Michigan Medicaid Mental Health and Substance Abuse ..._July_9,_2002_3466… · 1 1708100 00HE...

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This entire report is based on the initial values for the month shown above. Subsequent month's data will include counts retroactively associated with this month, but these reports are a summary of the initial values and are not updated as additional data becomes available. Retroactively eligible clients are paid for through an adjustment in the capitation rate paid for current eligibles. Therefore, while additional enrollees are expected for this month, the revenue figures will not change. Summary of the Michigan Medicaid capitation data. Including breakdown of covered lives and revenue by agency providing services and by county. Michigan Medicaid Mental Health and Substance Abuse Capitation Summary July 2002 6/26/2002 4:28 AM

Transcript of Michigan Medicaid Mental Health and Substance Abuse ..._July_9,_2002_3466… · 1 1708100 00HE...

Page 1: Michigan Medicaid Mental Health and Substance Abuse ..._July_9,_2002_3466… · 1 1708100 00HE Northeast Michigan CMH 01 Alcona 163 932 297 1,392 $3,241.43 $6,008.06 $20,241.94 $29,491.43

This entire report is based on the initial values for the month shown above. Subsequent month's data will include counts retroactively associated with this month, but these reports are a summary of the initial values and are not updated as additional data becomes available.

Retroactively eligible clients are paid for through an adjustment in the capitation rate paid for current eligibles. Therefore, while additional enrollees are expected for this month, the revenue figures will not change.

Summary of the Michigan Medicaid capitation data. Including breakdown of covered lives and revenue by agency providing services and by county.

Michigan Medicaid

Mental Health and Substance Abuse Capitation Summary

July 2002

6/26/2002 4:28 AM

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MDCH - Monthly Medicaid Capitation Audit/Summary 6/26/2002 4:28 AM Page 2 of 60

Section Worksheet PageSUMMARY 3Mental Health Capitation

by Provider MH by Provider 4by County MH by County 6

Substance Abuse Capitationby Provider SA by Provider 9by County SA by County 10

POPULATIONDisabled/Aged/Blind - Population by Age Group

by Provider DAB Pop by Provider 13by County DAB Pop by County 15

TANF - Population by Age Groupby Provider TANF Pop by Provider 18by County TANF Pop by County 20

Developmental Disabilities - Population by Age Groupby Provider DD Pop by Provider 23by County DD Pop by County 25

Substance Abuse - Population by Age Groupby Provider SA Pop by Provider 28by County SA Pop by County 29

REVENUEDisabled/Aged/Blind - Revenue by Age Group

by Provider DAB Rev by Provider 32by County DAB Rev by County 34

TANF - Revenue by Age Groupby Provider TANF Rev by Provider 37by County TANF Rev by County 39

Developmental Disabilities - Revenue by Age Groupby Provider DD Rev by Provider 42by County DD Rev by County 44

Substance Abuse - Revenue by Age Groupby Provider SA Rev by Provider 47by County SA Rev by County 48

REFERENCECapitation Base Rates 51Intensity Factors

Mental Health 52Developmental Disabilities 57Substance Abuse 59

Michigan Medicaid Monthly Summary - Table of Contents

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, Table of Contents

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MDCH - Monthly Medicaid Capitation Audit/Summary 6/26/2002 4:28 AM Page 3 of 60

2002-07

Funding Group Total Capitation 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Check Values

1 DAB Capitation 28,125,099.12$ $ 2,820,808.21 $ 2,253,169.31 $ 7,982,010.10 $ 7,882,953.33 $ 5,548,832.81 $ 1,637,325.36 -

2 TANF Capitation 4,894,260.31$ $ 3,230,839.67 $ 477,419.08 $ 871,785.19 $ 271,975.50 $ 42,100.89 $ 139.98 -

3 Combined DAB and TANF Capitation 33,019,359.43$ $ 6,051,647.88 $ 2,730,588.39 $ 8,853,795.29 $ 8,154,928.83 $ 5,590,933.70 $ 1,637,465.34 -

DD Capitation 70,187,221.30$ $ 748,854.96 $ 3,552,787.21 $ 21,435,355.78 $ 23,998,494.43 $ 15,695,271.32 $ 4,756,457.60 -

4 Total MH Capitation 103,206,580.73$ $ 6,800,502.84 $ 6,283,375.60 $ 30,289,151.07 $ 32,153,423.26 $ 21,286,205.02 $ 6,393,922.94 -

5 SA Capitation 2,226,860.20$ 101,182.73$ 139,453.84$ 870,008.40$ 855,496.30$ 248,185.66$ 12,533.27$ -

6 Total MA Capitation 105,433,440.93$ 6,901,685.57$ 6,422,829.44$ 31,159,159.47$ 33,008,919.56$ 21,534,390.68$ 6,406,456.21$ -

Funding Group Total Population 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+

1 DAB Population 358,553 64,911 31,341 48,381 53,095 67,491 93,334 -

2 TANF Population 758,592 568,047 75,880 86,049 23,881 4,647 88 -

3 Combined DAB and TANF Population 1,117,145 632,958 107,221 134,430 76,976 72,138 93,422 4 -5 DD Population 243,317 33,709 20,541 47,906 52,629 67,009 21,523 -

6 Total Current MA Population* 1,117,145 632,958 107,221 134,430 76,976 72,138 93,422

Medicaid Capitation Summary

* Population figures do not include Retroactive Eligibles

26-Jun-2002 06:27

Medicaid Revenue

$-

$5

$10

$15

$20

$25

$30

0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+

Mill

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DAB CapitationTANF CapitationDD CapitationSA Capitation

Medicaid Population

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0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+

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DAB PopulationTANF PopulationDD Population

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, Summary

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MDCH - Monthly Medicaid Capitation Audit/Summary 6/26/2002 4:28 AM Page 4 of 60

MACap - Rates: 95a - Summary recordcode02 for CMHA Provider ID DD Cap

Provider ID Agent ID Provider Name DAB Eligibles

TANF Eligibles DD Eligibles Total

Eligibles SubTotal DAB

Cap SubTotal TANF

Cap SubTotal MH/DD

Cap SubTotal MHCap SubTotal DDCap

1 1709690 00GA Allegan County CMH 992 6,442 1,665 9,099 28,558$ 57,819$ 168,838$ $255,214.87 $723,439.442 1712283 00GB Antrim-Kalkaska CMH 569 3,247 886 4,702 16,818$ 19,185$ 87,442$ $123,444.26 $429,564.473 1706830 00GC AuSable Valley CMH 1,012 5,889 1,873 8,774 20,740$ 62,499$ 139,413$ $222,651.88 $373,632.314 1705260 00GD Barry County CMH 468 3,211 794 4,473 8,832$ 14,038$ 48,405$ $71,275.70 $114,645.975 1705322 00GE Bay-Arenac CMH 1,437 10,448 3,319 15,204 40,403$ 86,940$ 343,437$ $470,780.06 $1,278,452.266 1716175 00GF Berrien Mental Health 2,432 16,296 5,213 23,941 62,829$ 85,069$ 433,071$ $580,969.14 $1,205,417.397 1708001 00BJ CEI CMH 4,675 29,112 8,621 42,408 139,487$ 146,646$ 773,430$ $1,059,563.45 $1,890,592.948 4344340 00GG Central Michigan CMH 3,039 20,466 6,467 29,972 75,107$ 116,875$ 515,851$ $707,832.75 $3,016,711.899 1707962 00GI Copper County CMH 1,084 4,340 1,386 6,810 33,186$ 27,048$ 166,317$ $226,551.45 $589,895.6010 3119549 00GJ Detroit-Wayne County CMH 32,740 239,797 83,149 355,686 1,180,035$ 1,471,268$ 9,141,121$ $11,792,423.87 $14,155,596.5011 1705233 0028 Genesee County Health Dept 4,676 49,204 14,509 68,389 108,829$ 122,597$ 959,127$ $1,190,552.96 $3,663,809.1212 1708119 00GL Gogebic County CMH 465 1,482 489 2,436 15,935$ 26,154$ 68,225$ $110,314.81 $255,140.4913 1715955 00GN Gratiot County CMH 604 3,100 1,039 4,743 13,569$ 30,644$ 90,117$ $134,330.15 $482,329.9814 1705251 00GM Great Lakes CMH 991 5,275 1,499 7,765 56,014$ 45,360$ 275,170$ $376,544.22 $534,383.1015 1715919 00GO Hiawatha Behavioral Health Authority 904 4,763 1,310 6,977 41,611$ 33,463$ 217,856$ $292,929.21 $485,404.0316 1708128 00GP Huron Behavioral Health 526 2,846 861 4,233 16,170$ 17,775$ 98,450$ $132,394.67 $325,829.7717 1715928 00GQ Ionia County CMH 559 4,153 1,153 5,865 16,507$ 27,125$ 107,635$ $151,267.39 $472,757.5718 3402136 00GR Kalamazoo County CMH 2,537 16,329 5,415 24,281 99,402$ 111,880$ 672,411$ $883,692.71 $1,860,010.2819 1705430 00GS Kent County CMH 5,982 42,937 12,766 61,685 194,572$ 250,235$ 1,286,158$ $1,730,964.21 $2,922,870.7720 1705242 00GT Lapeer County CMH 582 4,513 1,083 6,178 16,272$ 30,145$ 110,298$ $156,715.60 $563,726.4221 1705270 00GU Lenawee County CMH 953 6,225 1,942 9,120 29,595$ 42,436$ 199,283$ $271,314.15 $696,375.4522 1712229 00GV Lifeways CMH 2,392 15,575 4,991 22,958 74,199$ 106,913$ 496,655$ $677,767.39 $1,218,345.5623 1707167 00GW Livingston County CMH 660 3,492 994 5,146 30,540$ 59,303$ 153,190$ $243,033.20 $554,980.7224 3396315 00GX Macomb County CA 6,707 33,131 10,545 50,383 177,562$ 217,949$ 1,044,242$ $1,439,752.85 $5,364,028.0125 1705304 00GY Manistee-Benzie CMH 554 3,199 1,016 4,769 15,062$ 25,017$ 101,104$ $141,183.57 $779,585.1026 1710547 00HX Monroe County CMH 1,025 7,203 2,313 10,541 31,134$ 59,442$ 242,822$ $333,397.91 $1,110,895.0727 1712461 00GZ Montcalm Center Behavl. Hlt 650 4,866 1,541 7,057 8,960$ 21,604$ 70,573$ $101,136.81 $190,750.1328 1712452 00HA Muskegon County CMH 2,520 18,214 6,129 26,863 61,916$ 114,416$ 486,484$ $662,815.53 $1,297,349.1829 1708066 00HB Newaygo County CMH 673 4,384 1,359 6,416 15,295$ 44,052$ 103,159$ $162,506.27 $262,907.7930 1707158 00HC North Central CMH 1,310 8,751 2,531 12,592 35,525$ 56,938$ 240,170$ $332,633.02 $638,131.53

MA Capitation by Provider ID 26-Jun-2002 06:272002-07

Mental Health Capitation Eligible Population

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, MH by Provider

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MDCH - Monthly Medicaid Capitation Audit/Summary 6/26/2002 4:28 AM Page 5 of 60

MACap - Rates: 95a - Summary recordcode02 for CMHA Provider ID DD Cap

Provider ID Agent ID Provider Name DAB Eligibles

TANF Eligibles DD Eligibles Total

Eligibles SubTotal DAB

Cap SubTotal TANF

Cap SubTotal MH/DD

Cap SubTotal MHCap SubTotal DDCap

MA Capitation by Provider ID 26-Jun-2002 06:272002-07

Mental Health Capitation Eligible Population

31 1708100 00HE Northeast Michigan CMH 1,100 5,505 1,978 8,583 22,282$ 35,265$ 145,007$ $202,554.57 $1,068,219.7532 1707185 00HF Northern Michigan CMH 1,425 8,453 2,091 11,969 40,274$ 43,594$ 211,574$ $295,442.61 $800,080.8833 3140186 00HG Northpointe CMH 1,304 4,713 1,403 7,420 40,925$ 42,218$ 175,371$ $258,514.40 $537,912.7934 1705289 0058 Oakland County CMHA 9,746 40,578 14,880 65,204 259,232$ 205,140$ 1,500,865$ $1,965,237.49 $8,352,051.5235 1712425 00HI Ottawa County CMH 1,468 9,591 2,084 13,143 53,077$ 80,645$ 280,540$ $414,260.95 $1,327,723.5836 1724945 00HJ Pathways CMH 1,809 8,530 2,746 13,085 81,873$ 132,439$ 449,951$ $664,263.74 $1,429,189.1337 1712372 00HL Pines Behavioral Health CMH 574 3,268 953 4,795 17,514$ 27,287$ 97,176$ $141,977.39 $426,410.4738 1712541 00HQ Saginaw County CMH 2,581 23,053 7,787 33,421 61,450$ 93,056$ 592,827$ $747,332.86 $1,305,264.4139 1706849 00HM Sanilac County CMH 566 3,737 1,004 5,307 13,443$ 16,711$ 80,779$ $110,932.97 $981,514.1540 1712407 00HN Shiawassee County CMH 720 5,136 1,461 7,317 19,257$ 32,898$ 140,393$ $192,548.21 $470,455.0241 1708164 00HO St. Clair County CMH 1,677 11,130 3,081 15,888 55,694$ 193,943$ 323,094$ $572,730.57 $1,602,070.2342 1708146 00HP St. Joseph County CMH 860 5,751 1,361 7,972 29,464$ 38,648$ 140,053$ $208,164.21 $424,207.0743 2920843 00HR Summit Pointe CMH 1,872 12,550 4,438 18,860 44,893$ 111,461$ 353,400$ $509,753.51 $610,203.7644 1707130 00HS Tuscola County CMH 656 4,832 1,288 6,776 20,632$ 36,385$ 127,557$ $184,574.21 $612,518.4245 1705298 00HT Van Buren County CMH 1,290 8,778 2,283 12,351 43,920$ 68,085$ 255,213$ $367,218.58 $403,925.8546 1707176 00HU Washtenaw County CMH 2,163 11,461 4,241 17,865 89,994$ 134,429$ 574,366$ $798,789.63 $1,588,129.8547 3220732 00HV West Michigan CMH 1,010 8,155 2,215 11,380 22,187$ 53,241$ 162,781$ $238,209.70 $456,321.2648 1706114 00HW Woodlands Behavioral Healthcare 697 4,481 1,165 6,343 14,458$ 17,979$ 78,463$ $110,899.77 $333,464.3249

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State Subtotals 115,236 758,592 243,317 1,117,145 3,595,235$ 4,894,260$ 24,529,865$ $33,019,359.43 $70,187,221.30

873,828 28,125,099 State Total $103,206,580.73

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, MH by Provider

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MDCH - Monthly Medicaid Capitation Audit/Summary 6/26/2002 4:28 AM Page 6 of 60

MACap - Rates: 95b - qSummary recordcode02 for CMHA Provider ID by County DD Cap

Provider ID Agent ID Provider Name Co ID County Name MH Eligibles TANF

Eligibles DD Eligibles Total Eligibles

SubTotal DAB Cap

SubTotal TANF Cap

SubTotal MH/DD Cap SubTotal MHCap SubTotal DDCap

1 1708100 00HE Northeast Michigan CMH 01 Alcona 163 932 297 1,392 $3,241.43 $6,008.06 $20,241.94 $29,491.43 $152,573.502 1724945 00HJ Pathways CMH 02 Alger 155 657 211 1,023 $5,498.40 $10,318.79 $33,691.23 $49,508.42 $111,719.503 1709690 00GA Allegan County CMH 03 Allegan 992 6,442 1,665 9,099 $28,558.09 $57,818.89 $168,837.89 $255,214.87 $723,439.444 1708100 00HE Northeast Michigan CMH 04 Alpena 478 2,814 1,030 4,322 $9,834.59 $18,120.34 $78,720.86 $106,675.79 $573,519.675 1712283 00GB Antrim-Kalkaska CMH 05 Antrim 312 1,624 423 2,359 $9,199.97 $9,402.41 $42,954.03 $61,556.41 $210,463.146 1705322 00GE Bay-Arenac CMH 06 Arenac 291 1,768 526 2,585 $8,045.18 $14,784.65 $52,063.85 $74,893.68 $197,616.437 1707962 00GI Copper County CMH 07 Baraga 171 731 187 1,089 $5,772.36 $4,490.44 $21,767.30 $32,030.10 $80,578.148 1705260 00GD Barry County CMH 08 Barry 468 3,211 794 4,473 $8,832.32 $14,038.35 $48,405.03 $71,275.70 $114,645.979 1705322 00GE Bay-Arenac CMH 09 Bay 1,146 8,680 2,793 12,619 $32,357.87 $72,154.92 $291,373.59 $395,886.38 $1,080,835.8310 1705304 00GY Manistee-Benzie CMH 10 Benzie 191 1,086 331 1,608 $5,059.61 $8,289.27 $31,627.68 $44,976.56 $249,181.9111 1716175 00GF Berrien Mental Health 11 Berrien 2,432 16,296 5,213 23,941 $62,829.16 $85,069.27 $433,070.71 $580,969.14 $1,205,417.3912 1712372 00HL Pines Behavioral Health CMH 12 Branch 574 3,268 953 4,795 $17,514.25 $27,286.67 $97,176.47 $141,977.39 $426,410.4713 2920843 00HR Summit Pointe CMH 13 Calhoun 1,872 12,550 4,438 18,860 $44,892.52 $111,460.82 $353,400.17 $509,753.51 $610,203.7614 1706114 00HW Woodlands Behavioral Healthcare 14 Cass 697 4,481 1,165 6,343 $14,457.84 $17,978.51 $78,463.42 $110,899.77 $333,464.3215 1707185 00HF Northern Michigan CMH 15 Charlevoix 314 1,799 476 2,589 $8,595.54 $9,129.71 $46,363.80 $64,089.05 $175,549.4816 1707185 00HF Northern Michigan CMH 16 Cheboygan 448 2,574 640 3,662 $13,105.50 $13,474.64 $66,130.16 $92,710.30 $250,008.9617 1715919 00GO Hiawatha Behavioral Health Authority 17 Chippewa 508 3,127 824 4,459 $25,253.93 $22,061.35 $136,445.52 $183,760.80 $303,753.3218 4344340 00GG Central Michigan CMH 18 Clare 414 3,585 1,216 5,215 $9,966.56 $20,650.79 $99,011.41 $129,628.76 $584,001.3319 1708001 00BJ CEI CMH 19 Clinton 427 2,526 707 3,660 $12,089.30 $12,507.83 $65,459.43 $90,056.56 $158,747.9120 1707158 00HC North Central CMH 20 Crawford 173 1,381 402 1,956 $4,518.11 $8,937.58 $37,381.15 $50,836.84 $99,639.4021 1724945 00HJ Pathways CMH 21 Delta 647 3,146 926 4,719 $28,870.58 $48,554.09 $151,638.62 $229,063.29 $480,672.1122 3140186 00HG Northpointe CMH 22 Dickinson 471 1,938 544 2,953 $14,806.73 $17,356.90 $71,116.20 $103,279.83 $215,132.6123 1708001 00BJ CEI CMH 23 Eaton 772 5,150 1,325 7,247 $19,948.02 $25,663.41 $120,162.44 $165,773.87 $288,478.3624 1707185 00HF Northern Michigan CMH 24 Emmet 434 1,987 525 2,946 $10,670.74 $10,025.64 $52,787.27 $73,483.65 $201,973.9025 1705233 0028 Genesee County Health Dept 25 Genesee 4,676 49,204 14,509 68,389 $108,828.89 $122,596.99 $959,127.08 $1,190,552.96 $3,663,809.1226 4344340 00GG Central Michigan CMH 26 Gladwin 378 2,530 779 3,687 $8,471.22 $14,244.31 $62,931.87 $85,647.40 $374,628.6727 1708119 00GL Gogebic County CMH 27 Gogebic 465 1,482 489 2,436 $15,935.19 $26,154.46 $68,225.16 $110,314.81 $255,140.4928 1705251 00GM Great Lakes CMH 28 Grand Traverse 824 4,255 1,286 6,365 $46,827.35 $36,391.93 $237,705.63 $320,924.91 $462,492.2329 1715955 00GN Gratiot County CMH 29 Gratiot 604 3,100 1,039 4,743 $13,569.10 $30,643.72 $90,117.33 $134,330.15 $482,329.9830 1712229 00GV Lifeways CMH 30 Hillsdale 567 3,197 1,113 4,877 $17,300.15 $22,232.22 $109,318.46 $148,850.83 $270,442.08

MA Capitation by Provider ID by County 26-Jun-2002 06:272002-07

Mental Health Capitation Eligible Population

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, MH by County

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MDCH - Monthly Medicaid Capitation Audit/Summary 6/26/2002 4:28 AM Page 7 of 60

MACap - Rates: 95b - qSummary recordcode02 for CMHA Provider ID by County DD Cap

Provider ID Agent ID Provider Name Co ID County Name MH Eligibles TANF

Eligibles DD Eligibles Total Eligibles

SubTotal DAB Cap

SubTotal TANF Cap

SubTotal MH/DD Cap SubTotal MHCap SubTotal DDCap

MA Capitation by Provider ID by County 26-Jun-2002 06:272002-07

Mental Health Capitation Eligible Population

31 1707962 00GI Copper County CMH 31 Houghton 666 2,853 915 4,434 $20,272.39 $17,815.77 $111,439.91 $149,528.07 $391,478.7232 1708128 00GP Huron Behavioral Health 32 Huron 526 2,846 861 4,233 $16,169.50 $17,775.26 $98,449.91 $132,394.67 $325,829.7733 1708001 00BJ CEI CMH 33 Ingham 3,476 21,436 6,589 31,501 $107,450.12 $108,474.73 $587,808.17 $803,733.02 $1,443,366.6734 1715928 00GQ Ionia County CMH 34 Ionia 559 4,153 1,153 5,865 $16,507.04 $27,125.01 $107,635.34 $151,267.39 $472,757.5735 1706830 00GC AuSable Valley CMH 35 Iosco 433 2,645 771 3,849 $9,050.32 $27,889.34 $58,286.30 $95,225.96 $154,005.1936 3140186 00HG Northpointe CMH 36 Iron 428 973 364 1,765 $12,230.74 $8,787.37 $43,934.73 $64,952.84 $135,274.4437 4344340 00GG Central Michigan CMH 37 Isabella 545 3,710 1,248 5,503 $14,045.76 $21,177.84 $98,662.66 $133,886.26 $568,572.9838 1712229 00GV Lifeways CMH 38 Jackson 1,825 12,378 3,878 18,081 $56,898.69 $84,681.08 $387,336.79 $528,916.56 $947,903.4839 3402136 00GR Kalamazoo County CMH 39 Kalamazoo 2,537 16,329 5,415 24,281 $99,401.71 $111,880.38 $672,410.62 $883,692.71 $1,860,010.2840 1712283 00GB Antrim-Kalkaska CMH 40 Kalkaska 257 1,623 463 2,343 $7,617.58 $9,782.17 $44,488.10 $61,887.85 $219,101.3341 1705430 00GS Kent County CMH 41 Kent 5,982 42,937 12,766 61,685 $194,571.57 $250,234.62 $1,286,158.02 $1,730,964.21 $2,922,870.7742 1707962 00GI Copper County CMH 42 Keweenaw 63 167 55 285 $1,790.37 $1,038.43 $5,927.62 $8,756.42 $21,207.9243 3220732 00HV West Michigan CMH 43 Lake 266 1,305 662 2,233 $5,894.03 $8,511.40 $49,253.37 $63,658.80 $140,044.1944 1705242 00GT Lapeer County CMH 44 Lapeer 582 4,513 1,083 6,178 $16,272.44 $30,145.39 $110,297.77 $156,715.60 $563,726.4245 1705251 00GM Great Lakes CMH 45 Leelanau 167 1,020 213 1,400 $9,187.14 $8,968.25 $37,463.92 $55,619.31 $71,890.8746 1705270 00GU Lenawee County CMH 46 Lenawee 953 6,225 1,942 9,120 $29,595.39 $42,436.13 $199,282.63 $271,314.15 $696,375.4547 1707167 00GW Livingston County CMH 47 Livingston 660 3,492 994 5,146 $30,539.94 $59,302.94 $153,190.32 $243,033.20 $554,980.7248 1724945 00HJ Pathways CMH 48 Luce 168 748 309 1,225 $7,927.93 $11,740.40 $44,876.73 $64,545.06 $147,249.9649 1715919 00GO Hiawatha Behavioral Health Authority 49 Mackinac 161 741 197 1,099 $6,222.42 $5,146.62 $33,587.72 $44,956.76 $74,912.8750 3396315 00GX Macomb County CA 50 Macomb 6,707 33,131 10,545 50,383 $177,562.29 $217,948.90 $1,044,241.66 $1,439,752.85 $5,364,028.0151 1705304 00GY Manistee-Benzie CMH 51 Manistee 363 2,113 685 3,161 $10,002.46 $16,727.92 $69,476.63 $96,207.01 $530,403.1952 1724945 00HJ Pathways CMH 52 Marquette 839 3,979 1,300 6,118 $39,576.55 $61,826.10 $219,744.32 $321,146.97 $689,547.5653 3220732 00HV West Michigan CMH 53 Mason 419 2,589 701 3,709 $9,016.40 $16,655.78 $51,754.01 $77,426.19 $142,899.3054 4344340 00GG Central Michigan CMH 54 Mecosta 519 3,597 1,026 5,142 $13,267.11 $20,790.53 $79,323.91 $113,381.55 $460,013.5655 3140186 00HG Northpointe CMH 55 Menominee 405 1,802 495 2,702 $13,887.93 $16,073.36 $60,320.44 $90,281.73 $187,505.7456 4344340 00GG Central Michigan CMH 56 Midland 883 4,746 1,456 7,085 $21,812.83 $26,975.60 $119,220.78 $168,009.21 $689,871.0057 1707158 00HC North Central CMH 57 Missaukee 44 44 $1,720.84 $1,720.8458 1710547 00HX Monroe County CMH 58 Monroe 1,025 7,203 2,313 10,541 $31,134.22 $59,441.87 $242,821.82 $333,397.91 $1,110,895.0759 1712461 00GZ Montcalm Center Behavl. Hlt 59 Montcalm 650 4,866 1,541 7,057 $8,960.17 $21,604.04 $70,572.60 $101,136.81 $190,750.1360 1708100 00HE Northeast Michigan CMH 60 Montmorency 195 937 315 1,447 $3,859.88 $6,050.57 $21,140.50 $31,050.95 $158,362.65

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, MH by County

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MDCH - Monthly Medicaid Capitation Audit/Summary 6/26/2002 4:28 AM Page 8 of 60

MACap - Rates: 95b - qSummary recordcode02 for CMHA Provider ID by County DD Cap

Provider ID Agent ID Provider Name Co ID County Name MH Eligibles TANF

Eligibles DD Eligibles Total Eligibles

SubTotal DAB Cap

SubTotal TANF Cap

SubTotal MH/DD Cap SubTotal MHCap SubTotal DDCap

MA Capitation by Provider ID by County 26-Jun-2002 06:272002-07

Mental Health Capitation Eligible Population

61 1712452 00HA Muskegon County CMH 61 Muskegon 2,520 18,214 6,129 26,863 $61,915.80 $114,415.86 $486,483.87 $662,815.53 $1,297,349.1862 1708066 00HB Newaygo County CMH 62 Newaygo 673 4,384 1,359 6,416 $15,295.17 $44,052.16 $103,158.94 $162,506.27 $262,907.7963 1705289 0058 Oakland County CMHA 63 Oakland 9,746 40,578 14,880 65,204 $259,232.00 $205,140.47 $1,500,865.02 $1,965,237.49 $8,352,051.5264 3220732 00HV West Michigan CMH 64 Oceana 325 4,261 852 5,438 $7,276.91 $28,074.08 $61,773.72 $97,124.71 $173,377.7765 1706830 00GC AuSable Valley CMH 65 Ogemaw 407 2,360 786 3,553 $8,140.41 $25,126.54 $57,969.32 $91,236.27 $157,858.9266 1707962 00GI Copper County CMH 66 Ontonagon 184 589 229 1,002 $5,350.99 $3,703.63 $27,182.24 $36,236.86 $96,630.8267 4344340 00GG Central Michigan CMH 67 Osceola 300 2,298 742 3,340 $7,543.34 $13,036.03 $56,700.20 $77,279.57 $339,624.3568 1706830 00GC AuSable Valley CMH 68 Oscoda 172 884 316 1,372 $3,549.33 $9,483.38 $23,156.94 $36,189.65 $61,768.2069 1707185 00HF Northern Michigan CMH 69 Otsego 229 2,093 450 2,772 $7,902.49 $10,963.95 $46,293.17 $65,159.61 $172,548.5470 1712425 00HI Ottawa County CMH 70 Ottawa 1,468 9,591 2,084 13,143 $53,076.53 $80,644.59 $280,539.83 $414,260.95 $1,327,723.5871 1708100 00HE Northeast Michigan CMH 71 Presque Isle 264 822 336 1,422 $5,346.33 $5,086.04 $24,904.03 $35,336.40 $183,763.9372 1707158 00HC North Central CMH 72 Roscommon 401 2,674 871 3,946 $10,487.16 $17,767.78 $83,814.14 $112,069.08 $222,341.2073 1712541 00HQ Saginaw County CMH 73 Saginaw 2,581 23,053 7,787 33,421 $61,449.51 $93,056.32 $592,827.03 $747,332.86 $1,305,264.4174 1708164 00HO St. Clair County CMH 74 St. Clair 1,677 11,130 3,081 15,888 $55,693.69 $193,942.54 $323,094.34 $572,730.57 $1,602,070.2375 1708146 00HP St. Joseph County CMH 75 St. Joseph 860 5,751 1,361 7,972 $29,463.70 $38,647.87 $140,052.64 $208,164.21 $424,207.0776 1706849 00HM Sanilac County CMH 76 Sanilac 566 3,737 1,004 5,307 $13,442.72 $16,711.39 $80,778.86 $110,932.97 $981,514.1577 1715919 00GO Hiawatha Behavioral Health Authority 77 Schoolcraft 235 895 289 1,419 $10,134.46 $6,254.81 $47,822.38 $64,211.65 $106,737.8478 1712407 00HN Shiawassee County CMH 78 Shiawassee 720 5,136 1,461 7,317 $19,257.44 $32,897.89 $140,392.88 $192,548.21 $470,455.0279 1707130 00HS Tuscola County CMH 79 Tuscola 656 4,832 1,288 6,776 $20,632.38 $36,384.77 $127,557.06 $184,574.21 $612,518.4280 1705298 00HT Van Buren County CMH 80 Van Buren 1,290 8,778 2,283 12,351 $43,920.39 $68,085.17 $255,213.02 $367,218.58 $403,925.8581 1707176 00HU Washtenaw County CMH 81 Washtenaw 2,163 11,461 4,241 17,865 $89,994.16 $134,429.19 $574,366.28 $798,789.63 $1,588,129.8582 3119549 00GJ Detroit-Wayne County CMH 82 Wayne 32,740 239,797 83,149 355,686 $1,180,034.74 $1,471,268.36 $9,141,120.77 $11,792,423.87 $14,155,596.5083 1707158 00HC North Central CMH 83 Wexford 692 4,696 1,258 6,646 $18,798.65 $30,232.73 $118,974.88 $168,006.26 $316,150.9384

85

115,236 758,592 243,317 1,117,145 33,019,359.43$ 70,187,221.30$ Check Values - - - - -$ -$

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, MH by County

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MDCH - Monthly Medicaid Capitation Audit/Summary 6/26/2002 4:28 AM Page 9 of 60

MACap - Rates: 95c - qSummary recordcode02 for CA Provider ID

Provider ID Agent ID Provider Name DAB Eligibles

TANF Eligibles DD Eligibles Total

Eligibles SubTotal SA Cap

1 3119549 00XO Detroit Health Department 22,058 167,440 57,879 247,377 $638,383.932 1724945 00HY Eastern U.P. Substance Abuse 3,118 15,095 4,551 22,764 $32,097.853 1705233 00HZ Genesee County Health Dept 4,676 49,204 14,509 68,389 $133,727.064 3402136 00GR Kalamazoo County CMH 4,439 28,559 8,523 41,521 $78,804.895 1712452 00IB Lakeshore CA 9,399 63,802 18,539 91,740 $141,382.446 3396315 00GX Macomb County CA 6,707 33,131 10,545 50,383 $113,807.017 1708001 00IC Mid-South CA 11,216 71,698 22,492 105,406 $149,717.038 1705430 00ID Mink Substance Abuse Coordinating Agency 7,864 56,340 16,819 81,023 $138,781.669 4344340 00IE Northern Michigan CA 11,301 70,708 21,082 103,091 $142,694.4410 1705289 00IF Oakland County Health Div 9,746 40,578 14,880 65,204 $142,338.5511 1712541 00IG Saginaw County Health Dept 3,727 31,733 10,580 46,040 $131,599.7512 1710547 00IH Southeast MI Community Alliance 11,707 79,560 27,583 118,850 $259,403.3713 1708164 00II St. Clair County Health Dept. CA 4,007 27,058 7,317 38,382 $50,295.5514 1707176 00HU Washtenaw County CMH 2,823 14,953 5,235 23,011 $47,288.2115 1707962 00IL Western U.P. SAS 2,448 8,733 2,783 13,964 $26,538.4616

115,236 758,592 243,317 1,117,145 2,226,860.20$ Check Value 873,828 - -$

SA Capitation by Provider ID 26-Jun-2002 06:272002-07

Eligible Population

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, SA by Provider

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MDCH - Monthly Medicaid Capitation Audit/Summary 6/26/2002 4:28 AM Page 10 of 60

MACap - Rates: 95d - qSummary recordcode02 for CA Provider ID by County

Provider ID Agent ID Provider Name Co ID County Name DAB

EligiblesTANF

Eligibles DD Eligibles Total Eligibles SubTotal SA Cap

1 4344340 00IE Northern Michigan CA 01 Alcona 163 932 297 1,392 $1,926.392 1724945 00HY Eastern U.P. Substance Abuse 02 Alger 155 657 211 1,023 $1,487.073 1712452 00IB Lakeshore CA 03 Allegan 992 6,442 1,665 9,099 $12,506.704 4344340 00IE Northern Michigan CA 04 Alpena 478 2,814 1,030 4,322 $6,900.925 4344340 00IE Northern Michigan CA 05 Antrim 312 1,624 423 2,359 $2,571.276 4344340 00IE Northern Michigan CA 06 Arenac 291 1,768 526 2,585 $3,610.357 1707962 00IL Western U.P. SAS 07 Baraga 171 731 187 1,089 $1,782.858 3402136 00GR Kalamazoo County CMH 08 Barry 468 3,211 794 4,473 $8,051.079 1712541 00IG Saginaw County Health Dept 09 Bay 1,146 8,680 2,793 12,619 $36,677.1510 4344340 00IE Northern Michigan CA 10 Benzie 191 1,086 331 1,608 $1,896.7311 1712452 00IB Lakeshore CA 11 Berrien 2,432 16,296 5,213 23,941 $37,510.2312 3402136 00GR Kalamazoo County CMH 12 Branch 574 3,268 953 4,795 $8,925.6513 1708001 00IC Mid-South CA 13 Calhoun 1,872 12,550 4,438 18,860 $28,165.0314 1712452 00IB Lakeshore CA 14 Cass 697 4,481 1,165 6,343 $9,803.4215 4344340 00IE Northern Michigan CA 15 Charlevoix 314 1,799 476 2,589 $2,886.4416 4344340 00IE Northern Michigan CA 16 Cheboygan 448 2,574 640 3,662 $4,735.2417 1724945 00HY Eastern U.P. Substance Abuse 17 Chippewa 508 3,127 824 4,459 $6,167.9518 4344340 00IE Northern Michigan CA 18 Clare 414 3,585 1,216 5,215 $8,309.6119 1708001 00IC Mid-South CA 19 Clinton 427 2,526 707 3,660 $4,939.4720 4344340 00IE Northern Michigan CA 20 Crawford 173 1,381 402 1,956 $2,770.4021 1724945 00HY Eastern U.P. Substance Abuse 21 Delta 647 3,146 926 4,719 $6,612.6822 1707962 00IL Western U.P. SAS 22 Dickinson 471 1,938 544 2,953 $5,840.8423 1708001 00IC Mid-South CA 23 Eaton 772 5,150 1,325 7,247 $9,392.1324 4344340 00IE Northern Michigan CA 24 Emmet 434 1,987 525 2,946 $3,280.9325 1705233 00HZ Genesee County Health Dept 25 Genesee 4,676 49,204 14,509 68,389 $133,727.0626 4344340 00IE Northern Michigan CA 26 Gladwin 378 2,530 779 3,687 $5,138.1827 1707962 00IL Western U.P. SAS 27 Gogebic 465 1,482 489 2,436 $4,704.1328 4344340 00IE Northern Michigan CA 28 Grand Traverse 824 4,255 1,286 6,365 $8,005.0429 1708001 00IC Mid-South CA 29 Gratiot 604 3,100 1,039 4,743 $6,555.8930 1708001 00IC Mid-South CA 30 Hillsdale 567 3,197 1,113 4,877 $6,996.11

SA Capitation by Provider ID by County 26-Jun-2002 06:272002-07

Eligible Population

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, SA by County

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MDCH - Monthly Medicaid Capitation Audit/Summary 6/26/2002 4:28 AM Page 11 of 60

MACap - Rates: 95d - qSummary recordcode02 for CA Provider ID by County

Provider ID Agent ID Provider Name Co ID County Name DAB

EligiblesTANF

Eligibles DD Eligibles Total Eligibles SubTotal SA Cap

SA Capitation by Provider ID by County 26-Jun-2002 06:272002-07

Eligible Population

31 1707962 00IL Western U.P. SAS 31 Houghton 666 2,853 915 4,434 $8,502.4332 1708164 00II St. Clair County Health Dept. CA 32 Huron 526 2,846 861 4,233 $5,427.7433 1708001 00IC Mid-South CA 33 Ingham 3,476 21,436 6,589 31,501 $45,733.4334 1705430 00ID Mink Substance Abuse Coordinating Agency 34 Ionia 559 4,153 1,153 5,865 $10,015.2835 4344340 00IE Northern Michigan CA 35 Iosco 433 2,645 771 3,849 $5,444.0436 1707962 00IL Western U.P. SAS 36 Iron 428 973 364 1,765 $3,268.2237 4344340 00IE Northern Michigan CA 37 Isabella 545 3,710 1,248 5,503 $8,069.2938 1708001 00IC Mid-South CA 38 Jackson 1,825 12,378 3,878 18,081 $24,746.2939 3402136 00GR Kalamazoo County CMH 39 Kalamazoo 2,537 16,329 5,415 24,281 $47,957.1940 4344340 00IE Northern Michigan CA 40 Kalkaska 257 1,623 463 2,343 $2,903.4641 1705430 00ID Mink Substance Abuse Coordinating Agency 41 Kent 5,982 42,937 12,766 61,685 $104,740.2842 1707962 00IL Western U.P. SAS 42 Keweenaw 63 167 55 285 $449.8343 4344340 00IE Northern Michigan CA 43 Lake 266 1,305 662 2,233 $3,836.0044 1708164 00II St. Clair County Health Dept. CA 44 Lapeer 582 4,513 1,083 6,178 $7,634.3545 4344340 00IE Northern Michigan CA 45 Leelanau 167 1,020 213 1,400 $1,629.0146 1708001 00IC Mid-South CA 46 Lenawee 953 6,225 1,942 9,120 $12,877.5047 1707176 00HU Washtenaw County CMH 47 Livingston 660 3,492 994 5,146 $9,593.1948 1724945 00HY Eastern U.P. Substance Abuse 48 Luce 168 748 309 1,225 $1,820.5949 1724945 00HY Eastern U.P. Substance Abuse 49 Mackinac 161 741 197 1,099 $1,443.6050 3396315 00GX Macomb County CA 50 Macomb 6,707 33,131 10,545 50,383 $113,807.0151 4344340 00IE Northern Michigan CA 51 Manistee 363 2,113 685 3,161 $4,487.2152 1724945 00HY Eastern U.P. Substance Abuse 52 Marquette 839 3,979 1,300 6,118 $9,229.7753 4344340 00IE Northern Michigan CA 53 Mason 419 2,589 701 3,709 $4,820.6054 4344340 00IE Northern Michigan CA 54 Mecosta 519 3,597 1,026 5,142 $7,296.9855 1724945 00HY Eastern U.P. Substance Abuse 55 Menominee 405 1,802 495 2,702 $3,423.6656 4344340 00IE Northern Michigan CA 56 Midland 883 4,746 1,456 7,085 $9,961.4057 4344340 00IE Northern Michigan CA 57 Missaukee 44 44 $20.2458 1710547 00IH Southeast MI Community Alliance 58 Monroe 1,025 7,203 2,313 10,541 $22,627.2759 1705430 00ID Mink Substance Abuse Coordinating Agency 59 Montcalm 650 4,866 1,541 7,057 $12,415.8560 4344340 00IE Northern Michigan CA 60 Montmorency 195 937 315 1,447 $2,000.50

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, SA by County

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MDCH - Monthly Medicaid Capitation Audit/Summary 6/26/2002 4:28 AM Page 12 of 60

MACap - Rates: 95d - qSummary recordcode02 for CA Provider ID by County

Provider ID Agent ID Provider Name Co ID County Name DAB

EligiblesTANF

Eligibles DD Eligibles Total Eligibles SubTotal SA Cap

SA Capitation by Provider ID by County 26-Jun-2002 06:272002-07

Eligible Population

61 1712452 00IB Lakeshore CA 61 Muskegon 2,520 18,214 6,129 26,863 $45,654.4062 1705430 00ID Mink Substance Abuse Coordinating Agency 62 Newaygo 673 4,384 1,359 6,416 $11,610.2563 1705289 00IF Oakland County Health Div 63 Oakland 9,746 40,578 14,880 65,204 $142,338.5564 4344340 00IE Northern Michigan CA 64 Oceana 325 4,261 852 5,438 $7,276.4265 4344340 00IE Northern Michigan CA 65 Ogemaw 407 2,360 786 3,553 $5,348.4266 1707962 00IL Western U.P. SAS 66 Ontonagon 184 589 229 1,002 $1,990.1667 4344340 00IE Northern Michigan CA 67 Osceola 300 2,298 742 3,340 $4,664.0668 4344340 00IE Northern Michigan CA 68 Oscoda 172 884 316 1,372 $2,152.4569 4344340 00IE Northern Michigan CA 69 Otsego 229 2,093 450 2,772 $3,566.8570 1712452 00IB Lakeshore CA 70 Ottawa 1,468 9,591 2,084 13,143 $16,975.5371 4344340 00IE Northern Michigan CA 71 Presque Isle 264 822 336 1,422 $1,944.9772 4344340 00IE Northern Michigan CA 72 Roscommon 401 2,674 871 3,946 $6,301.6073 1712541 00IG Saginaw County Health Dept 73 Saginaw 2,581 23,053 7,787 33,421 $94,922.6074 1708164 00II St. Clair County Health Dept. CA 74 St. Clair 1,677 11,130 3,081 15,888 $21,696.0475 3402136 00GR Kalamazoo County CMH 75 St. Joseph 860 5,751 1,361 7,972 $13,870.9876 1708164 00II St. Clair County Health Dept. CA 76 Sanilac 566 3,737 1,004 5,307 $6,764.8877 1724945 00HY Eastern U.P. Substance Abuse 77 Schoolcraft 235 895 289 1,419 $1,912.5378 1708001 00IC Mid-South CA 78 Shiawassee 720 5,136 1,461 7,317 $10,311.1879 1708164 00II St. Clair County Health Dept. CA 79 Tuscola 656 4,832 1,288 6,776 $8,772.5480 1712452 00IB Lakeshore CA 80 Van Buren 1,290 8,778 2,283 12,351 $18,932.1681 1707176 00HU Washtenaw County CMH 81 Washtenaw 2,163 11,461 4,241 17,865 $37,695.0282 1710547 00IH Southeast MI Community Alliance 82 Wayne 10,682 72,357 25,270 108,309 $236,776.1083 3119549 00XO Detroit Health Department 82 Wayne 22,058 167,440 57,879 247,377 $638,383.9384 4344340 00IE Northern Michigan CA 83 Wexford 692 4,696 1,258 6,646 $8,939.4485

115,236 758,592 243,317 1,117,145 2,226,860.20$ Check Value - -$

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, SA by County

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MDCH - Monthly Medicaid Capitation Audit/Summary 6/26/2002 4:28 AM Page 13 of 60

MACap - Rates: 96a - qSummary recordcode02 by CMHA - Pop - DAB

Provider ID Agent ID Provider Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

1 1705233 0028 Genesee County Health Dept 4,222 1,865 3,129 3,192 3,429 3,348 19,185 2 1705242 00GT Lapeer County CMH 213 137 245 228 311 531 1,665 3 1705251 00GM Great Lakes CMH 473 218 320 323 423 733 2,490 4 1705260 00GD Barry County CMH 169 159 145 191 235 363 1,262 5 1705270 00GU Lenawee County CMH 514 257 438 391 559 736 2,895 6 1705289 0058 Oakland County CMHA 3,375 1,834 3,100 3,191 4,231 8,895 24,626 7 1705298 00HT Van Buren County CMH 587 321 416 476 711 1,062 3,573 8 1705304 00GY Manistee-Benzie CMH 185 123 181 221 366 494 1,570 9 1705322 00GE Bay-Arenac CMH 542 450 709 802 935 1,318 4,756 10 1705430 00GS Kent County CMH 3,936 2,084 2,684 2,564 2,961 4,519 18,748 11 1706114 00HW Woodlands Behavioral Healthcare 355 172 234 262 335 504 1,862 12 1706830 00GC AuSable Valley CMH 334 244 321 495 619 872 2,885 13 1706849 00HM Sanilac County CMH 182 150 168 228 340 502 1,570 14 1707130 00HS Tuscola County CMH 378 214 258 265 366 463 1,944 15 1707158 00HC North Central CMH 533 327 483 647 786 1,065 3,841 16 1707167 00GW Livingston County CMH 302 202 232 224 246 448 1,654 17 1707176 00HU Washtenaw County CMH 1,144 618 895 997 1,078 1,672 6,404 18 1707185 00HF Northern Michigan CMH 501 311 434 443 653 1,174 3,516 19 1707962 00GI Copper County CMH 186 192 222 282 499 1,089 2,470 20 1708001 00BJ CEI CMH 2,880 1,367 1,801 1,937 2,220 3,091 13,296 21 1708066 00HB Newaygo County CMH 314 187 245 347 411 528 2,032 22 1708100 00HE Northeast Michigan CMH 319 277 376 467 630 1,009 3,078 23 1708119 00GL Gogebic County CMH 86 73 93 119 139 444 954 24 1708128 00GP Huron Behavioral Health 118 130 152 191 287 509 1,387 25 1708146 00HP St. Joseph County CMH 420 235 281 299 401 585 2,221 26 1708164 00HO St. Clair County CMH 950 446 642 706 889 1,125 4,758 27 1709690 00GA Allegan County CMH 445 230 335 328 509 810 2,657 28 1710547 00HX Monroe County CMH 526 318 513 523 593 865 3,338 29 1712229 00GV Lifeways CMH 1,539 668 1,045 1,020 1,339 1,772 7,383 30 1712283 00GB Antrim-Kalkaska CMH 248 118 147 195 296 451 1,455

MA DAB Population by Provider ID by Age Group2002-07

26-Jun-2002 06:27

Eligible Population by Age Group

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, DAB Pop by Provider

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MDCH - Monthly Medicaid Capitation Audit/Summary 6/26/2002 4:28 AM Page 14 of 60

31 1712372 00HL Pines Behavioral Health CMH 274 132 209 203 268 441 1,527 32 1712407 00HN Shiawassee County CMH 331 232 328 326 370 594 2,181 33 1712425 00HI Ottawa County CMH 604 374 479 461 521 1,113 3,552 34 1712452 00HA Muskegon County CMH 1,512 784 1,328 1,437 1,685 1,903 8,649 35 1712461 00GZ Montcalm Center Behavl. Hlt 386 202 306 341 430 526 2,191 36 1712541 00HQ Saginaw County CMH 1,980 1,086 1,686 1,654 1,782 2,180 10,368 37 1715919 00GO Hiawatha Behavioral Health Authority 324 169 260 306 424 731 2,214 38 1715928 00GQ Ionia County CMH 290 184 255 237 342 404 1,712 39 1715955 00GN Gratiot County CMH 207 132 212 213 310 569 1,643 40 1716175 00GF Berrien Mental Health 1,575 627 951 1,086 1,421 1,985 7,645 41 1724945 00HJ Pathways CMH 507 448 532 617 878 1,573 4,555 42 2920843 00HR Summit Pointe CMH 1,121 587 918 989 1,187 1,508 6,310 43 3119549 00GJ Detroit-Wayne County CMH 23,741 8,962 15,446 17,906 23,420 26,414 115,889 44 3140186 00HG Northpointe CMH 267 212 237 309 459 1,223 2,707 45 3220732 00HV West Michigan CMH 461 304 412 486 692 870 3,225 46 3396315 00GX Macomb County CA 2,311 1,331 2,102 2,338 3,127 6,043 17,252 47 3402136 00GR Kalamazoo County CMH 1,487 719 1,123 1,211 1,475 1,937 7,952 48 4344340 00GG Central Michigan CMH 1,557 929 1,353 1,421 1,903 2,343 9,506 49

50

State Subtotals 64,911 31,341 48,381 53,095 67,491 93,334 358,553

Check Values -

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, DAB Pop by Provider

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MDCH - Monthly Medicaid Capitation Audit/Summary 6/26/2002 4:28 AM Page 15 of 60

MACap - Rates: 96b - qSummary recordcode02 by CMHA by County - Pop - DAB

Provider ID Agent ID Provider Name Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

1 1708100 00HE Northeast Michigan CMH 01 Alcona 47 30 44 64 111 164 460 2 1724945 00HJ Pathways CMH 02 Alger 23 15 43 43 74 168 366 3 1709690 00GA Allegan County CMH 03 Allegan 445 230 335 328 509 810 2,657 4 1708100 00HE Northeast Michigan CMH 04 Alpena 145 145 226 258 293 441 1,508 5 1712283 00GB Antrim-Kalkaska CMH 05 Antrim 124 67 71 106 128 239 735 6 1705322 00GE Bay-Arenac CMH 06 Arenac 86 73 90 127 170 271 817 7 1707962 00GI Copper County CMH 07 Baraga 38 21 28 38 72 161 358 8 1705260 00GD Barry County CMH 08 Barry 169 159 145 191 235 363 1,262 9 1705322 00GE Bay-Arenac CMH 09 Bay 456 377 619 675 765 1,047 3,939 10 1705304 00GY Manistee-Benzie CMH 10 Benzie 74 31 57 68 113 179 522 11 1716175 00GF Berrien Mental Health 11 Berrien 1,575 627 951 1,086 1,421 1,985 7,645 12 1712372 00HL Pines Behavioral Health CMH 12 Branch 274 132 209 203 268 441 1,527 13 2920843 00HR Summit Pointe CMH 13 Calhoun 1,121 587 918 989 1,187 1,508 6,310 14 1706114 00HW Woodlands Behavioral Healthcare 14 Cass 355 172 234 262 335 504 1,862 15 1707185 00HF Northern Michigan CMH 15 Charlevoix 116 64 96 80 168 266 790 16 1707185 00HF Northern Michigan CMH 16 Cheboygan 175 86 140 144 196 347 1,088 17 1715919 00GO Hiawatha Behavioral Health Authority 17 Chippewa 228 117 154 202 252 379 1,332 18 4344340 00GG Central Michigan CMH 18 Clare 202 140 237 311 374 366 1,630 19 1708001 00BJ CEI CMH 19 Clinton 253 111 164 167 158 281 1,134 20 1707158 00HC North Central CMH 20 Crawford 86 47 67 111 111 153 575 21 1724945 00HJ Pathways CMH 21 Delta 175 156 174 215 290 563 1,573 22 3140186 00HG Northpointe CMH 22 Dickinson 106 80 98 143 152 436 1,015 23 1708001 00BJ CEI CMH 23 Eaton 390 188 304 278 341 596 2,097 24 1707185 00HF Northern Michigan CMH 24 Emmet 93 82 100 114 172 398 959 25 1705233 0028 Genesee County Health Dept 25 Genesee 4,222 1,865 3,129 3,192 3,429 3,348 19,185 26 4344340 00GG Central Michigan CMH 26 Gladwin 137 92 152 182 271 323 1,157 27 1708119 00GL Gogebic County CMH 27 Gogebic 86 73 93 119 139 444 954 28 1705251 00GM Great Lakes CMH 28 Grand Traverse 395 181 278 281 367 608 2,110 29 1715955 00GN Gratiot County CMH 29 Gratiot 207 132 212 213 310 569 1,643 30 1712229 00GV Lifeways CMH 30 Hillsdale 290 171 231 206 330 452 1,680

2002-07MA DAB Population by Provider ID by County by Age Group 26-Jun-2002 06:27

Eligible Population by Age Group

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, DAB Pop by County

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MDCH - Monthly Medicaid Capitation Audit/Summary 6/26/2002 4:28 AM Page 16 of 60

MACap - Rates: 96b - qSummary recordcode02 by CMHA by County - Pop - DAB

Provider ID Agent ID Provider Name Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

2002-07MA DAB Population by Provider ID by County by Age Group 26-Jun-2002 06:27

Eligible Population by Age Group

31 1707962 00GI Copper County CMH 31 Houghton 104 132 151 187 334 673 1,581 32 1708128 00GP Huron Behavioral Health 32 Huron 118 130 152 191 287 509 1,387 33 1708001 00BJ CEI CMH 33 Ingham 2,237 1,068 1,333 1,492 1,721 2,214 10,065 34 1715928 00GQ Ionia County CMH 34 Ionia 290 184 255 237 342 404 1,712 35 1706830 00GC AuSable Valley CMH 35 Iosco 151 96 158 188 252 359 1,204 36 3140186 00HG Northpointe CMH 36 Iron 68 49 55 68 141 411 792 37 4344340 00GG Central Michigan CMH 37 Isabella 317 192 298 235 329 422 1,793 38 1712229 00GV Lifeways CMH 38 Jackson 1,249 497 814 814 1,009 1,320 5,703 39 3402136 00GR Kalamazoo County CMH 39 Kalamazoo 1,487 719 1,123 1,211 1,475 1,937 7,952 40 1712283 00GB Antrim-Kalkaska CMH 40 Kalkaska 124 51 76 89 168 212 720 41 1705430 00GS Kent County CMH 41 Kent 3,936 2,084 2,684 2,564 2,961 4,519 18,748 42 1707962 00GI Copper County CMH 42 Keweenaw 12 5 7 8 23 63 118 43 3220732 00HV West Michigan CMH 43 Lake 122 78 109 170 213 236 928 44 1705242 00GT Lapeer County CMH 44 Lapeer 213 137 245 228 311 531 1,665 45 1705251 00GM Great Lakes CMH 45 Leelanau 78 37 42 42 56 125 380 46 1705270 00GU Lenawee County CMH 46 Lenawee 514 257 438 391 559 736 2,895 47 1707167 00GW Livingston County CMH 47 Livingston 302 202 232 224 246 448 1,654 48 1724945 00HJ Pathways CMH 48 Luce 71 39 43 61 100 163 477 49 1715919 00GO Hiawatha Behavioral Health Authority 49 Mackinac 49 10 38 54 64 143 358 50 3396315 00GX Macomb County CA 50 Macomb 2,311 1,331 2,102 2,338 3,127 6,043 17,252 51 1705304 00GY Manistee-Benzie CMH 51 Manistee 111 92 124 153 253 315 1,048 52 1724945 00HJ Pathways CMH 52 Marquette 238 238 272 298 414 679 2,139 53 3220732 00HV West Michigan CMH 53 Mason 175 120 154 132 198 341 1,120 54 4344340 00GG Central Michigan CMH 54 Mecosta 273 180 197 222 278 395 1,545 55 3140186 00HG Northpointe CMH 55 Menominee 93 83 84 98 166 376 900 56 4344340 00GG Central Michigan CMH 56 Midland 466 221 328 319 427 578 2,339 57 1707158 00HC North Central CMH 57 Missaukee 44 44 58 1710547 00HX Monroe County CMH 58 Monroe 526 318 513 523 593 865 3,338 59 1712461 00GZ Montcalm Center Behavl. Hlt 59 Montcalm 386 202 306 341 430 526 2,191 60 1708100 00HE Northeast Michigan CMH 60 Montmorency 66 42 39 69 114 180 510

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, DAB Pop by County

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MDCH - Monthly Medicaid Capitation Audit/Summary 6/26/2002 4:28 AM Page 17 of 60

MACap - Rates: 96b - qSummary recordcode02 by CMHA by County - Pop - DAB

Provider ID Agent ID Provider Name Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

2002-07MA DAB Population by Provider ID by County by Age Group 26-Jun-2002 06:27

Eligible Population by Age Group

61 1712452 00HA Muskegon County CMH 61 Muskegon 1,512 784 1,328 1,437 1,685 1,903 8,649 62 1708066 00HB Newaygo County CMH 62 Newaygo 314 187 245 347 411 528 2,032 63 1705289 0058 Oakland County CMHA 63 Oakland 3,375 1,834 3,100 3,191 4,231 8,895 24,626 64 3220732 00HV West Michigan CMH 64 Oceana 164 106 149 184 281 293 1,177 65 1706830 00GC AuSable Valley CMH 65 Ogemaw 126 108 115 218 266 360 1,193 66 1707962 00GI Copper County CMH 66 Ontonagon 32 34 36 49 70 192 413 67 4344340 00GG Central Michigan CMH 67 Osceola 162 104 141 152 224 259 1,042 68 1706830 00GC AuSable Valley CMH 68 Oscoda 57 40 48 89 101 153 488 69 1707185 00HF Northern Michigan CMH 69 Otsego 117 79 98 105 117 163 679 70 1712425 00HI Ottawa County CMH 70 Ottawa 604 374 479 461 521 1,113 3,552 71 1708100 00HE Northeast Michigan CMH 71 Presque Isle 61 60 67 76 112 224 600 72 1707158 00HC North Central CMH 72 Roscommon 151 103 176 222 274 346 1,272 73 1712541 00HQ Saginaw County CMH 73 Saginaw 1,980 1,086 1,686 1,654 1,782 2,180 10,368 74 1708164 00HO St. Clair County CMH 74 St. Clair 950 446 642 706 889 1,125 4,758 75 1708146 00HP St. Joseph County CMH 75 St. Joseph 420 235 281 299 401 585 2,221 76 1706849 00HM Sanilac County CMH 76 Sanilac 182 150 168 228 340 502 1,570 77 1715919 00GO Hiawatha Behavioral Health Authority 77 Schoolcraft 47 42 68 50 108 209 524 78 1712407 00HN Shiawassee County CMH 78 Shiawassee 331 232 328 326 370 594 2,181 79 1707130 00HS Tuscola County CMH 79 Tuscola 378 214 258 265 366 463 1,944 80 1705298 00HT Van Buren County CMH 80 Van Buren 587 321 416 476 711 1,062 3,573 81 1707176 00HU Washtenaw County CMH 81 Washtenaw 1,144 618 895 997 1,078 1,672 6,404 82 3119549 00GJ Detroit-Wayne County CMH 82 Wayne 23,741 8,962 15,446 17,906 23,420 26,414 115,889 83 1707158 00HC North Central CMH 83 Wexford 252 177 240 314 401 566 1,950 84

85

64,911 31,341 48,381 53,095 67,491 93,334 358,553 Check Values -

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, DAB Pop by County

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MDCH - Monthly Medicaid Capitation Audit/Summary 6/26/2002 4:28 AM Page 18 of 60

MACap - Rates: 96c - qSummary recordcode02 by CMHA - Pop - TANF

Provider ID Agent ID Provider Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

1 1705233 0028 Genesee County Health Dept 35,647 5,150 6,487 1,671 247 2 49,204 2 1705242 00GT Lapeer County CMH 3,451 440 480 123 19 4,513 3 1705251 00GM Great Lakes CMH 4,094 536 475 144 26 5,275 4 1705260 00GD Barry County CMH 2,398 349 344 106 14 3,211 5 1705270 00GU Lenawee County CMH 4,670 674 690 166 25 6,225 6 1705289 0058 Oakland County CMHA 30,956 3,543 4,330 1,360 380 9 40,578 7 1705298 00HT Van Buren County CMH 6,242 970 1,133 349 81 3 8,778 8 1705304 00GY Manistee-Benzie CMH 2,398 361 314 106 20 3,199 9 1705322 00GE Bay-Arenac CMH 7,717 1,117 1,223 335 56 10,448 10 1705430 00GS Kent County CMH 32,095 4,706 4,815 1,110 208 3 42,937 11 1706114 00HW Woodlands Behavioral Healthcare 3,220 497 591 141 32 4,481 12 1706830 00GC AuSable Valley CMH 4,296 634 678 246 35 5,889 13 1706849 00HM Sanilac County CMH 2,800 415 363 132 27 3,737 14 1707130 00HS Tuscola County CMH 3,635 498 505 172 21 1 4,832 15 1707158 00HC North Central CMH 6,417 931 1,061 305 37 8,751 16 1707167 00GW Livingston County CMH 2,661 351 343 120 17 3,492 17 1707176 00HU Washtenaw County CMH 8,549 1,189 1,321 338 62 2 11,461 18 1707185 00HF Northern Michigan CMH 6,518 810 853 238 34 8,453 19 1707962 00GI Copper County CMH 3,336 405 442 132 25 4,340 20 1708001 00BJ CEI CMH 21,472 3,195 3,446 805 190 4 29,112 21 1708066 00HB Newaygo County CMH 3,296 452 470 138 28 4,384 22 1708100 00HE Northeast Michigan CMH 4,045 581 604 243 32 5,505 23 1708119 00GL Gogebic County CMH 1,139 135 149 49 10 1,482 24 1708128 00GP Huron Behavioral Health 2,197 283 257 99 10 2,846 25 1708146 00HP St. Joseph County CMH 4,297 630 655 145 23 1 5,751 26 1708164 00HO St. Clair County CMH 8,188 1,226 1,279 362 75 11,130 27 1709690 00GA Allegan County CMH 4,940 674 631 166 31 6,442 28 1710547 00HX Monroe County CMH 5,417 779 770 202 35 7,203 29 1712229 00GV Lifeways CMH 11,816 1,689 1,593 406 70 1 15,575 30 1712283 00GB Antrim-Kalkaska CMH 2,563 316 271 80 17 3,247

MA TANF Population by Provider ID by Age Group2002-07

26-Jun-2002 06:27

Eligible Population by Age Group

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, TANF Pop by Provider

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MDCH - Monthly Medicaid Capitation Audit/Summary 6/26/2002 4:28 AM Page 19 of 60

31 1712372 00HL Pines Behavioral Health CMH 2,444 340 369 103 12 3,268 32 1712407 00HN Shiawassee County CMH 3,802 581 596 140 17 5,136 33 1712425 00HI Ottawa County CMH 7,513 993 829 224 32 9,591 34 1712452 00HA Muskegon County CMH 13,455 2,192 2,014 494 58 1 18,214 35 1712461 00GZ Montcalm Center Behavl. Hlt 3,705 500 516 133 12 4,866 36 1712541 00HQ Saginaw County CMH 17,091 2,453 2,736 677 95 1 23,053 37 1715919 00GO Hiawatha Behavioral Health Authority 3,570 529 503 142 19 4,763 38 1715928 00GQ Ionia County CMH 3,078 492 449 109 24 1 4,153 39 1715955 00GN Gratiot County CMH 2,333 337 336 77 17 3,100 40 1716175 00GF Berrien Mental Health 11,882 1,900 1,941 473 100 16,296 41 1724945 00HJ Pathways CMH 6,233 965 1,013 272 47 8,530 42 2920843 00HR Summit Pointe CMH 9,396 1,406 1,376 320 52 12,550 43 3119549 00GJ Detroit-Wayne County CMH 182,075 21,177 27,042 7,776 1,675 52 239,797 44 3140186 00HG Northpointe CMH 3,490 538 501 164 20 4,713 45 3220732 00HV West Michigan CMH 5,886 851 1,019 324 73 2 8,155 46 3396315 00GX Macomb County CA 24,730 2,965 3,749 1,349 334 4 33,131 47 3402136 00GR Kalamazoo County CMH 12,053 1,828 1,913 468 66 1 16,329 48 4344340 00GG Central Michigan CMH 14,841 2,297 2,574 647 107 20,466 49

50

State Subtotals 568,047 75,880 86,049 23,881 4,647 88 758,592

Check Values -

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, TANF Pop by Provider

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MDCH - Monthly Medicaid Capitation Audit/Summary 6/26/2002 4:28 AM Page 20 of 60

MACap - Rates: 96d - qSummary recordcode02 by CMHA by County - Pop - TANF

Provider ID Agent ID Provider Name Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

1 1708100 00HE Northeast Michigan CMH 01 Alcona 694 78 113 41 6 932 2 1724945 00HJ Pathways CMH 02 Alger 484 60 81 29 3 657 3 1709690 00GA Allegan County CMH 03 Allegan 4,940 674 631 166 31 6,442 4 1708100 00HE Northeast Michigan CMH 04 Alpena 2,034 310 335 119 16 2,814 5 1712283 00GB Antrim-Kalkaska CMH 05 Antrim 1,322 160 105 28 9 1,624 6 1705322 00GE Bay-Arenac CMH 06 Arenac 1,310 176 185 82 15 1,768 7 1707962 00GI Copper County CMH 07 Baraga 567 76 71 12 5 731 8 1705260 00GD Barry County CMH 08 Barry 2,398 349 344 106 14 3,211 9 1705322 00GE Bay-Arenac CMH 09 Bay 6,407 941 1,038 253 41 8,680 10 1705304 00GY Manistee-Benzie CMH 10 Benzie 859 111 82 28 6 1,086 11 1716175 00GF Berrien Mental Health 11 Berrien 11,882 1,900 1,941 473 100 16,296 12 1712372 00HL Pines Behavioral Health CMH 12 Branch 2,444 340 369 103 12 3,268 13 2920843 00HR Summit Pointe CMH 13 Calhoun 9,396 1,406 1,376 320 52 12,550 14 1706114 00HW Woodlands Behavioral Healthcare 14 Cass 3,220 497 591 141 32 4,481 15 1707185 00HF Northern Michigan CMH 15 Charlevoix 1,448 147 149 46 9 1,799 16 1707185 00HF Northern Michigan CMH 16 Cheboygan 1,943 235 297 85 14 2,574 17 1715919 00GO Hiawatha Behavioral Health Authority 17 Chippewa 2,318 352 362 82 13 3,127 18 4344340 00GG Central Michigan CMH 18 Clare 2,596 362 484 130 13 3,585 19 1708001 00BJ CEI CMH 19 Clinton 1,915 286 256 57 12 2,526 20 1707158 00HC North Central CMH 20 Crawford 1,028 139 162 43 9 1,381 21 1724945 00HJ Pathways CMH 21 Delta 2,342 339 344 105 16 3,146 22 3140186 00HG Northpointe CMH 22 Dickinson 1,452 203 206 69 8 1,938 23 1708001 00BJ CEI CMH 23 Eaton 3,872 568 553 125 32 5,150 24 1707185 00HF Northern Michigan CMH 24 Emmet 1,585 197 159 44 2 1,987 25 1705233 0028 Genesee County Health Dept 25 Genesee 35,647 5,150 6,487 1,671 247 2 49,204 26 4344340 00GG Central Michigan CMH 26 Gladwin 1,916 249 262 84 19 2,530 27 1708119 00GL Gogebic County CMH 27 Gogebic 1,139 135 149 49 10 1,482 28 1705251 00GM Great Lakes CMH 28 Grand Traverse 3,325 442 362 109 17 4,255 29 1715955 00GN Gratiot County CMH 29 Gratiot 2,333 337 336 77 17 3,100 30 1712229 00GV Lifeways CMH 30 Hillsdale 2,353 364 364 94 22 3,197

Eligible Population by Age Group

2002-07MA TANF Population by Provider ID by County by Age Group 26-Jun-2002 06:27

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, TANF Pop by County

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MDCH - Monthly Medicaid Capitation Audit/Summary 6/26/2002 4:28 AM Page 21 of 60

MACap - Rates: 96d - qSummary recordcode02 by CMHA by County - Pop - TANF

Provider ID Agent ID Provider Name Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

Eligible Population by Age Group

2002-07MA TANF Population by Provider ID by County by Age Group 26-Jun-2002 06:27

31 1707962 00GI Copper County CMH 31 Houghton 2,190 262 296 90 15 2,853 32 1708128 00GP Huron Behavioral Health 32 Huron 2,197 283 257 99 10 2,846 33 1708001 00BJ CEI CMH 33 Ingham 15,685 2,341 2,637 623 146 4 21,436 34 1715928 00GQ Ionia County CMH 34 Ionia 3,078 492 449 109 24 1 4,153 35 1706830 00GC AuSable Valley CMH 35 Iosco 1,967 268 290 104 16 2,645 36 3140186 00HG Northpointe CMH 36 Iron 717 104 106 41 5 973 37 4344340 00GG Central Michigan CMH 37 Isabella 2,608 516 452 121 13 3,710 38 1712229 00GV Lifeways CMH 38 Jackson 9,463 1,325 1,229 312 48 1 12,378 39 3402136 00GR Kalamazoo County CMH 39 Kalamazoo 12,053 1,828 1,913 468 66 1 16,329 40 1712283 00GB Antrim-Kalkaska CMH 40 Kalkaska 1,241 156 166 52 8 1,623 41 1705430 00GS Kent County CMH 41 Kent 32,095 4,706 4,815 1,110 208 3 42,937 42 1707962 00GI Copper County CMH 42 Keweenaw 128 16 17 4 2 167 43 3220732 00HV West Michigan CMH 43 Lake 953 126 165 50 11 1,305 44 1705242 00GT Lapeer County CMH 44 Lapeer 3,451 440 480 123 19 4,513 45 1705251 00GM Great Lakes CMH 45 Leelanau 769 94 113 35 9 1,020 46 1705270 00GU Lenawee County CMH 46 Lenawee 4,670 674 690 166 25 6,225 47 1707167 00GW Livingston County CMH 47 Livingston 2,661 351 343 120 17 3,492 48 1724945 00HJ Pathways CMH 48 Luce 540 78 105 21 4 748 49 1715919 00GO Hiawatha Behavioral Health Authority 49 Mackinac 573 77 60 27 4 741 50 3396315 00GX Macomb County CA 50 Macomb 24,730 2,965 3,749 1,349 334 4 33,131 51 1705304 00GY Manistee-Benzie CMH 51 Manistee 1,539 250 232 78 14 2,113 52 1724945 00HJ Pathways CMH 52 Marquette 2,867 488 483 117 24 3,979 53 3220732 00HV West Michigan CMH 53 Mason 1,938 255 293 92 11 2,589 54 4344340 00GG Central Michigan CMH 54 Mecosta 2,523 428 521 107 18 3,597 55 3140186 00HG Northpointe CMH 55 Menominee 1,321 231 189 54 7 1,802 56 4344340 00GG Central Michigan CMH 56 Midland 3,504 494 580 140 28 4,746 57 1710547 00HX Monroe County CMH 58 Monroe 5,417 779 770 202 35 7,203 58 1712461 00GZ Montcalm Center Behavl. Hlt 59 Montcalm 3,705 500 516 133 12 4,866 59 1708100 00HE Northeast Michigan CMH 60 Montmorency 673 107 96 53 8 937 60 1712452 00HA Muskegon County CMH 61 Muskegon 13,455 2,192 2,014 494 58 1 18,214

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, TANF Pop by County

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MDCH - Monthly Medicaid Capitation Audit/Summary 6/26/2002 4:28 AM Page 22 of 60

MACap - Rates: 96d - qSummary recordcode02 by CMHA by County - Pop - TANF

Provider ID Agent ID Provider Name Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

Eligible Population by Age Group

2002-07MA TANF Population by Provider ID by County by Age Group 26-Jun-2002 06:27

61 1708066 00HB Newaygo County CMH 62 Newaygo 3,296 452 470 138 28 4,384 62 1705289 0058 Oakland County CMHA 63 Oakland 30,956 3,543 4,330 1,360 380 9 40,578 63 3220732 00HV West Michigan CMH 64 Oceana 2,995 470 561 182 51 2 4,261 64 1706830 00GC AuSable Valley CMH 65 Ogemaw 1,693 273 292 91 11 2,360 65 1707962 00GI Copper County CMH 66 Ontonagon 451 51 58 26 3 589 66 4344340 00GG Central Michigan CMH 67 Osceola 1,694 248 275 65 16 2,298 67 1706830 00GC AuSable Valley CMH 68 Oscoda 636 93 96 51 8 884 68 1707185 00HF Northern Michigan CMH 69 Otsego 1,542 231 248 63 9 2,093 69 1712425 00HI Ottawa County CMH 70 Ottawa 7,513 993 829 224 32 9,591 70 1708100 00HE Northeast Michigan CMH 71 Presque Isle 644 86 60 30 2 822 71 1707158 00HC North Central CMH 72 Roscommon 1,912 257 363 128 14 2,674 72 1712541 00HQ Saginaw County CMH 73 Saginaw 17,091 2,453 2,736 677 95 1 23,053 73 1708164 00HO St. Clair County CMH 74 St. Clair 8,188 1,226 1,279 362 75 11,130 74 1708146 00HP St. Joseph County CMH 75 St. Joseph 4,297 630 655 145 23 1 5,751 75 1706849 00HM Sanilac County CMH 76 Sanilac 2,800 415 363 132 27 3,737 76 1715919 00GO Hiawatha Behavioral Health Authority 77 Schoolcraft 679 100 81 33 2 895 77 1712407 00HN Shiawassee County CMH 78 Shiawassee 3,802 581 596 140 17 5,136 78 1707130 00HS Tuscola County CMH 79 Tuscola 3,635 498 505 172 21 1 4,832 79 1705298 00HT Van Buren County CMH 80 Van Buren 6,242 970 1,133 349 81 3 8,778 80 1707176 00HU Washtenaw County CMH 81 Washtenaw 8,549 1,189 1,321 338 62 2 11,461 81 3119549 00GJ Detroit-Wayne County CMH 82 Wayne 182,075 21,177 27,042 7,776 1,675 52 239,797 82 1707158 00HC North Central CMH 83 Wexford 3,477 535 536 134 14 4,696 83

84

85

568,047 75,880 86,049 23,881 4,647 88 758,592 Check Values -

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, TANF Pop by County

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MDCH - Monthly Medicaid Capitation Audit/Summary 6/26/2002 4:28 AM Page 23 of 60

MACap - Rates: 96e - qSummary recordcode02 by CMHA - Pop - DD

Provider ID Agent ID Provider Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

1 1705233 0028 Genesee County Health Dept 2,540 1,273 3,100 3,157 3,398 1,041 14,509 2 1705242 00GT Lapeer County CMH 99 86 241 228 310 119 1,083 3 1705251 00GM Great Lakes CMH 208 121 311 320 421 118 1,499 4 1705260 00GD Barry County CMH 82 91 142 189 233 57 794 5 1705270 00GU Lenawee County CMH 261 171 431 386 555 138 1,942 6 1705289 0058 Oakland County CMHA 1,496 1,237 3,065 3,165 4,209 1,708 14,880 7 1705298 00HT Van Buren County CMH 288 191 407 474 710 213 2,283 8 1705304 00GY Manistee-Benzie CMH 93 74 180 219 362 88 1,016 9 1705322 00GE Bay-Arenac CMH 352 269 703 799 931 265 3,319 10 1705430 00GS Kent County CMH 2,244 1,400 2,661 2,543 2,936 982 12,766 11 1706114 00HW Woodlands Behavioral Healthcare 154 100 233 258 333 87 1,165 12 1706830 00GC AuSable Valley CMH 175 137 317 489 616 139 1,873 13 1706849 00HM Sanilac County CMH 104 76 163 228 339 94 1,004 14 1707130 00HS Tuscola County CMH 183 138 256 263 366 82 1,288 15 1707158 00HC North Central CMH 250 188 477 643 781 192 2,531 16 1707167 00GW Livingston County CMH 103 138 228 221 245 59 994 17 1707176 00HU Washtenaw County CMH 516 423 879 987 1,068 368 4,241 18 1707185 00HF Northern Michigan CMH 225 181 428 438 647 172 2,091 19 1707962 00GI Copper County CMH 104 102 218 281 497 184 1,386 20 1708001 00BJ CEI CMH 1,256 874 1,779 1,906 2,187 619 8,621 21 1708066 00HB Newaygo County CMH 149 102 245 346 408 109 1,359 22 1708100 00HE Northeast Michigan CMH 177 144 373 463 626 195 1,978 23 1708119 00GL Gogebic County CMH 46 31 93 118 138 63 489 24 1708128 00GP Huron Behavioral Health 67 67 151 190 287 99 861 25 1708146 00HP St. Joseph County CMH 132 131 277 294 400 127 1,361 26 1708164 00HO St. Clair County CMH 374 284 636 696 884 207 3,081 27 1709690 00GA Allegan County CMH 207 157 335 324 502 140 1,665 28 1710547 00HX Monroe County CMH 316 215 507 516 589 170 2,313 29 1712229 00GV Lifeways CMH 765 463 1,041 1,012 1,324 386 4,991 30 1712283 00GB Antrim-Kalkaska CMH 106 78 145 190 293 74 886

Eligible Population by Age Group

MA DD Population by Provider ID by Age Group2002-07

26-Jun-2002 06:27

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, DD Pop by Provider

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MDCH - Monthly Medicaid Capitation Audit/Summary 6/26/2002 4:28 AM Page 24 of 60

31 1712372 00HL Pines Behavioral Health CMH 114 78 207 201 267 86 953 32 1712407 00HN Shiawassee County CMH 195 156 326 324 365 95 1,461 33 1712425 00HI Ottawa County CMH 238 260 478 458 519 131 2,084 34 1712452 00HA Muskegon County CMH 818 492 1,314 1,427 1,670 408 6,129 35 1712461 00GZ Montcalm Center Behavl. Hlt 237 129 304 339 426 106 1,541 36 1712541 00HQ Saginaw County CMH 1,316 775 1,678 1,647 1,768 603 7,787 37 1715919 00GO Hiawatha Behavioral Health Authority 126 79 259 305 424 117 1,310 38 1715928 00GQ Ionia County CMH 130 112 254 234 341 82 1,153 39 1715955 00GN Gratiot County CMH 133 84 209 212 307 94 1,039 40 1716175 00GF Berrien Mental Health 898 436 936 1,081 1,408 454 5,213 41 1724945 00HJ Pathways CMH 246 244 524 613 873 246 2,746 42 2920843 00HR Summit Pointe CMH 609 408 915 980 1,176 350 4,438 43 3119549 00GJ Detroit-Wayne County CMH 12,573 6,199 15,311 17,747 23,259 8,060 83,149 44 3140186 00HG Northpointe CMH 147 104 233 309 457 153 1,403 45 3220732 00HV West Michigan CMH 260 186 408 482 689 190 2,215 46 3396315 00GX Macomb County CA 1,091 836 2,082 2,317 3,105 1,114 10,545 47 3402136 00GR Kalamazoo County CMH 744 458 1,104 1,202 1,468 439 5,415 48 4344340 00GG Central Michigan CMH 762 563 1,342 1,408 1,892 500 6,467 49

50

State Subtotals 33,709 20,541 47,906 52,629 67,009 21,523 243,317

Check Values -

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, DD Pop by Provider

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MDCH - Monthly Medicaid Capitation Audit/Summary 6/26/2002 4:28 AM Page 25 of 60

MACap - Rates: 96f - qSummary recordcode02 by CMHA by County - Pop - DD

Provider ID Agent ID Provider Name Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

1 1708100 00HE Northeast Michigan CMH 01 Alcona 31 10 43 64 110 39 297 2 1724945 00HJ Pathways CMH 02 Alger 15 6 43 43 73 31 211 3 1709690 00GA Allegan County CMH 03 Allegan 207 157 335 324 502 140 1,665 4 1708100 00HE Northeast Michigan CMH 04 Alpena 89 87 224 255 290 85 1,030 5 1712283 00GB Antrim-Kalkaska CMH 05 Antrim 47 47 70 103 125 31 423 6 1705322 00GE Bay-Arenac CMH 06 Arenac 54 34 89 127 169 53 526 7 1707962 00GI Copper County CMH 07 Baraga 8 10 26 38 72 33 187 8 1705260 00GD Barry County CMH 08 Barry 82 91 142 189 233 57 794 9 1705322 00GE Bay-Arenac CMH 09 Bay 298 235 614 672 762 212 2,793 10 1705304 00GY Manistee-Benzie CMH 10 Benzie 31 24 56 67 112 41 331 11 1716175 00GF Berrien Mental Health 11 Berrien 898 436 936 1,081 1,408 454 5,213 12 1712372 00HL Pines Behavioral Health CMH 12 Branch 114 78 207 201 267 86 953 13 2920843 00HR Summit Pointe CMH 13 Calhoun 609 408 915 980 1,176 350 4,438 14 1706114 00HW Woodlands Behavioral Healthcare 14 Cass 154 100 233 258 333 87 1,165 15 1707185 00HF Northern Michigan CMH 15 Charlevoix 52 39 96 79 166 44 476 16 1707185 00HF Northern Michigan CMH 16 Cheboygan 68 48 138 142 194 50 640 17 1715919 00GO Hiawatha Behavioral Health Authority 17 Chippewa 83 61 153 202 252 73 824 18 4344340 00GG Central Michigan CMH 18 Clare 132 78 236 309 372 89 1,216 19 1708001 00BJ CEI CMH 19 Clinton 105 75 162 165 157 43 707 20 1707158 00HC North Central CMH 20 Crawford 48 33 67 110 109 35 402 21 1724945 00HJ Pathways CMH 21 Delta 84 91 171 212 288 80 926 22 3140186 00HG Northpointe CMH 22 Dickinson 64 43 96 143 150 48 544 23 1708001 00BJ CEI CMH 23 Eaton 215 128 300 273 335 74 1,325 24 1707185 00HF Northern Michigan CMH 24 Emmet 48 45 100 113 172 47 525 25 1705233 0028 Genesee County Health Dept 25 Genesee 2,540 1,273 3,100 3,157 3,398 1,041 14,509 26 4344340 00GG Central Michigan CMH 26 Gladwin 62 54 151 180 271 61 779 27 1708119 00GL Gogebic County CMH 27 Gogebic 46 31 93 118 138 63 489 28 1705251 00GM Great Lakes CMH 28 Grand Traverse 170 103 270 278 365 100 1,286 29 1715955 00GN Gratiot County CMH 29 Gratiot 133 84 209 212 307 94 1,039 30 1712229 00GV Lifeways CMH 30 Hillsdale 150 108 230 204 326 95 1,113

Eligible Population by Age Group

2002-07MA DD Population by Provider ID by County by Age Group 26-Jun-2002 06:27

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, DD Pop by County

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MDCH - Monthly Medicaid Capitation Audit/Summary 6/26/2002 4:28 AM Page 26 of 60

MACap - Rates: 96f - qSummary recordcode02 by CMHA by County - Pop - DD

Provider ID Agent ID Provider Name Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

Eligible Population by Age Group

2002-07MA DD Population by Provider ID by County by Age Group 26-Jun-2002 06:27

31 1707962 00GI Copper County CMH 31 Houghton 69 69 150 186 332 109 915 32 1708128 00GP Huron Behavioral Health 32 Huron 67 67 151 190 287 99 861 33 1708001 00BJ CEI CMH 33 Ingham 936 671 1,317 1,468 1,695 502 6,589 34 1715928 00GQ Ionia County CMH 34 Ionia 130 112 254 234 341 82 1,153 35 1706830 00GC AuSable Valley CMH 35 Iosco 80 51 156 184 251 49 771 36 3140186 00HG Northpointe CMH 36 Iron 36 23 55 68 141 41 364 37 4344340 00GG Central Michigan CMH 37 Isabella 177 119 293 232 329 98 1,248 38 1712229 00GV Lifeways CMH 38 Jackson 615 355 811 808 998 291 3,878 39 3402136 00GR Kalamazoo County CMH 39 Kalamazoo 744 458 1,104 1,202 1,468 439 5,415 40 1712283 00GB Antrim-Kalkaska CMH 40 Kalkaska 59 31 75 87 168 43 463 41 1705430 00GS Kent County CMH 41 Kent 2,244 1,400 2,661 2,543 2,936 982 12,766 42 1707962 00GI Copper County CMH 42 Keweenaw 7 1 7 8 23 9 55 43 3220732 00HV West Michigan CMH 43 Lake 68 47 109 168 211 59 662 44 1705242 00GT Lapeer County CMH 44 Lapeer 99 86 241 228 310 119 1,083 45 1705251 00GM Great Lakes CMH 45 Leelanau 38 18 41 42 56 18 213 46 1705270 00GU Lenawee County CMH 46 Lenawee 261 171 431 386 555 138 1,942 47 1707167 00GW Livingston County CMH 47 Livingston 103 138 228 221 245 59 994 48 1724945 00HJ Pathways CMH 48 Luce 40 20 42 61 99 47 309 49 1715919 00GO Hiawatha Behavioral Health Authority 49 Mackinac 20 6 38 53 64 16 197 50 3396315 00GX Macomb County CA 50 Macomb 1,091 836 2,082 2,317 3,105 1,114 10,545 51 1705304 00GY Manistee-Benzie CMH 51 Manistee 62 50 124 152 250 47 685 52 1724945 00HJ Pathways CMH 52 Marquette 107 127 268 297 413 88 1,300 53 3220732 00HV West Michigan CMH 53 Mason 86 79 151 131 198 56 701 54 4344340 00GG Central Michigan CMH 54 Mecosta 154 97 194 222 276 83 1,026 55 3140186 00HG Northpointe CMH 55 Menominee 47 38 82 98 166 64 495 56 4344340 00GG Central Michigan CMH 56 Midland 157 151 327 315 420 86 1,456 57 1710547 00HX Monroe County CMH 58 Monroe 316 215 507 516 589 170 2,313 58 1712461 00GZ Montcalm Center Behavl. Hlt 59 Montcalm 237 129 304 339 426 106 1,541 59 1708100 00HE Northeast Michigan CMH 60 Montmorency 34 20 39 69 114 39 315 60 1712452 00HA Muskegon County CMH 61 Muskegon 818 492 1,314 1,427 1,670 408 6,129

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, DD Pop by County

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MDCH - Monthly Medicaid Capitation Audit/Summary 6/26/2002 4:28 AM Page 27 of 60

MACap - Rates: 96f - qSummary recordcode02 by CMHA by County - Pop - DD

Provider ID Agent ID Provider Name Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

Eligible Population by Age Group

2002-07MA DD Population by Provider ID by County by Age Group 26-Jun-2002 06:27

61 1708066 00HB Newaygo County CMH 62 Newaygo 149 102 245 346 408 109 1,359 62 1705289 0058 Oakland County CMHA 63 Oakland 1,496 1,237 3,065 3,165 4,209 1,708 14,880 63 3220732 00HV West Michigan CMH 64 Oceana 106 60 148 183 280 75 852 64 1706830 00GC AuSable Valley CMH 65 Ogemaw 53 73 113 217 264 66 786 65 1707962 00GI Copper County CMH 66 Ontonagon 20 22 35 49 70 33 229 66 4344340 00GG Central Michigan CMH 67 Osceola 80 64 141 150 224 83 742 67 1706830 00GC AuSable Valley CMH 68 Oscoda 42 13 48 88 101 24 316 68 1707185 00HF Northern Michigan CMH 69 Otsego 57 49 94 104 115 31 450 69 1712425 00HI Ottawa County CMH 70 Ottawa 238 260 478 458 519 131 2,084 70 1708100 00HE Northeast Michigan CMH 71 Presque Isle 23 27 67 75 112 32 336 71 1707158 00HC North Central CMH 72 Roscommon 81 62 174 221 271 62 871 72 1712541 00HQ Saginaw County CMH 73 Saginaw 1,316 775 1,678 1,647 1,768 603 7,787 73 1708164 00HO St. Clair County CMH 74 St. Clair 374 284 636 696 884 207 3,081 74 1708146 00HP St. Joseph County CMH 75 St. Joseph 132 131 277 294 400 127 1,361 75 1706849 00HM Sanilac County CMH 76 Sanilac 104 76 163 228 339 94 1,004 76 1715919 00GO Hiawatha Behavioral Health Authority 77 Schoolcraft 23 12 68 50 108 28 289 77 1712407 00HN Shiawassee County CMH 78 Shiawassee 195 156 326 324 365 95 1,461 78 1707130 00HS Tuscola County CMH 79 Tuscola 183 138 256 263 366 82 1,288 79 1705298 00HT Van Buren County CMH 80 Van Buren 288 191 407 474 710 213 2,283 80 1707176 00HU Washtenaw County CMH 81 Washtenaw 516 423 879 987 1,068 368 4,241 81 3119549 00GJ Detroit-Wayne County CMH 82 Wayne 12,573 6,199 15,311 17,747 23,259 8,060 83,149 82 1707158 00HC North Central CMH 83 Wexford 121 93 236 312 401 95 1,258 83

84

85

33,709 20,541 47,906 52,629 67,009 21,523 243,317 Check Values -

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, DD Pop by County

Page 28: Michigan Medicaid Mental Health and Substance Abuse ..._July_9,_2002_3466… · 1 1708100 00HE Northeast Michigan CMH 01 Alcona 163 932 297 1,392 $3,241.43 $6,008.06 $20,241.94 $29,491.43

MDCH - Monthly Medicaid Capitation Audit/Summary 6/26/2002 4:28 AM Page 28 of 60

MACap - Rates: 96g - qSummary recordcode02 by CA - Pop

Provider ID Agent ID CA_ProviderName 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

1 1705233 00HZ Genesee County Health Dept 39,869 7,015 9,616 4,863 3,676 3,350 68,389 2 1705289 00IF Oakland County Health Div 34,331 5,377 7,430 4,551 4,611 8,904 65,204 3 1705430 00ID Mink Substance Abuse Coordinating Agency 47,100 8,807 9,740 4,979 4,416 5,981 81,023 4 1707176 00HU Washtenaw County CMH 12,656 2,360 2,791 1,679 1,403 2,122 23,011 5 1707962 00IL Western U.P. SAS 7,090 1,241 1,371 903 979 2,380 13,964 6 1708001 00IC Mid-South CA 60,081 11,125 12,779 6,790 6,356 8,275 105,406 7 1708164 00II St. Clair County Health Dept. CA 22,112 3,939 4,349 2,506 2,345 3,131 38,382 8 1710547 00IH Southeast MI Community Alliance 67,521 10,532 14,227 8,653 8,217 9,700 118,850 9 1712452 00IB Lakeshore CA 52,330 9,734 10,882 5,897 5,516 7,381 91,740 10 1712541 00IG Saginaw County Health Dept 25,934 4,857 6,079 3,259 2,683 3,228 46,040 11 1724945 00HY Eastern U.P. Substance Abuse 12,048 2,425 2,581 1,489 1,541 2,680 22,764 12 3119549 00XO Detroit Health Department 144,238 20,704 29,544 17,754 17,506 17,631 247,377 13 3396315 00GX Macomb County CA 27,041 4,296 5,851 3,687 3,461 6,047 50,383 14 3402136 00GR Kalamazoo County CMH 23,542 4,392 5,039 2,726 2,494 3,328 41,521 15 4344340 00IE Northern Michigan CA 57,065 10,417 12,151 7,240 6,934 9,284 103,091 16

State Subtotals 632,958 107,221 134,430 76,976 72,138 93,422 1,117,145

Check Values -

MA SA Population by Provider ID by Age Group 26-Jun-2002 06:272002-07

Eligible Population by Age Group

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, SA Pop by Provider

Page 29: Michigan Medicaid Mental Health and Substance Abuse ..._July_9,_2002_3466… · 1 1708100 00HE Northeast Michigan CMH 01 Alcona 163 932 297 1,392 $3,241.43 $6,008.06 $20,241.94 $29,491.43

MDCH - Monthly Medicaid Capitation Audit/Summary 6/26/2002 4:28 AM Page 29 of 60

MACap - Rates: 96h - qSummary recordcode02 by CA by County - Pop - SA

Provider ID Agent ID CA_ProviderName Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

1 4344340 00ie Northern Michigan CA 01 Alcona 741 108 157 105 117 164 1,392 2 1724945 00hy Eastern U.P. Substance Abuse 02 Alger 507 75 124 72 77 168 1,023 3 1712452 00ib Lakeshore CA 03 Allegan 5,385 904 966 494 540 810 9,099 4 4344340 00ie Northern Michigan CA 04 Alpena 2,179 455 561 377 309 441 4,322 5 4344340 00ie Northern Michigan CA 05 Antrim 1,446 227 176 134 137 239 2,359 6 4344340 00ie Northern Michigan CA 06 Arenac 1,396 249 275 209 185 271 2,585 7 1707962 00il Western U.P. SAS 07 Baraga 605 97 99 50 77 161 1,089 8 3402136 00gr Kalamazoo County CMH 08 Barry 2,567 508 489 297 249 363 4,473 9 1712541 00ig Saginaw County Health Dept 09 Bay 6,863 1,318 1,657 928 806 1,047 12,619 10 4344340 00ie Northern Michigan CA 10 Benzie 933 142 139 96 119 179 1,608 11 1712452 00ib Lakeshore CA 11 Berrien 13,457 2,527 2,892 1,559 1,521 1,985 23,941 12 3402136 00gr Kalamazoo County CMH 12 Branch 2,718 472 578 306 280 441 4,795 13 1708001 00ic Mid-South CA 13 Calhoun 10,517 1,993 2,294 1,309 1,239 1,508 18,860 14 1712452 00ib Lakeshore CA 14 Cass 3,575 669 825 403 367 504 6,343 15 4344340 00ie Northern Michigan CA 15 Charlevoix 1,564 211 245 126 177 266 2,589 16 4344340 00ie Northern Michigan CA 16 Cheboygan 2,118 321 437 229 210 347 3,662 17 1724945 00hy Eastern U.P. Substance Abuse 17 Chippewa 2,546 469 516 284 265 379 4,459 18 4344340 00ie Northern Michigan CA 18 Clare 2,798 502 721 441 387 366 5,215 19 1708001 00ic Mid-South CA 19 Clinton 2,168 397 420 224 170 281 3,660 20 4344340 00ie Northern Michigan CA 20 Crawford 1,114 186 229 154 120 153 1,956 21 1724945 00hy Eastern U.P. Substance Abuse 21 Delta 2,517 495 518 320 306 563 4,719 22 1707962 00il Western U.P. SAS 22 Dickinson 1,558 283 304 212 160 436 2,953 23 1708001 00ic Mid-South CA 23 Eaton 4,262 756 857 403 373 596 7,247 24 4344340 00ie Northern Michigan CA 24 Emmet 1,678 279 259 158 174 398 2,946 25 1705233 00hz Genesee County Health Dept 25 Genesee 39,869 7,015 9,616 4,863 3,676 3,350 68,389 26 4344340 00ie Northern Michigan CA 26 Gladwin 2,053 341 414 266 290 323 3,687 27 1707962 00il Western U.P. SAS 27 Gogebic 1,225 208 242 168 149 444 2,436 28 4344340 00ie Northern Michigan CA 28 Grand Traverse 3,720 623 640 390 384 608 6,365 29 1708001 00ic Mid-South CA 29 Gratiot 2,540 469 548 290 327 569 4,743 30 1708001 00ic Mid-South CA 30 Hillsdale 2,643 535 595 300 352 452 4,877

MA SA Population by Provider ID by County by Age Group 26-Jun-2002 06:272002-07

Eligible Population by Age Group

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, SA Pop by County

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MDCH - Monthly Medicaid Capitation Audit/Summary 6/26/2002 4:28 AM Page 30 of 60

MACap - Rates: 96h - qSummary recordcode02 by CA by County - Pop - SA

Provider ID Agent ID CA_ProviderName Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

MA SA Population by Provider ID by County by Age Group 26-Jun-2002 06:272002-07

Eligible Population by Age Group

31 1707962 00il Western U.P. SAS 31 Houghton 2,294 394 447 277 349 673 4,434 32 1708164 00ii St. Clair County Health Dept. CA 32 Huron 2,315 413 409 290 297 509 4,233 33 1708001 00ic Mid-South CA 33 Ingham 17,922 3,409 3,970 2,115 1,867 2,218 31,501 34 1705430 00id Mink Substance Abuse Coordinating Agency 34 Ionia 3,368 676 704 346 366 405 5,865 35 4344340 00ie Northern Michigan CA 35 Iosco 2,118 364 448 292 268 359 3,849 36 1707962 00il Western U.P. SAS 36 Iron 785 153 161 109 146 411 1,765 37 4344340 00ie Northern Michigan CA 37 Isabella 2,925 708 750 356 342 422 5,503 38 1708001 00ic Mid-South CA 38 Jackson 10,712 1,822 2,043 1,126 1,057 1,321 18,081 39 3402136 00gr Kalamazoo County CMH 39 Kalamazoo 13,540 2,547 3,036 1,679 1,541 1,938 24,281 40 4344340 00ie Northern Michigan CA 40 Kalkaska 1,365 207 242 141 176 212 2,343 41 1705430 00id Mink Substance Abuse Coordinating Agency 41 Kent 36,031 6,790 7,499 3,674 3,169 4,522 61,685 42 1707962 00il Western U.P. SAS 42 Keweenaw 140 21 24 12 25 63 285 43 4344340 00ie Northern Michigan CA 43 Lake 1,075 204 274 220 224 236 2,233 44 1708164 00ii St. Clair County Health Dept. CA 44 Lapeer 3,664 577 725 351 330 531 6,178 45 4344340 00ie Northern Michigan CA 45 Leelanau 847 131 155 77 65 125 1,400 46 1708001 00ic Mid-South CA 46 Lenawee 5,184 931 1,128 557 584 736 9,120 47 1707176 00hu Washtenaw County CMH 47 Livingston 2,963 553 575 344 263 448 5,146 48 1724945 00hy Eastern U.P. Substance Abuse 48 Luce 611 117 148 82 104 163 1,225 49 1724945 00hy Eastern U.P. Substance Abuse 49 Mackinac 622 87 98 81 68 143 1,099 50 3396315 00gx Macomb County CA 50 Macomb 27,041 4,296 5,851 3,687 3,461 6,047 50,383 51 4344340 00ie Northern Michigan CA 51 Manistee 1,650 342 356 231 267 315 3,161 52 1724945 00hy Eastern U.P. Substance Abuse 52 Marquette 3,105 726 755 415 438 679 6,118 53 4344340 00ie Northern Michigan CA 53 Mason 2,113 375 447 224 209 341 3,709 54 4344340 00ie Northern Michigan CA 54 Mecosta 2,796 608 718 329 296 395 5,142 55 1724945 00hy Eastern U.P. Substance Abuse 55 Menominee 1,414 314 273 152 173 376 2,702 56 4344340 00ie Northern Michigan CA 56 Midland 3,970 715 908 459 455 578 7,085 57 4344340 00ie Northern Michigan CA 57 Missaukee 44 44 58 1710547 00ih Southeast MI Community Alliance 58 Monroe 5,943 1,097 1,283 725 628 865 10,541 59 1705430 00id Mink Substance Abuse Coordinating Agency 59 Montcalm 4,091 702 822 474 442 526 7,057 60 4344340 00ie Northern Michigan CA 60 Montmorency 739 149 135 122 122 180 1,447

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, SA Pop by County

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MDCH - Monthly Medicaid Capitation Audit/Summary 6/26/2002 4:28 AM Page 31 of 60

MACap - Rates: 96h - qSummary recordcode02 by CA by County - Pop - SA

Provider ID Agent ID CA_ProviderName Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

MA SA Population by Provider ID by County by Age Group 26-Jun-2002 06:272002-07

Eligible Population by Age Group

61 1712452 00ib Lakeshore CA 61 Muskegon 14,967 2,976 3,342 1,931 1,743 1,904 26,863 62 1705430 00id Mink Substance Abuse Coordinating Agency 62 Newaygo 3,610 639 715 485 439 528 6,416 63 1705289 00if Oakland County Health Div 63 Oakland 34,331 5,377 7,430 4,551 4,611 8,904 65,204 64 4344340 00ie Northern Michigan CA 64 Oceana 3,159 576 710 366 332 295 5,438 65 4344340 00ie Northern Michigan CA 65 Ogemaw 1,819 381 407 309 277 360 3,553 66 1707962 00il Western U.P. SAS 66 Ontonagon 483 85 94 75 73 192 1,002 67 4344340 00ie Northern Michigan CA 67 Osceola 1,856 352 416 217 240 259 3,340 68 4344340 00ie Northern Michigan CA 68 Oscoda 693 133 144 140 109 153 1,372 69 4344340 00ie Northern Michigan CA 69 Otsego 1,659 310 346 168 126 163 2,772 70 1712452 00ib Lakeshore CA 70 Ottawa 8,117 1,367 1,308 685 553 1,113 13,143 71 4344340 00ie Northern Michigan CA 71 Presque Isle 705 146 127 106 114 224 1,422 72 4344340 00ie Northern Michigan CA 72 Roscommon 2,063 360 539 350 288 346 3,946 73 1712541 00ig Saginaw County Health Dept 73 Saginaw 19,071 3,539 4,422 2,331 1,877 2,181 33,421 74 1708164 00ii St. Clair County Health Dept. CA 74 St. Clair 9,138 1,672 1,921 1,068 964 1,125 15,888 75 3402136 00gr Kalamazoo County CMH 75 St. Joseph 4,717 865 936 444 424 586 7,972 76 1708164 00ii St. Clair County Health Dept. CA 76 Sanilac 2,982 565 531 360 367 502 5,307 77 1724945 00hy Eastern U.P. Substance Abuse 77 Schoolcraft 726 142 149 83 110 209 1,419 78 1708001 00ic Mid-South CA 78 Shiawassee 4,133 813 924 466 387 594 7,317 79 1708164 00ii St. Clair County Health Dept. CA 79 Tuscola 4,013 712 763 437 387 464 6,776 80 1712452 00ib Lakeshore CA 80 Van Buren 6,829 1,291 1,549 825 792 1,065 12,351 81 1707176 00hu Washtenaw County CMH 81 Washtenaw 9,693 1,807 2,216 1,335 1,140 1,674 17,865 82 1710547 00ih Southeast MI Community Alliance 82 Wayne 61,578 9,435 12,944 7,928 7,589 8,835 108,309 83 3119549 00xo Detroit Health Department 82 Wayne 144,238 20,704 29,544 17,754 17,506 17,631 247,377 84 4344340 00ie Northern Michigan CA 83 Wexford 3,729 712 776 448 415 566 6,646 85

632,958 107,221 134,430 76,976 72,138 93,422 1,117,145 Check Values -

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, SA Pop by County

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MDCH - Monthly Medicaid Capitation Audit/Summary 6/26/2002 4:28 AM Page 32 of 60

MACap - Rates: 97a - qSummary recordcode02 by CMHA - Rev - DAB

Provider ID Agent ID Provider Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

1 1705233 0028 Genesee County Health Dept $118,553.76 $87,207.40 $335,804.28 $307,325.76 $181,634.13 $37,430.64 $1,067,955.972 1705242 00GT Lapeer County CMH $9,114.27 $9,763.99 $40,074.65 $33,456.72 $25,107.03 $9,053.55 $126,570.213 1705251 00GM Great Lakes CMH $36,799.40 $28,246.26 $95,161.60 $86,173.17 $62,087.94 $22,715.67 $331,184.044 1705260 00GD Barry County CMH $4,336.54 $6,794.07 $14,218.70 $16,804.18 $11,374.00 $3,709.86 $57,237.355 1705270 00GU Lenawee County CMH $22,179.10 $18,465.45 $72,230.58 $57,848.45 $45,502.60 $12,651.84 $228,878.026 1705289 0058 Oakland County CMHA $145,800.00 $131,937.96 $511,841.00 $472,650.92 $344,784.19 $153,082.95 $1,760,097.027 1705298 00HT Van Buren County CMH $28,745.39 $26,177.55 $77,866.88 $79,934.68 $65,689.29 $20,719.62 $299,133.418 1705304 00GY Manistee-Benzie CMH $7,881.00 $8,726.85 $29,474.04 $32,285.89 $29,415.42 $8,383.18 $116,166.389 1705322 00GE Bay-Arenac CMH $23,013.32 $31,819.50 $115,063.61 $116,763.18 $74,893.50 $22,287.38 $383,840.4910 1705430 00GS Kent County CMH $172,200.00 $151,840.24 $448,845.32 $384,676.92 $244,400.94 $78,766.17 $1,480,729.5911 1706114 00HW Woodlands Behavioral Healthcare $10,096.20 $8,147.64 $25,438.14 $25,552.86 $17,976.10 $5,710.32 $92,921.2612 1706830 00GC AuSable Valley CMH $10,327.28 $12,563.56 $37,932.57 $52,479.90 $36,106.27 $10,743.04 $160,152.6213 1706849 00HM Sanilac County CMH $6,357.26 $8,727.00 $22,431.36 $27,312.12 $22,406.00 $6,987.84 $94,221.5814 1707130 00HS Tuscola County CMH $15,985.62 $15,072.02 $41,703.12 $38,427.65 $29,199.48 $7,801.55 $148,189.4415 1707158 00HC North Central CMH $20,845.63 $21,297.51 $72,198.84 $86,769.17 $57,991.08 $16,592.70 $275,694.9316 1707167 00GW Livingston County CMH $18,899.16 $21,052.44 $55,494.40 $48,070.40 $29,045.22 $11,168.64 $183,730.2617 1707176 00HU Washtenaw County CMH $64,887.68 $58,376.28 $194,036.00 $193,916.50 $115,356.78 $37,787.20 $664,360.4418 1707185 00HF Northern Michigan CMH $21,397.71 $22,121.43 $70,854.84 $64,886.21 $52,618.74 $19,969.74 $251,848.6719 1707962 00GI Copper County CMH $10,038.42 $17,256.96 $45,796.38 $52,189.74 $50,808.18 $23,413.50 $199,503.1820 1708001 00BJ CEI CMH $109,094.40 $86,230.36 $260,730.77 $251,577.56 $158,641.20 $46,643.19 $912,917.4821 1708066 00HB Newaygo County CMH $9,950.66 $9,869.86 $29,679.30 $37,711.96 $24,573.69 $6,668.64 $118,454.1122 1708100 00HE Northeast Michigan CMH $9,866.67 $14,265.50 $44,446.96 $49,525.35 $36,754.20 $12,430.88 $167,289.5623 1708119 00GL Gogebic County CMH $5,132.48 $7,255.47 $21,215.16 $24,353.35 $15,650.01 $10,553.88 $84,160.3524 1708128 00GP Huron Behavioral Health $5,843.36 $10,721.10 $28,769.04 $32,431.80 $26,811.54 $10,042.57 $114,619.4125 1708146 00HP St. Joseph County CMH $18,253.20 $17,009.30 $46,682.53 $44,562.96 $32,882.00 $10,126.35 $169,516.3426 1708164 00HO St. Clair County CMH $41,391.50 $32,366.22 $106,925.10 $105,490.52 $73,084.69 $19,530.00 $378,788.0327 1709690 00GA Allegan County CMH $19,450.95 $16,741.70 $55,968.45 $49,160.64 $41,972.14 $14,102.10 $197,395.9828 1710547 00HX Monroe County CMH $22,970.42 $23,128.14 $85,629.96 $78,319.25 $48,857.27 $15,051.00 $273,956.0429 1712229 00GV Lifeways CMH $65,684.52 $47,481.44 $170,470.85 $149,277.00 $107,816.28 $30,124.00 $570,854.0930 1712283 00GB Antrim-Kalkaska CMH $10,716.08 $8,490.10 $24,275.58 $28,889.25 $24,126.96 $7,761.71 $104,259.68

Age Group

MA DAB Revenue by Provider ID by Age Group2002-07

26-Jun-2002 06:27

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, DAB Rev by Provider

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MDCH - Monthly Medicaid Capitation Audit/Summary 6/26/2002 4:28 AM Page 33 of 60

31 1712372 00HL Pines Behavioral Health CMH $11,771.04 $9,441.96 $34,313.62 $29,899.87 $21,718.72 $7,545.51 $114,690.7232 1712407 00HN Shiawassee County CMH $13,134.08 $15,330.56 $49,744.48 $44,355.56 $27,694.50 $9,391.14 $159,650.3233 1712425 00HI Ottawa County CMH $33,226.04 $34,262.14 $100,714.54 $86,958.43 $54,069.38 $24,385.83 $333,616.3634 1712452 00HA Muskegon County CMH $49,472.64 $42,728.00 $166,106.24 $161,245.77 $104,031.90 $24,815.12 $548,399.6735 1712461 00GZ Montcalm Center Behavl. Hlt $7,519.28 $6,554.90 $22,787.82 $22,782.21 $15,806.80 $4,081.76 $79,532.7736 1712541 00HQ Saginaw County CMH $64,350.00 $58,774.32 $209,401.20 $184,305.22 $109,236.60 $28,209.20 $654,276.5437 1715919 00GO Hiawatha Behavioral Health Authority $22,479.12 $19,527.95 $68,949.40 $72,803.52 $55,501.60 $20,204.84 $259,466.4338 1715928 00GQ Ionia County CMH $11,286.80 $11,925.04 $37,931.25 $31,627.65 $25,109.64 $6,262.00 $124,142.3839 1715955 00GN Gratiot County CMH $7,723.17 $8,202.48 $30,233.32 $27,251.22 $21,820.90 $8,455.34 $103,686.4340 1716175 00GF Berrien Mental Health $58,070.25 $38,497.80 $134,024.43 $137,302.98 $98,844.76 $29,159.65 $495,899.8741 1724945 00HJ Pathways CMH $35,084.40 $51,627.52 $140,714.00 $146,407.93 $114,622.90 $43,367.61 $531,824.3642 2920843 00HR Summit Pointe CMH $37,710.44 $32,889.61 $118,045.62 $114,100.93 $75,338.89 $20,207.20 $398,292.6943 3119549 00GJ Detroit-Wayne County CMH $1,145,978.07 $720,455.18 $2,849,941.46 $2,963,980.18 $2,132,859.40 $507,941.22 $10,321,155.5144 3140186 00HG Northpointe CMH $14,663.64 $19,387.40 $49,746.30 $58,187.79 $47,552.40 $26,759.24 $216,296.7745 3220732 00HV West Michigan CMH $14,549.16 $15,978.24 $49,703.68 $52,599.78 $41,201.68 $10,935.90 $184,968.4446 3396315 00GX Macomb County CA $97,755.30 $93,755.64 $339,830.34 $339,103.52 $249,534.60 $101,824.55 $1,221,803.9547 3402136 00GR Kalamazoo County CMH $78,156.72 $62,941.26 $225,621.93 $218,270.64 $146,261.00 $40,560.78 $771,812.3348 4344340 00GG Central Michigan CMH $52,066.08 $51,736.01 $172,940.46 $162,946.07 $120,060.27 $31,208.76 $590,957.6549

50

State Subtotals $2,820,808.21 $2,253,169.31 $7,982,010.10 $7,882,953.33 $5,548,832.81 $1,637,325.36 $28,125,099.12

Check Values -$

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, DAB Rev by Provider

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MDCH - Monthly Medicaid Capitation Audit/Summary 6/26/2002 4:28 AM Page 34 of 60

MACap - Rates: 97b - qSummary recordcode02 by CMHA by County - Rev - DAB

Provider ID Agent ID Provider Name Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

1 1708100 00HE Northeast Michigan CMH 01 Alcona $1,453.71 $1,545.00 $5,201.24 $6,787.20 $6,475.74 $2,020.48 $23,483.372 1724945 00HJ Pathways CMH 02 Alger $1,591.60 $1,728.60 $11,373.50 $10,203.47 $9,660.70 $4,631.76 $39,189.633 1709690 00GA Allegan County CMH 03 Allegan $19,450.95 $16,741.70 $55,968.45 $49,160.64 $41,972.14 $14,102.10 $197,395.984 1708100 00HE Northeast Michigan CMH 04 Alpena $4,484.85 $7,467.50 $26,715.46 $27,360.90 $17,093.62 $5,433.12 $88,555.455 1712283 00GB Antrim-Kalkaska CMH 05 Antrim $5,358.04 $4,820.65 $11,724.94 $15,703.90 $10,433.28 $4,113.19 $52,154.006 1705322 00GE Bay-Arenac CMH 06 Arenac $3,651.56 $5,161.83 $14,606.10 $18,489.93 $13,617.00 $4,582.61 $60,109.037 1707962 00GI Copper County CMH 07 Baraga $2,050.86 $1,887.48 $5,776.12 $7,032.66 $7,331.04 $3,461.50 $27,539.668 1705260 00GD Barry County CMH 08 Barry $4,336.54 $6,794.07 $14,218.70 $16,804.18 $11,374.00 $3,709.86 $57,237.359 1705322 00GE Bay-Arenac CMH 09 Bay $19,361.76 $26,657.67 $100,457.51 $98,273.25 $61,276.50 $17,704.77 $323,731.4610 1705304 00GY Manistee-Benzie CMH 10 Benzie $3,152.40 $2,199.45 $9,281.88 $9,934.12 $9,081.81 $3,037.63 $36,687.2911 1716175 00GF Berrien Mental Health 11 Berrien $58,070.25 $38,497.80 $134,024.43 $137,302.98 $98,844.76 $29,159.65 $495,899.8712 1712372 00HL Pines Behavioral Health CMH 12 Branch $11,771.04 $9,441.96 $34,313.62 $29,899.87 $21,718.72 $7,545.51 $114,690.7213 2920843 00HR Summit Pointe CMH 13 Calhoun $37,710.44 $32,889.61 $118,045.62 $114,100.93 $75,338.89 $20,207.20 $398,292.6914 1706114 00HW Woodlands Behavioral Healthcare 14 Cass $10,096.20 $8,147.64 $25,438.14 $25,552.86 $17,976.10 $5,710.32 $92,921.2615 1707185 00HF Northern Michigan CMH 15 Charlevoix $4,954.36 $4,552.32 $15,672.96 $11,717.60 $13,537.44 $4,524.66 $54,959.3416 1707185 00HF Northern Michigan CMH 16 Cheboygan $7,474.25 $6,117.18 $22,856.40 $21,091.68 $15,793.68 $5,902.47 $79,235.6617 1715919 00GO Hiawatha Behavioral Health Authority 17 Chippewa $15,818.64 $13,519.35 $40,839.26 $48,059.84 $32,986.80 $10,475.56 $161,699.4518 4344340 00GG Central Michigan CMH 18 Clare $6,754.88 $7,796.60 $30,293.34 $35,662.37 $23,595.66 $4,875.12 $108,977.9719 1708001 00BJ CEI CMH 19 Clinton $9,583.64 $7,001.88 $23,742.28 $21,689.96 $11,290.68 $4,240.29 $77,548.7320 1707158 00HC North Central CMH 20 Crawford $3,363.46 $3,061.11 $10,015.16 $14,886.21 $8,189.58 $2,383.74 $41,899.2621 1724945 00HJ Pathways CMH 21 Delta $12,110.00 $17,977.44 $46,023.00 $51,017.35 $37,859.50 $15,521.91 $180,509.2022 3140186 00HG Northpointe CMH 22 Dickinson $5,821.52 $7,316.00 $20,570.20 $26,928.33 $15,747.20 $9,539.68 $85,922.9323 1708001 00BJ CEI CMH 23 Eaton $14,773.20 $11,859.04 $44,010.08 $36,106.64 $24,367.86 $8,993.64 $140,110.4624 1707185 00HF Northern Michigan CMH 24 Emmet $3,972.03 $5,832.66 $16,326.00 $16,697.58 $13,859.76 $6,769.98 $63,458.0125 1705233 0028 Genesee County Health Dept 25 Genesee $118,553.76 $87,207.40 $335,804.28 $307,325.76 $181,634.13 $37,430.64 $1,067,955.9726 4344340 00GG Central Michigan CMH 26 Gladwin $4,581.28 $5,123.48 $19,428.64 $20,869.94 $17,097.39 $4,302.36 $71,403.0927 1708119 00GL Gogebic County CMH 27 Gogebic $5,132.48 $7,255.47 $21,215.16 $24,353.35 $15,650.01 $10,553.88 $84,160.3528 1705251 00GM Great Lakes CMH 28 Grand Traverse $30,731.00 $23,452.17 $82,671.64 $74,967.99 $53,868.26 $18,841.92 $284,532.9829 1715955 00GN Gratiot County CMH 29 Gratiot $7,723.17 $8,202.48 $30,233.32 $27,251.22 $21,820.90 $8,455.34 $103,686.4330 1712229 00GV Lifeways CMH 30 Hillsdale $12,377.20 $12,154.68 $37,683.03 $30,148.10 $26,571.60 $7,684.00 $126,618.61

MA DAB Revenue by Provider ID by County by Age Group 26-Jun-2002 06:272002-07

Age Group

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, DAB Rev by County

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MDCH - Monthly Medicaid Capitation Audit/Summary 6/26/2002 4:28 AM Page 35 of 60

MACap - Rates: 97b - qSummary recordcode02 by CMHA by County - Rev - DAB

Provider ID Agent ID Provider Name Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

MA DAB Revenue by Provider ID by County by Age Group 26-Jun-2002 06:272002-07

Age Group

31 1707962 00GI Copper County CMH 31 Houghton $5,612.88 $11,864.16 $31,149.79 $34,608.09 $34,007.88 $14,469.50 $131,712.3032 1708128 00GP Huron Behavioral Health 32 Huron $5,843.36 $10,721.10 $28,769.04 $32,431.80 $26,811.54 $10,042.57 $114,619.4133 1708001 00BJ CEI CMH 33 Ingham $84,737.56 $67,369.44 $192,978.41 $193,780.96 $122,982.66 $33,409.26 $695,258.2934 1715928 00GQ Ionia County CMH 34 Ionia $11,286.80 $11,925.04 $37,931.25 $31,627.65 $25,109.64 $6,262.00 $124,142.3835 1706830 00GC AuSable Valley CMH 35 Iosco $4,668.92 $4,943.04 $18,670.86 $19,931.76 $14,699.16 $4,422.88 $67,336.6236 3140186 00HG Northpointe CMH 36 Iron $3,734.56 $4,481.05 $11,544.50 $12,805.08 $14,607.60 $8,992.68 $56,165.4737 4344340 00GG Central Michigan CMH 37 Isabella $10,600.48 $10,692.48 $38,090.36 $26,947.45 $20,756.61 $5,621.04 $112,708.4238 1712229 00GV Lifeways CMH 38 Jackson $53,307.32 $35,326.76 $132,787.82 $119,128.90 $81,244.68 $22,440.00 $444,235.4839 3402136 00GR Kalamazoo County CMH 39 Kalamazoo $78,156.72 $62,941.26 $225,621.93 $218,270.64 $146,261.00 $40,560.78 $771,812.3340 1712283 00GB Antrim-Kalkaska CMH 40 Kalkaska $5,358.04 $3,669.45 $12,550.64 $13,185.35 $13,693.68 $3,648.52 $52,105.6841 1705430 00GS Kent County CMH 41 Kent $172,200.00 $151,840.24 $448,845.32 $384,676.92 $244,400.94 $78,766.17 $1,480,729.5942 1707962 00GI Copper County CMH 42 Keweenaw $647.64 $449.40 $1,444.03 $1,480.56 $2,341.86 $1,354.50 $7,717.9943 3220732 00HV West Michigan CMH 43 Lake $3,850.32 $4,099.68 $13,149.76 $18,399.10 $12,682.02 $2,966.52 $55,147.4044 1705242 00GT Lapeer County CMH 44 Lapeer $9,114.27 $9,763.99 $40,074.65 $33,456.72 $25,107.03 $9,053.55 $126,570.2145 1705251 00GM Great Lakes CMH 45 Leelanau $6,068.40 $4,794.09 $12,489.96 $11,205.18 $8,219.68 $3,873.75 $46,651.0646 1705270 00GU Lenawee County CMH 46 Lenawee $22,179.10 $18,465.45 $72,230.58 $57,848.45 $45,502.60 $12,651.84 $228,878.0247 1707167 00GW Livingston County CMH 47 Livingston $18,899.16 $21,052.44 $55,494.40 $48,070.40 $29,045.22 $11,168.64 $183,730.2648 1724945 00HJ Pathways CMH 48 Luce $4,913.20 $4,494.36 $11,373.50 $14,474.69 $13,055.00 $4,493.91 $52,804.6649 1715919 00GO Hiawatha Behavioral Health Authority 49 Mackinac $3,399.62 $1,155.50 $10,077.22 $12,847.68 $8,377.60 $3,952.52 $39,810.1450 3396315 00GX Macomb County CA 50 Macomb $97,755.30 $93,755.64 $339,830.34 $339,103.52 $249,534.60 $101,824.55 $1,221,803.9551 1705304 00GY Manistee-Benzie CMH 51 Manistee $4,728.60 $6,527.40 $20,192.16 $22,351.77 $20,333.61 $5,345.55 $79,479.0952 1724945 00HJ Pathways CMH 52 Marquette $16,469.60 $27,427.12 $71,944.00 $70,712.42 $54,047.70 $18,720.03 $259,320.8753 3220732 00HV West Michigan CMH 53 Mason $5,523.00 $6,307.20 $18,578.56 $14,286.36 $11,788.92 $4,286.37 $60,770.4154 4344340 00GG Central Michigan CMH 54 Mecosta $9,129.12 $10,024.20 $25,180.54 $25,456.74 $17,539.02 $5,261.40 $92,591.0255 3140186 00HG Northpointe CMH 55 Menominee $5,107.56 $7,590.35 $17,631.60 $18,454.38 $17,197.60 $8,226.88 $74,208.3756 4344340 00GG Central Michigan CMH 56 Midland $15,583.04 $12,307.49 $41,924.96 $36,579.73 $26,939.43 $7,698.96 $141,033.6157 1707158 00HC North Central CMH 57 Missaukee $1,720.84 $1,720.8458 1710547 00HX Monroe County CMH 58 Monroe $22,970.42 $23,128.14 $85,629.96 $78,319.25 $48,857.27 $15,051.00 $273,956.0459 1712461 00GZ Montcalm Center Behavl. Hlt 59 Montcalm $7,519.28 $6,554.90 $22,787.82 $22,782.21 $15,806.80 $4,081.76 $79,532.7760 1708100 00HE Northeast Michigan CMH 60 Montmorency $2,041.38 $2,163.00 $4,610.19 $7,317.45 $6,650.76 $2,217.60 $25,000.38

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, DAB Rev by County

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MACap - Rates: 97b - qSummary recordcode02 by CMHA by County - Rev - DAB

Provider ID Agent ID Provider Name Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

MA DAB Revenue by Provider ID by County by Age Group 26-Jun-2002 06:272002-07

Age Group

61 1712452 00HA Muskegon County CMH 61 Muskegon $49,472.64 $42,728.00 $166,106.24 $161,245.77 $104,031.90 $24,815.12 $548,399.6762 1708066 00HB Newaygo County CMH 62 Newaygo $9,950.66 $9,869.86 $29,679.30 $37,711.96 $24,573.69 $6,668.64 $118,454.1163 1705289 0058 Oakland County CMHA 63 Oakland $145,800.00 $131,937.96 $511,841.00 $472,650.92 $344,784.19 $153,082.95 $1,760,097.0264 3220732 00HV West Michigan CMH 64 Oceana $5,175.84 $5,571.36 $17,975.36 $19,914.32 $16,730.74 $3,683.01 $69,050.6365 1706830 00GC AuSable Valley CMH 65 Ogemaw $3,895.92 $5,560.92 $13,589.55 $23,112.36 $15,515.78 $4,435.20 $66,109.7366 1707962 00GI Copper County CMH 66 Ontonagon $1,727.04 $3,055.92 $7,426.44 $9,068.43 $7,127.40 $4,128.00 $32,533.2367 4344340 00GG Central Michigan CMH 67 Osceola $5,417.28 $5,791.76 $18,022.62 $17,429.84 $14,132.16 $3,449.88 $64,243.5468 1706830 00GC AuSable Valley CMH 68 Oscoda $1,762.44 $2,059.60 $5,672.16 $9,435.78 $5,891.33 $1,884.96 $26,706.2769 1707185 00HF Northern Michigan CMH 69 Otsego $4,997.07 $5,619.27 $15,999.48 $15,379.35 $9,427.86 $2,772.63 $54,195.6670 1712425 00HI Ottawa County CMH 70 Ottawa $33,226.04 $34,262.14 $100,714.54 $86,958.43 $54,069.38 $24,385.83 $333,616.3671 1708100 00HE Northeast Michigan CMH 71 Presque Isle $1,886.73 $3,090.00 $7,920.07 $8,059.80 $6,534.08 $2,759.68 $30,250.3672 1707158 00HC North Central CMH 72 Roscommon $5,905.61 $6,708.39 $26,308.48 $29,772.42 $20,215.72 $5,390.68 $94,301.3073 1712541 00HQ Saginaw County CMH 73 Saginaw $64,350.00 $58,774.32 $209,401.20 $184,305.22 $109,236.60 $28,209.20 $654,276.5474 1708164 00HO St. Clair County CMH 74 St. Clair $41,391.50 $32,366.22 $106,925.10 $105,490.52 $73,084.69 $19,530.00 $378,788.0375 1708146 00HP St. Joseph County CMH 75 St. Joseph $18,253.20 $17,009.30 $46,682.53 $44,562.96 $32,882.00 $10,126.35 $169,516.3476 1706849 00HM Sanilac County CMH 76 Sanilac $6,357.26 $8,727.00 $22,431.36 $27,312.12 $22,406.00 $6,987.84 $94,221.5877 1715919 00GO Hiawatha Behavioral Health Authority 77 Schoolcraft $3,260.86 $4,853.10 $18,032.92 $11,896.00 $14,137.20 $5,776.76 $57,956.8478 1712407 00HN Shiawassee County CMH 78 Shiawassee $13,134.08 $15,330.56 $49,744.48 $44,355.56 $27,694.50 $9,391.14 $159,650.3279 1707130 00HS Tuscola County CMH 79 Tuscola $15,985.62 $15,072.02 $41,703.12 $38,427.65 $29,199.48 $7,801.55 $148,189.4480 1705298 00HT Van Buren County CMH 80 Van Buren $28,745.39 $26,177.55 $77,866.88 $79,934.68 $65,689.29 $20,719.62 $299,133.4181 1707176 00HU Washtenaw County CMH 81 Washtenaw $64,887.68 $58,376.28 $194,036.00 $193,916.50 $115,356.78 $37,787.20 $664,360.4482 3119549 00GJ Detroit-Wayne County CMH 82 Wayne $1,145,978.07 $720,455.18 $2,849,941.46 $2,963,980.18 $2,132,859.40 $507,941.22 $10,321,155.5183 1707158 00HC North Central CMH 83 Wexford $9,855.72 $11,528.01 $35,875.20 $42,110.54 $29,585.78 $8,818.28 $137,773.5384

85

$2,820,808.21 $2,253,169.31 $7,982,010.10 $7,882,953.33 $5,548,832.81 $1,637,325.36 $28,125,099.12Check Values -

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, DAB Rev by County

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MACap - Rates: 97d - qSummary recordcode02 by CMHA - Rev - TANF

Provider ID Agent ID Provider Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

1 1705233 0028 Genesee County Health Dept $76,997.52 $12,257.00 $25,234.43 $7,252.14 $854.62 $1.28 $122,596.992 1705242 00GT Lapeer County CMH $20,498.94 $2,873.20 $5,126.40 $1,466.16 $180.69 $30,145.393 1705251 00GM Great Lakes CMH $31,646.62 $4,556.00 $6,602.50 $2,233.44 $321.62 $45,360.184 1705260 00GD Barry County CMH $9,256.28 $1,483.25 $2,390.80 $821.50 $86.52 $14,038.355 1705270 00GU Lenawee County CMH $28,206.80 $4,475.36 $7,500.30 $2,011.92 $241.75 $42,436.136 1705289 0058 Oakland County CMHA $138,063.76 $17,396.13 $34,769.90 $12,185.60 $2,713.20 $11.88 $205,140.477 1705298 00HT Van Buren County CMH $41,758.98 $7,139.20 $13,629.99 $4,683.58 $867.51 $5.91 $68,085.178 1705304 00GY Manistee-Benzie CMH $16,642.12 $2,754.43 $3,921.86 $1,476.58 $222.20 $25,017.199 1705322 00GE Bay-Arenac CMH $56,334.10 $8,969.51 $16,070.22 $4,911.10 $654.64 $86,939.5710 1705430 00GS Kent County CMH $165,610.20 $26,730.08 $44,683.20 $11,488.50 $1,718.08 $4.56 $250,234.6211 1706114 00HW Woodlands Behavioral Healthcare $11,205.60 $1,903.51 $3,705.57 $985.59 $178.24 $17,978.5112 1706830 00GC AuSable Valley CMH $39,695.04 $6,447.78 $11,275.14 $4,563.30 $518.00 $62,499.2613 1706849 00HM Sanilac County CMH $11,088.00 $1,809.40 $2,591.82 $1,050.72 $171.45 $16,711.3914 1707130 00HS Tuscola County CMH $24,172.75 $3,645.36 $6,044.85 $2,296.20 $223.65 $1.96 $36,384.7715 1707158 00HC North Central CMH $36,448.56 $5,818.75 $10,854.03 $3,480.05 $336.70 $56,938.0916 1707167 00GW Livingston County CMH $40,127.88 $5,823.09 $9,309.02 $3,632.40 $410.55 $59,302.9417 1707176 00HU Washtenaw County CMH $88,311.17 $13,518.93 $24,557.39 $7,010.12 $1,025.48 $6.10 $134,429.1918 1707185 00HF Northern Michigan CMH $29,982.80 $4,098.60 $7,062.84 $2,199.12 $250.58 $43,593.9419 1707962 00GI Copper County CMH $18,481.44 $2,470.50 $4,406.74 $1,467.84 $221.75 $27,048.2720 1708001 00BJ CEI CMH $95,120.96 $15,559.65 $27,464.62 $7,148.40 $1,347.10 $5.24 $146,645.9721 1708066 00HB Newaygo County CMH $29,268.48 $4,416.04 $7,510.60 $2,459.16 $397.88 $44,052.1622 1708100 00HE Northeast Michigan CMH $22,611.55 $3,573.15 $6,070.20 $2,724.03 $286.08 $35,265.0123 1708119 00GL Gogebic County CMH $17,836.74 $2,326.05 $4,200.31 $1,540.56 $250.80 $26,154.4624 1708128 00GP Huron Behavioral Health $12,259.26 $1,737.62 $2,580.28 $1,108.80 $89.30 $17,775.2625 1708146 00HP St. Joseph County CMH $25,567.15 $4,120.20 $7,008.50 $1,731.30 $218.96 $1.76 $38,647.8726 1708164 00HO St. Clair County CMH $125,194.52 $20,621.32 $35,185.29 $11,106.16 $1,835.25 $193,942.5427 1709690 00GA Allegan County CMH $39,668.20 $5,958.16 $9,117.95 $2,675.92 $398.66 $57,818.8928 1710547 00HX Monroe County CMH $39,652.44 $6,270.95 $10,140.90 $2,967.38 $410.20 $59,441.8729 1712229 00GV Lifeways CMH $72,313.92 $11,366.97 $17,554.86 $4,989.74 $686.00 $1.81 $106,913.3030 1712283 00GB Antrim-Kalkaska CMH $13,712.05 $1,858.08 $2,609.73 $859.20 $145.52 $19,184.58

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Age Group

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31 1712372 00HL Pines Behavioral Health CMH $17,987.84 $2,750.60 $4,885.56 $1,521.31 $141.36 $27,286.6732 1712407 00HN Shiawassee County CMH $21,481.30 $3,613.82 $6,061.32 $1,587.60 $153.85 $32,897.8933 1712425 00HI Ottawa County CMH $57,173.93 $8,311.41 $11,349.01 $3,420.48 $389.76 $80,644.5934 1712452 00HA Muskegon County CMH $74,809.80 $13,415.04 $20,160.14 $5,513.04 $516.20 $1.64 $114,415.8635 1712461 00GZ Montcalm Center Behavl. Hlt $14,634.75 $2,170.00 $3,668.76 $1,054.69 $75.84 $21,604.0436 1712541 00HQ Saginaw County CMH $60,673.05 $9,566.70 $17,455.68 $4,820.24 $539.60 $1.05 $93,056.3237 1715919 00GO Hiawatha Behavioral Health Authority $22,241.10 $3,623.65 $5,633.60 $1,775.00 $189.43 $33,462.7838 1715928 00GQ Ionia County CMH $17,821.62 $3,134.04 $4,678.58 $1,266.58 $222.48 $1.71 $27,125.0139 1715955 00GN Gratiot County CMH $20,483.74 $3,255.42 $5,308.80 $1,356.74 $239.02 $30,643.7240 1716175 00GF Berrien Mental Health $54,419.56 $9,576.00 $15,993.84 $4,346.87 $733.00 $85,069.2741 1724945 00HJ Pathways CMH $84,768.80 $14,436.40 $24,788.11 $7,422.88 $1,023.19 $132,439.3842 2920843 00HR Summit Pointe CMH $74,040.48 $12,190.02 $19,511.68 $5,062.40 $656.24 $111,460.8243 3119549 00GJ Detroit-Wayne County CMH $983,205.00 $126,003.15 $263,118.66 $84,369.60 $14,488.75 $83.20 $1,471,268.3644 3140186 00HG Northpointe CMH $27,571.00 $4,675.22 $7,119.21 $2,599.40 $252.80 $42,217.6345 3220732 00HV West Michigan CMH $33,255.90 $5,284.71 $10,363.23 $3,674.16 $659.92 $3.34 $53,241.2646 3396315 00GX Macomb County CA $141,950.20 $18,709.15 $38,689.68 $15,526.99 $3,066.12 $6.76 $217,948.9047 3402136 00GR Kalamazoo County CMH $72,679.59 $12,137.92 $20,756.05 $5,667.48 $637.56 $1.78 $111,880.3848 4344340 00GG Central Michigan CMH $73,908.18 $12,587.56 $23,063.04 $6,463.53 $852.79 $116,875.1049

50

State Subtotals $3,230,839.67 $477,419.08 $871,785.19 $271,975.50 $42,100.89 $139.98 $4,894,260.31

Check Values -

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MACap - Rates: 97d - qSummary recordcode02 by CMHA by County - Pop - TANF

Provider ID Agent ID Provider Name Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

1 1708100 00HE Northeast Michigan CMH 01 Alcona $3,879.46 $479.70 $1,135.65 $459.61 $53.64 $6,008.062 1724945 00HJ Pathways CMH 02 Alger $6,582.40 $897.60 $1,982.07 $791.41 $65.31 $10,318.793 1709690 00GA Allegan County CMH 03 Allegan $39,668.20 $5,958.16 $9,117.95 $2,675.92 $398.66 $57,818.894 1708100 00HE Northeast Michigan CMH 04 Alpena $11,370.06 $1,906.50 $3,366.75 $1,333.99 $143.04 $18,120.345 1712283 00GB Antrim-Kalkaska CMH 05 Antrim $7,072.70 $940.80 $1,011.15 $300.72 $77.04 $9,402.416 1705322 00GE Bay-Arenac CMH 06 Arenac $9,563.00 $1,413.28 $2,430.90 $1,202.12 $175.35 $14,784.657 1707962 00GI Copper County CMH 07 Baraga $3,141.18 $463.60 $707.87 $133.44 $44.35 $4,490.448 1705260 00GD Barry County CMH 08 Barry $9,256.28 $1,483.25 $2,390.80 $821.50 $86.52 $14,038.359 1705322 00GE Bay-Arenac CMH 09 Bay $46,771.10 $7,556.23 $13,639.32 $3,708.98 $479.29 $72,154.9210 1705304 00GY Manistee-Benzie CMH 10 Benzie $5,961.46 $846.93 $1,024.18 $390.04 $66.66 $8,289.2711 1716175 00GF Berrien Mental Health 11 Berrien $54,419.56 $9,576.00 $15,993.84 $4,346.87 $733.00 $85,069.2712 1712372 00HL Pines Behavioral Health CMH 12 Branch $17,987.84 $2,750.60 $4,885.56 $1,521.31 $141.36 $27,286.6713 2920843 00HR Summit Pointe CMH 13 Calhoun $74,040.48 $12,190.02 $19,511.68 $5,062.40 $656.24 $111,460.8214 1706114 00HW Woodlands Behavioral Healthcare 14 Cass $11,205.60 $1,903.51 $3,705.57 $985.59 $178.24 $17,978.5115 1707185 00HF Northern Michigan CMH 15 Charlevoix $6,660.80 $743.82 $1,233.72 $425.04 $66.33 $9,129.7116 1707185 00HF Northern Michigan CMH 16 Cheboygan $8,937.80 $1,189.10 $2,459.16 $785.40 $103.18 $13,474.6417 1715919 00GO Hiawatha Behavioral Health Authority 17 Chippewa $14,441.14 $2,411.20 $4,054.40 $1,025.00 $129.61 $22,061.3518 4344340 00GG Central Michigan CMH 18 Clare $12,928.08 $1,983.76 $4,336.64 $1,298.70 $103.61 $20,650.7919 1708001 00BJ CEI CMH 19 Clinton $8,483.45 $1,392.82 $2,040.32 $506.16 $85.08 $12,507.8320 1707158 00HC North Central CMH 20 Crawford $5,839.04 $868.75 $1,657.26 $490.63 $81.90 $8,937.5821 1724945 00HJ Pathways CMH 21 Delta $31,851.20 $5,071.44 $8,417.68 $2,865.45 $348.32 $48,554.0922 3140186 00HG Northpointe CMH 22 Dickinson $11,470.80 $1,764.07 $2,927.26 $1,093.65 $101.12 $17,356.9023 1708001 00BJ CEI CMH 23 Eaton $17,152.96 $2,766.16 $4,407.41 $1,110.00 $226.88 $25,663.4124 1707185 00HF Northern Michigan CMH 24 Emmet $7,291.00 $996.82 $1,316.52 $406.56 $14.74 $10,025.6425 1705233 0028 Genesee County Health Dept 25 Genesee $76,997.52 $12,257.00 $25,234.43 $7,252.14 $854.62 $1.28 $122,596.9926 4344340 00GG Central Michigan CMH 26 Gladwin $9,541.68 $1,364.52 $2,347.52 $839.16 $151.43 $14,244.3127 1708119 00GL Gogebic County CMH 27 Gogebic $17,836.74 $2,326.05 $4,200.31 $1,540.56 $250.80 $26,154.4628 1705251 00GM Great Lakes CMH 28 Grand Traverse $25,702.25 $3,757.00 $5,031.80 $1,690.59 $210.29 $36,391.9329 1715955 00GN Gratiot County CMH 29 Gratiot $20,483.74 $3,255.42 $5,308.80 $1,356.74 $239.02 $30,643.7230 1712229 00GV Lifeways CMH 30 Hillsdale $14,400.36 $2,449.72 $4,011.28 $1,155.26 $215.60 $22,232.22

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Age Group

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Provider ID Agent ID Provider Name Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

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Age Group

31 1707962 00GI Copper County CMH 31 Houghton $12,132.60 $1,598.20 $2,951.12 $1,000.80 $133.05 $17,815.7732 1708128 00GP Huron Behavioral Health 32 Huron $12,259.26 $1,737.62 $2,580.28 $1,108.80 $89.30 $17,775.2633 1708001 00BJ CEI CMH 33 Ingham $69,484.55 $11,400.67 $21,016.89 $5,532.24 $1,035.14 $5.24 $108,474.7334 1715928 00GQ Ionia County CMH 34 Ionia $17,821.62 $3,134.04 $4,678.58 $1,266.58 $222.48 $1.71 $27,125.0135 1706830 00GC AuSable Valley CMH 35 Iosco $18,175.08 $2,725.56 $4,822.70 $1,929.20 $236.80 $27,889.3436 3140186 00HG Northpointe CMH 36 Iron $5,664.30 $903.76 $1,506.26 $649.85 $63.20 $8,787.3737 4344340 00GG Central Michigan CMH 37 Isabella $12,987.84 $2,827.68 $4,049.92 $1,208.79 $103.61 $21,177.8438 1712229 00GV Lifeways CMH 38 Jackson $57,913.56 $8,917.25 $13,543.58 $3,834.48 $470.40 $1.81 $84,681.0839 3402136 00GR Kalamazoo County CMH 39 Kalamazoo $72,679.59 $12,137.92 $20,756.05 $5,667.48 $637.56 $1.78 $111,880.3840 1712283 00GB Antrim-Kalkaska CMH 40 Kalkaska $6,639.35 $917.28 $1,598.58 $558.48 $68.48 $9,782.1741 1705430 00GS Kent County CMH 41 Kent $165,610.20 $26,730.08 $44,683.20 $11,488.50 $1,718.08 $4.56 $250,234.6242 1707962 00GI Copper County CMH 42 Keweenaw $709.12 $97.60 $169.49 $44.48 $17.74 $1,038.4343 3220732 00HV West Michigan CMH 43 Lake $5,384.45 $782.46 $1,678.05 $567.00 $99.44 $8,511.4044 1705242 00GT Lapeer County CMH 44 Lapeer $20,498.94 $2,873.20 $5,126.40 $1,466.16 $180.69 $30,145.3945 1705251 00GM Great Lakes CMH 45 Leelanau $5,944.37 $799.00 $1,570.70 $542.85 $111.33 $8,968.2546 1705270 00GU Lenawee County CMH 46 Lenawee $28,206.80 $4,475.36 $7,500.30 $2,011.92 $241.75 $42,436.1347 1707167 00GW Livingston County CMH 47 Livingston $40,127.88 $5,823.09 $9,309.02 $3,632.40 $410.55 $59,302.9448 1724945 00HJ Pathways CMH 48 Luce $7,344.00 $1,166.88 $2,569.35 $573.09 $87.08 $11,740.4049 1715919 00GO Hiawatha Behavioral Health Authority 49 Mackinac $3,569.79 $527.45 $672.00 $337.50 $39.88 $5,146.6250 3396315 00GX Macomb County CA 50 Macomb $141,950.20 $18,709.15 $38,689.68 $15,526.99 $3,066.12 $6.76 $217,948.9051 1705304 00GY Manistee-Benzie CMH 51 Manistee $10,680.66 $1,907.50 $2,897.68 $1,086.54 $155.54 $16,727.9252 1724945 00HJ Pathways CMH 52 Marquette $38,991.20 $7,300.48 $11,819.01 $3,192.93 $522.48 $61,826.1053 3220732 00HV West Michigan CMH 53 Mason $10,949.70 $1,583.55 $2,979.81 $1,043.28 $99.44 $16,655.7854 4344340 00GG Central Michigan CMH 54 Mecosta $12,564.54 $2,345.44 $4,668.16 $1,068.93 $143.46 $20,790.5355 3140186 00HG Northpointe CMH 55 Menominee $10,435.90 $2,007.39 $2,685.69 $855.90 $88.48 $16,073.3656 4344340 00GG Central Michigan CMH 56 Midland $17,449.92 $2,707.12 $5,196.80 $1,398.60 $223.16 $26,975.6057 1710547 00HX Monroe County CMH 58 Monroe $39,652.44 $6,270.95 $10,140.90 $2,967.38 $410.20 $59,441.8758 1712461 00GZ Montcalm Center Behavl. Hlt 59 Montcalm $14,634.75 $2,170.00 $3,668.76 $1,054.69 $75.84 $21,604.0459 1708100 00HE Northeast Michigan CMH 60 Montmorency $3,762.07 $658.05 $964.80 $594.13 $71.52 $6,050.5760 1712452 00HA Muskegon County CMH 61 Muskegon $74,809.80 $13,415.04 $20,160.14 $5,513.04 $516.20 $1.64 $114,415.86

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MA TANF Revenue by Provider ID by County by Age Group 26-Jun-2002 06:272002-07

Age Group

61 1708066 00HB Newaygo County CMH 62 Newaygo $29,268.48 $4,416.04 $7,510.60 $2,459.16 $397.88 $44,052.1662 1705289 0058 Oakland County CMHA 63 Oakland $138,063.76 $17,396.13 $34,769.90 $12,185.60 $2,713.20 $11.88 $205,140.4763 3220732 00HV West Michigan CMH 64 Oceana $16,921.75 $2,918.70 $5,705.37 $2,063.88 $461.04 $3.34 $28,074.0864 1706830 00GC AuSable Valley CMH 65 Ogemaw $15,643.32 $2,776.41 $4,855.96 $1,688.05 $162.80 $25,126.5465 1707962 00GI Copper County CMH 66 Ontonagon $2,498.54 $311.10 $578.26 $289.12 $26.61 $3,703.6366 4344340 00GG Central Michigan CMH 67 Osceola $8,436.12 $1,359.04 $2,464.00 $649.35 $127.52 $13,036.0367 1706830 00GC AuSable Valley CMH 68 Oscoda $5,876.64 $945.81 $1,596.48 $946.05 $118.40 $9,483.3868 1707185 00HF Northern Michigan CMH 69 Otsego $7,093.20 $1,168.86 $2,053.44 $582.12 $66.33 $10,963.9569 1712425 00HI Ottawa County CMH 70 Ottawa $57,173.93 $8,311.41 $11,349.01 $3,420.48 $389.76 $80,644.5970 1708100 00HE Northeast Michigan CMH 71 Presque Isle $3,599.96 $528.90 $603.00 $336.30 $17.88 $5,086.0471 1707158 00HC North Central CMH 72 Roscommon $10,860.16 $1,606.25 $3,713.49 $1,460.48 $127.40 $17,767.7872 1712541 00HQ Saginaw County CMH 73 Saginaw $60,673.05 $9,566.70 $17,455.68 $4,820.24 $539.60 $1.05 $93,056.3273 1708164 00HO St. Clair County CMH 74 St. Clair $125,194.52 $20,621.32 $35,185.29 $11,106.16 $1,835.25 $193,942.5474 1708146 00HP St. Joseph County CMH 75 St. Joseph $25,567.15 $4,120.20 $7,008.50 $1,731.30 $218.96 $1.76 $38,647.8775 1706849 00HM Sanilac County CMH 76 Sanilac $11,088.00 $1,809.40 $2,591.82 $1,050.72 $171.45 $16,711.3976 1715919 00GO Hiawatha Behavioral Health Authority 77 Schoolcraft $4,230.17 $685.00 $907.20 $412.50 $19.94 $6,254.8177 1712407 00HN Shiawassee County CMH 78 Shiawassee $21,481.30 $3,613.82 $6,061.32 $1,587.60 $153.85 $32,897.8978 1707130 00HS Tuscola County CMH 79 Tuscola $24,172.75 $3,645.36 $6,044.85 $2,296.20 $223.65 $1.96 $36,384.7779 1705298 00HT Van Buren County CMH 80 Van Buren $41,758.98 $7,139.20 $13,629.99 $4,683.58 $867.51 $5.91 $68,085.1780 1707176 00HU Washtenaw County CMH 81 Washtenaw $88,311.17 $13,518.93 $24,557.39 $7,010.12 $1,025.48 $6.10 $134,429.1981 3119549 00GJ Detroit-Wayne County CMH 82 Wayne $983,205.00 $126,003.15 $263,118.66 $84,369.60 $14,488.75 $83.20 $1,471,268.3682 1707158 00HC North Central CMH 83 Wexford $19,749.36 $3,343.75 $5,483.28 $1,528.94 $127.40 $30,232.7383 $0.0084 $0.0085

$3,230,839.67 $477,419.08 $871,785.19 $271,975.50 $42,100.89 $139.98 $4,894,260.31Check Values -

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, TANF Rev by County

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MACap - Rates: 97e - qSummary recordcode02 by CMHA - Rev - DD

Provider ID Agent ID Provider Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

1 1705233 0028 Genesee County Health Dept $53,975.00 $194,336.18 $1,226,887.00 $1,284,172.89 $701,245.26 $203,192.79 $3,663,809.122 1705242 00GT Lapeer County CMH $4,082.76 $25,471.48 $185,051.85 $179,935.32 $124,120.90 $45,064.11 $563,726.423 1705251 00GM Great Lakes CMH $6,119.36 $25,568.51 $170,375.13 $180,176.00 $120,262.86 $31,881.24 $534,383.104 1705260 00GD Barry County CMH $961.04 $7,659.47 $30,987.24 $42,390.81 $26,513.07 $6,134.34 $114,645.975 1705270 00GU Lenawee County CMH $7,715.16 $36,305.01 $237,235.33 $218,367.92 $159,290.55 $37,461.48 $696,375.456 1705289 0058 Oakland County CMHA $67,694.00 $402,025.00 $2,582,507.70 $2,740,858.35 $1,849,224.15 $709,742.32 $8,352,051.527 1705298 00HT Van Buren County CMH $4,282.56 $20,402.62 $112,710.51 $134,914.62 $102,524.00 $29,091.54 $403,925.858 1705304 00GY Manistee-Benzie CMH $5,804.13 $33,173.46 $209,196.00 $261,593.31 $219,379.24 $50,438.96 $779,585.109 1705322 00GE Bay-Arenac CMH $10,679.68 $58,617.79 $397,145.79 $463,923.37 $274,253.98 $73,831.65 $1,278,452.2610 1705430 00GS Kent County CMH $44,296.56 $198,534.00 $978,290.04 $960,872.55 $562,831.20 $178,046.42 $2,922,870.7711 1706114 00HW Woodlands Behavioral Healthcare $3,622.08 $16,890.00 $102,023.71 $116,110.32 $76,030.56 $18,787.65 $333,464.3212 1706830 00GC AuSable Valley CMH $2,761.50 $15,527.58 $93,144.11 $147,673.11 $94,383.52 $20,142.49 $373,632.3113 1706849 00HM Sanilac County CMH $8,364.72 $43,904.44 $244,120.21 $350,955.84 $264,738.66 $69,430.28 $981,514.1514 1707130 00HS Tuscola County CMH $7,334.64 $39,730.20 $191,073.28 $201,752.56 $142,443.54 $30,184.20 $612,518.4215 1707158 00HC North Central CMH $4,965.00 $26,814.44 $176,380.29 $244,372.15 $150,584.61 $35,015.04 $638,131.5316 1707167 00GW Livingston County CMH $4,576.29 $44,042.70 $188,647.20 $187,936.19 $105,702.80 $24,075.54 $554,980.7217 1707176 00HU Washtenaw County CMH $15,593.52 $91,799.46 $494,551.77 $570,742.62 $313,329.84 $102,112.64 $1,588,129.8518 1707185 00HF Northern Michigan CMH $6,993.00 $40,410.06 $247,734.96 $260,566.20 $195,277.54 $49,099.12 $800,080.8819 1707962 00GI Copper County CMH $3,654.56 $25,740.72 $142,626.50 $188,952.83 $169,551.55 $59,369.44 $589,895.6020 1708001 00BJ CEI CMH $22,821.52 $114,057.00 $601,871.28 $662,754.32 $385,808.67 $103,280.15 $1,890,592.9421 1708066 00HB Newaygo County CMH $2,300.56 $11,311.80 $70,437.50 $102,239.54 $61,163.28 $15,455.11 $262,907.7922 1708100 00HE Northeast Michigan CMH $7,596.84 $44,395.20 $298,123.98 $380,340.61 $260,898.02 $76,865.10 $1,068,219.7523 1708119 00GL Gogebic County CMH $1,899.80 $9,196.77 $71,527.23 $93,276.64 $55,343.52 $23,896.53 $255,140.4924 1708128 00GP Huron Behavioral Health $2,041.49 $14,664.96 $85,684.95 $110,811.80 $84,920.43 $27,706.14 $325,829.7725 1708146 00HP St. Joseph County CMH $3,311.88 $23,607.51 $129,411.63 $141,169.98 $97,444.00 $29,262.07 $424,207.0726 1708164 00HO St. Clair County CMH $15,741.66 $85,861.72 $498,490.44 $560,669.76 $361,290.80 $80,015.85 $1,602,070.2327 1709690 00GA Allegan County CMH $7,512.03 $40,926.76 $226,396.35 $225,043.92 $176,899.78 $46,660.60 $723,439.4428 1710547 00HX Monroe County CMH $12,336.64 $60,283.85 $368,553.51 $385,513.92 $223,260.45 $60,946.70 $1,110,895.0729 1712229 00GV Lifeways CMH $15,736.05 $68,389.73 $398,640.54 $398,302.96 $264,376.32 $72,899.96 $1,218,345.5630 1712283 00GB Antrim-Kalkaska CMH $4,325.86 $22,861.02 $110,176.80 $148,380.50 $116,089.53 $27,730.76 $429,564.47

MA DD Revenue by Provider ID by Age Group 26-Jun-2002 06:272002-07

Age Group

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, DD Rev by Provider

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31 1712372 00HL Pines Behavioral Health CMH $4,134.78 $20,317.44 $139,789.17 $139,508.07 $94,018.71 $28,642.30 $426,410.4732 1712407 00HN Shiawassee County CMH $5,095.35 $29,279.64 $158,631.60 $162,038.88 $92,611.45 $22,798.10 $470,455.0233 1712425 00HI Ottawa County CMH $12,147.52 $95,313.40 $454,286.42 $447,374.40 $257,200.83 $61,401.01 $1,327,723.5834 1712452 00HA Muskegon County CMH $13,946.90 $60,250.32 $417,168.72 $465,630.10 $276,468.50 $63,884.64 $1,297,349.1835 1712461 00GZ Montcalm Center Behavl. Hlt $2,452.95 $9,593.73 $58,614.24 $67,179.63 $42,830.04 $10,079.54 $190,750.1336 1712541 00HQ Saginaw County CMH $18,595.08 $78,670.25 $441,616.04 $445,497.03 $242,622.64 $78,263.37 $1,305,264.4137 1715919 00GO Hiawatha Behavioral Health Authority $3,696.84 $16,647.67 $141,496.88 $171,254.45 $120,784.88 $31,523.31 $485,404.0338 1715928 00GQ Ionia County CMH $4,326.40 $26,770.24 $157,393.64 $149,027.58 $110,180.51 $25,059.20 $472,757.5739 1715955 00GN Gratiot County CMH $5,120.50 $23,226.00 $149,815.38 $156,186.76 $114,750.46 $33,230.88 $482,329.9840 1716175 00GF Berrien Mental Health $18,040.82 $62,927.88 $350,232.48 $415,720.17 $274,714.88 $83,781.16 $1,205,417.3941 1724945 00HJ Pathways CMH $10,272.96 $73,187.80 $407,472.88 $489,927.99 $353,984.04 $94,343.46 $1,429,189.1342 2920843 00HR Summit Pointe CMH $6,887.79 $33,133.68 $192,653.25 $212,072.00 $129,113.04 $36,344.00 $610,203.7643 3119549 00GJ Detroit-Wayne County CMH $181,302.66 $642,030.43 $4,111,003.50 $4,897,462.12 $3,256,492.59 $1,067,305.20 $14,155,596.5044 3140186 00HG Northpointe CMH $4,654.02 $23,651.68 $137,374.47 $187,244.73 $140,500.08 $44,487.81 $537,912.7945 3220732 00HV West Michigan CMH $4,417.40 $22,703.16 $129,103.44 $156,760.86 $113,685.00 $29,651.40 $456,321.2646 3396315 00GX Macomb County CA $44,818.28 $246,645.08 $1,592,480.16 $1,821,463.21 $1,238,398.20 $420,223.08 $5,364,028.0147 3402136 00GR Kalamazoo County CMH $21,003.12 $92,877.82 $580,405.92 $649,476.66 $402,422.84 $113,823.92 $1,860,010.2848 4344340 00GG Central Michigan CMH $28,841.70 $153,051.55 $945,814.76 $1,019,898.88 $695,310.00 $173,795.00 $3,016,711.8949

50

State Subtotals $748,854.96 $3,552,787.21 $21,435,355.78 $23,998,494.43 $15,695,271.32 $4,756,457.60 $70,187,221.30

Check Values -

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, DD Rev by Provider

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MACap - Rates: 97f - qSummary recordcode02 by CA by County - Rev - DD

Provider ID Agent ID Provider Name Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

1 1708100 00HE Northeast Michigan CMH 01 Alcona $1,330.52 $3,083.00 $34,368.18 $52,574.08 $45,844.70 $15,373.02 $152,573.502 1724945 00HJ Pathways CMH 02 Alger $626.40 $1,799.70 $33,437.66 $34,366.89 $29,600.04 $11,888.81 $111,719.503 1709690 00GA Allegan County CMH 03 Allegan $7,512.03 $40,926.76 $226,396.35 $225,043.92 $176,899.78 $46,660.60 $723,439.444 1708100 00HE Northeast Michigan CMH 04 Alpena $3,819.88 $26,822.10 $179,034.24 $209,474.85 $120,863.30 $33,505.30 $573,519.675 1712283 00GB Antrim-Kalkaska CMH 05 Antrim $1,918.07 $13,775.23 $53,188.80 $80,437.85 $49,526.25 $11,616.94 $210,463.146 1705322 00GE Bay-Arenac CMH 06 Arenac $1,638.36 $7,408.94 $50,278.77 $73,740.01 $49,784.02 $14,766.33 $197,616.437 1707962 00GI Copper County CMH 07 Baraga $281.12 $2,523.60 $17,010.50 $25,552.34 $24,562.80 $10,647.78 $80,578.148 1705260 00GD Barry County CMH 08 Barry $961.04 $7,659.47 $30,987.24 $42,390.81 $26,513.07 $6,134.34 $114,645.979 1705322 00GE Bay-Arenac CMH 09 Bay $9,041.32 $51,208.85 $346,867.02 $390,183.36 $224,469.96 $59,065.32 $1,080,835.8310 1705304 00GY Manistee-Benzie CMH 10 Benzie $1,934.71 $10,758.96 $65,083.20 $80,030.83 $67,874.24 $23,499.97 $249,181.9111 1716175 00GF Berrien Mental Health 11 Berrien $18,040.82 $62,927.88 $350,232.48 $415,720.17 $274,714.88 $83,781.16 $1,205,417.3912 1712372 00HL Pines Behavioral Health CMH 12 Branch $4,134.78 $20,317.44 $139,789.17 $139,508.07 $94,018.71 $28,642.30 $426,410.4713 2920843 00HR Summit Pointe CMH 13 Calhoun $6,887.79 $33,133.68 $192,653.25 $212,072.00 $129,113.04 $36,344.00 $610,203.7614 1706114 00HW Woodlands Behavioral Healthcare 14 Cass $3,622.08 $16,890.00 $102,023.71 $116,110.32 $76,030.56 $18,787.65 $333,464.3215 1707185 00HF Northern Michigan CMH 15 Charlevoix $1,616.16 $8,707.14 $55,566.72 $46,997.10 $50,102.12 $12,560.24 $175,549.4816 1707185 00HF Northern Michigan CMH 16 Cheboygan $2,113.44 $10,716.48 $79,877.16 $84,475.80 $58,553.08 $14,273.00 $250,008.9617 1715919 00GO Hiawatha Behavioral Health Authority 17 Chippewa $2,435.22 $12,854.53 $83,586.96 $113,420.98 $71,787.24 $19,668.39 $303,753.3218 4344340 00GG Central Michigan CMH 18 Clare $4,996.20 $21,204.30 $166,328.08 $223,827.24 $136,710.00 $30,935.51 $584,001.3319 1708001 00BJ CEI CMH 19 Clinton $1,907.85 $9,787.50 $54,807.84 $57,373.80 $27,696.37 $7,174.55 $158,747.9120 1707158 00HC North Central CMH 20 Crawford $953.28 $4,706.79 $24,774.59 $41,805.50 $21,016.29 $6,382.95 $99,639.4021 1724945 00HJ Pathways CMH 21 Delta $3,507.84 $27,295.45 $132,973.02 $169,436.76 $116,778.24 $30,680.80 $480,672.1122 3140186 00HG Northpointe CMH 22 Dickinson $2,026.24 $9,779.06 $56,600.64 $86,653.71 $46,116.00 $13,956.96 $215,132.6123 1708001 00BJ CEI CMH 23 Eaton $3,906.55 $16,704.00 $101,496.00 $94,927.56 $59,097.35 $12,346.90 $288,478.3624 1707185 00HF Northern Michigan CMH 24 Emmet $1,491.84 $10,046.70 $57,882.00 $67,223.70 $51,913.04 $13,416.62 $201,973.9025 1705233 0028 Genesee County Health Dept 25 Genesee $53,975.00 $194,336.18 $1,226,887.00 $1,284,172.89 $701,245.26 $203,192.79 $3,663,809.1226 4344340 00GG Central Michigan CMH 26 Gladwin $2,346.70 $14,679.90 $106,421.78 $130,384.80 $99,592.50 $21,202.99 $374,628.6727 1708119 00GL Gogebic County CMH 27 Gogebic $1,899.80 $9,196.77 $71,527.23 $93,276.64 $55,343.52 $23,896.53 $255,140.4928 1705251 00GM Great Lakes CMH 28 Grand Traverse $5,001.40 $21,764.93 $147,914.10 $156,527.90 $104,265.90 $27,018.00 $462,492.2329 1715955 00GN Gratiot County CMH 29 Gratiot $5,120.50 $23,226.00 $149,815.38 $156,186.76 $114,750.46 $33,230.88 $482,329.9830 1712229 00GV Lifeways CMH 30 Hillsdale $3,085.50 $15,952.68 $88,076.20 $80,290.32 $65,095.68 $17,941.70 $270,442.08

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Age Group

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MACap - Rates: 97f - qSummary recordcode02 by CA by County - Rev - DD

Provider ID Agent ID Provider Name Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

MA DD Revenue by Provider ID by County by Age Group 26-Jun-2002 06:272002-07

Age Group

31 1707962 00GI Copper County CMH 31 Houghton $2,424.66 $17,412.84 $98,137.50 $125,071.98 $113,261.80 $35,169.94 $391,478.7232 1708128 00GP Huron Behavioral Health 32 Huron $2,041.49 $14,664.96 $85,684.95 $110,811.80 $84,920.43 $27,706.14 $325,829.7733 1708001 00BJ CEI CMH 33 Ingham $17,007.12 $87,565.50 $445,567.44 $510,452.96 $299,014.95 $83,758.70 $1,443,366.6734 1715928 00GQ Ionia County CMH 34 Ionia $4,326.40 $26,770.24 $157,393.64 $149,027.58 $110,180.51 $25,059.20 $472,757.5735 1706830 00GC AuSable Valley CMH 35 Iosco $1,262.40 $5,780.34 $45,837.48 $55,566.16 $38,458.22 $7,100.59 $154,005.1936 3140186 00HG Northpointe CMH 36 Iron $1,139.76 $5,230.66 $32,427.45 $41,205.96 $43,349.04 $11,921.57 $135,274.4437 4344340 00GG Central Michigan CMH 37 Isabella $6,699.45 $32,350.15 $206,500.54 $168,051.52 $120,907.50 $34,063.82 $568,572.9838 1712229 00GV Lifeways CMH 38 Jackson $12,650.55 $52,437.05 $310,564.34 $318,012.64 $199,280.64 $54,958.26 $947,903.4839 3402136 00GR Kalamazoo County CMH 39 Kalamazoo $21,003.12 $92,877.82 $580,405.92 $649,476.66 $402,422.84 $113,823.92 $1,860,010.2840 1712283 00GB Antrim-Kalkaska CMH 40 Kalkaska $2,407.79 $9,085.79 $56,988.00 $67,942.65 $66,563.28 $16,113.82 $219,101.3341 1705430 00GS Kent County CMH 41 Kent $44,296.56 $198,534.00 $978,290.04 $960,872.55 $562,831.20 $178,046.42 $2,922,870.7742 1707962 00GI Copper County CMH 42 Keweenaw $245.98 $252.36 $4,579.75 $5,379.44 $7,846.45 $2,903.94 $21,207.9243 3220732 00HV West Michigan CMH 43 Lake $1,155.32 $5,736.82 $34,490.87 $54,638.64 $34,815.00 $9,207.54 $140,044.1944 1705242 00GT Lapeer County CMH 44 Lapeer $4,082.76 $25,471.48 $185,051.85 $179,935.32 $124,120.90 $45,064.11 $563,726.4245 1705251 00GM Great Lakes CMH 45 Leelanau $1,117.96 $3,803.58 $22,461.03 $23,648.10 $15,996.96 $4,863.24 $71,890.8746 1705270 00GU Lenawee County CMH 46 Lenawee $7,715.16 $36,305.01 $237,235.33 $218,367.92 $159,290.55 $37,461.48 $696,375.4547 1707167 00GW Livingston County CMH 47 Livingston $4,576.29 $44,042.70 $188,647.20 $187,936.19 $105,702.80 $24,075.54 $554,980.7248 1724945 00HJ Pathways CMH 48 Luce $1,670.40 $5,999.00 $32,660.04 $48,753.03 $40,142.52 $18,024.97 $147,249.9649 1715919 00GO Hiawatha Behavioral Health Authority 49 Mackinac $586.80 $1,264.38 $20,760.16 $29,758.97 $18,231.68 $4,310.88 $74,912.8750 3396315 00GX Macomb County CA 50 Macomb $44,818.28 $246,645.08 $1,592,480.16 $1,821,463.21 $1,238,398.20 $420,223.08 $5,364,028.0151 1705304 00GY Manistee-Benzie CMH 51 Manistee $3,869.42 $22,414.50 $144,112.80 $181,562.48 $151,505.00 $26,938.99 $530,403.1952 1724945 00HJ Pathways CMH 52 Marquette $4,468.32 $38,093.65 $208,402.16 $237,371.31 $167,463.24 $33,748.88 $689,547.5653 3220732 00HV West Michigan CMH 53 Mason $1,461.14 $9,642.74 $47,780.93 $42,605.13 $32,670.00 $8,739.36 $142,899.3054 4344340 00GG Central Michigan CMH 54 Mecosta $5,828.90 $26,369.45 $136,727.32 $160,807.92 $101,430.00 $28,849.97 $460,013.5655 3140186 00HG Northpointe CMH 55 Menominee $1,488.02 $8,641.96 $48,346.38 $59,385.06 $51,035.04 $18,609.28 $187,505.7456 4344340 00GG Central Michigan CMH 56 Midland $5,942.45 $41,049.35 $230,463.06 $228,173.40 $154,350.00 $29,892.74 $689,871.0057 1710547 00HX Monroe County CMH 58 Monroe $12,336.64 $60,283.85 $368,553.51 $385,513.92 $223,260.45 $60,946.70 $1,110,895.0758 1712461 00GZ Montcalm Center Behavl. Hlt 59 Montcalm $2,452.95 $9,593.73 $58,614.24 $67,179.63 $42,830.04 $10,079.54 $190,750.1359 1708100 00HE Northeast Michigan CMH 60 Montmorency $1,459.28 $6,166.00 $31,171.14 $56,681.43 $47,511.78 $15,373.02 $158,362.6560 1712452 00HA Muskegon County CMH 61 Muskegon $13,946.90 $60,250.32 $417,168.72 $465,630.10 $276,468.50 $63,884.64 $1,297,349.18

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MACap - Rates: 97f - qSummary recordcode02 by CA by County - Rev - DD

Provider ID Agent ID Provider Name Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

MA DD Revenue by Provider ID by County by Age Group 26-Jun-2002 06:272002-07

Age Group

61 1708066 00HB Newaygo County CMH 62 Newaygo $2,300.56 $11,311.80 $70,437.50 $102,239.54 $61,163.28 $15,455.11 $262,907.7962 1705289 0058 Oakland County CMHA 63 Oakland $67,694.00 $402,025.00 $2,582,507.70 $2,740,858.35 $1,849,224.15 $709,742.32 $8,352,051.5263 3220732 00HV West Michigan CMH 64 Oceana $1,800.94 $7,323.60 $46,831.64 $59,517.09 $46,200.00 $11,704.50 $173,377.7764 1706830 00GC AuSable Valley CMH 65 Ogemaw $836.34 $8,273.82 $33,202.79 $65,531.83 $40,450.08 $9,564.06 $157,858.9265 1707962 00GI Copper County CMH 66 Ontonagon $702.80 $5,551.92 $22,898.75 $32,949.07 $23,880.50 $10,647.78 $96,630.8266 4344340 00GG Central Michigan CMH 67 Osceola $3,028.00 $17,398.40 $99,373.98 $108,654.00 $82,320.00 $28,849.97 $339,624.3567 1706830 00GC AuSable Valley CMH 68 Oscoda $662.76 $1,473.42 $14,103.84 $26,575.12 $15,475.22 $3,477.84 $61,768.2068 1707185 00HF Northern Michigan CMH 69 Otsego $1,771.56 $10,939.74 $54,409.08 $61,869.60 $34,709.30 $8,849.26 $172,548.5469 1712425 00HI Ottawa County CMH 70 Ottawa $12,147.52 $95,313.40 $454,286.42 $447,374.40 $257,200.83 $61,401.01 $1,327,723.5870 1708100 00HE Northeast Michigan CMH 71 Presque Isle $987.16 $8,324.10 $53,550.42 $61,610.25 $46,678.24 $12,613.76 $183,763.9371 1707158 00HC North Central CMH 72 Roscommon $1,608.66 $8,843.06 $64,339.98 $83,991.05 $52,251.51 $11,306.94 $222,341.2072 1712541 00HQ Saginaw County CMH 73 Saginaw $18,595.08 $78,670.25 $441,616.04 $445,497.03 $242,622.64 $78,263.37 $1,305,264.4173 1708164 00HO St. Clair County CMH 74 St. Clair $15,741.66 $85,861.72 $498,490.44 $560,669.76 $361,290.80 $80,015.85 $1,602,070.2374 1708146 00HP St. Joseph County CMH 75 St. Joseph $3,311.88 $23,607.51 $129,411.63 $141,169.98 $97,444.00 $29,262.07 $424,207.0775 1706849 00HM Sanilac County CMH 76 Sanilac $8,364.72 $43,904.44 $244,120.21 $350,955.84 $264,738.66 $69,430.28 $981,514.1576 1715919 00GO Hiawatha Behavioral Health Authority 77 Schoolcraft $674.82 $2,528.76 $37,149.76 $28,074.50 $30,765.96 $7,544.04 $106,737.8477 1712407 00HN Shiawassee County CMH 78 Shiawassee $5,095.35 $29,279.64 $158,631.60 $162,038.88 $92,611.45 $22,798.10 $470,455.0278 1707130 00HS Tuscola County CMH 79 Tuscola $7,334.64 $39,730.20 $191,073.28 $201,752.56 $142,443.54 $30,184.20 $612,518.4279 1705298 00HT Van Buren County CMH 80 Van Buren $4,282.56 $20,402.62 $112,710.51 $134,914.62 $102,524.00 $29,091.54 $403,925.8580 1707176 00HU Washtenaw County CMH 81 Washtenaw $15,593.52 $91,799.46 $494,551.77 $570,742.62 $313,329.84 $102,112.64 $1,588,129.8581 3119549 00GJ Detroit-Wayne County CMH 82 Wayne $181,302.66 $642,030.43 $4,111,003.50 $4,897,462.12 $3,256,492.59 $1,067,305.20 $14,155,596.5082 1707158 00HC North Central CMH 83 Wexford $2,403.06 $13,264.59 $87,265.72 $118,575.60 $77,316.81 $17,325.15 $316,150.9383 $0.0084 $0.0085

$748,854.96 $3,552,787.21 $21,435,355.78 $23,998,494.43 $15,695,271.32 $4,756,457.60 $70,187,221.30Check Values -

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, DD Rev by County

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MACap - Rates: 97g - qSummary recordcode02 by CMHA - Rev - SA

Provider ID Agent ID CA_ProviderName 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

1 1705233 00hz Genesee County Health Dept $5,933.82 $8,338.50 $56,289.37 $50,468.64 $12,228.01 $468.72 $133,727.062 1705289 00if Oakland County Health Div $6,245.97 $8,498.14 $56,735.00 $53,686.91 $15,927.23 $1,245.30 $142,338.553 1705430 00id Mink Substance Abuse Coordinating Agency $7,545.48 $11,216.51 $59,866.40 $47,388.60 $12,107.20 $657.47 $138,781.664 1707176 00hu Washtenaw County CMH $1,966.84 $3,233.80 $18,280.74 $18,704.98 $4,805.05 $296.80 $47,288.215 1707962 00il Western U.P. SAS $1,264.20 $1,995.27 $10,476.63 $9,736.68 $2,803.88 $261.80 $26,538.466 1708001 00ic Mid-South CA $7,575.12 $10,979.60 $61,984.94 $53,576.62 $14,856.45 $744.30 $149,717.037 1708164 00ii St. Clair County Health Dept. CA $2,486.95 $3,751.53 $20,137.46 $18,451.34 $5,186.57 $281.70 $50,295.558 1710547 00ih Southeast MI Community Alliance $10,981.87 $13,989.82 $96,318.36 $104,850.30 $31,713.10 $1,549.92 $259,403.379 1712452 00ib Lakeshore CA $6,674.62 $10,231.88 $57,381.31 $51,648.76 $14,634.40 $811.47 $141,382.4410 1712541 00ig Saginaw County Health Dept $4,656.88 $8,211.40 $51,720.42 $52,303.87 $14,029.51 $677.67 $131,599.7511 1724945 00hy Eastern U.P. Substance Abuse $1,426.20 $2,554.50 $13,049.43 $11,451.65 $3,374.87 $241.20 $32,097.8512 3119549 00xo Detroit Health Department $29,150.42 $33,249.72 $231,266.88 $258,838.44 $82,535.99 $3,342.48 $638,383.9313 3396315 00gx Macomb County CA $4,971.26 $6,915.15 $45,085.31 $43,856.07 $12,133.20 $846.02 $113,807.0114 3402136 00gr Kalamazoo County CMH $3,953.04 $6,103.17 $33,944.60 $27,418.94 $7,019.28 $365.86 $78,804.8915 4344340 00ie Northern Michigan CA $6,350.06 $10,184.85 $57,471.55 $53,114.50 $14,830.92 $742.56 $142,694.4416 $0.00

State Subtotals $101,182.73 $139,453.84 $870,008.40 $855,496.30 $248,185.66 $12,533.27 $2,226,860.20

Check Values -

MA SA Revenue by Provider ID by Age Group 26-Jun-2002 06:272002-07

Age Group

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MACap - Rates: 96h - qSummary recordcode02 by CA by County - Pop - SA

Provider ID Agent ID CA_ProviderName Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

1 4344340 00ie Northern Michigan CA 01 Alcona $77.14 $105.36 $720.60 $759.67 $250.50 $13.12 $1,926.392 1724945 00hy Eastern U.P. Substance Abuse 02 Alger $54.14 $74.55 $628.84 $545.65 $168.77 $15.12 $1,487.073 1712452 00ib Lakeshore CA 03 Allegan $648.85 $946.94 $5,104.83 $4,282.72 $1,434.26 $89.10 $12,506.704 4344340 00ie Northern Michigan CA 04 Alpena $229.42 $457.65 $2,739.26 $2,777.79 $661.52 $35.28 $6,900.925 4344340 00ie Northern Michigan CA 05 Antrim $162.80 $224.37 $859.61 $1,012.78 $292.59 $19.12 $2,571.276 4344340 00ie Northern Michigan CA 06 Arenac $144.36 $245.75 $1,293.10 $1,511.41 $394.05 $21.68 $3,610.357 1707962 00il Western U.P. SAS 07 Baraga $107.85 $150.47 $750.55 $535.14 $221.13 $17.71 $1,782.858 3402136 00gr Kalamazoo County CMH 08 Barry $389.16 $718.07 $3,234.18 $2,969.23 $700.50 $39.93 $8,051.079 1712541 00ig Saginaw County Health Dept 09 Bay $1,032.40 $2,168.45 $13,988.10 $15,054.24 $4,214.09 $219.87 $36,677.1510 4344340 00ie Northern Michigan CA 10 Benzie $102.76 $132.28 $681.11 $711.44 $254.82 $14.32 $1,896.7311 1712452 00ib Lakeshore CA 11 Berrien $1,848.31 $2,629.03 $15,072.51 $13,714.12 $4,027.91 $218.35 $37,510.2312 3402136 00gr Kalamazoo County CMH 12 Branch $457.68 $654.44 $3,910.82 $3,066.04 $788.16 $48.51 $8,925.6513 1708001 00ic Mid-South CA 13 Calhoun $1,312.18 $1,972.68 $11,352.06 $10,481.53 $2,910.86 $135.72 $28,165.0314 1712452 00ib Lakeshore CA 14 Cass $459.95 $702.80 $4,148.70 $3,472.04 $964.49 $55.44 $9,803.4215 4344340 00ie Northern Michigan CA 15 Charlevoix $169.20 $209.83 $1,189.84 $917.30 $378.99 $21.28 $2,886.4416 4344340 00ie Northern Michigan CA 16 Cheboygan $235.94 $310.81 $2,047.64 $1,664.67 $448.42 $27.76 $4,735.2417 1724945 00hy Eastern U.P. Substance Abuse 17 Chippewa $313.50 $481.73 $2,564.92 $2,193.42 $580.27 $34.11 $6,167.9518 4344340 00ie Northern Michigan CA 18 Clare $300.60 $490.14 $3,392.75 $3,265.73 $831.11 $29.28 $8,309.6119 1708001 00ic Mid-South CA 19 Clinton $279.70 $387.32 $2,064.68 $1,786.64 $395.84 $25.29 $4,939.4720 4344340 00ie Northern Michigan CA 20 Crawford $121.80 $178.00 $1,057.81 $1,144.68 $255.87 $12.24 $2,770.4021 1724945 00hy Eastern U.P. Substance Abuse 21 Delta $291.28 $530.22 $2,615.22 $2,455.45 $669.84 $50.67 $6,612.6822 1707962 00il Western U.P. SAS 22 Dickinson $281.40 $449.49 $2,317.10 $2,286.57 $458.32 $47.96 $5,840.8423 1708001 00ic Mid-South CA 23 Eaton $504.76 $715.36 $4,109.68 $3,144.31 $864.38 $53.64 $9,392.1324 4344340 00ie Northern Michigan CA 24 Emmet $169.58 $275.51 $1,254.28 $1,174.62 $375.10 $31.84 $3,280.9325 1705233 00hz Genesee County Health Dept 25 Genesee $5,933.82 $8,338.50 $56,289.37 $50,468.64 $12,228.01 $468.72 $133,727.0626 4344340 00ie Northern Michigan CA 26 Gladwin $216.30 $330.65 $1,986.16 $1,959.86 $619.37 $25.84 $5,138.1827 1707962 00il Western U.P. SAS 27 Gogebic $222.45 $338.32 $1,859.97 $1,806.49 $428.06 $48.84 $4,704.1328 4344340 00ie Northern Michigan CA 28 Grand Traverse $447.70 $613.65 $3,173.22 $2,898.68 $823.15 $48.64 $8,005.0429 1708001 00ic Mid-South CA 29 Gratiot $290.14 $458.39 $2,687.24 $2,303.06 $765.85 $51.21 $6,555.8930 1708001 00ic Mid-South CA 30 Hillsdale $333.24 $542.30 $2,920.47 $2,337.72 $821.70 $40.68 $6,996.11

MA SA Population by Provider ID by County by Age Group 26-Jun-2002 06:272002-07

Age Group

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MACap - Rates: 96h - qSummary recordcode02 by CA by County - Pop - SA

Provider ID Agent ID CA_ProviderName Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

MA SA Population by Provider ID by County by Age Group 26-Jun-2002 06:272002-07

Age Group

31 1707962 00il Western U.P. SAS 31 Houghton $390.90 $637.34 $3,414.16 $2,987.49 $998.51 $74.03 $8,502.4332 1708164 00ii St. Clair County Health Dept. CA 32 Huron $231.22 $407.86 $1,935.64 $2,144.86 $662.35 $45.81 $5,427.7433 1708001 00ic Mid-South CA 33 Ingham $2,373.30 $3,434.99 $18,784.21 $16,604.79 $4,336.88 $199.26 $45,733.4334 1705430 00id Mink Substance Abuse Coordinating Agency 34 Ionia $509.68 $842.20 $4,335.50 $3,280.68 $1,002.78 $44.44 $10,015.2835 4344340 00ie Northern Michigan CA 35 Iosco $226.82 $351.32 $2,133.78 $2,130.44 $572.96 $28.72 $5,444.0436 1707962 00il Western U.P. SAS 36 Iron $148.35 $246.23 $1,230.34 $1,181.00 $417.09 $45.21 $3,268.2237 4344340 00ie Northern Michigan CA 37 Isabella $354.46 $687.24 $3,652.22 $2,607.70 $733.91 $33.76 $8,069.2938 1708001 00ic Mid-South CA 38 Jackson $1,381.54 $1,765.77 $10,097.98 $8,901.58 $2,480.62 $118.80 $24,746.2939 3402136 00gr Kalamazoo County CMH 39 Kalamazoo $2,338.56 $3,536.91 $20,600.94 $16,930.01 $4,337.70 $213.07 $47,957.1940 4344340 00ie Northern Michigan CA 40 Kalkaska $156.32 $197.13 $1,130.28 $1,025.57 $377.20 $16.96 $2,903.4641 1705430 00id Mink Substance Abuse Coordinating Agency 41 Kent $5,852.69 $8,681.06 $46,082.99 $34,944.00 $8,682.45 $497.09 $104,740.2842 1707962 00il Western U.P. SAS 42 Keweenaw $26.40 $32.83 $182.17 $129.52 $71.98 $6.93 $449.8343 4344340 00ie Northern Michigan CA 43 Lake $132.36 $214.80 $1,334.59 $1,655.60 $479.77 $18.88 $3,836.0044 1708164 00ii St. Clair County Health Dept. CA 44 Lapeer $376.19 $531.89 $3,359.30 $2,587.89 $731.29 $47.79 $7,634.3545 4344340 00ie Northern Michigan CA 45 Leelanau $97.40 $128.25 $707.98 $548.31 $137.07 $10.00 $1,629.0146 1708001 00ic Mid-South CA 46 Lenawee $630.60 $905.16 $5,536.86 $4,366.97 $1,371.67 $66.24 $12,877.5047 1707176 00hu Washtenaw County CMH 47 Livingston $436.36 $774.21 $3,765.03 $3,657.84 $897.03 $62.72 $9,593.1948 1724945 00hy Eastern U.P. Substance Abuse 48 Luce $81.26 $126.75 $733.24 $636.71 $227.96 $14.67 $1,820.5949 1724945 00hy Eastern U.P. Substance Abuse 49 Mackinac $74.11 $81.52 $505.34 $621.00 $148.76 $12.87 $1,443.6050 3396315 00gx Macomb County CA 50 Macomb $4,971.26 $6,915.15 $45,085.31 $43,856.07 $12,133.20 $846.02 $113,807.0151 4344340 00ie Northern Michigan CA 51 Manistee $174.18 $331.42 $1,691.88 $1,692.99 $571.54 $25.20 $4,487.2152 1724945 00hy Eastern U.P. Substance Abuse 52 Marquette $367.51 $783.82 $3,850.01 $3,208.76 $958.56 $61.11 $9,229.7753 4344340 00ie Northern Michigan CA 53 Mason $235.54 $377.55 $2,120.30 $1,612.56 $447.37 $27.28 $4,820.6054 4344340 00ie Northern Michigan CA 54 Mecosta $327.42 $601.36 $3,285.39 $2,418.51 $632.70 $31.60 $7,296.9855 1724945 00hy Eastern U.P. Substance Abuse 55 Menominee $161.67 $325.65 $1,362.27 $1,161.10 $379.13 $33.84 $3,423.6656 4344340 00ie Northern Michigan CA 56 Midland $494.68 $714.09 $4,343.28 $3,390.67 $972.44 $46.24 $9,961.4057 4344340 00ie Northern Michigan CA 57 Missaukee $20.24 $20.2458 1710547 00ih Southeast MI Community Alliance 58 Monroe $880.46 $1,446.67 $8,827.98 $8,891.80 $2,441.96 $138.40 $22,627.2759 1705430 00id Mink Substance Abuse Coordinating Agency 59 Montcalm $635.29 $884.86 $5,087.46 $4,531.56 $1,218.82 $57.86 $12,415.8560 4344340 00ie Northern Michigan CA 60 Montmorency $84.20 $145.81 $622.41 $873.12 $260.56 $14.40 $2,000.50

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Provider ID Agent ID CA_ProviderName Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

MA SA Population by Provider ID by County by Age Group 26-Jun-2002 06:272002-07

Age Group

61 1712452 00ib Lakeshore CA 61 Muskegon $1,938.24 $3,147.68 $18,345.36 $17,344.78 $4,669.01 $209.33 $45,654.4062 1705430 00id Mink Substance Abuse Coordinating Agency 62 Newaygo $547.82 $808.39 $4,360.45 $4,632.36 $1,203.15 $58.08 $11,610.2563 1705289 00if Oakland County Health Div 63 Oakland $6,245.97 $8,498.14 $56,735.00 $53,686.91 $15,927.23 $1,245.30 $142,338.5564 4344340 00ie Northern Michigan CA 64 Oceana $315.04 $521.96 $3,139.31 $2,578.42 $698.25 $23.44 $7,276.4265 4344340 00ie Northern Michigan CA 65 Ogemaw $193.40 $373.29 $1,870.29 $2,288.39 $594.25 $28.80 $5,348.4266 1707962 00il Western U.P. SAS 66 Ontonagon $86.85 $140.59 $722.34 $810.47 $208.79 $21.12 $1,990.1667 4344340 00ie Northern Michigan CA 67 Osceola $210.04 $348.00 $1,967.71 $1,605.11 $512.48 $20.72 $4,664.0668 4344340 00ie Northern Michigan CA 68 Oscoda $77.10 $132.01 $679.20 $1,019.42 $232.48 $12.24 $2,152.4569 4344340 00ie Northern Michigan CA 69 Otsego $177.18 $297.16 $1,590.54 $1,220.10 $268.83 $13.04 $3,566.8570 1712452 00ib Lakeshore CA 70 Ottawa $945.32 $1,461.54 $7,014.99 $5,962.70 $1,468.55 $122.43 $16,975.5371 4344340 00ie Northern Michigan CA 71 Presque Isle $79.58 $156.82 $657.97 $787.18 $245.50 $17.92 $1,944.9772 4344340 00ie Northern Michigan CA 72 Roscommon $222.42 $353.42 $2,533.52 $2,547.66 $616.90 $27.68 $6,301.6073 1712541 00ig Saginaw County Health Dept 73 Saginaw $3,624.48 $6,042.95 $37,732.32 $37,249.63 $9,815.42 $457.80 $94,922.6074 1708164 00ii St. Clair County Health Dept. CA 74 St. Clair $1,101.54 $1,582.94 $8,879.92 $7,905.64 $2,124.75 $101.25 $21,696.0475 3402136 00gr Kalamazoo County CMH 75 St. Joseph $767.64 $1,193.75 $6,198.66 $4,453.66 $1,192.92 $64.35 $13,870.9876 1708164 00ii St. Clair County Health Dept. CA 76 Sanilac $309.54 $534.30 $2,426.76 $2,639.28 $809.82 $45.18 $6,764.8877 1724945 00hy Eastern U.P. Substance Abuse 77 Schoolcraft $82.73 $150.26 $789.59 $629.56 $241.58 $18.81 $1,912.5378 1708001 00ic Mid-South CA 78 Shiawassee $469.66 $797.63 $4,431.76 $3,650.02 $908.65 $53.46 $10,311.1879 1708164 00ii St. Clair County Health Dept. CA 79 Tuscola $468.46 $694.54 $3,535.84 $3,173.67 $858.36 $41.67 $8,772.5480 1712452 00ib Lakeshore CA 80 Van Buren $833.95 $1,343.89 $7,694.92 $6,872.40 $2,070.18 $116.82 $18,932.1681 1707176 00hu Washtenaw County CMH 81 Washtenaw $1,530.48 $2,459.59 $14,515.71 $15,047.14 $3,908.02 $234.08 $37,695.0282 1710547 00ih Southeast MI Community Alliance 82 Wayne $10,101.41 $12,543.15 $87,490.38 $95,958.50 $29,271.14 $1,411.52 $236,776.1083 3119549 00xo Detroit Health Department 82 Wayne $29,150.42 $33,249.72 $231,266.88 $258,838.44 $82,535.99 $3,342.48 $638,383.9384 4344340 00ie Northern Michigan CA 83 Wexford $394.08 $679.22 $3,615.52 $3,314.12 $891.22 $45.28 $8,939.4485

$101,182.73 $139,453.84 $870,008.40 $855,496.30 $248,185.66 $12,533.27 $2,226,860.20Check Values -

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, SA Rev by County

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MDCH - Monthly Medicaid Capitation Audit/Summary 6/26/2002 4:28 AM Page 51 of 60

Code Group Code Group 2 Age Group Statewide Base

Cap RateCode Group Code Group 2 Age Group Statewide Base

Cap RateCode Group Code Group 2 Age Group Statewide Base

Cap Rate

MH DAB - E&P only 0 - 17 $ 42.40 DD DAB - E&P only 0 - 17 $ 22.52 SA DAB - E&P only 0 - 17 $ 0.75 MH DAB - E&P only 18 - 25 $ 70.61 DD DAB - E&P only 18 - 25 $ 161.75 SA DAB - E&P only 18 - 25 $ 2.48 MH DAB - E&P only 26 - 39 $ 162.06 DD DAB - E&P only 26 - 39 $ 419.34 SA DAB - E&P only 26 - 39 $ 10.39 MH DAB - E&P only 40 - 49 $ 145.39 DD DAB - E&P only 40 - 49 $ 430.99 SA DAB - E&P only 40 - 49 $ 13.07 MH DAB - E&P only 50 - 64 $ 79.99 DD DAB - E&P only 50 - 64 $ 218.66 SA DAB - E&P only 50 - 64 $ 3.55 MH DAB - E&P only 65+ $ 16.89 DD DAB - E&P only 65+ $ 206.81 SA DAB - E&P only 65+ $ 0.14 MH DAB - Other 0 - 17 $ 42.40 SA DAB - Other 0 - 17 $ 0.75 MH DAB - Other 18 - 25 $ 70.61 SA DAB - Other 18 - 25 $ 2.48 MH DAB - Other 26 - 39 $ 162.06 SA DAB - Other 26 - 39 $ 10.39 MH DAB - Other 40 - 49 $ 145.39 SA DAB - Other 40 - 49 $ 13.07 MH DAB - Other 50 - 64 $ 79.99 SA DAB - Other 50 - 64 $ 3.55 MH DAB - Other 65+ $ 16.89 SA DAB - Other 65+ $ 0.14 MH TANF 0 - 17 $ 5.59 SA TANF 0 - 17 $ 0.09 MH TANF 18 - 25 $ 6.15 SA TANF 18 - 25 $ 0.84 MH TANF 26 - 39 $ 10.06 SA TANF 26 - 39 $ 4.27 MH TANF 40 - 49 $ 11.22 SA TANF 40 - 49 $ 6.70 MH TANF 50 - 64 $ 8.95 SA TANF 50 - 64 $ 1.95 MH TANF 65+ $ 1.65 SA TANF 65+ $ -

MA Capitation Statewide Base Rates 26-Jun-2002 06:272002-07

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, Cap Base Rates

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MDCH - Monthly Medicaid Capitation Audit/Summary 6/26/2002 4:28 AM Page 52 of 60

MA Capitation Intensity Factors2002-07

Provider ID Provider Name Code Group Code Group 2

Effective Payment Month

Intensity Factor

1709690 Allegan County CMH MH DAB - Other 200112 1.030900 1709690 Allegan County CMH MH DAB - E&P only 200112 1.030900 1709690 Allegan County CMH MH TANF 200112 1.436600 1712283 Antrim-Kalkaska CMH MH DAB - Other 200112 1.019000 1712283 Antrim-Kalkaska CMH MH DAB - E&P only 200112 1.019000 1712283 Antrim-Kalkaska CMH MH TANF 200112 0.956800 1706830 AuSable Valley CMH MH DAB - Other 200112 0.729200 1706830 AuSable Valley CMH MH DAB - E&P only 200112 0.729200 1706830 AuSable Valley CMH MH TANF 200112 1.653500 1705260 Barry County CMH MH DAB - Other 200112 0.605100 1705260 Barry County CMH MH DAB - E&P only 200112 0.605100 1705260 Barry County CMH MH TANF 200112 0.691000 1705322 Bay-Arenac CMH MH DAB - Other 200112 1.001400 1705322 Bay-Arenac CMH MH DAB - Other 200112 1.001400 1705322 Bay-Arenac CMH MH DAB - E&P only 200112 1.001400 1705322 Bay-Arenac CMH MH DAB - E&P only 200112 1.001400 1705322 Bay-Arenac CMH MH TANF 200112 1.306500 1705322 Bay-Arenac CMH MH TANF 200112 1.306500 1716175 Berrien County CMH MH DAB - Other 200112 0.869600 1716175 Berrien County CMH MH DAB - E&P only 200112 0.869600 1716175 Berrien County CMH MH TANF 200112 0.818900 4344340 Central Michigan CMH MH DAB - Other 200112 0.785500 4344340 Central Michigan CMH MH DAB - E&P only 200112 0.785500 4344340 Central Michigan CMH MH TANF 200112 0.824800 1708001 Clinton-Eaton-Ingham CMH MH DAB - Other 200112 0.893300 1708001 Clinton-Eaton-Ingham CMH MH DAB - E&P only 200112 0.893300 1708001 Clinton-Eaton-Ingham CMH MH TANF 200112 0.791800 1707962 Copper County CMH MH DAB - Other 200112 1.272900 1707962 Copper County CMH MH DAB - E&P only 200112 1.272900 1707962 Copper County CMH MH TANF 200112 0.991500 3119549 Detroit-Wayne CMH MH DAB - Other 200112 1.138500 3119549 Detroit-Wayne CMH MH DAB - Other 200112 1.138500 3119549 Detroit-Wayne CMH MH DAB - E&P only 200112 1.138500

26-Jun-2002 06:27Statewide Base Rate X Intensity Factor = Local Capitation Rate

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, Intensity Factors

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MDCH - Monthly Medicaid Capitation Audit/Summary 6/26/2002 4:28 AM Page 53 of 60

MA Capitation Intensity Factors2002-07

Provider ID Provider Name Code Group Code Group 2

Effective Payment Month

Intensity Factor

26-Jun-2002 06:27Statewide Base Rate X Intensity Factor = Local Capitation Rate

3119549 Detroit-Wayne CMH MH DAB - E&P only 200112 1.138500 3119549 Detroit-Wayne CMH MH TANF 200112 0.966900 3119549 Detroit-Wayne CMH MH TANF 200112 0.966900 1705233 Genesee County CMH MH DAB - Other 200112 0.662200 1705233 Genesee County CMH MH DAB - E&P only 200112 0.662200 1705233 Genesee County CMH MH TANF 200112 0.386600 1708119 Gogebic County CMH MH DAB - Other 200112 1.407600 1708119 Gogebic County CMH MH DAB - E&P only 200112 1.407600 1708119 Gogebic County CMH MH TANF 200112 2.802200 1715955 Gratiot County CMH MH DAB - Other 200112 0.880000 1715955 Gratiot County CMH MH DAB - E&P only 200112 0.880000 1715955 Gratiot County CMH MH TANF 200112 1.570400 1705251 Great Lakes CMH MH DAB - Other 200112 1.835000 1705251 Great Lakes CMH MH DAB - E&P only 200112 1.835000 1705251 Great Lakes CMH MH TANF 200112 1.382200 1715919 Hiawatha MH DAB - Other 200112 1.636400 1715919 Hiawatha MH DAB - E&P only 200112 1.636400 1715919 Hiawatha MH TANF 200112 1.113800 1708128 Huron Behavioral Health MH DAB - Other 200112 1.167900 1708128 Huron Behavioral Health MH DAB - E&P only 200112 1.167900 1708128 Huron Behavioral Health MH TANF 200112 0.998300 1715928 Ionia County CMH MH DAB - Other 200112 0.917900 1715928 Ionia County CMH MH DAB - E&P only 200112 0.917900 1715928 Ionia County CMH MH TANF 200112 1.035800 3402136 Kalamazoo County CMH MH DAB - Other 200112 1.239700 3402136 Kalamazoo County CMH MH DAB - E&P only 200112 1.239700 3402136 Kalamazoo County CMH MH TANF 200112 1.078900 1705430 Kent County CMH MH DAB - Other 200112 1.031900 1705430 Kent County CMH MH DAB - E&P only 200112 1.031900 1705430 Kent County CMH MH TANF 200112 0.922900 1705242 Lapeer County CMH MH DAB - Other 200112 1.009300 1705242 Lapeer County CMH MH DAB - E&P only 200112 1.009300 1705242 Lapeer County CMH MH TANF 200112 1.062100 1705270 Lenawee County CMH MH DAB - Other 200112 1.017600

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, Intensity Factors

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MDCH - Monthly Medicaid Capitation Audit/Summary 6/26/2002 4:28 AM Page 54 of 60

MA Capitation Intensity Factors2002-07

Provider ID Provider Name Code Group Code Group 2

Effective Payment Month

Intensity Factor

26-Jun-2002 06:27Statewide Base Rate X Intensity Factor = Local Capitation Rate

1705270 Lenawee County CMH MH DAB - E&P only 200112 1.017600 1705270 Lenawee County CMH MH TANF 200112 1.080400 1712229 Lifeways MH DAB - Other 200112 1.006600 1712229 Lifeways MH DAB - E&P only 200112 1.006600 1712229 Lifeways MH TANF 200112 1.095000 1707167 Livingston County CMH MH DAB - Other 200112 1.476000 1707167 Livingston County CMH MH DAB - E&P only 200112 1.476000 1707167 Livingston County CMH MH TANF 200112 2.698300 3396315 Macomb County CMH MH DAB - Other 200112 0.997600 3396315 Macomb County CMH MH DAB - E&P only 200112 0.997600 3396315 Macomb County CMH MH TANF 200112 1.026200 1705304 Manistee-Benzie CMH MH DAB - Other 200112 1.004800 1705304 Manistee-Benzie CMH MH DAB - E&P only 200112 1.004800 1705304 Manistee-Benzie CMH MH TANF 200112 1.241400 1712318 Midland-Gladwin CMH MH DAB - Other 200112 0.794300 1712318 Midland-Gladwin CMH MH DAB - E&P only 200112 0.794300 1712318 Midland-Gladwin CMH MH TANF 200112 1.015500 1710547 Monroe County CMH MH DAB - Other 200112 1.030000 1710547 Monroe County CMH MH DAB - E&P only 200112 1.030000 1710547 Monroe County CMH MH TANF 200112 1.309400 1712461 Montcalm Center MH DAB - Other 200112 0.459500 1712461 Montcalm Center MH DAB - E&P only 200112 0.459500 1712461 Montcalm Center MH TANF 200112 0.706500 1712452 Muskegon County CMH MH DAB - Other 200112 0.771800 1712452 Muskegon County CMH MH DAB - E&P only 200112 0.771800 1712452 Muskegon County CMH MH TANF 200112 0.994600 1708066 Newaygo County CMH MH DAB - Other 200112 0.747500 1708066 Newaygo County CMH MH DAB - E&P only 200112 0.747500 1708066 Newaygo County CMH MH TANF 200112 1.588000 1707158 North Central CMH MH DAB - Other 200112 0.922400 1707158 North Central CMH MH DAB - E&P only 200112 0.922400 1707158 North Central CMH MH TANF 200112 1.016700 1708100 Northeast CMH MH DAB - Other 200112 0.729400 1708100 Northeast CMH MH DAB - E&P only 200112 0.729400

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, Intensity Factors

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MDCH - Monthly Medicaid Capitation Audit/Summary 6/26/2002 4:28 AM Page 55 of 60

MA Capitation Intensity Factors2002-07

Provider ID Provider Name Code Group Code Group 2

Effective Payment Month

Intensity Factor

26-Jun-2002 06:27Statewide Base Rate X Intensity Factor = Local Capitation Rate

1708100 Northeast CMH MH TANF 200112 0.999200 1707185 Northern Michigan CMH MH DAB - Other 200112 1.007400 1707185 Northern Michigan CMH MH DAB - E&P only 200112 1.007400 1707185 Northern Michigan CMH MH TANF 200112 0.823100 3140186 Northpointe Behavioral Health MH DAB - Other 200112 1.295200 3140186 Northpointe Behavioral Health MH DAB - Other 200112 1.295200 3140186 Northpointe Behavioral Health MH DAB - E&P only 200112 1.295200 3140186 Northpointe Behavioral Health MH DAB - E&P only 200112 1.295200 3140186 Northpointe Behavioral Health MH TANF 200112 1.412700 3140186 Northpointe Behavioral Health MH TANF 200112 1.412700 1705289 Oakland County CMH MH DAB - Other 200112 1.018800 1705289 Oakland County CMH MH DAB - E&P only 200112 1.018800 1705289 Oakland County CMH MH TANF 200112 0.798200 1712425 Ottawa County CMH MH DAB - Other 200112 1.297400 1712425 Ottawa County CMH MH DAB - E&P only 200112 1.297400 1712425 Ottawa County CMH MH TANF 200112 1.361100 1724945 Pathways MH DAB - Other 200112 1.632100 1724945 Pathways MH DAB - E&P only 200112 1.632100 1724945 Pathways MH TANF 200112 2.432200 1712372 Pines Behavioral Health MH DAB - Other 200112 1.013100 1712372 Pines Behavioral Health MH DAB - E&P only 200112 1.013100 1712372 Pines Behavioral Health MH TANF 200112 1.316000 1712541 Saginaw County CMH MH DAB - Other 200112 0.766400 1712541 Saginaw County CMH MH DAB - E&P only 200112 0.766400 1712541 Saginaw County CMH MH TANF 200112 0.634200 1706849 Sanilac County CMH MH DAB - Other 200112 0.823900 1706849 Sanilac County CMH MH DAB - E&P only 200112 0.823900 1706849 Sanilac County CMH MH TANF 200112 0.709300 1712407 Shiawassee County CMH MH DAB - Other 200112 0.935800 1712407 Shiawassee County CMH MH DAB - E&P only 200112 0.935800 1712407 Shiawassee County CMH MH TANF 200112 1.011000 1708164 St. Clair County CMH MH DAB - Other 200112 1.027700 1708164 St. Clair County CMH MH DAB - E&P only 200112 1.027700 1708164 St. Clair County CMH MH TANF 200112 2.734500

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, Intensity Factors

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MDCH - Monthly Medicaid Capitation Audit/Summary 6/26/2002 4:28 AM Page 56 of 60

MA Capitation Intensity Factors2002-07

Provider ID Provider Name Code Group Code Group 2

Effective Payment Month

Intensity Factor

26-Jun-2002 06:27Statewide Base Rate X Intensity Factor = Local Capitation Rate

1708146 St. Joseph County CMH MH DAB - Other 200112 1.025100 1708146 St. Joseph County CMH MH DAB - E&P only 200112 1.025100 1708146 St. Joseph County CMH MH TANF 200112 1.064100 2920843 Summit Pointe MH DAB - Other 200112 0.793500 2920843 Summit Pointe MH DAB - E&P only 200112 0.793500 2920843 Summit Pointe MH TANF 200112 1.410000 1707130 Tuscola County CMH MH DAB - Other 200112 0.997400 1707130 Tuscola County CMH MH DAB - E&P only 200112 0.997400 1707130 Tuscola County CMH MH TANF 200112 1.189800 1705298 Van Buren County CMH MH DAB - Other 200112 1.155000 1705298 Van Buren County CMH MH DAB - E&P only 200112 1.155000 1705298 Van Buren County CMH MH TANF 200112 1.196200 1707176 Wastenaw County CMH MH DAB - Other 200112 1.337800 1707176 Wastenaw County CMH MH DAB - E&P only 200112 1.337800 1707176 Wastenaw County CMH MH TANF 200112 1.848200 3220732 Western Michigan CMH MH DAB - Other 200112 0.744400 3220732 Western Michigan CMH MH DAB - E&P only 200112 0.744400 3220732 Western Michigan CMH MH TANF 200112 1.010500 1706114 Woodland Behavioral Health MH DAB - Other 200112 0.670800 1706114 Woodland Behavioral Health MH DAB - E&P only 200112 0.670800 1706114 Woodland Behavioral Health MH TANF 200112 0.622800

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, Intensity Factors

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MDCH - Monthly Medicaid Capitation Audit/Summary 6/26/2002 4:28 AM Page 57 of 60

MA Capitation Intensity Factors2002-07

Provider ID Provider Name Code Group Code Group 2

Effective Payment Month

Intensity Factor

26-Jun-2002 06:27Statewide Base Rate X Intensity Factor = Local Capitation Rate

1709690 Allegan County CMH DD DD 200112 1.611600 1712283 Antrim-Kalkaska CMH DD DD 200112 1.812000 1706830 AuSable Valley CMH DD DD 200112 0.700700 1705260 Barry County CMH DD DD 200112 0.491700 1705322 Bay-Arenac CMH DD DD 200112 1.347200 1705322 Bay-Arenac CMH DD DD 200112 1.347200 1716175 Berrien County CMH DD DD 200112 0.885600 4344340 Central Michigan CMH DD DD 200112 1.922000 1708001 Clinton-Eaton-Ingham CMH DD DD 200112 0.806800 1707962 Copper County CMH DD DD 200112 1.552000 3119549 Detroit-Wayne CMH DD DD 200112 0.737800 3119549 Detroit-Wayne CMH DD DD 200207 0.640300 1705233 Genesee County CMH DD DD 200112 0.905300 1708119 Gogebic County CMH DD DD 200112 1.834100 1715955 Gratiot County CMH DD DD 200112 1.709400 1705251 Great Lakes CMH DD DD 200112 1.287000 1715919 Hiawatha DD DD 200112 1.315800 1708128 Huron Behavioral Health DD DD 200112 1.353200 1715928 Ionia County CMH DD DD 200112 1.477700 3402136 Kalamazoo County CMH DD DD 200112 1.231800 1705430 Kent County CMH DD DD 200112 0.868400 1705242 Lapeer County CMH DD DD 200112 1.811100 1705270 Lenawee County CMH DD DD 200112 1.312600 1712229 Lifeways DD DD 200112 0.913200 1707167 Livingston County CMH DD DD 200112 2.005600 3396315 Macomb County CMH DD DD 200207 1.824000 1705304 Manistee-Benzie CMH DD DD 200112 2.717000 1712318 Midland-Gladwin CMH DD DD 200112 1.239700 1710547 Monroe County CMH DD DD 200112 1.703300 1712461 Montcalm Center DD DD 200112 0.459800 1712452 Muskegon County CMH DD DD 200112 0.781000 1708066 Newaygo County CMH DD DD 200112 0.685600 1707158 North Central CMH DD DD 200112 0.890200

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, Intensity Factors

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MDCH - Monthly Medicaid Capitation Audit/Summary 6/26/2002 4:28 AM Page 58 of 60

MA Capitation Intensity Factors2002-07

Provider ID Provider Name Code Group Code Group 2

Effective Payment Month

Intensity Factor

26-Jun-2002 06:27Statewide Base Rate X Intensity Factor = Local Capitation Rate

1708100 Northeast CMH DD DD 200112 1.857900 1707185 Northern Michigan CMH DD DD 200112 1.380300 3140186 Northpointe Behavioral Health DD DD 200112 1.423100 3140186 Northpointe Behavioral Health DD DD 200112 1.423100 1705289 Oakland County CMH DD DD 200207 2.009300 1712425 Ottawa County CMH DD DD 200112 2.266400 1724945 Pathways DD DD 200112 1.843100 1712372 Pines Behavioral Health DD DD 200112 1.591500 1712541 Saginaw County CMH DD DD 200112 0.612900 1706849 Sanilac County CMH DD DD 200112 3.479000 1712407 Shiawassee County CMH DD DD 200112 1.160400 1708164 St. Clair County CMH DD DD 200112 1.869100 1708146 St. Joseph County CMH DD DD 200112 1.161100 2920843 Summit Pointe DD DD 200112 0.502100 1707130 Tuscola County CMH DD DD 200112 1.779900 1705298 Van Buren County CMH DD DD 200112 0.642800 1707176 Wastenaw County CMH DD DD 200112 1.361800 3220732 Western Michigan CMH DD DD 200112 0.747600 1706114 Woodland Behavioral Health DD DD 200112 1.024900

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, Intensity Factors

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MDCH - Monthly Medicaid Capitation Audit/Summary 6/26/2002 4:28 AM Page 59 of 60

MA Capitation Intensity Factors2002-07

Provider ID Provider Name Code Group Code Group 2

Effective Payment Month

Intensity Factor

26-Jun-2002 06:27Statewide Base Rate X Intensity Factor = Local Capitation Rate

1724945 Eastern U.P. SAS SA DAB - Other 200112 0.618600 1724945 Eastern U.P. SAS SA DAB - E&P only 200112 0.618600 1724945 Eastern U.P. SAS SA TANF 200112 1.018600 1705233 Genesee Co. Health Dept. SA DAB - Other 200112 0.969200 1705233 Genesee Co. Health Dept. SA DAB - E&P only 200112 0.969200 1705233 Genesee Co. Health Dept. SA TANF 200112 0.895600 3402136 Kalamazoo Co. Human Services Department SA DAB - Other 200112 0.795300 3402136 Kalamazoo Co. Human Services Department SA DAB - E&P only 200112 0.795300 3402136 Kalamazoo Co. Human Services Department SA TANF 200112 1.386400 1712452 Lakeshore Coordinating Council SA DAB - Other 200112 0.763600 1712452 Lakeshore Coordinating Council SA DAB - E&P only 200112 0.763600 1712452 Lakeshore Coordinating Council SA TANF 200112 0.908100 3396315 Macomb County SA DAB - Other 200112 1.008900 3396315 Macomb County SA DAB - E&P only 200112 1.008900 3396315 Macomb County SA TANF 200112 1.440600 1708001 Mid-South SA Com. SA DAB - Other 200112 0.671200 1708001 Mid-South SA Com. SA DAB - E&P only 200112 0.671200 1708001 Mid-South SA Com. SA TANF 200112 0.843700 1705430 Mink Substance Abuse Coordinating Agency SA DAB - Other 200112 0.780100 1705430 Mink Substance Abuse Coordinating Agency SA DAB - E&P only 200112 0.780100 1705430 Mink Substance Abuse Coordinating Agency SA TANF 200112 1.182500 1715937 Northern Michigan SA Services Inc. SA DAB - Other 200112 0.607100 1715937 Northern Michigan SA Services Inc. SA DAB - E&P only 200112 0.607100 1715937 Northern Michigan SA Services Inc. SA TANF 200112 0.918600 1705289 Oakland County Health Division SA DAB - Other 200112 0.995500 1705289 Oakland County Health Division SA DAB - E&P only 200112 0.995500 1705289 Oakland County Health Division SA TANF 200112 1.335900 1712541 Saginaw County Health Department SA DAB - Other 200112 1.524600 1712541 Saginaw County Health Department SA DAB - E&P only 200112 1.524600 1712541 Saginaw County Health Department SA TANF 200112 0.944400 3119549 Southeast Michigan Community Alliance SA DAB - Other 200112 1.132300 3119549 Southeast Michigan Community Alliance SA DAB - Other 200112 1.132300 3119549 Southeast Michigan Community Alliance SA DAB - E&P only 200112 1.132300

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, Intensity Factors

Page 60: Michigan Medicaid Mental Health and Substance Abuse ..._July_9,_2002_3466… · 1 1708100 00HE Northeast Michigan CMH 01 Alcona 163 932 297 1,392 $3,241.43 $6,008.06 $20,241.94 $29,491.43

MDCH - Monthly Medicaid Capitation Audit/Summary 6/26/2002 4:28 AM Page 60 of 60

MA Capitation Intensity Factors2002-07

Provider ID Provider Name Code Group Code Group 2

Effective Payment Month

Intensity Factor

26-Jun-2002 06:27Statewide Base Rate X Intensity Factor = Local Capitation Rate

3119549 Southeast Michigan Community Alliance SA DAB - E&P only 200112 1.132300 3119549 Southeast Michigan Community Alliance SA TANF 200112 0.851000 3119549 Southeast Michigan Community Alliance SA TANF 200112 0.851000 1708164 St. Clair Sounty Health Department SA DAB - Other 200112 0.632900 1708164 St. Clair Sounty Health Department SA DAB - E&P only 200112 0.632900 1708164 St. Clair Sounty Health Department SA TANF 200112 0.852600 1707176 Washtenaw County CMHC SA DAB - Other 200112 0.991300 1707176 Washtenaw County CMHC SA DAB - E&P only 200112 0.991300 1707176 Washtenaw County CMHC SA TANF 200112 0.938500 1707962 Western U.P. SAS Coordinating Agency SA DAB - Other 200112 0.800800 1707962 Western U.P. SAS Coordinating Agency SA DAB - E&P only 200112 0.800800 1707962 Western U.P. SAS Coordinating Agency SA TANF 200112 1.707500

Dale K. Howe - Confidential MACap State - 2002-07 - Final.XLS, Intensity Factors