 48 149 197 Norman 054 6 46 52 5 61 63 129 Olmsted 055 237 302 539 1 1 Otter Tail 056 75 408 483 26 227 426 679 Pennington 057 20 131 151 1 94 95 Pine 058 30 78 108 21 101 166 288 Pipestone 059 Polk 060 85 276 361 31 83 330 444 Pope 061 Ramsey 062 424 375 799 404 1,083 1,487 473 823 3,319 4,615 Red Lake 063 4 27 31 22 22 Redwood 064 35 75 110 Renville 065 Rice 066 139 165 304 25 50 124 199 Rock 067 13 58 71 Roseau 068 17 144 161 1 1 44 46

MSC+ - Minnesota Senior Care Plus MSHO-Minnesota Senior Health Options Page 11 PINs-Preferred Integrate Networks (SPMI Adults; SED Children) MHM-Moving Home Minnesota 3/2/2015 SNBC - Special Needs Basic Care

Elderly/Disabled Managed Care Programs Enrollment Totals March 2015

Blue Plus HealthPartners Itasca Medical Care Medica Metropolitan Health Plan

MSC + MSHO Total MSC + MSHO Total MSC + MSHO Total MSC + MSHO SNBC PINs Total SNBC St. Louis 069 210 296 506 278 998 2,041 3,317 Scott 070 75 145 220 41 99 140 87 269 224 580 Sherburne 071 29 102 131 7 17 24 22 190 212 424 Sibley 072 Stearns 073 89 264 353 39 56 95 38 259 577 874 Steele 074 Stevens 075 Swift 076 27 111 138 Todd 077* 2 70 72 116 102 218 Traverse 078 Wabasha 079 Wadena 080* 1 103 104 2 118 222 342 Waseca 081 Washington 082 97 100 197 74 169 243 40 142 433 615 Watonwan 083 10 47 57 Wilkin 084 10 53 63 5 32 30 67 Winona 085 100 279 379 Wright 086 83 208 291 15 23 38 33 203 232 468 Yellow Medicine 087 7 102 109

Program Total 3,321 7,964 1,393 3,070 164 466 3,022 9,784 19,618 434 2,623 Health Plan Total 11,285 4,463 630 32,858

MSC+ - Minnesota Senior Care Plus MSHO-Minnesota Senior Health Options Page 12 PINs-Preferred Integrate Networks (SPMI Adults; SED Children) MHM-Moving Home Minnesota 3/2/2015 SNBC - Special Needs Basic Care

Elderly/Disabled Managed Care Programs Enrollment Totals March 2015

PrimeWest Health South Country Health

Alliance UCare County Total MSC + MSHO SNBC Total MSC + MSHO SNBC Total MSC + MSHO SNBC Total MHM MSC+ MSHO SNBC PINs Total

Aitkin 001 5 41 46 - 27 215 169 - 411 Anoka 002 171 456 1,226 1,853 - 452 1,255 2,316 - 4,023 Becker 003 1 1 2 - 123 331 301 - 755 Beltrami 004 286 156 499 941 - 286 156 499 - 941 Benton 005 21 62 142 225 - 90 371 342 - 803 Big Stone 006 16 101 49 166 - 16 101 49 - 166 Blue Earth 007 54 413 435 902 - 128 413 435 - 976 Brown 008 78 175 229 482 - 78 175 229 - 482 Carlton 009 9 46 133 188 - 71 377 310 - 758 Carver 010 12 71 154 237 - 85 295 308 - 688 Cass 011* 14 47 61 - 82 185 293 - 560 Chippewa 012 5 8 66 79 - 23 175 66 - 264 Chisago 013 7 73 174 254 - 74 219 334 - 627 Clay 014 - 69 476 642 - 1,187 Clearwater 015 69 104 88 261 - 69 104 88 - 261 Cook 016 2 1 3 - 6 31 28 - 65 Cottonwood 017 11 128 95 234 - 28 155 95 - 278 Crow Wing 018* 33 149 182 - 109 549 585 - 1,243 Dakota 019 125 471 962 1,558 - 620 1,379 1,843 434 4,276 Dodge 020 15 86 105 206 8 24 32 - 23 110 105 - 238 Douglas 021 39 363 359 761 - 39 363 359 - 761 Faribault 022 6 60 112 178 - 32 135 112 - 279 Fillmore 023 17 64 74 155 - 83 226 74 - 383 Freeborn 024 168 160 306 634 5 3 8 - 173 163 306 - 642 Goodhue 025 88 325 367 780 - 88 325 367 - 780 Grant 026 8 54 44 106 - 8 54 44 - 106 Hennepin 027 1,434 3,209 5,311 9,954 - 3,444 7,848 12,955 - 24,247 Houston 028 7 82 65 154 - 24 162 65 - 251 Hubbard 029 128 68 140 336 - 128 68 140 - 336 Isanti 030 19 72 137 228 - 70 210 262 - 542 Itasca 031 - 164 466 438 - 1,068 Jackson 032 3 24 30 57 - 24 78 30 - 132 Kanabec 033 35 115 144 294 - 35 115 144 - 294 Kandiyohi 034 23 53 208 284 - 92 329 244 - 665

MSC+ - Minnesota Senior Care Plus MSHO-Minnesota Senior Health Options Page 13 PINs-Preferred Integrate Networks (SPMI Adults; SED Children) MHM-Moving Home Minnesota 3/2/2015 SNBC - Special Needs Basic Care

Elderly/Disabled Managed Care Programs Enrollment Totals March 2015

PrimeWest Health South Country Health

Alliance UCare County Total MSC + MSHO SNBC Total MSC + MSHO SNBC Total MSC + MSHO SNBC Total MHM MSC+ MSHO SNBC PINs Total

Kittson 035 3 21 24 - 14 79 14 - 107 Koochiching 036 14 4 18 - 44 148 138 - 330 LacQuiParle 037 19 43 62 - 11 124 43 - 178 Lake 038 20 6 26 - 45 47 64 - 156 Lake of Woods 039 - 36 5 4 - 45 LeSueur 040 5 58 104 167 - 28 161 104 - 293 Lincoln 041 1 19 19 39 - 23 70 19 - 112 Lyon 042 14 32 152 198 - 48 230 152 - 430 McLeod 043 43 297 203 543 - 43 297 203 - 543 Mahnomen 044 - 7 51 80 - 138 Marshall 045 4 20 24 - 14 96 39 - 149 Martin 046 8 105 265 378 - 28 240 265 - 533 Meeker 047 30 229 119 378 - 30 229 119 - 378 Mille Lacs 048 3 48 107 158 - 30 298 248 - 576 Morrison 049* 86 41 104 231 2 29 31 - 90 285 281 - 656 Mower 050 67 154 334 555 - 195 246 334 - 775 Murray 051 4 12 34 50 - 11 106 34 - 151 Nicollet 052 12 76 145 233 - 38 157 145 - 340 Nobles 053 9 47 107 163 - 57 196 107 - 360 Norman 054 2 3 5 - 13 110 63 - 186 Olmsted 055 194 435 1,074 1,703 - 431 738 1,074 - 2,243 Otter Tail 056 19 38 57 - 120 673 426 - 1,219 Pennington 057 6 46 52 - 26 178 94 - 298 Pine 058 14 55 160 229 - 65 234 326 - 625 Pipestone 059 25 121 68 214 - 25 121 68 - 214 Polk 060 14 34 48 - 130 393 330 - 853 Pope 061 8 171 113 292 - 8 171 113 - 292 Ramsey 062 802 1,655 4,359 6,816 - 2,103 3,936 7,678 - 13,717 Red Lake 063 13 13 - 4 40 22 - 66 Redwood 064 10 44 99 153 - 45 119 99 - 263 Renville 065 31 121 115 267 - 31 121 115 - 267 Rice 066 37 100 183 320 - 201 315 307 - 823 Rock 067 5 23 57 85 - 18 81 57 - 156 Roseau 068 3 30 33 - 21 175 44 - 240

MSC+ - Minnesota Senior Care Plus MSHO-Minnesota Senior Health Options Page 14 PINs-Preferred Integrate Networks (SPMI Adults; SED Children) MHM-Moving Home Minnesota 3/2/2015 SNBC - Special Needs Basic Care

Elderly/Disabled Managed Care Programs Enrollment Totals March 2015

PrimeWest Health South Country Health

Alliance UCare County Total MSC + MSHO SNBC Total MSC + MSHO SNBC Total MSC + MSHO SNBC Total MHM MSC+ MSHO SNBC PINs Total

St. Louis 069 112 417 1,298 1,827 - 600 1,711 3,339 - 5,650 Scott 070 7 10 244 261 - 210 523 468 - 1,201 Sherburne 071 13 77 228 318 - 71 386 440 - 897 Sibley 072 19 134 69 222 - 19 134 69 - 222 Stearns 073 85 136 501 722 - 251 715 1,078 - 2,044 Steele 074 102 194 337 633 - 102 194 337 - 633 Stevens 075 17 83 68 168 - 17 83 68 - 168 Swift 076 1 15 49 65 - 28 126 49 - 203 Todd 077* 57 49 110 216 48 48 - 59 283 212 - 554 Traverse 078 10 75 28 113 - 10 75 28 - 113 Wabasha 079 37 104 120 261 10 33 43 - 47 137 120 - 304 Wadena 080* 37 23 70 130 45 45 - 40 289 292 - 621 Waseca 081 43 120 158 321 - 43 120 158 - 321 Washington 082 59 290 454 803 - 270 701 887 - 1,858 Watonwan 083 4 48 65 117 - 14 95 65 - 174 Wilkin 084 - 15 85 30 - 130 Winona 085 28 79 286 393 - 128 358 286 - 772 Wright 086 24 82 196 302 - 155 516 428 - 1,099 Yellow Medicine 087 2 15 53 70 - 9 117 53 - 179

Program Total 710 1,943 1,893 765 1,526 2,119 3,609 9,979 19,940 - 12,984 34,732 46,193 434 Health Plan Total 4,546 4,410 33,528 94,343

MSC+ - Minnesota Senior Care Plus MSHO-Minnesota Senior Health Options Page 15 PINs-Preferred Integrate Networks (SPMI Adults; SED Children) MHM-Moving Home Minnesota 3/2/2015 SNBC - Special Needs Basic Care

March 2015 Elderly/Disabled Living Arrangement/Nursing Home Certifiable

Living Arrange/ NH Cert. Status

Blue Plus Health Partners

Itasca Medical Care Medica Metropolitan

Health Plan MSC+ MSHO MSC+ MSHO MSC+ MSHO MSC+ MSHO SNBC SNBC

Aitkin CADI 14 Comm/NHC 6 39 1 26 Comm/Non-NHC 7 44 6 24 139 Institutional 2 21 20 1 RC/DD 15 TBI

Aitkin Total 15 104 7 70 169 Anoka CAC 1

CADI 186 Comm/NHC 38 133 22 72 45 199 Comm/Non-NHC 40 34 60 80 48 171 748 Institutional 11 17 6 13 11 80 24 RC/DD 118 TBI 13

Anoka Total 89 184 88 165 104 450 1090 Becker CADI 45

Comm/NHC 22 79 9 62 Comm/Non-NHC 28 38 21 51 230 Institutional 29 70 13 30 6 RC/DD 19 TBI 1

Becker Total 79 187 43 143 301 Beltrami CADI

Comm/NHC Comm/Non-NHC Institutional RC/DD

Beltrami Total Benton CADI 47

Comm/NHC 11 59 12 7 55 Comm/Non-NHC 9 22 7 4 8 30 136 Institutional 17 60 3 4 7 63 4 RC/DD 12 TBI 1

Benton Total 37 141 10 20 22 148 200 Big Stone CADI

Comm/NHC Comm/Non-NHC Institutional RC/DD

Big Stone Total Blue Earth CAC

CADI Comm/NHC 29 Comm/Non-NHC 26 Institutional 19 RC/DD TBI

Blue Earth Total 74 Brown CAC

CADI Comm/NHC Comm/Non-NHC Institutional RC/DD TBI

Brown Total

Comm/Non-NHC: Community resident w/no waiver 16 of 40 Institutional - SNF/ICF-DD Comm/NHC - Community resident with elderly waiver services 3/2/2015 CAC,CADI, RC/DD, TBI - HCB Waiver Services

March 2015 Elderly/Disabled Living Arrangement/Nursing Home Certifiable

Living Arrange/ NH Cert. Status

Blue Plus Health Partners

Itasca Medical Care Medica Metropolitan

Health Plan MSC+ MSHO MSC+ MSHO MSC+ MSHO MSC+ MSHO SNBC SNBC

Carlton CADI 29 Comm/NHC 17 90 13 103 Comm/Non-NHC 7 20 9 35 132 Institutional 9 41 7 42 1 RC/DD 13 TBI 2

Carlton Total 33 151 29 180 177 Carver CAC

CADI 36 Comm/NHC 15 54 3 17 6 52 Comm/Non-NHC 15 11 10 14 5 19 95 Institutional 12 24 3 13 4 20 5 RC/DD 18

Carver Total 42 89 16 44 15 91 154 Cass CADI 24

Comm/NHC 12 23 3 16 Comm/Non-NHC 38 48 6 34 250 Institutional 7 10 2 7 5 RC/DD 12 TBI 2

Cass Total 57 81 11 57 293 Chippewa CADI

Comm/NHC 6 57 Comm/Non-NHC 9 32 Institutional 3 78 RC/DD

Chippewa Total 18 167 Chisago CADI 26

Comm/NHC 18 31 1 2 12 39 Comm/Non-NHC 13 7 5 3 6 22 91 Institutional 7 10 2 2 3 30 1 RC/DD 41 TBI 1

Chisago Total 38 48 8 7 21 91 160 Clay CADI 129

Comm/NHC 23 136 15 96 Comm/Non-NHC 11 56 9 68 427 Institutional 6 80 5 40 5 RC/DD 78 TBI 3

Clay Total 40 272 29 204 642 Clearwater CADI

Comm/NHC Comm/Non-NHC Institutional RC/DD

Clearwater Total Cook CADI 1

Comm/NHC 1 6 Comm/Non-NHC 3 11 25 Institutional 13 RC/DD 1 TBI 1

Cook Total 4 30 28

Comm/Non-NHC: Community resident w/no waiver 17 of 40 Institutional - SNF/ICF-DD Comm/NHC - Community resident with elderly waiver services 3/2/2015 CAC,CADI, RC/DD, TBI - HCB Waiver Services

March 2015 Elderly/Disabled Living Arrangement/Nursing Home Certifiable

Living Arrange/ NH Cert. Status

Blue Plus Health Partners

Itasca Medical Care Medica Metropolitan

Health Plan MSC+ MSHO MSC+ MSHO MSC+ MSHO MSC+ MSHO SNBC SNBC

Cottonwood CADI Comm/NHC 1 13 Comm/Non-NHC 10 3 Institutional 6 11 RC/DD TBI

Cottonwood Total 17 27 Crow Wing CADI 54

Comm/NHC 21 109 6 107 Comm/Non-NHC 25 59 8 56 481 Institutional 11 37 5 32 12 RC/DD 38

Crow Wing Total 57 205 19 195 585 Dakota CAC 5

CADI 191 Comm/NHC 111 110 15 105 96 216 Comm/Non-NHC 88 62 54 125 58 154 545 Institutional 39 31 10 29 24 76 10 RC/DD 114 TBI 16

Dakota Total 238 203 79 259 178 446 881 Dodge CADI

Comm/NHC Comm/Non-NHC Institutional RC/DD

Dodge Total Douglas CADI

Comm/NHC Comm/Non-NHC Institutional RC/DD TBI

Douglas Total Faribault CADI

Comm/NHC 6 23 Comm/Non-NHC 10 26 2 Institutional 10 24 RC/DD

Faribault Total 26 73 2 Fillmore CADI

Comm/NHC 17 70 1 Comm/Non-NHC 21 21 Institutional 28 70 RC/DD

Fillmore Total 66 161 1 Freeborn CADI

Comm/NHC Comm/Non-NHC Institutional RC/DD

Freeborn Total Goodhue CADI

Comm/NHC Comm/Non-NHC Institutional RC/DD

Goodhue Total

Comm/Non-NHC: Community resident w/no waiver 18 of 40 Institutional - SNF/ICF-DD Comm/NHC - Community resident with elderly waiver services 3/2/2015 CAC,CADI, RC/DD, TBI - HCB Waiver Services

March 2015 Elderly/Disabled Living Arrangement/Nursing Home Certifiable

Living Arrange/ NH Cert. Status

Blue Plus Health Partners

Itasca Medical Care Medica Metropolitan

Health Plan MSC+ MSHO MSC+ MSHO MSC+ MSHO MSC+ MSHO SNBC SNBC

Grant CADI Comm/NHC Comm/Non-NHC Institutional RC/DD

Grant Total Hennepin CAC 2 1

CADI 814 332 Comm/NHC 91 465 494 1735 Comm/Non-NHC 407 435 706 1100 3618 2092 Institutional 114 228 198 676 162 79 RC/DD 370 111 TBI 55 8

Hennepin Total 612 1128 1398 3511 5021 2623 Houston CADI

Comm/NHC 5 32 Comm/Non-NHC 4 15 Institutional 8 33 RC/DD

Houston Total 17 80 Hubbard CADI

Comm/NHC Comm/Non-NHC Institutional RC/DD

Hubbard Total Isanti CADI 26

Comm/NHC 8 26 8 38 Comm/Non-NHC 11 4 4 17 80 Institutional 11 10 9 43 3 RC/DD 14 TBI 2

Isanti Total 30 40 21 98 125 Itasca CADI 29

Comm/NHC 67 230 Comm/Non-NHC 67 123 384 Institutional 30 113 3 RC/DD 21 TBI 1

Itasca Total 164 466 438 Jackson CADI

Comm/NHC 8 19 Comm/Non-NHC 7 12 Institutional 6 23 RC/DD

Jackson Total 21 54 Kanabec CADI

Comm/NHC Comm/Non-NHC Institutional RC/DD TBI

Kanabec Total

Comm/Non-NHC: Community resident w/no waiver 19 of 40 Institutional - SNF/ICF-DD Comm/NHC - Community resident with elderly waiver services 3/2/2015 CAC,CADI, RC/DD, TBI - HCB Waiver Services

March 2015 Elderly/Disabled Living Arrangement/Nursing Home Certifiable

Living Arrange/ NH Cert. Status

Blue Plus Health Partners

Itasca Medical Care Medica Metropolitan

Health Plan MSC+ MSHO MSC+ MSHO MSC+ MSHO MSC+ MSHO SNBC SNBC

Kandiyohi CADI 2 Comm/NHC 12 97 Comm/Non-NHC 49 52 31 Institutional 8 127 RC/DD 2 TBI 1

Kandiyohi Total 69 276 36 Kittson Comm/NHC 3 19

Comm/Non-NHC 6 10 10 Institutional 2 29 1 RC/DD 3

Kittson Total 11 58 14 Koochiching CADI 8

Comm/NHC 1 7 3 15 Comm/Non-NHC 7 9 14 61 114 Institutional 3 25 2 27 2 RC/DD 14

Koochiching Total 11 41 19 103 138 Lac Qui Parle CADI

Comm/NHC 5 36 Comm/Non-NHC 5 12 Institutional 1 57 RC/DD

Lac Qui Parle Total 11 105 Lake CADI 7

Comm/NHC 15 24 5 Comm/Non-NHC 1 3 1 2 51 Institutional 8 6 1 1 RC/DD 4 TBI 1

Lake Total 24 33 1 8 64 Lake of the Woods CADI 1

Comm/NHC 9 2 Comm/Non-NHC 11 1 3 Institutional 16 2 RC/DD

Lake of the Woods Total 36 5 4 LeSueur CADI

Comm/NHC 12 59 Comm/Non-NHC 5 12 Institutional 6 32 RC/DD

LeSueur Total 23 103 Lincoln Comm/NHC 8 12

Comm/Non-NHC 7 5 Institutional 7 34 RC/DD

Lincoln Total 22 51 Lyon CADI

Comm/NHC 9 92 Comm/Non-NHC 20 32 Institutional 5 74 RC/DD

Lyon Total 34 198

Comm/Non-NHC: Community resident w/no waiver 20 of 40 Institutional - SNF/ICF-DD Comm/NHC - Community resident with elderly waiver services 3/2/2015 CAC,CADI, RC/DD, TBI - HCB Waiver Services

March 2015 Elderly/Disabled Living Arrangement/Nursing Home Certifiable

Living Arrange/ NH Cert. Status

Blue Plus Health Partners

Itasca Medical Care Medica Metropolitan

Health Plan MSC+ MSHO MSC+ MSHO MSC+ MSHO MSC+ MSHO SNBC SNBC

McLeod CADI Comm/NHC Comm/Non-NHC Institutional RC/DD TBI

McLeod Total Mahnomen CADI 4

Comm/NHC 3 13 6 Comm/Non-NHC 3 11 9 69 Institutional 1 11 1 1 RC/DD 6

Mahnomen Total 7 35 16 80 Marshall CADI 9

Comm/NHC 3 38 Comm/Non-NHC 7 15 19 Institutional 23 RC/DD 11

Marshall Total 10 76 39 Martin CADI

Comm/NHC 3 57 Comm/Non-NHC 14 32 Institutional 3 46 RC/DD TBI

Martin Total 20 135 Meeker CADI

Comm/NHC Comm/Non-NHC Institutional RC/DD

Meeker Total Mille Lacs CADI 21

Comm/NHC 5 59 2 36 Comm/Non-NHC 5 15 10 45 108 Institutional 2 28 3 67 RC/DD 10 TBI 2

Mille Lacs Total 12 102 15 148 141 Morrison CADI 16

Comm/NHC 33 75 Comm/Non-NHC 11 2 35 154 Institutional 24 37 5 RC/DD 2

Morrison Total 68 2 147 177 Mower CADI

Comm/NHC 69 68 1 Comm/Non-NHC 32 15 Institutional 26 9

Mower Total RC/DD

127 92 1 Murray CADI

Comm/NHC 4 35 Comm/Non-NHC 2 21 Institutional 1 38 RC/DD

Murray Total 7 94

Comm/Non-NHC: Community resident w/no waiver 21 of 40 Institutional - SNF/ICF-DD Comm/NHC - Community resident with elderly waiver services 3/2/2015 CAC,CADI, RC/DD, TBI - HCB Waiver Services

March 2015 Elderly/Disabled Living Arrangement/Nursing Home Certifiable

Living Arrange/ NH Cert. Status

Blue Plus Health Partners

Itasca Medical Care Medica Metropolitan

Health Plan MSC+ MSHO MSC+ MSHO MSC+ MSHO MSC+ MSHO SNBC SNBC

Nicollet CADI Comm/NHC 9 48 Comm/Non-NHC 13 13 Institutional 4 20 RC/DD

Nicollet Total 26 81 Nobles CADI

Comm/NHC 9 55 Comm/Non-NHC 27 52 Institutional 12 42 RC/DD

Nobles Total 48 149 Norman CADI 7

Comm/NHC 4 14 1 16 Comm/Non-NHC 2 10 3 5 48 Institutional 22 1 40 5 RC/DD 3

Norman Total 6 46 5 61 63 Olmsted CAC

CADI Comm/NHC 85 118 1 Comm/Non-NHC 95 114 Institutional 57 70 RC/DD TBI

Olmsted Total 237 302 1 Otter Tail CAC 1

CADI 63 Comm/NHC 20 173 7 94 Comm/Non-NHC 42 69 16 62 317 Institutional 13 166 3 71 7 RC/DD 35 TBI 3

Otter Tail Total 75 408 26 227 426 Pennington CADI 9

Comm/NHC 6 56 Comm/Non-NHC 9 35 1 61 Institutional 5 40 3 RC/DD 21

Pennington Total 20 131 1 94 Pine CADI 11

Comm/NHC 11 51 13 42 Comm/Non-NHC 14 21 7 36 141 Institutional 5 6 1 23 5 RC/DD 7 TBI 2

Pine Total 30 78 21 101 166 Pipestone CADI

Comm/NHC Comm/Non-NHC Institutional RC/DD

Pipestone Total

Comm/Non-NHC: Community resident w/no waiver 22 of 40 Institutional - SNF/ICF-DD Comm/NHC - Community resident with elderly waiver services 3/2/2015 CAC,CADI, RC/DD, TBI - HCB Waiver Services

March 2015 Elderly/Disabled Living Arrangement/Nursing Home Certifiable

Living Arrange/ NH Cert. Status

Blue Plus Health Partners

Itasca Medical Care Medica Metropolitan

Health Plan MSC+ MSHO MSC+ MSHO MSC+ MSHO MSC+ MSHO SNBC SNBC

Polk CADI 62 Comm/NHC 39 122 11 36 Comm/Non-NHC 28 41 12 21 217 Institutional 18 113 8 26 8 RC/DD 40 TBI 3

Polk Total 85 276 31 83 330 Pope CAC

CADI Comm/NHC Comm/Non-NHC Institutional RC/DD TBI

Pope Total Ramsey CAC

CADI 406 Comm/NHC 165 211 74 452 248 364 Comm/Non-NHC 187 101 264 424 145 335 2609 Institutional 72 63 66 207 80 124 81 RC/DD 203 TBI 20

Ramsey Total 424 375 404 1083 473 823 3319 Red Lake CADI 4

Comm/NHC 3 19 Comm/Non-NHC 1 7 16 Institutional 1 1 RC/DD 1

Red Lake Total 4 27 22 Renville CADI

Comm/NHC 8 23 Comm/Non-NHC 13 19 Institutional 14 33

Renville Total 35 75 Redwood CADI

Comm/NHC Comm/Non-NHC Institutional RC/DD TBI

Redwood Total Rice CADI 16

Comm/NHC 59 108 8 23 Comm/Non-NHC 47 23 10 10 90 Institutional 33 34 7 17 3 RC/DD 15

Rice Total 139 165 25 50 124 Rock CADI

Comm/NHC 4 20 Comm/Non-NHC 4 14 Institutional 5 24 RC/DD TBI

Rock Total 13 58 Roseau CADI 4

Comm/NHC 5 61 1 1 Comm/Non-NHC 5 21 39 Institutional 7 62 1

Roseau Total 17 144 1 1 44

Comm/Non-NHC: Community resident w/no waiver 23 of 40 Institutional - SNF/ICF-DD Comm/NHC - Community resident with elderly waiver services 3/2/2015 CAC,CADI, RC/DD, TBI - HCB Waiver Services

March 2015 Elderly/Disabled Living Arrangement/Nursing Home Certifiable

Living Arrange/ NH Cert. Status

Blue Plus Health Partners

Itasca Medical Care Medica Metropolitan

Health Plan MSC+ MSHO MSC+ MSHO MSC+ MSHO MSC+ MSHO SNBC SNBC

St Louis CAC 1 CADI 264 Comm/NHC 94 159 122 485 Comm/Non-NHC 45 33 87 277 1479 Institutional 71 104 69 236 36 RC/DD 204 TBI 57

St Louis Total 210 296 278 998 2041 Scott CADI 52

Comm/NHC 25 53 3 33 44 120 Comm/Non-NHC 35 42 35 60 37 93 116 Institutional 15 50 3 6 6 56 33 RC/DD 22 TBI 1

Scott Total 75 145 41 99 87 269 224 Sherburne CADI 44

Comm/NHC 8 47 1 4 8 101 Comm/Non-NHC 3 18 3 7 13 31 113 Institutional 18 37 3 6 1 58 16 RC/DD 32 TBI 7

Sherburne Total 29 102 7 17 22 190 212 Sibley CADI

Comm/NHC Comm/Non-NHC Institutional RC/DD

Sibley Total Stearns CAC 2

CADI 67 Comm/NHC 34 114 12 23 17 107 Comm/Non-NHC 40 51 22 26 13 96 443 Institutional 15 99 5 7 8 56 4 RC/DD 60 TBI 1

Stearns Total 89 264 39 56 38 259 577 Steele CADI

Comm/NHC Comm/Non-NHC Institutional RC/DD TBI

Steele Total Stevens CADI

Comm/NHC Comm/Non-NHC Institutional RC/DD TBI

Stevens Total Swift CADI

Comm/NHC 12 45 Comm/Non-NHC 7 26 Institutional 8 40 RC/DD

Swift Total 27 111

Comm/Non-NHC: Community resident w/no waiver 24 of 40 Institutional - SNF/ICF-DD Comm/NHC - Community resident with elderly waiver services 3/2/2015 CAC,CADI, RC/DD, TBI - HCB Waiver Services

March 2015 Elderly/Disabled Living Arrangement/Nursing Home Certifiable

Living Arrange/ NH Cert. Status

Blue Plus Health Partners

Itasca Medical Care Medica Metropolitan

Health Plan MSC+ MSHO MSC+ MSHO MSC+ MSHO MSC+ MSHO SNBC SNBC

Todd CAC CADI 20 Comm/NHC 1 29 52 Comm/Non-NHC 1 18 28 78 Institutional 23 36 RC/DD 4

Todd Total 2 70 116 102 Traverse CADI

Comm/NHC Comm/Non-NHC Institutional RC/DD

Traverse Total Wabasha CADI

Comm/NHC Comm/Non-NHC Institutional RC/DD TBI

Wabasha Total Wadena CADI 37

Comm/NHC 29 45 Comm/Non-NHC 22 2 31 168 Institutional 1 52 42 5 RC/DD 12

Wadena Total 1 103 2 118 222 Waseca CADI

Comm/NHC Comm/Non-NHC Institutional RC/DD TBI

Waseca Total Washington CADI 73

Comm/NHC 44 52 12 71 12 73 Comm/Non-NHC 27 25 49 66 15 40 301 Institutional 26 23 13 32 13 29 8 RC/DD 47 TBI 4

Washington Total 97 100 74 169 40 142 433 Watonwan CADI

Comm/NHC 1 18 Comm/Non-NHC 4 8 Institutional 5 21 RC/DD TBI

Watonwan Total 10 47 Wilkin CADI 1

Comm/NHC 3 27 2 9 Comm/Non-NHC 5 11 2 9 28 Institutional 2 15 1 14 RC/DD 1

Wilkin Total 10 53 5 32 30

Comm/Non-NHC: Community resident w/no waiver 25 of 40 Institutional - SNF/ICF-DD Comm/NHC - Community resident with elderly waiver services 3/2/2015 CAC,CADI, RC/DD, TBI - HCB Waiver Services

March 2015 Elderly/Disabled Living Arrangement/Nursing Home Certifiable

Living Arrange/ NH Cert. Status

Blue Plus Health Partners

Itasca Medical Care Medica Metropolitan

Health Plan MSC+ MSHO MSC+ MSHO MSC+ MSHO MSC+ MSHO SNBC SNBC

Winona CAC CADI Comm/NHC 41 127 Comm/Non-NHC 32 50 Institutional 27 102 RC/DD TBI

Winona Total 100 279 Wright CAC 1

CADI 55 Comm/NHC 39 101 3 11 6 96 Comm/Non-NHC 23 29 11 10 16 47 147 Institutional 21 78 1 2 11 60 6 RC/DD 19 TBI 4

Wright Total 83 208 15 23 33 203 232 Yellow Medicine CADI

Comm/NHC 3 35 Comm/Non-NHC 1 17 Institutional 3 50 RC/DD

Yellow Medicine Total 7 102 Plan Total CAC 0 0 0 0 0 0 0 0 13 1

CADI 0 0 0 0 0 0 0 0 2,914 332 Comm/NHC 1,268 3,675 237 1,267 67 230 1,221 4,547 0 0 Comm/Non-NHC 1,266 1,671 927 1,254 67 123 1,299 3,057 14,351 2,092 Institutional 787 2,618 229 549 30 113 502 2,180 474 79 RC/DD 0 0 0 0 0 0 0 0 1,662 111 TBI 0 0 0 0 0 0 0 0 204 8

Plan Total 3,321 7,964 1,393 3,070 164 466 3,022 9,784 19,618 2,623

Comm/Non-NHC: Community resident w/no waiver 26 of 40 Institutional - SNF/ICF-DD Comm/NHC - Community resident with elderly waiver services 3/2/2015 CAC,CADI, RC/DD, TBI - HCB Waiver Services

March 2015 Elderly/Disabled Living Arrangement/Nursing Home Certifiable

Living Arrange/ NH Cert. Status

PrimeWest Health SCHA UCare County Total

MSC+ MSHO SNBC MSC+ MSHO SNBC MSC+ MSHO SNBC MSC+ MSHO SNBC Total Aitkin CADI 0 0 14 14

Comm/NHC 3 12 10 77 0 87 Comm/Non-NHC 2 19 15 87 139 241 Institutional 10 2 51 1 54 RC/DD 0 0 15 15 TBI 0 0 0 0

Aitkin Total 5 41 27 215 169 411 Anoka CAC 0 0 1 1

CADI 164 0 0 350 350 Comm/NHC 62 216 167 620 0 787 Comm/Non-NHC 99 190 900 247 475 1,648 2,370 Institutional 10 50 17 38 160 41 239 RC/DD 131 0 0 249 249 TBI 14 0 0 27 27

Anoka Total 171 456 1226 452 1,255 2,316 4,023 Becker CADI 0 0 45 45

Comm/NHC 1 31 142 0 173 Comm/Non-NHC 1 50 89 230 369 Institutional 42 100 6 148 RC/DD 0 0 19 19 TBI 0 0 1 1

Becker Total 1 1 123 331 301 755 Beltrami CADI 25 0 0 25 25

Comm/NHC 138 77 138 77 0 215 Comm/Non-NHC 108 37 443 108 37 443 588 Institutional 40 42 11 40 42 11 93 RC/DD 20 0 0 20 20

Beltrami Total 286 156 499 286 156 499 941 Benton CADI 19 0 0 66 66

Comm/NHC 2 12 20 138 0 158 Comm/Non-NHC 9 15 110 33 71 246 350 Institutional 10 35 1 37 162 5 204 RC/DD 12 0 0 24 24 TBI 0 0 1 1

Benton Total 21 62 142 90 371 342 803 Big Stone CADI 12 0 0 12 12

Comm/NHC 2 35 2 35 0 37 Comm/Non-NHC 7 26 28 7 26 28 61 Institutional 7 40 7 7 40 7 54 RC/DD 2 0 0 2 2

Big Stone Total 16 101 49 16 101 49 166 Blue Earth CAC 1 0 0 1 1

CADI 51 0 0 51 51 Comm/NHC 17 155 46 155 0 201 Comm/Non-NHC 24 160 311 50 160 311 521 Institutional 13 98 18 32 98 18 148 RC/DD 48 0 0 48 48 TBI 6 0 0 6 6

Blue Earth Total 54 413 435 128 413 435 976 Brown CAC 1 0 0 1 1

CADI 41 0 0 41 41 Comm/NHC 27 76 27 76 0 103 Comm/Non-NHC 26 32 120 26 32 120 178 Institutional 25 67 9 25 67 9 101 RC/DD 54 0 0 54 54 TBI 4 0 0 4 4

Brown Total 78 175 229 78 175 229 482

Comm/Non-NHC: Community resident w/no waiver 27 of 40 Institutional - SNF/ICF-DD Comm/NHC - Community resident with elderly waiver services 3/2/2015 CAC,CADI, RC/DD, TBI - HCB Waiver Services

March 2015 Elderly/Disabled Living Arrangement/Nursing Home Certifiable

Living Arrange/ NH Cert. Status

PrimeWest Health SCHA UCare County Total

MSC+ MSHO SNBC MSC+ MSHO SNBC MSC+ MSHO SNBC MSC+ MSHO SNBC Total Carlton CADI 15 0 0 44 44

Comm/NHC 3 30 33 223 0 256 Comm/Non-NHC 3 8 104 19 63 236 318 Institutional 3 8 1 19 91 2 112 RC/DD 11 0 0 24 24 TBI 2 0 0 4 4

Carlton Total 9 46 133 71 377 310 758 Carver CAC 1 0 0 1 1

CADI 20 0 0 56 56 Comm/NHC 5 27 29 150 0 179 Comm/Non-NHC 4 17 98 34 61 193 288 Institutional 3 27 23 22 84 28 134 RC/DD 12 0 0 30 30

Carver Total 12 71 154 85 295 308 688 Cass CADI 0 0 24 24

Comm/NHC 1 13 16 52 0 68 Comm/Non-NHC 8 30 52 112 250 414 Institutional 5 4 14 21 5 40 RC/DD 0 0 12 12 TBI 0 0 2 2

Cass Total 14 47 82 185 293 560 Chippewa CADI 6 0 0 6 6

Comm/NHC 1 7 57 0 64 Comm/Non-NHC 3 6 50 12 38 50 100 Institutional 1 2 2 4 80 2 86 RC/DD 8 0 0 8 8

Chippewa Total 5 8 66 23 175 66 264 Chisago CADI 34 0 0 60 60

Comm/NHC 1 22 32 94 0 126 Comm/Non-NHC 5 28 98 29 60 189 278 Institutional 1 23 7 13 65 8 86 RC/DD 34 0 0 75 75 TBI 1 0 0 2 2

Chisago Total 7 73 174 74 219 334 627 Clay CADI 0 0 129 129

Comm/NHC 38 232 0 270 Comm/Non-NHC 20 124 427 571 Institutional 11 120 5 136 RC/DD 0 0 78 78 TBI 0 0 3 3

Clay Total 69 476 642 1,187 Clearwater CADI 4 0 0 4 4

Comm/NHC 20 31 20 31 0 51 Comm/Non-NHC 20 45 75 20 45 75 140 Institutional 29 28 7 29 28 7 64 RC/DD 2 0 0 2 2

Clearwater Total 69 104 88 69 104 88 261 Cook CADI 0 0 1 1

Comm/NHC 1 6 0 7 Comm/Non-NHC 2 1 5 12 25 42 Institutional 0 13 0 13 RC/DD 0 0 1 1 TBI 0 0 1 1

Cook Total 2 1 6 31 28 65

Comm/Non-NHC: Community resident w/no waiver 28 of 40 Institutional - SNF/ICF-DD Comm/NHC - Community resident with elderly waiver services 3/2/2015 CAC,CADI, RC/DD, TBI - HCB Waiver Services

March 2015 Elderly/Disabled Living Arrangement/Nursing Home Certifiable

Living Arrange/ NH Cert. Status

PrimeWest Health SCHA UCare County Total

MSC+ MSHO SNBC MSC+ MSHO SNBC MSC+ MSHO SNBC MSC+ MSHO SNBC Total Cottonwood CADI 4 0 0 4 4

Comm/NHC 3 34 4 47 0 51 Comm/Non-NHC 4 34 75 14 37 75 126 Institutional 4 60 5 10 71 5 86 RC/DD 10 0 0 10 10 TBI 1 0 0 1 1

Cottonwood Total 11 128 95 28 155 95 278 Crow Wing CADI 0 0 54 54

Comm/NHC 13 65 40 281 0 321 Comm/Non-NHC 16 61 49 176 481 706 Institutional 4 23 20 92 12 124 RC/DD 0 0 38 38

Crow Wing Total 33 149 109 549 585 1,243 Dakota CAC 2 0 0 7 7

CADI 192 0 0 383 383 Comm/NHC 35 214 257 645 0 902 Comm/Non-NHC 76 195 640 276 536 1,185 1,997 Institutional 14 62 7 87 198 17 302 RC/DD 110 0 0 224 224 TBI 11 0 0 27 27

Dakota Total 125 471 962 620 1,379 1,843 3,842 Dodge CADI 12 0 0 12 12

Comm/NHC 1 48 1 6 2 54 0 56 Comm/Non-NHC 7 16 60 5 8 12 24 60 96 Institutional 7 22 4 2 10 9 32 4 45 RC/DD 29 0 0 29 29

Dodge Total 15 86 105 8 24 23 110 105 238 Douglas CADI 74 0 0 74 74

Comm/NHC 13 173 13 173 0 186 Comm/Non-NHC 18 86 244 18 86 244 348 Institutional 8 104 8 8 104 8 120 RC/DD 31 0 0 31 31 TBI 2 0 0 2 2

Douglas Total 39 363 359 39 363 359 761 Faribault CADI 7 0 0 7 7

Comm/NHC 19 6 42 0 48 Comm/Non-NHC 2 26 88 12 54 88 154 Institutional 4 15 1 14 39 1 54 RC/DD 16 0 0 16 16

Faribault Total 6 60 112 32 135 112 279 Fillmore CADI 13 0 0 13 13

Comm/NHC 4 30 21 101 0 122 Comm/Non-NHC 4 13 54 25 34 54 113 Institutional 9 21 4 37 91 4 132 RC/DD 3 0 0 3 3

Fillmore Total 17 64 74 83 226 74 383 Freeborn CADI 29 0 0 29 29

Comm/NHC 41 54 1 1 42 55 0 97 Comm/Non-NHC 58 42 215 4 1 62 43 215 320 Institutional 69 64 18 1 69 65 18 152 RC/DD 44 0 0 44 44

Freeborn Total 168 160 306 5 3 173 163 306 642 Goodhue CADI 78 0 0 78 78

Comm/NHC 27 120 27 120 0 147 Comm/Non-NHC 20 78 159 20 78 159 257 Institutional 41 127 34 41 127 34 202 RC/DD 96 0 0 96 96

Goodhue Total 88 325 367 88 325 367 780

Comm/Non-NHC: Community resident w/no waiver 29 of 40 Institutional - SNF/ICF-DD Comm/NHC - Community resident with elderly waiver services 3/2/2015 CAC,CADI, RC/DD, TBI - HCB Waiver Services

March 2015 Elderly/Disabled Living Arrangement/Nursing Home Certifiable

Living Arrange/ NH Cert. Status

PrimeWest Health SCHA UCare County Total

MSC+ MSHO SNBC MSC+ MSHO SNBC MSC+ MSHO SNBC MSC+ MSHO SNBC Total Grant CADI 10 0 0 10 10

Comm/NHC 3 25 3 25 0 28 Comm/Non-NHC 2 15 29 2 15 29 46 Institutional 3 14 1 3 14 1 18 RC/DD 4 0 0 4 4

Grant Total 8 54 44 8 54 44 106 Hennepin CAC 1 0 0 4 4

CADI 847 0 0 1,993 1,993 Comm/NHC 626 1726 1,211 3,926 0 5,137 Comm/Non-NHC 648 988 4038 1,761 2,523 9,748 14,032 Institutional 160 495 127 472 1,399 368 2,239 RC/DD 257 0 0 738 738 TBI 41 0 0 104 104

Hennepin Total 1434 3209 5311 3,444 7,848 12,955 24,247 Houston CADI 6 0 0 6 6

Comm/NHC 3 31 8 63 0 71 Comm/Non-NHC 4 23 50 8 38 50 96 Institutional 28 1 8 61 1 70 RC/DD 8 0 0 8 8

Houston Total 7 82 65 24 162 65 251 Hubbard CADI 6 0 0 6 6

Comm/NHC 62 30 62 30 0 92 Comm/Non-NHC 56 29 128 56 29 128 213 Institutional 10 9 1 10 9 1 20 RC/DD 5 0 0 5 5

Hubbard Total 128 68 140 128 68 140 336 Isanti CADI 20 0 0 46 46

Comm/NHC 3 31 19 95 0 114 Comm/Non-NHC 7 16 99 22 37 179 238 Institutional 9 25 2 29 78 5 112 RC/DD 16 0 0 30 30 TBI 0 0 2 2

Isanti Total 19 72 137 70 210 262 542 Itasca CADI 0 0 29 29

Comm/NHC 67 230 0 297 Comm/Non-NHC 67 123 384 574 Institutional 30 113 3 146 RC/DD 0 0 21 21 TBI 0 0 1 1

Itasca Total 164 466 438 1,068 Jackson CADI 1 0 0 1 1

Comm/NHC 1 8 9 27 0 36 Comm/Non-NHC 2 11 27 9 23 27 59 Institutional 5 1 6 28 1 35 RC/DD 1 0 0 1 1

Jackson Total 3 24 30 24 78 30 132 Kanabec CADI 21 0 0 21 21

Comm/NHC 7 55 7 55 0 62 Comm/Non-NHC 21 38 112 21 38 112 171 Institutional 7 22 2 7 22 2 31 RC/DD 7 0 0 7 7 TBI 2 0 0 2 2

Kanabec Total 35 115 144 35 115 144 294

Comm/Non-NHC: Community resident w/no waiver 30 of 40 Institutional - SNF/ICF-DD Comm/NHC - Community resident with elderly waiver services 3/2/2015 CAC,CADI, RC/DD, TBI - HCB Waiver Services

March 2015 Elderly/Disabled Living Arrangement/Nursing Home Certifiable

Living Arrange/ NH Cert. Status

PrimeWest Health SCHA UCare County Total

MSC+ MSHO SNBC MSC+ MSHO SNBC MSC+ MSHO SNBC MSC+ MSHO SNBC Total Kandiyohi CADI 12 0 0 14 14

Comm/NHC 8 12 20 109 0 129 Comm/Non-NHC 15 25 172 64 77 203 344 Institutional 16 4 8 143 4 155 RC/DD 19 0 0 21 21 TBI 1 0 0 2 2

Kandiyohi Total 23 53 208 92 329 244 665 Kittson Comm/NHC 1 6 4 25 0 29

Comm/Non-NHC 1 8 7 18 10 35 Institutional 1 7 3 36 1 40 RC/DD 0 0 3 3

Kittson Total 3 21 14 79 14 107 Koochiching CADI 0 0 8 8

Comm/NHC 1 1 5 23 0 28 Comm/Non-NHC 13 2 34 72 114 220 Institutional 1 5 53 2 60 RC/DD 0 0 14 14

Koochiching Total 14 4 44 148 138 330 Lac Qui Parle CADI 7 0 0 7 7

Comm/NHC 6 5 42 0 47 Comm/Non-NHC 3 30 5 15 30 50 Institutional 10 1 1 67 1 69 RC/DD 5 0 0 5 5

Lac Qui Parle Total 19 43 11 124 43 178 Lake CADI 0 0 7 7

Comm/NHC 4 1 19 30 0 49 Comm/Non-NHC 7 5 9 10 51 70 Institutional 9 17 7 1 25 RC/DD 0 0 4 4 TBI 0 0 1 1

Lake Total 20 6 45 47 64 156 Lake of the Woods CADI 0 0 1 1

Comm/NHC 9 2 0 11 Comm/Non-NHC 11 1 3 15 Institutional 16 2 0 18 RC/DD 0 0 0 0

Lake of the Woods Total 36 5 4 45 LeSueur CADI 11 0 0 11 11

Comm/NHC 1 36 13 95 0 108 Comm/Non-NHC 3 15 85 8 27 85 120 Institutional 1 7 1 7 39 1 47 RC/DD 7 0 0 7 7

LeSueur Total 5 58 104 28 161 104 293 Lincoln Comm/NHC 5 8 17 0 25

Comm/Non-NHC 4 13 7 9 13 29 Institutional 1 10 5 8 44 5 57 RC/DD 1 0 0 1 1

Lincoln Total 1 19 19 23 70 19 112 Lyon CADI 17 0 0 17 17

Comm/NHC 4 11 13 103 0 116 Comm/Non-NHC 9 10 121 29 42 121 192 Institutional 1 11 3 6 85 3 94 RC/DD 11 0 0 11 11

Lyon Total 14 32 152 48 230 152 430

Comm/Non-NHC: Community resident w/no waiver 31 of 40 Institutional - SNF/ICF-DD Comm/NHC - Community resident with elderly waiver services 3/2/2015 CAC,CADI, RC/DD, TBI - HCB Waiver Services

March 2015 Elderly/Disabled Living Arrangement/Nursing Home Certifiable

Living Arrange/ NH Cert. Status

PrimeWest Health SCHA UCare County Total

MSC+ MSHO SNBC MSC+ MSHO SNBC MSC+ MSHO SNBC MSC+ MSHO SNBC Total McLeod CADI 35 0 0 35 35

Comm/NHC 16 122 16 122 0 138 Comm/Non-NHC 14 48 136 14 48 136 198 Institutional 13 127 5 13 127 5 145 RC/DD 25 0 0 25 25 TBI 2 0 0 2 2

McLeod Total 43 297 203 43 297 203 543 Mahnomen CADI 0 0 4 4

Comm/NHC 3 19 0 22 Comm/Non-NHC 3 20 69 92 Institutional 1 12 1 14 RC/DD 0 0 6 6

Mahnomen Total 7 51 80 138 Marshall CADI 0 0 9 9

Comm/NHC 2 8 5 46 0 51 Comm/Non-NHC 2 8 9 23 19 51 Institutional 4 0 27 0 27 RC/DD 0 0 11 11

Marshall Total 4 20 14 96 39 149 Martin CADI 30 0 0 30 30

Comm/NHC 1 48 4 105 0 109 Comm/Non-NHC 4 27 132 18 59 132 209 Institutional 3 30 22 6 76 22 104 RC/DD 80 0 0 80 80 TBI 1 0 0 1 1

Martin Total 8 105 265 28 240 265 533 Meeker CADI 23 0 0 23 23

Comm/NHC 9 111 9 111 0 120 Comm/Non-NHC 13 49 87 13 49 87 149 Institutional 8 69 3 8 69 3 80 RC/DD 6 0 0 6 6

Meeker Total 30 229 119 30 229 119 378 Mille Lacs CADI 16 0 0 37 37

Comm/NHC 1 18 8 113 0 121 Comm/Non-NHC 2 13 86 17 73 194 284 Institutional 17 1 5 112 1 118 RC/DD 2 0 0 12 12 TBI 2 0 0 4 4

Mille Lacs Total 3 48 107 30 298 248 576 Morrison CADI 8 0 0 24 24

Comm/NHC 35 17 15 35 140 0 175 Comm/Non-NHC 33 16 95 2 9 37 71 249 357 Institutional 18 8 1 5 18 74 6 98 RC/DD 0 0 2 2

Morrison Total 86 41 104 2 29 90 285 281 656 Mower CADI 27 0 0 27 27

Comm/NHC 28 90 98 158 0 256 Comm/Non-NHC 26 38 252 58 53 252 363 Institutional 13 26 16 39 35 16 90

Mower Total RC/DD

67 154 39

334 0

195 0 39

246 334 39

775 Murray CADI 3 0 0 3 3

Comm/NHC 2 4 6 39 0 45 Comm/Non-NHC 2 4 27 4 25 27 56 Institutional 4 1 1 42 1 44 RC/DD 3 0 0 3 3

Murray Total 4 12 34 11 106 34 151

Comm/Non-NHC: Community resident w/no waiver 32 of 40 Institutional - SNF/ICF-DD Comm/NHC - Community resident with elderly waiver services 3/2/2015 CAC,CADI, RC/DD, TBI - HCB Waiver Services

March 2015 Elderly/Disabled Living Arrangement/Nursing Home Certifiable

Living Arrange/ NH Cert. Status

PrimeWest Health SCHA UCare County Total

MSC+ MSHO SNBC MSC+ MSHO SNBC MSC+ MSHO SNBC MSC+ MSHO SNBC Total Nicollet CADI 22 0 0 22 22

Comm/NHC 8 50 17 98 0 115 Comm/Non-NHC 4 19 106 17 32 106 155 Institutional 7 3 4 27 3 34 RC/DD 14 0 0 14 14

Nicollet Total 12 76 145 38 157 145 340 Nobles CADI 14 0 0 14 14

Comm/NHC 11 9 66 0 75 Comm/Non-NHC 9 25 83 36 77 83 196 Institutional 11 2 12 53 2 67 RC/DD 8 0 0 8 8

Nobles Total 9 47 107 57 196 107 360 Norman CADI 0 0 7 7

Comm/NHC 1 3 6 33 0 39 Comm/Non-NHC 1 6 15 48 69 Institutional 1 62 5 68 RC/DD 0 0 3 3

Norman Total 2 3 13 110 63 186 Olmsted CAC 3 0 0 3 3

CADI 113 0 0 113 113 Comm/NHC 63 134 148 253 0 401 Comm/Non-NHC 106 233 817 201 347 817 1,365 Institutional 25 68 28 82 138 28 248 RC/DD 110 0 0 110 110 TBI 3 0 0 3 3

Olmsted Total 194 435 1074 431 738 1,074 2,243 Otter Tail CAC 0 0 1 1

CADI 0 0 63 63 Comm/NHC 7 9 34 276 0 310 Comm/Non-NHC 12 19 70 150 317 537 Institutional 10 16 247 7 270 RC/DD 0 0 35 35 TBI 0 0 3 3

Otter Tail Total 19 38 120 673 426 1,219 Pennington CADI 0 0 9 9

Comm/NHC 1 21 7 77 0 84 Comm/Non-NHC 4 9 13 45 61 119 Institutional 1 16 6 56 3 65 RC/DD 0 0 21 21

Pennington Total 6 46 26 178 94 298 Pine CADI 11 0 0 22 22

Comm/NHC 3 26 27 119 0 146 Comm/Non-NHC 10 23 137 31 80 278 389 Institutional 1 6 3 7 35 8 50 RC/DD 9 0 0 16 16 TBI 0 0 2 2

Pine Total 14 55 160 65 234 326 625 Pipestone CADI 6 0 0 6 6

Comm/NHC 6 40 6 40 0 46 Comm/Non-NHC 14 22 47 14 22 47 83 Institutional 5 59 3 5 59 3 67 RC/DD 12 0 0 12 12

Pipestone Total 25 121 68 25 121 68 214

Comm/Non-NHC: Community resident w/no waiver 33 of 40 Institutional - SNF/ICF-DD Comm/NHC - Community resident with elderly waiver services 3/2/2015 CAC,CADI, RC/DD, TBI - HCB Waiver Services

March 2015 Elderly/Disabled Living Arrangement/Nursing Home Certifiable

Living Arrange/ NH Cert. Status

PrimeWest Health SCHA UCare County Total

MSC+ MSHO SNBC MSC+ MSHO SNBC MSC+ MSHO SNBC MSC+ MSHO SNBC Total Polk CADI 0 0 62 62

Comm/NHC 6 14 56 172 0 228 Comm/Non-NHC 5 7 45 69 217 331 Institutional 3 13 29 152 8 189 RC/DD 0 0 40 40 TBI 0 0 3 3

Polk Total 14 34 130 393 330 853 Pope CAC 1 0 0 1 1

CADI 15 0 0 15 15 Comm/NHC 3 65 3 65 0 68 Comm/Non-NHC 4 41 73 4 41 73 118 Institutional 1 65 4 1 65 4 70 RC/DD 19 0 0 19 19 TBI 1 0 0 1 1

Pope Total 8 171 113 8 171 113 292 Ramsey CAC 1 0 0 1 1

CADI 464 0 0 870 870 Comm/NHC 278 765 765 1,792 0 2,557 Comm/Non-NHC 464 679 3613 1,060 1,539 6,222 8,821 Institutional 60 211 52 278 605 133 1,016 RC/DD 203 0 0 406 406 TBI 26 0 0 46 46

Ramsey Total 802 1655 4359 2,103 3,936 7,678 13,717 Red Lake CADI 0 0 4 4

Comm/NHC 7 3 26 0 29 Comm/Non-NHC 6 1 13 16 30 Institutional 0 1 1 2 RC/DD 0 0 1 1

Red Lake Total 13 4 40 22 66 Renville CADI 6 0 0 6 6

Comm/NHC 2 12 10 35 0 45 Comm/Non-NHC 6 22 83 19 41 83 143 Institutional 2 10 10 16 43 10 69

Renville Total 10 44 99 45 119 99 263 Redwood CADI 3 0 0 3 3

Comm/NHC 6 28 6 28 0 34 Comm/Non-NHC 9 22 90 9 22 90 121 Institutional 16 71 9 16 71 9 96 RC/DD 10 0 0 10 10 TBI 3 0 0 3 3

Redwood Total 31 121 115 31 121 115 267 Rice CADI 21 0 0 37 37

Comm/NHC 12 47 79 178 0 257 Comm/Non-NHC 21 30 133 78 63 223 364 Institutional 4 23 6 44 74 9 127 RC/DD 23 0 0 38 38

Rice Total 37 100 183 201 315 307 823 Rock CADI 16 0 0 16 16

Comm/NHC 2 13 6 33 0 39 Comm/Non-NHC 1 4 28 5 18 28 51 Institutional 2 6 2 7 30 2 39 RC/DD 10 0 0 10 10 TBI 1 0 0 1 1

Rock Total 5 23 57 18 81 57 156 Roseau CADI 0 0 4 4

Comm/NHC 12 6 74 0 80 Comm/Non-NHC 3 9 8 30 39 77 Institutional 9 7 71 1 79

Roseau Total 3 30 21 175 44 240

Comm/Non-NHC: Community resident w/no waiver 34 of 40 Institutional - SNF/ICF-DD Comm/NHC - Community resident with elderly waiver services 3/2/2015 CAC,CADI, RC/DD, TBI - HCB Waiver Services

March 2015 Elderly/Disabled Living Arrangement/Nursing Home Certifiable

Living Arrange/ NH Cert. Status

PrimeWest Health SCHA UCare County Total

MSC+ MSHO SNBC MSC+ MSHO SNBC MSC+ MSHO SNBC MSC+ MSHO SNBC Total St Louis CAC 0 0 1 1

CADI 157 0 0 421 421 Comm/NHC 48 189 264 833 0 1,097 Comm/Non-NHC 31 133 981 163 443 2,460 3,066 Institutional 33 95 35 173 435 71 679 RC/DD 110 0 0 314 314 TBI 15 0 0 72 72

St Louis Total 112 417 1298 600 1,711 3,339 5,650 Scott CADI 36 0 0 88 88

Comm/NHC 3 3 75 209 0 284 Comm/Non-NHC 4 5 182 111 200 298 609 Institutional 2 5 24 114 38 176 RC/DD 17 0 0 39 39 TBI 4 0 0 5 5

Scott Total 7 10 244 210 523 468 1,201 Sherburne CADI 30 0 0 74 74

Comm/NHC 4 26 21 178 0 199 Comm/Non-NHC 6 22 159 25 78 272 375 Institutional 3 29 5 25 130 21 176 RC/DD 26 0 0 58 58 TBI 8 0 0 15 15

Sherburne Total 13 77 228 71 386 440 897 Sibley CADI 13 0 0 13 13

Comm/NHC 9 76 9 76 0 85 Comm/Non-NHC 5 24 38 5 24 38 67 Institutional 5 34 11 5 34 11 50 RC/DD 7 0 0 7 7

Sibley Total 19 134 69 19 134 69 222 Stearns CAC 0 0 2 2

CADI 51 0 0 118 118 Comm/NHC 44 63 107 307 0 414 Comm/Non-NHC 35 47 429 110 220 872 1,202 Institutional 6 26 2 34 188 6 228 RC/DD 16 0 0 76 76 TBI 3 0 0 4 4

Stearns Total 85 136 501 251 715 1,078 2,044 Steele CADI 39 0 0 39 39

Comm/NHC 44 114 44 114 0 158 Comm/Non-NHC 42 46 228 42 46 228 316 Institutional 16 34 21 16 34 21 71 RC/DD 44 0 0 44 44 TBI 5 0 0 5 5

Steele Total 102 194 337 102 194 337 633 Stevens CADI 10 0 0 10 10

Comm/NHC 4 40 4 40 0 44 Comm/Non-NHC 7 13 33 7 13 33 53 Institutional 6 30 5 6 30 5 41 RC/DD 19 0 0 19 19 TBI 1 0 0 1 1

Stevens Total 17 83 68 17 83 68 168 Swift CADI 3 0 0 3 3

Comm/NHC 1 5 13 50 0 63 Comm/Non-NHC 4 33 7 30 33 70 Institutional 6 8 46 0 54 RC/DD 13 0 0 13 13

Swift Total 1 15 49 28 126 49 203

Comm/Non-NHC: Community resident w/no waiver 35 of 40 Institutional - SNF/ICF-DD Comm/NHC - Community resident with elderly waiver services 3/2/2015 CAC,CADI, RC/DD, TBI - HCB Waiver Services

March 2015 Elderly/Disabled Living Arrangement/Nursing Home Certifiable

Living Arrange/ NH Cert. Status

PrimeWest Health SCHA UCare County Total

MSC+ MSHO SNBC MSC+ MSHO SNBC MSC+ MSHO SNBC MSC+ MSHO SNBC Total Todd CAC 1 0 0 1 1

CADI 16 0 0 36 36 Comm/NHC 19 16 21 20 118 0 138 Comm/Non-NHC 35 23 88 15 36 84 166 286 Institutional 3 10 12 3 81 0 84 RC/DD 5 0 0 9 9

Todd Total 57 49 110 48 59 283 212 554 Traverse CADI 1 0 0 1 1

Comm/NHC 3 16 3 16 0 19 Comm/Non-NHC 3 22 23 3 22 23 48 Institutional 4 37 3 4 37 3 44 RC/DD 1 0 0 1 1

Traverse Total 10 75 28 10 75 28 113 Wabasha CADI 24 0 0 24 24

Comm/NHC 10 32 2 11 12 43 0 55 Comm/Non-NHC 13 36 67 4 11 17 47 67 131 Institutional 14 36 2 4 11 18 47 2 67 RC/DD 27 0 0 27 27 TBI 0 0 0 0

Wabasha Total 37 104 120 10 33 47 137 120 304 Wadena CADI 5 0 0 42 42

Comm/NHC 4 4 10 4 88 0 92 Comm/Non-NHC 17 13 54 12 19 78 222 319 Institutional 16 6 3 23 17 123 8 148 RC/DD 8 0 0 20 20

Wadena Total 37 23 70 45 40 289 292 621 Waseca CADI 29 0 0 29 29

Comm/NHC 17 54 17 54 0 71 Comm/Non-NHC 12 24 100 12 24 100 136 Institutional 14 42 3 14 42 3 59 RC/DD 25 0 0 25 25 TBI 1 0 0 1 1

Waseca Total 43 120 158 43 120 158 321 Washington CADI 69 0 0 142 142

Comm/NHC 10 127 78 323 0 401 Comm/Non-NHC 41 120 335 132 251 636 1,019 Institutional 8 43 4 60 127 12 199 RC/DD 44 0 0 91 91 TBI 2 0 0 6 6

Washington Total 59 290 454 270 701 887 1,858 Watonwan CADI 7 0 0 7 7

Comm/NHC 2 17 3 35 0 38 Comm/Non-NHC 2 13 46 6 21 46 73 Institutional 18 5 5 39 5 49 RC/DD 6 0 0 6 6 TBI 1 0 0 1 1

Watonwan Total 4 48 65 14 95 65 174 Wilkin CADI 0 0 1 1

Comm/NHC 5 36 0 41 Comm/Non-NHC 7 20 28 55 Institutional 3 29 0 32 RC/DD 0 0 1 1

Wilkin Total 15 85 30 130

Comm/Non-NHC: Community resident w/no waiver 36 of 40 Institutional - SNF/ICF-DD Comm/NHC - Community resident with elderly waiver services 3/2/2015 CAC,CADI, RC/DD, TBI - HCB Waiver Services

March 2015 Elderly/Disabled Living Arrangement/Nursing Home Certifiable

Living Arrange/ NH Cert. Status

PrimeWest Health SCHA UCare County Total

MSC+ MSHO SNBC MSC+ MSHO SNBC MSC+ MSHO SNBC MSC+ MSHO SNBC Total Winona CAC 1 0 0 1 1

CADI 57 0 0 57 57 Comm/NHC 8 29 49 156 0 205 Comm/Non-NHC 15 19 211 47 69 211 327 Institutional 5 31 5 32 133 5 170 RC/DD 11 0 0 11 11 TBI 1 0 0 1 1

Winona Total 28 79 286 128 358 286 772 Wright CAC 2 0 0 3 3

CADI 46 0 0 101 101 Comm/NHC 7 34 55 242 0 297 Comm/Non-NHC 12 21 116 62 107 263 432 Institutional 5 27 9 38 167 15 220 RC/DD 23 0 0 42 42 TBI 0 0 4 4

Wright Total 24 82 196 155 516 428 1,099 Yellow Medicine CADI 7 0 0 7 7

Comm/NHC 2 3 37 0 40 Comm/Non-NHC 2 4 42 3 21 42 66 Institutional 9 3 3 59 3 65 RC/DD 1 0 0 1 1

Yellow Medicine Total 2 15 53 9 117 53 179 Plan Total CAC 0 0 1 0 0 2 0 0 12 0 0 29 29

CADI 0 0 224 0 0 315 0 0 2,652 0 0 6,437 6,437 Comm/NHC 285 793 0 241 666 0 1,350 4,575 0 4,669 15,753 0 20,422 Comm/Non-NHC 275 455 1,436 289 388 1,336 1,816 3,532 15,194 5,939 10,480 34,409 50,828 Institutional 150 695 67 235 472 108 443 1,872 450 2,376 8,499 1,178 12,053 RC/DD 0 0 156 0 0 346 0 0 1,488 0 0 3,763 3,763 TBI 0 0 9 0 0 12 0 0 144 0 0 377 377

Plan Total 710 1,943 1,893 765 1,526 2,119 3,609 9,979 19,940 12,984 34,732 46,193 93,909

Comm/Non-NHC: Community resident w/no waiver 37 of 40 Institutional - SNF/ICF-DD Comm/NHC - Community resident with elderly waiver services 3/2/2015 CAC,CADI, RC/DD, TBI - HCB Waiver Services

Enrollment Summary Dec-14 Jan-15 Feb-15 Mar-15 Apr-15 May-15 Jun-15 Jul-15 Aug-15 Sep-15 Oct-15 Nov-15

Blue Plus MA Adults 21 - 64 16,886 16,990 17,166 17,103 MA Adults 21 - 64 Expansion (AX) 16,539 16,922 17,309 17,884 MA Aged - Institutionalized over 64 3,520 3,471 3,432 3,397 MA Aged - Community over 64 8,114 8,078 7,985 7,891 MA Children 43,683 44,002 44,377 44,326 MA Pregnant Women All Ages 1,257 1,273 1,277 1,305 MnCare Childless Adults 5,644 6,109 6,743 7,407 MnCare Children 605 625 692 728 MnCare Parents 4,557 4,857 5,225 5,659 Total 100,805 102,327 104,206 105,700 0 0 0 0 0 0 0 0 HealthPartners MA Adults 21 - 64 22,219 18,887 18,941 18,843 MA Adults 21 - 64 Expansion (AX) 26,082 23,086 23,623 24,423 MA Aged - Institutionalized over 64 810 814 809 779 MA Aged - Community over 64 3,718 3,815 3,783 3,687 MA Children 53,947 46,133 46,029 45,907 MA Pregnant Women All Ages 1,505 1,298 1,319 1,325 MnCare Childless Adults 5,073 4,589 5,063 5,697 MnCare Children 502 400 432 472 MnCare Parents 3,938 3,595 3,929 4,362 Total 117,794 102,617 103,928 105,495 0 0 0 0 0 0 0 0 Hennepin Health MA Adults 21 - 64 MA Adults 21 - 64 Expansion (AX) 9,521 9,479 9,963 10,573 MA Aged - Institutionalized over 64 MA Aged - Community over 64 MA Children MA Pregnant Women All Ages MnCare Childless Adults MnCare Children MnCare Parents Total 9,521 9,479 9,963 10,573 0 0 0 0 0 0 0 0 Itasca Medical Care MA Adults 21 - 64 1,744 1,692 1,653 1,581 MA Adults 21 - 64 Expansion (AX) 1,795 1,798 1,843 1,842 MA Aged - Institutionalized over 64 134 138 142 143 MA Aged - Community over 64 497 500 500 487 MA Children 3,918 3,834 3,723 3,619 MA Pregnant Women All Ages 112 109 108 99 MnCare Childless Adults 215 240 283 298 MnCare Children 26 24 26 29 MnCare Parents 188 209 226 247 Total 8,629 8,544 8,504 8,345 0 0 0 0 0 0 0 0

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

Enrollment Summary Dec-14 Jan-15 Feb-15 Mar-15 Apr-15 May-15 Jun-15 Jul-15 Aug-15 Sep-15 Oct-15 Nov-15

Medica MA Adults 21 - 64 25,194 26,427 26,656 26,655 MA Adults 21 - 64 Expansion (AX) 27,392 28,999 29,789 30,803 MA Aged - Institutionalized over 64 2,748 2,756 2,729 2,685 MA Aged - Community over 64 10,154 10,378 10,330 10,127 MA Children 72,410 75,150 75,686 75,744 MA Disabled - Basic Care 20,877 20,733 20,423 19,618 MA PINS 460 458 454 434 MA Pregnant Women All Ages 2,246 2,267 2,273 2,277 MnCare Childless Adults 12,057 13,220 14,472 16,017 MnCare Children 1,029 1,097 1,180 1,244 MnCare Parents 7,230 7,919 8,602 9,367 Total 181,797 189,404 192,594 194,971 0 0 0 0 0 0 0 0 Metropolitan Health Plan MA Adults 21 - 64 MA Adults 21 - 64 Expansion (AX) MA Aged - Institutionalized over 64 130 MA Aged - Community over 64 597 MA Children MA Disabled - Basic Care 3,006 2,861 2,781 2,623 MA Pregnant Women All Ages MnCare Childless Adults MnCare Children MnCare Parents Total 3,733 2,861 2,781 2,623 0 0 0 0 0 0 0 0 PrimeWest Health MA Adults 21 - 64 6,538 6,411 6,423 6,377 MA Adults 21 - 64 Expansion (AX) 5,924 6,003 6,081 6,194 MA Aged - Institutionalized over 64 896 873 857 844 MA Aged - Community over 64 1,853 1,826 1,830 1,811 MA Children 16,843 16,556 16,614 16,662 MA Disabled - Basic Care 2,025 1,993 1,956 1,893 MA Pregnant Women All Ages 550 568 564 579 MnCare Childless Adults 598 636 708 779 MnCare Children 119 119 121 125 MnCare Parents 759 800 853 915 Total 36,105 35,785 36,007 36,179 0 0 0 0 0 0 0 0 South Country Health Alliance MA Adults 21 - 64 6,555 6,525 6,580 6,596 MA Adults 21 - 64 Expansion (AX) 6,208 6,274 6,386 6,527 MA Aged - Institutionalized over 64 743 737 714 709 MA Aged - Community over 64 1,650 1,646 1,624 1,587 MA Children 16,682 16,591 16,596 16,590 MA Disabled - Basic Care 2,260 2,231 2,198 2,119 MA Pregnant Women All Ages 475 461 474 482 MnCare Childless Adults 467 503 553 642 MnCare Children 80 88 87 93 MnCare Parents 693 736 781 861 Total 35,813 35,792 35,993 36,206 0 0 0 0 0 0 0 0

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

Enrollment Summary Dec-14 Jan-15 Feb-15 Mar-15 Apr-15 May-15 Jun-15 Jul-15 Aug-15 Sep-15 Oct-15 Nov-15

UCare Minnesota MA Adults 21 - 64 61,180 63,621 63,844 63,740 MA Adults 21 - 64 Expansion (AX) 59,374 62,927 64,276 66,318 MA Aged - Institutionalized over 64 2,358 2,374 2,351 2,315 MA Aged - Community over 64 11,136 11,443 11,431 11,279 MA Children 163,973 169,689 170,394 170,090 MA Disabled - Basic Care 21,071 20,964 20,703 19,940 MA Pregnant Women All Ages 5,141 5,200 5,180 5,216 MnCare Childless Adults 20,127 22,266 24,296 26,762 MnCare Children 1,973 2,097 2,260 2,342 MnCare Parents 13,532 14,775 15,986 17,427 Total 359,865 375,356 380,721 385,429 0 0 0 0 0 0 0 0 Statewide MA Adults 21 - 64 140,316 140,553 141,263 140,895 0 0 0 0 0 0 0 0 MA Adults 21 - 64 Expansion (AX) 152,835 155,488 159,270 164,564 0 0 0 0 0 0 0 0 MA Aged - Institutionalized over 64 11,339 11,163 11,034 10,872 0 0 0 0 0 0 0 0 MA Aged - Community over 64 37,719 37,686 37,483 36,869 0 0 0 0 0 0 0 0 MA Children 371,456 371,955 373,419 372,938 0 0 0 0 0 0 0 0 MA Disabled - Basic Care 49,239 48,782 48,061 46,193 0 0 0 0 0 0 0 0 MA PINS 460 458 454 434 0 0 0 0 0 0 0 0 MA Pregnant Women All Ages 11,286 11,176 11,195 11,283 0 0 0 0 0 0 0 0 MnCare Childless Adults 44,181 47,563 52,118 57,602 0 0 0 0 0 0 0 0 MnCare Children 4,334 4,450 4,798 5,033 0 0 0 0 0 0 0 0 MnCare Parents 30,897 32,891 35,602 38,838 0 0 0 0 0 0 0 0 Total 854,062 862,165 874,697 885,521 0 0 0 0 0 0 0 0

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