November 2016 MHCP Managed Care Enrollment Totals...Total enrollment by program for each health plan by benefit set. SNBC has been separated into two different totals: • Integrated

Minnesota Health Care Programs Managed Care Enrollment TotalsNovember 2016

Table of ContentsPrograms

Enrollment Summary by BenefitTotal enrollment by program for each health plan by benefit set. SNBC has been separated into two different totals:

• Integrated (combines Medicaid and Medicare Parts A, B and D).• Non-Integrated (Medicaid only), this category has been split between recipients with Medicare coverage and

those without.

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

Families and ChildrenTotal enrollment for each health plan by county.

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

• MinnesotaCare Child - Under age 21• Medical Assistance (MA) Parents and Children < age 65• Medical Assistance Exp (MA/AX) Adults without Children < age 65

County Elderly SNPDual/Non-Dual enrollment for recipients enrolled in MSC+, Special Needs Plans which includes (MSHO and SNBC) for each health plan by county.

SNP Aged Living Arr NHC County DetailEnrollment for clients enrolled in MSC+ and Special Needs Plans which includes (MSHO and SNBC) for each health plan by county. This report indicates whether the client is in the Community (Comm Well), Institutionalized (NF/ICF-DD), Elderly waiver) and other waiver programs (CAC, CADI, BI-NF, BI-NB, DD).

Enrollment Summary by Elig GrpEnrollment Summary CY 2016 - Overall enrollment summary by eligibility and age.

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

mailto:[email protected]

ProgramsNovember 2016

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

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

November 2016 Managed Care Enrollment Total Summary

Blue Plus

Health Partners

Hennepin Health

Itasca Medical

Care MedicaMetropolitan Health Plan

PrimeWest Health

South Country Health

Alliance UCare Total

23,500 14,351 301 593 39,805 2,152 2,708 1,180 84,5901,669 1,006 4 49 2,670 189 231 84 5,902

221,680 57,194 829 5,487 211,295 25,462 21,263 9,282 552,49260,265 18,127 8,436 1,686 58,519 6,244 4,952 2,233 160,462

Duals1 3,462 1,632 199 3,018 720 815 2,462 12,308Non Duals 312 253 2 527 13 27 997 2,131

7,878 3,095 455 10,897 1,923 1,634 10,907 36,7891 1

220 527 747Duals 1,906 7,545 1,176 1,207 1,405 14,280 27,519Non Duals 1,284 6,744 1,236 735 901 12,845 23,745Adults 357 357Children 0

25,169 15,357 305 642 42,475 0 2,341 2,939 1,264 90,492293,597 83,491 9,265 7,829 298,902 2,412 36,524 31,524 53,007 816,551281,945 75,321 9,265 7,173 269,814 0 31,706 26,215 11,515 712,954

3,774 1,885 0 201 3,545 0 733 842 3,459 14,4397,878 3,095 0 455 10,897 0 1,923 1,634 10,907 36,789

0 0 0 0 0 0 0 0 1 10 3,190 0 0 14,289 2,412 2,162 2,833 27,125 52,0110 357 357

318,766 98,848 9,570 8,471 341,377 2,412 38,865 34,463 54,271 907,0431 Duals include enrollees with both Part A and B, Part A only, Part B only2 Integrated - Combines Medicaid, Medicare Parts A, B and D3 Non-Integrated - Medicaid only4 MinnesotaCare contains adults over 65 (M7)

MHM

Preferred Integrated Networks (PINs)

Program Totals

Elderly and Special Needs Products

Total Enrollment

MinnesotaCare

Families and Children (under age 65)MSC PlusMSHO

SNBCPINs

MA Total (includes the following programs)

Minnesota Senior Health Option (MSHO)2

Special Needs BasicCare (SNBC) - Integrated2

Minnesota Senior Care Plus (MSC+)

Special Needs BasicCare (SNBC) - Non-Integrated3

Moving Home Minnesota (MHM)2

MinnesotaCare Child

Families and Children (under age 65)

Medical Assistance (MA) Parents/ChildrenMedical Assistance (MA/AX) Childless Adults

MinnesotaCare4

Families and ChildrenEnrollment Totals for November 2016

Does Not Included Elderly or DisabledMA/AX - Childless AdultsMnCare - Includes enrollees over age 65 Page 4 11/7/2016MnCare Child - Enrollees under age 21

BLUE PLUS HEALTHPARTNERS HENNEPIN HEALTH ITASCA MEDICAL CARE MEDICA

MnCare MnCare

Child MA MA/AX MnCare MnCare




Child MA MA/AXAitkin 001 212 11 1,776 592 200 14 121 94Anoka 002 575 33 4,458 1,293 1,480 92 8,453 2,645 3,476 287 19,453 4,858Becker 003 473 44 4,005 952 156 18 93 47Beltrami 004 314 28Benton 005 210 13 3,511 923 343 26 955 299Big Stone 006 35 2Blue Earth 007 423 34 2,640 1,038 387 26 2,712 838Brown 008 146 9 446 169Carlton 009 225 24 3,026 1,051 262 14 193 119Carver 010 214 21 2,466 787 275 22 1,681 464 460 12 953 244Cass 011 734 43 3,973 1,247 27 95 53Chippewa 012 155 17 1,103 195 63 5 499 98Chisago 013 341 24 3,560 1,012 406 38 912 296Clay 014 508 38 6,878 1,607 161 11 83 45Clearwater 015 85 4Cook 016 85 4 490 196 113 1 77 34Cottonwood 017 106 6 849 206 73 5 640 125Crow Wing 018 970 72 6,918 2,030 390 27 412 162Dakota 019 1,577 121 11,689 2,917 1,289 93 7,373 2,219 2,722 184 15,501 3,981Dodge 020 86 8 1,086 250Douglas 021 284 17Faribault 022 156 12 1,052 310 114 9 729 175Fillmore 023 99 6 517 140 227 11 1,451 382Freeborn 024 284 11 2,040 481 288 13 1,955 423Goodhue 025 258 14 623 285Grant 026 61 1Hennepin 027 2,074 79 18,999 6,144 301 4 829 8,436 18,009 1,069 104,989 29,610Houston 028 40 1 171 56 185 13 1,086 372Hubbard 029 204 6Isanti 030 352 39 2,261 678 282 28 1,909 482Itasca 031 314 18 593 49 5,487 1,686Jackson 032 120 6 635 170 30 4 262 80Kanabec 033 69 1 398 172




MnCare MnCare





Child MA MA/AXKandiyohi 034 530 46 4,712 852 245 17 1,069 375Kittson 035 75 4 445 100 2 8 5Koochiching 036 137 5 1,433 526 118 8 72 37LacQuiParle 037 88 5 470 117 38 3 142 52Lake 038 101 3 818 294 124 4 59 33Lake of Woods 039 102 7 388 142 3 10 4LeSueur 040 238 20 1,389 338 105 9 1,088 208Lincoln 041 69 4 447 123 31 6 124 41Lyon 042 267 20 2,303 426 107 11 1,004 204McLeod 043 268 18Mahnomen 044 64 6 451 159 17 4Marshall 045 143 6 802 175 5 7Martin 046 182 12 1,384 376 133 14 996 231Meeker 047 149 11Mille Lacs 048 250 14 3,035 852 236 15 341 116Morrison 049 108 5 609 268Mower 050 117 8 1,247 322 364 23 3,726 760Murray 051 94 8 623 119 58 8 196 40Nicollet 052 173 10 1,612 443 145 14 1,139 260Nobles 053 176 20 2,341 235 71 7 837 121Norman 054 135 11 910 190 2 1 3 6Olmsted 055 157 3 830 393 621 44 2,043 1,007Otter Tail 056 811 66 6,079 1,481 248 18 151 75Pennington 057 177 9 1,145 323 6 1 21 6Pine 058 291 18 2,761 790 244 18 190 102Pipestone 059 64 3Polk 060 265 32 4,109 982 177 22 148 53Pope 061 63 4Ramsey 062 3,064 231 49,304 12,494 2,928 202 21,141 6,793 4,000 300 8,443 2,332Red Lake 063 32 366 109 27 4 4Redwood 064 186 17 1,021 213 85 11 582 118Renville 065 102 5Rice 066 346 25 3,492 688 435 44 3,471 754




MnCare MnCare





Child MA MA/AXRock 067 69 4 554 96 41 2 414 68Roseau 068 118 1 1,042 273 120 6 93 41St. Louis 069 667 35 7,309 3,755 1,093 55 595 386 1,306 94 9,437 3,341Scott 070 249 19 1,746 436 510 35 3,040 669 1,060 74 6,099 1,291Sherburne 071 509 47 6,433 1,383 601 48 1,427 365Sibley 072 130 8 362 127Stearns 073 853 100 13,567 3,255 1,172 98 2,326 810Steele 074 187 20 652 224Stevens 075 29 6Swift 076 107 14 981 183 31 8 264 72Todd 077 108 6 392 191Traverse 078 28 4Wabasha 079 108 5 835 326Wadena 080 42 1 230 116Waseca 081 112 6 339 143Washington 082 374 28 2,388 695 1,110 78 5,577 1,722 1,426 96 7,455 2,243Watonwan 083 103 6 691 124 76 14 676 123Wilkin 084 70 1 747 156 6 4Winona 085 165 12 1,092 427 405 23 2,279 856Wright 086 662 45 5,022 1,281 525 41 1,524 416 547 45 3,750 752Yellow Medicine 087 94 10 807 169 59 5 307 72

23,419 1,495 220,923 60,914 16,573 1,013 58,843 18,474 232 1 619 7,593 617 47 5,314 1,684 44,436 2,580 210,404 59,965Program Total 23,500 1,669 221,680 60,265 14,351 1,006 57,194 18,127 301 4 829 8,436 593 49 5,487 1,686 39,805 2,670 211,295 58,519Health Plan Total 307,114 90,678 9,570 7,815 312,289



PRIMEWEST HEALTH SOUTH COUNTRY HEALTH

ALLIANCE UCARE MN PROGRAM TOTALS

MnCare MnCare




Child MA MA/AX TotalAitkin 001 412 25 1,897 686 3,020Anoka 002 5,531 412 32,364 8,796 47,103Becker 003 629 62 4,098 999 5,788Beltrami 004 383 37 6,392 1,703 697 65 6,392 1,703 8,857Benton 005 553 39 4,466 1,222 6,280Big Stone 006 68 5 488 121 103 7 488 121 719Blue Earth 007 810 60 5,352 1,876 8,098Brown 008 244 20 1,609 347 390 29 2,055 516 2,990Carlton 009 487 38 3,219 1,170 4,914Carver 010 949 55 5,100 1,495 7,599Cass 011 761 43 4,068 1,300 6,172Chippewa 012 218 22 1,602 293 2,135Chisago 013 747 62 4,472 1,308 6,589Clay 014 669 49 6,961 1,652 9,331Clearwater 015 102 8 1,019 306 187 12 1,019 306 1,524Cook 016 198 5 567 230 1,000Cottonwood 017 179 11 1,489 331 2,010Crow Wing 018 1,360 99 7,330 2,192 10,981Dakota 019 5,588 398 34,563 9,117 49,666Dodge 020 107 14 825 138 193 22 1,911 388 2,514Douglas 021 403 35 3,192 910 687 52 3,192 910 4,841Faribault 022 270 21 1,781 485 2,557Fillmore 023 326 17 1,968 522 2,833Freeborn 024 572 24 3,995 904 5,495Goodhue 025 343 27 2,626 734 601 41 3,249 1,019 4,910Grant 026 67 5 777 161 128 6 777 161 1,072Hennepin 027 20,384 1,152 124,817 44,190 190,543Houston 028 225 14 1,257 428 1,924Hubbard 029 243 21 2,787 712 447 27 2,787 712 3,973Isanti 030 634 67 4,170 1,160 6,031Itasca 031 907 67 5,487 1,686 8,147Jackson 032 150 10 897 250 1,307Kanabec 033 244 19 1,554 491 313 20 1,952 663 2,948



PRIMEWEST HEALTH SOUTH COUNTRY HEALTH

ALLIANCE UCARE MN PROGRAM TOTALS

MnCare MnCare




Child MA MA/AX TotalKandiyohi 034 775 63 5,781 1,227 7,846Kittson 035 77 4 453 105 639Koochiching 036 255 13 1,505 563 2,336LacQuiParle 037 126 8 612 169 915Lake 038 225 7 877 327 1,436Lake of Woods 039 105 7 398 146 656LeSueur 040 343 29 2,477 546 3,395Lincoln 041 100 10 571 164 845Lyon 042 374 31 3,307 630 4,342McLeod 043 261 23 3,102 740 529 41 3,102 740 4,412Mahnomen 044 64 6 468 163 701Marshall 045 143 6 807 182 1,138Martin 046 315 26 2,380 607 3,328Meeker 047 210 16 2,352 470 359 27 2,352 470 3,208Mille Lacs 048 486 29 3,376 968 4,859Morrison 049 473 52 3,213 799 581 57 3,822 1,067 5,527Mower 050 481 31 4,973 1,082 6,567Murray 051 152 16 819 159 1,146Nicollet 052 318 24 2,751 703 3,796Nobles 053 247 27 3,178 356 3,808Norman 054 137 12 913 196 1,258Olmsted 055 1,180 84 9,282 2,233 1,958 131 12,155 3,633 17,877Otter Tail 056 1,059 84 6,230 1,556 8,929Pennington 057 183 10 1,166 329 1,688Pine 058 535 36 2,951 892 4,414Pipestone 059 71 5 1,193 169 135 8 1,193 169 1,505Polk 060 442 54 4,257 1,035 5,788Pope 061 116 9 1,152 317 179 13 1,152 317 1,661Ramsey 062 9,992 733 78,888 21,619 111,232Red Lake 063 59 0 370 113 542Redwood 064 271 28 1,603 331 2,233Renville 065 108 15 1,910 400 210 20 1,910 400 2,540Rice 066 781 69 6,963 1,442 9,255



Rock 067Roseau 068St. Louis 069Scott 070Sherburne 071Sibley 072Stearns 073Steele 074Stevens 075Swift 076Todd 077Traverse 078 Wabasha 079Wadena 080Waseca 081Washington 082Watonwan 083Wilkin 084Winona 085Wright 086Yellow Medicine 087

Program TotalHealth Plan Total

MnCare MnCare




Child MA MA/AX Total

PROGRAM TOTALSPRIMEWEST HEALTH SOUTH COUNTRY HEALTH

ALLIANCE UCARE MN

110 6 968 164 1,248238 7 1,135 314 1,694

3,066 184 17,341 7,482 28,0731,819 128 10,885 2,396 15,2281,110 95 7,860 1,748 10,813

120 7 1,281 267 250 15 1,643 394 2,3022,025 198 15,893 4,065 22,181

291 16 3,459 655 478 36 4,111 879 5,50477 7 658 145 106 13 658 145 922

138 22 1,245 255 1,660346 31 2,479 556 454 37 2,871 747 4,109

43 3 440 90 71 7 440 90 608157 16 951 256 265 21 1,786 582 2,654237 15 1,705 386 279 16 1,935 502 2,732146 14 1,561 323 258 20 1,900 466 2,644

2,910 202 15,420 4,660 23,192179 20 1,367 247 1,81376 1 751 156 984

570 35 3,371 1,283 5,2591,734 131 10,296 2,449 14,610

153 15 1,114 241 1,5232,212 172 25,254 6,318 2,902 216 21,945 5,316 1,473 82 9,821 2,4832,152 189 25,462 6,244 2,708 231 21,263 4,952 1,180 84 9,282 2,233 84,590 5,902 552,492 160,462

34,047 29,154 12,779 803,446

Dual/Non Dual Elderly and Disabled Managed Care Enrollment Totals November 2016

Duals - enrolles /Medicare A and/or B MSC+ - Minnesota Senior Care Plus MSHO SNBC Integrated - Combine Medicaid MedicareMSHO-Minnesota Senior Health Options Page 10 Non-Integrated - Medicaid onlySNBC - Special Needs Basic Care 11/7/2016

CountyMedicare Status

Blue Plus HealthPartners Itasca Medical Care Medica MHP

MSC+ MSHO Total MSC+ MSHOSNBC

Non Int Total MSC+ MSHO Total MSC+ MSHOSNBC

Non Int TotalSNBC

Non Int

AITKIN Dual 17 101 118 58 58 8 62 70Non Dual 27 27

Total 17 101 118 85 85 8 62 70ANOKA Dual 107 190 297 119 207 326 112 535 780 1,427

Non Dual 8 8 4 4 14 466 480Total 115 190 305 123 207 330 126 535 1,246 1,907BECKER Dual 77 167 244 59 59 37 162 199

Non Dual 3 3 38 38 4 4Total 80 167 247 97 97 41 162 203BELTRAMI Dual

Non DualTotalBENTON Dual 33 157 190 14 21 94 129 19 160 179

Non Dual 2 2 42 42 2 2Total 35 157 192 14 21 136 171 21 160 181BIG STONE Dual

Non DualTotalBLUE EARTH Dual 76 76 6 14 20

Non Dual 3 3 1 1Total 79 79 7 14 21BROWN Dual

Non DualTotalCARLTON Dual 49 146 195 58 58 35 156 191

Non Dual 38 38Total 49 146 195 96 96 35 156 191CARVER Dual 37 82 119 19 44 63 18 91 98 207

Non Dual 2 2 2 2 2 72 74Total 39 82 121 21 44 65 20 91 170 281CASS Dual 68 84 152 76 76 20 64 84

Non Dual 3 3 57 57Total 71 84 155 133 133 20 64 84CHIPPEWA Dual 22 164 186

Non Dual 1 1Total 23 164 187







Non Int TotalSNBC

Non Int

CHISAGO Dual 39 46 85 12 19 44 75 26 88 114Non Dual 1 37 38

Total 39 46 85 13 19 81 113 26 88 114CLAY Dual 41 271 312 128 128 18 215 233

Non Dual 13 13 78 78 11 11Total 54 271 325 206 206 29 215 244CLEARWATER Dual

Non DualTotalCOOK Dual 6 31 37 11 11

Non Dual 1 1 2 2Total 7 31 38 13 13COTTONWOOD Dual 21 39 60

Non DualTotal 21 39 60CROW WING Dual 62 209 271 164 164 32 240 272

Non Dual 95 95Total 62 209 271 259 259 32 240 272DAKOTA Dual 223 233 456 114 253 367 158 521 670 1,349

Non Dual 7 7 9 9 7 455 462Total 230 233 463 123 253 376 165 521 1,125 1,811DODGE Dual

Non DualTotalDOUGLAS Dual

Non DualTotalFARIBAULT Dual 29 80 109 2 4 6

Non DualTotal 29 80 109 2 4 6FILLMORE Dual 70 158 228 3 8 11

Non Dual 2 2Total 72 158 230 3 8 11FREEBORN Dual

Non DualTotal







Non Int TotalSNBC

Non Int

GOODHUE DualNon Dual

TotalGRANT Dual

Non DualTotalHENNEPIN Dual 636 1,075 1 1,712 1,337 4,048 3,280 8,665 1,176

Non Dual 124 124 328 3,358 3,686 1,236Total 760 1,075 1 1,836 1,665 4,048 6,638 12,351 2,412HOUSTON Dual 11 74 85 1 12 13

Non DualTotal 11 74 85 1 12 13HUBBARD Dual

Non DualTotalISANTI Dual 26 28 54 18 105 123

Non Dual 2 2Total 26 28 54 20 105 125ITASCA Dual 199 455 654

Non Dual 2 2Total 201 455 656JACKSON Dual 15 52 67

Non DualTotal 15 52 67KANABEC Dual

Non DualTotalKANDIYOHI Dual 87 275 362 39 39

Non Dual 11 11 35 35Total 98 275 373 74 74KITTSON Dual 18 55 73 5 5 1 1

Non Dual 2 2Total 18 55 73 7 7 1 1KOOCHICHING Dual 19 40 59 40 40 26 109 135

Non Dual 26 26Total 19 40 59 66 66 26 109 135







Non Int TotalSNBC

Non Int

LAC QUI PARLE Dual 9 99 108 1 3 4Non Dual

Total 9 99 108 1 3 4LAKE Dual 25 29 54 23 23 7 13 20

Non Dual 14 14Total 25 29 54 37 37 7 13 20LAKE OF THE WOODS Dual 28 9 37 2 1 3

Non DualTotal 28 9 37 2 1 3LE SUEUR Dual 13 87 100 5 3 8

Non Dual 1 1Total 14 87 101 5 3 8LINCOLN Dual 26 60 86

Non DualTotal 26 60 86LYON Dual 41 201 242

Non Dual 3 3Total 44 201 245MCLEOD Dual

Non DualTotalMAHNOMEN Dual 9 35 44 9 9 4 14 18

Non Dual 5 5Total 9 35 44 14 14 4 14 18MARSHALL Dual 12 60 72 10 10 2 2

Non Dual 5 5Total 12 60 72 15 15 2 2MARTIN Dual 20 135 155

Non Dual 1 1Total 21 135 156MEEKER Dual

Non DualTotalMILLE LACS Dual 20 101 121 30 30 18 159 177

Non Dual 40 40Total 20 101 121 70 70 18 159 177







Non Int TotalSNBC

Non Int

MORRISON Dual 6 83 89 11 141 152Non Dual 1 1

Total 6 83 89 12 141 153MOWER Dual 120 86 206 8 10 18

Non Dual 12 12 3 3Total 132 86 218 11 10 21MURRAY Dual 12 83 95

Non DualTotal 12 83 95NICOLLET Dual 34 107 141 1 5 6

Non Dual 5 5Total 39 107 146 1 5 6NOBLES Dual 41 151 192

Non Dual 2 2Total 43 151 194NORMAN Dual 7 42 49 14 14 6 53 59

Non Dual 7 7Total 7 42 49 21 21 6 53 59OLMSTED Dual 240 316 556 12 21 33

Non Dual 15 15 3 3Total 255 316 571 15 21 36OTTER TAIL Dual 68 393 461 126 126 31 238 269

Non Dual 5 5 84 84Total 73 393 466 210 210 31 238 269PENNINGTON Dual 14 127 141 13 13 4 10 14

Non Dual 2 2Total 14 127 141 15 15 4 10 14PINE Dual 41 83 124 50 50 20 90 110

Non Dual 1 1 33 33 1 1Total 42 83 125 83 83 21 90 111PIPESTONE Dual

Non DualTotalPOLK Dual 80 247 327 109 109 29 84 113

Non Dual 3 3 55 55 4 4Total 83 247 330 164 164 33 84 117







Non Int TotalSNBC

Non Int

POPE DualNon Dual

TotalRAMSEY Dual 477 397 874 487 1,088 1,575 458 968 1,823 3,249

Non Dual 156 156 95 95 89 1,787 1,876Total 633 397 1,030 582 1,088 1,670 547 968 3,610 5,125RED LAKE Dual 7 28 35 8 8 3 2 5

Non Dual 3 3Total 7 28 35 11 11 3 2 5REDWOOD Dual 37 71 108

Non Dual 1 1Total 38 71 109RENVILLE Dual

Non DualTotalRICE Dual 123 157 280 29 81 91 201

Non Dual 4 4 3 63 66Total 127 157 284 32 81 154 267ROCK Dual 15 57 72

Non Dual 2 2Total 17 57 74ROSEAU Dual 15 133 148 14 14 1 9 10

Non Dual 3 3 7 7Total 18 133 151 21 21 1 9 10ST LOUIS Dual 253 337 590 531 531 263 1,015 1,278

Non Dual 3 3 447 447 20 20Total 256 337 593 978 978 283 1,015 1,298SCOTT Dual 78 139 217 45 105 150 73 269 152 494

Non Dual 1 1 2 2 3 112 115Total 79 139 218 47 105 152 76 269 264 609SHERBURNE Dual 24 98 122 14 21 4 39 17 176 143 336

Non Dual 2 2 1 1 2 5 90 95Total 26 98 124 15 21 5 41 22 176 233 431SIBLEY Dual

Non DualTotal







Non Int TotalSNBC

Non Int

STEARNS Dual 85 241 326 55 68 217 340 38 279 317Non Dual 22 22 2 128 130 3 3

Total 107 241 348 57 68 345 470 41 279 320STEELE Dual

Non DualTotalSTEVENS Dual

Non DualTotalSWIFT Dual 27 114 141

Non DualTotal 27 114 141TODD Dual 1 68 69 5 105 110

Non DualTotal 1 68 69 5 105 110TRAVERSE Dual

Non DualTotalWABASHA Dual

Non DualTotalWADENA Dual 9 85 94 4 116 120

Non DualTotal 9 85 94 4 116 120WASECA Dual

Non DualTotalWASHINGTON Dual 86 97 183 97 171 268 55 170 291 516

Non Dual 2 2 10 10 8 190 198Total 88 97 185 107 171 278 63 170 481 714WATONWAN Dual 8 39 47 3 3 6

Non Dual 1 1Total 9 39 48 3 3 6WILKIN Dual 7 60 67 3 3 6 33 39

Non Dual 10 10 1 1Total 7 60 67 13 13 7 33 40







Non Int TotalSNBC

Non Int

WINONA Dual 109 252 361 5 9 14Non Dual 5 5 1 1

Total 114 252 366 6 9 15WRIGHT Dual 74 201 275 20 23 7 50 22 221 178 421

Non Dual 5 5 3 1 4 11 116 127Total 79 201 280 23 23 8 54 33 221 294 548YELLOW MEDICINE Dual 8 88 96

Non Dual 1 1Total 9 88 97Health Plan Total Dual 3,462 7,878 11,340 1,632 3,095 1,906 6,633 199 455 654 3,018 10,897 7,545 21,460 1,176

Non Dual 312 0 312 253 0 1,284 1,537 2 0 2 527 0 6,744 7,271 1,236Health Plan Total 3,774 7,878 11,652 1,885 3,095 3,190 8,170 201 455 656 3,545 10,897 14,289 28,731 2,412




PrimeWest Health South Country Health Alliance UCare ALL Plans

MSC+ MSHO SNBC IntSNBC

Non Int Total MSC+ MSHOSNBC

IntSNBC

Non Int Total MHM MSC+ MSHOSNBC


IntSNBC

Non Int TotalAITKIN Dual 6 41 59 106 0 31 204 0 117 352

Non Dual 35 35 0 0 0 0 62 62Total 6 41 94 141 0 31 204 0 179 414ANOKA Dual 134 519 760 1,413 0 472 1,451 0 1,540 3,463

Non Dual 20 637 657 0 46 0 0 1,103 1,149Total 154 519 1,397 2,070 0 518 1,451 0 2,643 4,612BECKER Dual 5 9 123 137 0 119 338 0 182 639

Non Dual 72 72 0 7 0 0 110 117Total 5 9 195 209 0 126 338 0 292 756BELTRAMI Dual 278 143 11 310 742 0 278 143 11 310 742

Non Dual 1 211 212 0 1 0 0 211 212Total 279 143 11 521 954 0 279 143 11 521 954BENTON Dual 7 70 148 225 0 73 408 0 242 723

Non Dual 100 100 0 4 0 0 142 146Total 7 70 248 325 0 77 408 0 384 869BIG STONE Dual 19 92 2 31 144 0 19 92 2 31 144

Non Dual 2 20 22 0 2 0 0 20 22Total 21 92 2 51 166 0 21 92 2 51 166BLUE EARTH Dual 29 434 320 783 0 111 448 0 320 879

Non Dual 1 200 201 0 5 0 0 200 205Total 30 434 520 984 0 116 448 0 520 1,084BROWN Dual 78 201 88 97 464 0 78 201 88 97 464

Non Dual 59 59 0 0 0 0 59 59Total 78 201 88 156 523 0 78 201 88 156 523CARLTON Dual 12 49 146 207 0 96 351 0 204 651

Non Dual 119 119 0 0 0 0 157 157Total 12 49 265 326 0 96 351 0 361 808CARVER Dual 13 71 111 195 0 87 288 0 209 584

Non Dual 2 68 70 0 8 0 0 140 148Total 15 71 179 265 0 95 288 0 349 732CASS Dual 17 36 94 147 0 105 184 0 170 459

Non Dual 78 78 0 3 0 0 135 138Total 17 36 172 225 0 108 184 0 305 597CHIPPEWA Dual 3 21 48 72 0 25 185 0 48 258

Non Dual 36 36 0 1 0 0 36 37Total 3 21 84 108 0 26 185 0 84 295







IntSNBC



IntSNBC

Non Int Total

CHISAGO Dual 6 84 178 268 0 83 237 0 222 542Non Dual 122 122 0 1 0 0 159 160

Total 6 84 300 390 0 84 237 0 381 702CLAY Dual 10 298 308 0 59 496 0 426 981

Non Dual 204 204 0 24 0 0 282 306Total 10 502 512 0 83 496 0 708 1,287CLEARWATER Dual 63 96 4 50 213 0 63 96 4 50 213

Non Dual 41 41 0 0 0 0 41 41Total 63 96 4 91 254 0 63 96 4 91 254COOK Dual 10 8 18 0 6 41 0 19 66

Non Dual 3 3 0 1 0 0 5 6Total 10 11 21 0 7 41 0 24 72COTTONWOOD Dual 7 117 59 183 0 28 156 0 59 243

Non Dual 2 41 43 0 2 0 0 41 43Total 9 117 100 226 0 30 156 0 100 286CROW WING Dual 29 150 181 360 0 123 599 0 345 1,067

Non Dual 127 127 0 0 0 0 222 222Total 29 150 308 487 0 123 599 0 567 1,289DAKOTA Dual 95 522 675 1,292 0 590 1,529 0 1,345 3,464

Non Dual 7 538 545 0 30 0 0 993 1,023Total 102 522 1,213 1,837 0 620 1,529 0 2,338 4,487DODGE Dual 25 85 23 57 190 6 23 29 0 31 108 23 57 219

Non Dual 39 39 1 1 0 1 0 0 39 40Total 25 85 23 96 229 7 23 30 0 32 108 23 96 259DOUGLAS Dual 51 380 75 232 738 0 51 380 75 232 738

Non Dual 4 108 112 0 4 0 0 108 112Total 55 380 75 340 850 0 55 380 75 340 850FARIBAULT Dual 10 55 73 138 0 41 139 0 73 253

Non Dual 57 57 0 0 0 0 57 57Total 10 55 130 195 0 41 139 0 130 310FILLMORE Dual 17 66 64 147 0 90 232 0 64 386

Non Dual 24 24 0 2 0 0 24 26Total 17 66 88 171 0 92 232 0 88 412FREEBORN Dual 165 162 25 211 563 8 26 34 0 173 188 25 211 597

Non Dual 8 117 125 0 8 0 0 117 125Total 173 162 25 328 688 8 26 34 0 181 188 25 328 722







IntSNBC



IntSNBC

Non Int Total

GOODHUE Dual 101 350 127 171 749 0 101 350 127 171 749Non Dual 2 119 121 0 2 0 0 119 121

Total 103 350 127 290 870 0 103 350 127 290 870GRANT Dual 12 40 11 22 85 0 12 40 11 22 85

Non Dual 18 18 0 0 0 0 18 18Total 12 40 11 40 103 0 12 40 11 40 103HENNEPIN Dual 1 903 3,605 2,548 7,057 1 2,876 8,728 0 7,005 18,610

Non Dual 445 3,047 3,492 0 897 0 0 7,641 8,538Total 1 1,348 3,605 5,595 10,549 1 3,773 8,728 0 14,646 27,148HOUSTON Dual 5 72 64 141 0 17 158 0 64 239

Non Dual 30 30 0 0 0 0 30 30Total 5 72 94 171 0 17 158 0 94 269HUBBARD Dual 136 67 5 109 317 0 136 67 5 109 317

Non Dual 60 60 0 0 0 0 60 60Total 136 67 5 169 377 0 136 67 5 169 377ISANTI Dual 14 86 193 293 0 58 219 0 193 470

Non Dual 128 128 0 2 0 0 128 130Total 14 86 321 421 0 60 219 0 321 600ITASCA Dual 279 279 0 199 455 0 279 933

Non Dual 199 199 0 2 0 0 199 201Total 478 478 0 201 455 0 478 1,134JACKSON Dual 5 26 22 53 0 20 78 0 22 120

Non Dual 13 13 0 0 0 0 13 13Total 5 26 35 66 0 20 78 0 35 133KANABEC Dual 48 115 18 97 278 0 48 115 18 97 278

Non Dual 2 46 48 0 2 0 0 46 48Total 50 115 18 143 326 0 50 115 18 143 326KANDIYOHI Dual 14 57 125 196 0 101 332 0 164 597

Non Dual 7 111 118 0 18 0 0 146 164Total 21 57 236 314 0 119 332 0 310 761KITTSON Dual 2 23 6 31 0 21 78 0 11 110

Non Dual 3 3 0 0 0 0 5 5Total 2 23 9 34 0 21 78 0 16 115KOOCHICHING Dual 9 14 49 72 0 54 163 0 89 306

Non Dual 28 28 0 0 0 0 54 54Total 9 14 77 100 0 54 163 0 143 360


MSC+ - Minnesota Senior Care Plus MSHO SNBC Integrated - Combine Medicaid MedicareMSHO-Minnesota Senior Health Options Page 21 Non-Integrated - Medicaid onlySNBC - Special Needs Basic Care 11/7/2016





IntSNBC



IntSNBC

Non Int Total

LAC QUI PARLE Dual 17 29 46 0 10 119 0 29 158Non Dual 18 18 0 0 0 0 18 18

Total 17 47 64 0 10 119 0 47 176LAKE Dual 17 19 20 56 0 49 61 0 43 153

Non Dual 10 10 0 0 0 0 24 24Total 17 19 30 66 0 49 61 0 67 177LAKE OF THE WOODS Dual 1 4 7 12 0 31 14 0 7 52

Non Dual 2 2 0 0 0 0 2 2Total 1 4 9 14 0 31 14 0 9 54LE SUEUR Dual 9 57 82 148 0 27 147 0 82 256

Non Dual 44 44 0 1 0 0 44 45Total 9 57 126 192 0 28 147 0 126 301LINCOLN Dual 2 14 25 41 0 28 74 0 25 127

Non Dual 7 7 0 0 0 0 7 7Total 2 14 32 48 0 28 74 0 32 134LYON Dual 15 43 96 154 0 56 244 0 96 396

Non Dual 2 68 70 0 5 0 0 68 73Total 17 43 164 224 0 61 244 0 164 469MCLEOD Dual 44 288 25 137 494 0 44 288 25 137 494

Non Dual 1 78 79 0 1 0 0 78 79Total 45 288 25 215 573 0 45 288 25 215 573MAHNOMEN Dual 2 21 23 0 13 51 0 30 94

Non Dual 17 17 0 0 0 0 22 22Total 2 38 40 0 13 51 0 52 116MARSHALL Dual 1 18 23 42 0 13 80 0 33 126

Non Dual 15 15 0 0 0 0 20 20Total 1 18 38 57 0 13 80 0 53 146MARTIN Dual 6 105 200 311 0 26 240 0 200 466

Non Dual 1 89 90 0 2 0 0 89 91Total 7 105 289 401 0 28 240 0 289 557MEEKER Dual 25 249 26 60 360 0 25 249 26 60 360

Non Dual 3 56 59 0 3 0 0 56 59Total 28 249 26 116 419 0 28 249 26 116 419MILLE LACS Dual 6 58 122 186 0 44 318 0 152 514

Non Dual 65 65 0 0 0 0 105 105Total 6 58 187 251 0 44 318 0 257 619

Duals - enrolles /Medicare A and/or B







IntSNBC



IntSNBC

Non Int Total

MORRISON Dual 93 43 9 176 321 5 29 34 0 115 296 9 176 596Non Dual 1 118 119 0 2 0 0 118 120

Total 94 43 9 294 440 5 29 34 0 117 296 9 294 716MOWER Dual 51 155 250 456 0 179 251 0 250 680

Non Dual 8 122 130 0 23 0 0 122 145Total 59 155 372 586 0 202 251 0 372 825MURRAY Dual 13 25 38 0 12 96 0 25 133

Non Dual 3 9 12 0 3 0 0 9 12Total 3 13 34 50 0 15 96 0 34 145NICOLLET Dual 13 79 109 201 0 48 191 0 109 348

Non Dual 61 61 0 5 0 0 61 66Total 13 79 170 262 0 53 191 0 170 414NOBLES Dual 4 55 85 144 0 45 206 0 85 336

Non Dual 2 49 51 0 4 0 0 49 53Total 6 55 134 195 0 49 206 0 134 389NORMAN Dual 2 3 28 33 0 15 98 0 42 155

Non Dual 12 12 0 0 0 0 19 19Total 2 3 40 45 0 15 98 0 61 174OLMSTED Dual 157 436 720 1,313 0 409 773 0 720 1,902

Non Dual 28 505 533 0 46 0 0 505 551Total 185 436 1,225 1,846 0 455 773 0 1,225 2,453OTTER TAIL Dual 17 48 145 210 0 116 679 0 271 1,066

Non Dual 72 72 0 5 0 0 156 161Total 17 48 217 282 0 121 679 0 427 1,227PENNINGTON Dual 4 39 65 108 0 22 176 0 78 276

Non Dual 30 30 0 0 0 0 32 32Total 4 39 95 138 0 22 176 0 110 308PINE Dual 14 58 148 220 0 75 231 0 198 504

Non Dual 2 94 96 0 4 0 0 127 131Total 16 58 242 316 0 79 231 0 325 635PIPESTONE Dual 31 117 15 36 199 0 31 117 15 36 199

Non Dual 36 36 0 0 0 0 36 36Total 31 117 15 72 235 0 31 117 15 72 235POLK Dual 12 80 123 215 0 121 411 0 232 764

Non Dual 1 66 67 0 8 0 0 121 129Total 13 80 189 282 0 129 411 0 353 893







IntSNBC



IntSNBC

Non Int Total

POPE Dual 4 170 17 70 261 0 4 170 17 70 261Non Dual 33 33 0 0 0 0 33 33

Total 4 170 17 103 294 0 4 170 17 103 294RAMSEY Dual 420 1,742 2,050 4,212 0 1,842 4,195 0 3,873 9,910

Non Dual 362 2,917 3,279 0 702 0 0 4,704 5,406Total 782 1,742 4,967 7,491 0 2,544 4,195 0 8,577 15,316RED LAKE Dual 9 10 19 0 10 39 0 18 67

Non Dual 7 7 0 0 0 0 10 10Total 9 17 26 0 10 39 0 28 77REDWOOD Dual 8 52 64 124 0 45 123 0 64 232

Non Dual 39 39 0 1 0 0 39 40Total 8 52 103 163 0 46 123 0 103 272RENVILLE Dual 36 119 14 85 254 0 36 119 14 85 254

Non Dual 37 37 0 0 0 0 37 37Total 36 119 14 122 291 0 36 119 14 122 291RICE Dual 28 104 102 234 0 180 342 0 193 715

Non Dual 7 107 114 0 14 0 0 170 184Total 35 104 209 348 0 194 342 0 363 899ROCK Dual 4 19 66 89 0 19 76 0 66 161

Non Dual 11 11 0 2 0 0 11 13Total 4 19 77 100 0 21 76 0 77 174ROSEAU Dual 2 42 28 72 0 18 184 0 42 244

Non Dual 14 14 0 3 0 0 21 24Total 2 42 42 86 0 21 184 0 63 268ST LOUIS Dual 120 440 1,446 2,006 0 636 1,792 0 1,977 4,405

Non Dual 5 1,118 1,123 0 28 0 0 1,565 1,593Total 125 440 2,564 3,129 0 664 1,792 0 3,542 5,998SCOTT Dual 18 69 154 241 0 214 582 0 306 1,102

Non Dual 6 144 150 0 12 0 0 256 268Total 24 69 298 391 0 226 582 0 562 1,370SHERBURNE Dual 13 80 159 252 0 68 375 0 306 749

Non Dual 3 107 110 0 11 0 0 198 209Total 16 80 266 362 0 79 375 0 504 958SIBLEY Dual 21 141 13 39 214 0 21 141 13 39 214

Non Dual 1 27 28 0 1 0 0 27 28Total 22 141 13 66 242 0 22 141 13 66 242







IntSNBC



IntSNBC

Non Int Total

STEARNS Dual 35 155 436 626 0 213 743 0 653 1,609Non Dual 60 460 520 0 87 0 0 588 675

Total 95 155 896 1,146 0 300 743 0 1,241 2,284STEELE Dual 101 219 130 119 569 0 101 219 130 119 569

Non Dual 12 116 128 0 12 0 0 116 128Total 113 219 130 235 697 0 113 219 130 235 697STEVENS Dual 15 85 11 41 152 0 15 85 11 41 152

Non Dual 1 23 24 0 1 0 0 23 24Total 16 85 11 64 176 0 16 85 11 64 176SWIFT Dual 2 10 44 56 0 29 124 0 44 197

Non Dual 18 18 0 0 0 0 18 18Total 2 10 62 74 0 29 124 0 62 215TODD Dual 53 52 6 135 246 2 45 47 0 61 270 6 135 472

Non Dual 73 73 0 0 0 0 73 73Total 53 52 6 208 319 2 45 47 0 61 270 6 208 545TRAVERSE Dual 6 77 4 24 111 0 6 77 4 24 111

Non Dual 1 14 15 0 1 0 0 14 15Total 7 77 4 38 126 0 7 77 4 38 126WABASHA Dual 40 106 24 69 239 11 32 43 0 51 138 24 69 282

Non Dual 36 36 0 0 0 0 36 36Total 40 106 24 105 275 11 32 43 0 51 138 24 105 318WADENA Dual 35 37 16 157 245 1 33 34 0 49 271 16 157 493

Non Dual 104 104 0 0 0 0 104 104Total 35 37 16 261 349 1 33 34 0 49 271 16 261 597WASECA Dual 55 123 48 77 303 0 55 123 48 77 303

Non Dual 1 47 48 0 1 0 0 47 48Total 56 123 48 124 351 0 56 123 48 124 351WASHINGTON Dual 55 292 316 663 0 293 730 0 607 1,630

Non Dual 14 240 254 0 34 0 0 430 464Total 69 292 556 917 0 327 730 0 1,037 2,094WATONWAN Dual 7 41 51 99 0 18 83 0 51 152

Non Dual 26 26 0 1 0 0 26 27Total 7 41 77 125 0 19 83 0 77 179WILKIN Dual 17 17 0 13 93 0 20 126

Non Dual 5 5 0 1 0 0 15 16Total 22 22 0 14 93 0 35 142




WINONA DualNon Dual

WRIGHT DualNon Dual

YELLOW MEDICINE DualNon Dual

Health Plan Total DualNon Dual

Health Plan Total

Total

Total

Total



IntSNBC



IntSNBC

Non Int Total

UCare ALL PlansPrimeWest Health South Country Health Alliance

24 80 209 313 0 138 341 0 209 6883 132 135 0 9 0 0 132 141

27 80 341 448 0 147 341 0 341 82918 111 142 271 0 134 556 0 327 1,0175 92 97 0 24 0 0 209 233

23 111 234 368 0 158 556 0 536 1,2502 23 32 57 0 10 111 0 32 153

33 33 0 1 0 0 33 342 23 65 90 0 11 111 0 65 187

720 1,923 220 1,207 4,070 815 1,634 527 1,405 4,381 1 2,462 10,907 14,280 27,650 1 12,308 36,789 747 27,519 77,36413 0 0 735 748 27 0 0 901 928 0 997 0 12,845 13,842 0 2,131 0 0 23,745 25,876

733 1,923 220 1,942 4,818 842 1,634 527 2,306 5,309 1 3,459 10,907 27,125 41,492 1 14,439 36,789 747 51,264 103,240

November 2016 Elderly/DisabledLiving Arrangement/Nursing Home Certifiable

Comm/Non-NHC: Community resident w/no waiver 26 of 55 Institutional - SNF/ICF-DDComm/NHC - Community resident with elderly waiver services 11/7/2016 CAC,CADI, RC/DD, TBI - HCB Waiver Services

Waiver Status

Blue Plus HealthPartners

Itasca Medical Care Medica Metropolitan

Health PlanMSC+ MSHO MSC+ MSHO SNBC MSC+ MSHO MSC+ MSHO SNBC SNBC

AITKIN Comm Well 8 33 74 8 26NF/ICF-DD 3 27 15BI-NF WaiverCADI Waiver 1 1 5DD Waiver 4 6 1Elderly Waiver 5 36 20

AITKIN Total 17 101 85 8 62ANOKA Comm Well 51 34 83 90 69 198 782

NF/ICF-DD 14 25 4 12 9 91 31BI-NB Waiver 1BI-NF Waiver 1 1 10CAC Waiver 2CADI Waiver 3 7 1 4 1 20 274DD Waiver 2 4 146Elderly Waiver 45 124 35 101 46 221

ANOKA Total 115 190 123 207 126 535 1246BECKER Comm Well 35 21 79 20 45

NF/ICF-DD 17 63 4 10 47BI-NF WaiverCADI Waiver 2 2 10 1 2DD Waiver 1 1 4Elderly Waiver 25 80 10 68

BECKER Total 80 167 97 41 162BELTRAMI Comm Well

NF/ICF-DDBI-NB WaiverCADI WaiverDD WaiverElderly Waiver

BELTRAMI TotalBENTON Comm Well 13 11 6 4 95 7 32

NF/ICF-DD 14 53 2 5 1 3 77BI-NF Waiver 1CADI Waiver 1 1 28 3DD Waiver 9 1 12 2Elderly Waiver 8 83 3 12 9 48

BENTON Total 35 157 14 21 136 21 160BIG STONE Comm Well

NF/ICF-DDCADI WaiverDD WaiverElderly Waiver

BIG STONE TotalBLUE EARTH Comm Well 26 3 2

NF/ICF-DD 21 2 4BI-NF WaiverCAC WaiverCADI Waiver 3DD Waiver 5 1 1Elderly Waiver 24 1 7

BLUE EARTH Total 79 7 14



Waiver Status




BROWN Comm WellNF/ICF-DDBI-NF WaiverCAC WaiverCADI WaiverDD WaiverElderly Waiver

BROWN TotalCARLTON Comm Well 9 20 66 9 36

NF/ICF-DD 7 41 10 35BI-NB Waiver 1BI-NF Waiver 1CADI Waiver 1 25 1 3DD Waiver 1 3 4 2 3Elderly Waiver 30 82 13 79

CARLTON Total 49 146 96 35 156CARVER Comm Well 13 10 12 14 5 21 92

NF/ICF-DD 10 22 4 15 3 16 8BI-NF Waiver 1CADI Waiver 1 1 48DD Waiver 1 22Elderly Waiver 16 49 5 14 12 52

CARVER Total 39 82 21 44 20 91 170CASS Comm Well 40 36 112 12 35

NF/ICF-DD 14 8 1 1 9BI-NB WaiverBI-NF Waiver 1 1CADI Waiver 1 2 13 1DD Waiver 1 6 6 1Elderly Waiver 15 32 5 19

CASS Total 71 84 133 20 64CHIPPEWA Comm Well 9 26

NF/ICF-DD 8 79CADI WaiverDD Waiver 1 4Elderly Waiver 5 55

CHIPPEWA Total 23 164CHISAGO Comm Well 12 7 8 6 46 10 18

NF/ICF-DD 7 10 2 7 1 3 27BI-NB Waiver 1BI-NF Waiver 1 1CADI Waiver 1 2 17 1 4DD Waiver 2 1 15 1 2Elderly Waiver 17 26 3 6 10 37

CHISAGO Total 39 46 13 19 81 26 88



Waiver Status




CLAY Comm Well 22 56 158 11 66NF/ICF-DD 9 75 2 4 43BI-NF Waiver 2CAC Waiver 1CADI Waiver 6 33 13DD Waiver 1 1 10 4Elderly Waiver 22 133 14 89

CLAY Total 54 271 206 29 215CLEARWATER Comm Well


CLEARWATER TotalCOOK Comm Well 4 9 11

NF/ICF-DD 2 13CADI Waiver 1 1DD Waiver 1Elderly Waiver 1 8

COOK Total 7 31 13COTTONWOOD Comm Well 14 3

NF/ICF-DD 3 19BI-NF WaiverCADI WaiverDD WaiverElderly Waiver 4 17

COTTONWOOD Total 21 39CROW WING Comm Well 34 64 209 14 62

NF/ICF-DD 9 39 3 3 40BI-NB Waiver 1 1CAC WaiverCADI Waiver 29 2 4DD Waiver 1 5 17 2 1Elderly Waiver 18 101 11 132

CROW WING Total 62 209 259 32 240DAKOTA Comm Well 96 70 86 116 58 160 633

NF/ICF-DD 26 45 13 31 19 96 14BI-NB Waiver 1 1 1 4BI-NF Waiver 2 20CAC Waiver 5CADI Waiver 10 6 3 1 8 22 286DD Waiver 2 2 1 1 4 5 163Elderly Waiver 93 110 20 104 75 237

DAKOTA Total 230 233 123 253 165 521 1125DODGE Comm Well


DODGE Total



Waiver Status




DOUGLAS Comm WellNF/ICF-DDBI-NF WaiverCADI WaiverDD WaiverElderly Waiver

DOUGLAS TotalFARIBAULT Comm Well 8 24 3

NF/ICF-DD 11 27 1 1CADI Waiver 1DD Waiver 3Elderly Waiver 7 28 1

FARIBAULT Total 29 80 2 4FILLMORE Comm Well 19 23 2

NF/ICF-DD 33 64 2 4BI-NF WaiverCADI WaiverDD Waiver 3 2Elderly Waiver 17 69 1 2

FILLMORE Total 72 158 3 8FREEBORN Comm Well

NF/ICF-DDBI-NB WaiverCAC WaiverCADI WaiverDD WaiverElderly Waiver

FREEBORN TotalGOODHUE Comm Well


GOODHUE TotalGRANT Comm Well


GRANT TotalHENNEPIN Comm Well 451 388 1 800 1158 4641 1786

NF/ICF-DD 146 216 241 741 252 67BI-NB Waiver 5 2BI-NF Waiver 2 6 46 6CAC Waiver 4 1CADI Waiver 14 14 48 127 1242 415DD Waiver 13 5 17 55 448 135Elderly Waiver 136 450 559 1961

HENNEPIN Total 760 1075 1 1665 4048 6638 2412



Waiver Status




HOUSTON Comm Well 4 13 1 3NF/ICF-DD 4 34 4CADI WaiverDD Waiver 2 1Elderly Waiver 3 25 4

HOUSTON Total 11 74 1 12HUBBARD Comm Well


HUBBARD TotalISANTI Comm Well 8 4 6 21

NF/ICF-DD 12 6 6 47BI-NF WaiverCADI Waiver 1DD WaiverElderly Waiver 6 18 7 37

ISANTI Total 26 28 20 105ITASCA Comm Well 98 130

NF/ICF-DD 35 95BI-NF WaiverCADI Waiver 3 5DD Waiver 1 8Elderly Waiver 64 217

ITASCA Total 201 455JACKSON Comm Well 4 10

NF/ICF-DD 5 22CADI WaiverDD WaiverElderly Waiver 6 20

JACKSON Total 15 52KANABEC Comm Well

NF/ICF-DDBI-NF WaiverCADI WaiverDD WaiverElderly Waiver

KANABEC TotalKANDIYOHI Comm Well 49 35 57

NF/ICF-DD 8 141 2BI-NF Waiver 1CADI Waiver 8 6 8DD Waiver 19 4 7Elderly Waiver 13 89

KANDIYOHI Total 98 275 74



Waiver Status




KITTSON Comm Well 6 9 4 1NF/ICF-DD 4 30 1CADI Waiver 1 2DD Waiver 3Elderly Waiver 5 15

KITTSON Total 18 55 7 1KOOCHICHING Comm Well 12 12 49 17 54

NF/ICF-DD 5 19 2 2 30CADI Waiver 5 1DD Waiver 10 1 7Elderly Waiver 2 9 6 17

KOOCHICHING Total 19 40 66 26 109LAC QUI PARLE Comm Well 5 13 2

NF/ICF-DD 1 52 1CADI Waiver 1DD Waiver 1Elderly Waiver 2 33 1

LAC QUI PARLE Total 9 99 1 3LAKE Comm Well 6 5 28 2 7

NF/ICF-DD 8 6 3 2BI-NF Waiver 1CADI Waiver 5 1DD Waiver 1 3Elderly Waiver 11 17 1 4

LAKE Total 25 29 37 7 13LAKE OF THE WOODS Comm Well 11 2

NF/ICF-DD 10 5 1 1CADI WaiverElderly Waiver 7 2 1

LAKE OF THE WOODS Total 28 9 2 1LE SUEUR Comm Well 3 9 1

NF/ICF-DD 1 27 4 1CADI Waiver 1DD Waiver 1 1Elderly Waiver 10 49 1

LE SUEUR Total 14 87 5 3LINCOLN Comm Well 10 9


LINCOLN Total 26 60LYON Comm Well 20 25

NF/ICF-DD 9 67CAC WaiverCADI Waiver 1 2DD Waiver 3 8Elderly Waiver 11 99

LYON Total 44 201



Waiver Status




MCLEOD Comm WellNF/ICF-DDBI-NF WaiverCAC WaiverCADI WaiverDD WaiverElderly Waiver

MCLEOD TotalMAHNOMEN Total Comm Well 3 10 12 1 6

BI-NF Waiver 2 8 2CAC Waiver 1CADI Waiver 1 1 1DD Waiver 1 1 1 2Elderly Waiver 3 15 5

MAHNOMEN Total 9 35 14 4 14MARSHALL Comm Well 8 14 12 2


MARSHALL Total 12 60 15 2MARTIN Comm Well 11 28

NF/ICF-DD 4 40BI-NF WaiverCADI Waiver 3DD Waiver 3 2Elderly Waiver 3 62

MARTIN Total 21 135MEEKER Comm Well


MEEKER TotalMILLE LACS Comm Well 13 16 51 7 49

NF/ICF-DD 2 36 7 66BI-NB Waiver 1BI-NF Waiver 1CADI Waiver 12DD Waiver 5 1 4Elderly Waiver 5 49 3 40

MILLE LACS Total 20 101 70 18 159MORRISON Comm Well 2 24 8 40

NF/ICF-DD 1 24 3 43BI-NB WaiverBI-NF WaiverCADI Waiver 2DD Waiver 1 2Elderly Waiver 3 34 1 54

MORRISON Total 6 83 12 141



Waiver Status




MOWER Comm Well 36 17 6 4NF/ICF-DD 24 12 4BI-NF WaiverCADI WaiverDD Waiver 3 2Elderly Waiver 69 55 1 6

MOWER Total 132 86 11 10MURRAY Comm Well 4 12

NF/ICF-DD 6 34CADI Waiver 1DD Waiver 3Elderly Waiver 2 33

MURRAY Total 12 83NICOLLET Comm Well 22 18 1 1

NF/ICF-DD 5 18CAC Waiver 1CADI Waiver 1DD Waiver 1 2Elderly Waiver 10 68 4

NICOLLET Total 39 107 1 5NOBLES Comm Well 35 57

NF/ICF-DD 4 29CADI Waiver 3DD Waiver 1 8Elderly Waiver 3 54

NOBLES Total 43 151NORMAN Comm Well 2 7 16 3 8

NF/ICF-DD 1 20 1 2 39CADI Waiver 3DD Waiver 1 1Elderly Waiver 4 14 1 6

NORMAN Total 7 42 21 6 53OLMSTED Comm Well 108 117 9 13

NF/ICF-DD 55 65 3 4BI-NF WaiverCAC WaiverCADI Waiver 4 1DD Waiver 3 6Elderly Waiver 85 127 3 4

OLMSTED Total 255 316 15 21OTTER TAIL Comm Well 38 70 148 12 63

NF/ICF-DD 13 151 2 6 79BI-NB WaiverBI-NF Waiver 2CAC WaiverCADI Waiver 4 42 2 5DD Waiver 4 8 16 3 4Elderly Waiver 18 160 8 87

OTTER TAIL Total 73 393 210 31 238



Waiver Status




PENNINGTON Comm Well 7 31 11 4 5NF/ICF-DD 2 38 2CADI Waiver 2DD Waiver 2 2 1Elderly Waiver 3 58 2

PENNINGTON Total 14 127 15 4 10PINE Comm Well 24 19 67 8 37

NF/ICF-DD 4 8 2 2 12BI-NF WaiverCADI Waiver 10 1DD Waiver 1 4 3 5Elderly Waiver 14 55 7 36

PINE Total 42 83 83 21 90PIPESTONE Comm Well


PIPESTONE TotalPOLK Comm Well 30 46 106 13 20

NF/ICF-DD 18 103 2 7 25BI-NB WaiverBI-NF Waiver 1CADI Waiver 2 1 35 2DD Waiver 2 20 2Elderly Waiver 31 97 11 37

POLK Total 83 247 164 33 84POPE Comm Well

NF/ICF-DDBI-NF WaiverCAC WaiverCADI WaiverDD WaiverElderly Waiver

POPE TotalRAMSEY Comm Well 296 120 347 382 190 311 2606

NF/ICF-DD 104 65 93 187 82 168 101BI-NB Waiver 3BI-NF Waiver 2 1 1 18CAC Waiver 1CADI Waiver 16 4 23 25 9 44 653DD Waiver 17 5 16 8 20 22 228Elderly Waiver 198 203 102 486 245 423

RAMSEY Total 633 397 582 1088 547 968 3610RED LAKE Comm Well 3 4 10 1 2

NF/ICF-DD 1 1CADI WaiverDD Waiver 1Elderly Waiver 4 22 2

RED LAKE Total 7 28 11 3 2



Waiver Status




REDWOOD Comm Well 8 9NF/ICF-DD 15 32CADI Waiver 2 1DD Waiver 3 7Elderly Waiver 10 22

REDWOOD Total 38 71RENVILLE Comm Well


RENVILLE TotalRICE Comm Well 34 21 12 19 91

NF/ICF-DD 21 26 8 26 6BI-NF Waiver 1CADI Waiver 6 3 1 36DD Waiver 11 2 3 2 20Elderly Waiver 55 105 8 34

RICE Total 127 157 32 81 154ROCK Comm Well 2 13

NF/ICF-DD 8 22BI-NB WaiverBI-NF WaiverCADI Waiver 1DD Waiver 1Elderly Waiver 6 21

ROCK Total 17 57ROSEAU Comm Well 5 23 18 4

NF/ICF-DD 8 61 2 1 1CADI Waiver 1DD Waiver 1 1Elderly Waiver 4 48 4

ROSEAU Total 18 133 21 1 9ST LOUIS Comm Well 52 39 621 110 269

NF/ICF-DD 85 102 8 71 211BI-NB Waiver 27 1BI-NF Waiver 24 3 2CAC Waiver 1CADI Waiver 4 3 159 9 19DD Waiver 5 4 138 2 24Elderly Waiver 110 189 87 490

ST LOUIS Total 256 337 978 283 1015SCOTT Comm Well 27 34 37 54 32 95 145

NF/ICF-DD 21 45 5 9 6 53 26BI-NF Waiver 1CADI Waiver 1 1 3 61DD Waiver 1 31Elderly Waiver 31 59 4 42 37 118

SCOTT Total 79 139 47 105 76 269 264



Waiver Status




SHERBURNE Comm Well 7 16 3 8 3 11 38 124NF/ICF-DD 11 31 5 7 3 49 13BI-NF Waiver 5CADI Waiver 2 2 58DD Waiver 1 1 1 6 33Elderly Waiver 7 48 6 6 8 83

SHERBURNE Total 26 98 15 21 5 22 176 233SIBLEY Comm Well


SIBLEY TotalSTEARNS Comm Well 60 46 37 27 248 21 122

NF/ICF-DD 18 80 4 9 4 6 44BI-NB WaiverBI-NF WaiverCADI Waiver 1 1 1 50 1 9DD Waiver 3 5 2 43 1 8Elderly Waiver 25 109 14 31 12 96

STEARNS Total 107 241 57 68 345 41 279STEELE Comm Well

NF/ICF-DDBI-NB WaiverBI-NF WaiverCADI WaiverDD WaiverElderly Waiver

STEELE TotalSTEVENS Comm Well


STEVENS TotalSWIFT Comm Well 10 28

NF/ICF-DD 7 35BI-NF Waiver 1CADI Waiver 1 2DD Waiver 1Elderly Waiver 8 48

SWIFT Total 27 114



Waiver Status




TODD Comm Well 1 15 4 32NF/ICF-DD 27 30BI-NF WaiverCAC WaiverCADI Waiver 1DD Waiver 1 2Elderly Waiver 25 41

TODD Total 1 68 5 105TRAVERSE Comm Well


TRAVERSE TotalWABASHA Comm Well


WABASHA TotalWADENA Comm Well 3 15 3 30

NF/ICF-DD 4 43 1 40BI-NF WaiverCADI Waiver 1 2 3DD Waiver 2Elderly Waiver 1 25 41

WADENA Total 9 85 4 116WASECA Comm Well

NF/ICF-DDBI-NF WaiverCAC WaiverCADI WaiverDD WaiverElderly Waiver

WASECA TotalWASHINGTON Comm Well 37 25 61 63 28 46 307

NF/ICF-DD 19 20 24 28 14 31 8BI-NB WaiverBI-NF Waiver 1 5CAC Waiver 1CADI Waiver 4 3 3 2 2 7 96DD Waiver 1 1 1 1 2 64Elderly Waiver 27 48 18 77 18 84

WASHINGTON Total 88 97 107 171 63 170 481WATONWAN Comm Well 5 11 2 1

NF/ICF-DD 4 18 2CADI WaiverDD WaiverElderly Waiver 10 1

WATONWAN Total 9 39 3 3



Waiver Status




WILKIN Comm Well 1 15 10 3 6NF/ICF-DD 4 18 2 14CADI Waiver 2DD Waiver 1 3Elderly Waiver 2 27 2 10

WILKIN Total 7 60 13 7 33WINONA Comm Well 41 36 3 2

NF/ICF-DD 26 92 1CAC WaiverCADI Waiver 2 10 1DD Waiver 5 6Elderly Waiver 40 108 1 7

WINONA Total 114 252 6 9WRIGHT Comm Well 21 41 14 9 6 14 42 168

NF/ICF-DD 21 50 2 2 1 7 68 8BI-NB Waiver 3BI-NF Waiver 2CAC Waiver 1CADI Waiver 1 4 4 88DD Waiver 2 1 7 24Elderly Waiver 36 104 7 12 12 100

WRIGHT Total 79 201 23 23 8 33 221 294YELLOW MEDICINE Comm Well 5 13

NF/ICF-DD 1 38CADI WaiverDD Waiver 1Elderly Waiver 3 36

YELLOW MEDICINE Total 9 88Plan Total Comm Well 1,512 1,603 1,145 1,161 2,271 98 130 1,559 3,219 9,646 1,786

NF/ICF-DD 801 2,457 304 528 38 35 95 563 2,339 469 67BI-NB Waiver 2 0 0 0 30 0 0 2 2 16 2BI-NF Waiver 9 8 2 3 34 0 0 9 9 108 6CAC Waiver 1 0 0 0 2 0 0 0 1 14 1CADI Waiver 76 91 46 47 492 3 5 93 299 2,850 415DD Waiver 116 133 35 15 323 1 8 68 181 1,186 135Elderly Waiver 1,257 3,586 353 1,341 0 64 217 1,251 4,847 0 0

Plan Total 3,774 7,878 1,885 3,095 3,190 201 455 3,545 10,897 14,289 2,412



Waiver Status

PrimeWest Health SCHA UCare County Total

MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC TotalAITKIN Comm Well 5 16 73 0 21 75 147 243

NF/ICF-DD 10 0 3 52 0 55BI-NF Waiver 1 0 0 0 1 1CADI Waiver 10 0 1 1 15 17DD Waiver 1 10 0 0 6 16 22Elderly Waiver 1 14 0 6 70 0 76

AITKIN Total 6 41 94 0 31 204 179 414ANOKA Comm Well 72 213 923 0 275 535 1,705 2,515

NF/ICF-DD 17 52 16 0 44 180 47 271BI-NB Waiver 1 0 0 0 2 2BI-NF Waiver 1 14 0 1 2 24 27CAC Waiver 0 0 0 2 2CADI Waiver 1 6 279 0 6 37 553 596DD Waiver 3 164 0 2 7 310 319Elderly Waiver 64 244 0 190 690 0 880

ANOKA Total 154 519 1397 0 518 1,451 2,643 4,612BECKER Comm Well 2 4 130 0 57 70 209 336

NF/ICF-DD 2 1 6 0 29 111 10 150BI-NF Waiver 1 0 0 0 1 1CADI Waiver 40 0 3 4 50 57DD Waiver 18 0 1 1 22 24Elderly Waiver 1 4 0 36 152 0 188

BECKER Total 5 9 195 0 126 338 292 756BELTRAMI Comm Well 110 32 451 0 110 32 451 593

NF/ICF-DD 41 36 11 0 41 36 11 88BI-NB Waiver 1 0 0 0 1 1CADI Waiver 2 44 0 2 0 44 46DD Waiver 10 4 25 0 10 4 25 39Elderly Waiver 116 71 0 116 71 0 187

BELTRAMI Total 279 143 532 0 279 143 532 954BENTON Comm Well 3 21 186 0 29 68 281 378

NF/ICF-DD 2 29 7 0 21 164 8 193BI-NF Waiver 1 0 1 0 1 2CADI Waiver 1 32 0 1 5 60 66DD Waiver 22 0 3 9 34 46Elderly Waiver 2 19 0 22 162 0 184

BENTON Total 7 71 247 0 77 409 383 869BIG STONE Comm Well 8 22 30 0 8 22 30 60

NF/ICF-DD 7 34 7 0 7 34 7 48CADI Waiver 1 15 0 0 1 15 16DD Waiver 2 1 0 0 2 1 3Elderly Waiver 6 33 0 6 33 0 39

BIG STONE Total 21 92 53 0 21 92 53 166BLUE EARTH Comm Well 9 146 367 0 38 148 367 553

NF/ICF-DD 1 87 22 0 24 91 22 137BI-NF Waiver 1 7 0 1 0 7 8CAC Waiver 1 0 0 0 1 1CADI Waiver 2 8 74 0 5 8 74 87DD Waiver 2 22 49 0 8 23 49 80Elderly Waiver 15 171 0 40 178 0 218

BLUE EARTH Total 30 434 520 0 116 448 520 1,084



Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC TotalBROWN Comm Well 27 39 141 0 27 39 141 207

NF/ICF-DD 22 77 8 0 22 77 8 107BI-NF Waiver 3 0 0 0 3 3CAC Waiver 1 0 0 0 1 1CADI Waiver 1 6 42 0 1 6 42 49DD Waiver 1 2 49 0 1 2 49 52Elderly Waiver 27 77 0 27 77 0 104

BROWN Total 78 201 244 0 78 201 244 523CARLTON Comm Well 4 9 193 0 22 65 259 346

NF/ICF-DD 5 12 5 0 22 88 5 115BI-NB Waiver 2 0BI-NF Waiver 1 0 0 0 2 2CADI Waiver 2 39 0 2 5 64 71DD Waiver 25 0 3 6 29 38Elderly Waiver 3 26 0 46 187 0 233

CARLTON Total 12 49 265 0 96 351 361 808CARVER Comm Well 6 15 111 0 36 60 203 299

NF/ICF-DD 3 20 20 0 20 73 28 121BI-NF Waiver 2 0 0 1 2 3CADI Waiver 2 1 28 0 2 3 76 81DD Waiver 1 18 0 0 2 40 42Elderly Waiver 4 34 0 37 149 0 186

CARVER Total 15 71 179 0 95 288 349 732CASS Comm Well 7 23 144 0 59 94 256 409

NF/ICF-DD 5 3 0 20 17 4 41BI-NB Waiver 2 0 0 0 2 2BI-NF Waiver 3 0 1 0 4 5CADI Waiver 15 0 1 3 28 32DD Waiver 1 5 0 2 7 11 20Elderly Waiver 5 12 0 25 63 0 88

CASS Total 17 36 172 0 108 184 305 597CHIPPEWA Comm Well 2 5 57 0 11 31 57 99

NF/ICF-DD 8 4 0 8 87 4 99CADI Waiver 13 0 0 0 13 13DD Waiver 3 10 0 1 7 10 18Elderly Waiver 1 5 0 6 60 0 66

CHIPPEWA Total 3 21 84 0 26 185 84 295CHISAGO Comm Well 3 25 158 0 33 56 204 293

NF/ICF-DD 1 24 5 0 13 68 6 87BI-NB Waiver 0 0 0 1 1BI-NF Waiver 4 0 1 0 5 6CADI Waiver 69 0 2 6 86 94DD Waiver 3 64 0 3 6 79 88Elderly Waiver 2 32 0 32 101 0 133

CHISAGO Total 6 84 300 0 84 237 381 702



Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC TotalCLAY Comm Well 3 311 0 33 125 469 627

NF/ICF-DD 3 4 0 13 121 6 140BI-NF Waiver 4 0 0 0 6 6CAC Waiver 0 0 0 1 1CADI Waiver 1 115 0 0 20 148 168DD Waiver 68 0 1 5 78 84Elderly Waiver 3 0 36 225 0 261

CLAY Total 10 502 0 83 496 708 1,287CLEARWATER Comm Well 17 40 79 0 17 40 79 136


CLEARWATER Total 63 96 95 0 63 96 95 254COOK Comm Well 9 8 0 4 18 19 41

NF/ICF-DD 1 0 2 13 1 16CADI Waiver 0 0 1 1 2DD Waiver 2 0 0 0 3 3Elderly Waiver 1 0 1 9 0 10

COOK Total 10 11 0 7 41 24 72COTTONWOOD Comm Well 5 27 73 0 19 30 73 122

NF/ICF-DD 2 57 6 0 5 76 6 87BI-NF Waiver 3 0 0 0 3 3CADI Waiver 6 0 0 0 6 6DD Waiver 1 12 0 0 1 12 13Elderly Waiver 2 32 0 6 49 0 55

COTTONWOOD Total 9 117 100 0 30 156 100 286CROW WING Comm Well 14 59 249 0 62 185 458 705

NF/ICF-DD 6 21 2 0 18 100 5 123BI-NB Waiver 0 0 1 1 2CAC Waiver 1 0 0 0 1 1CADI Waiver 1 35 0 3 4 64 71DD Waiver 1 21 0 3 7 38 48Elderly Waiver 8 69 0 37 302 0 339

CROW WING Total 29 150 308 0 123 599 567 1,289DAKOTA Comm Well 41 194 746 0 281 540 1,379 2,200

NF/ICF-DD 20 67 6 0 78 239 20 337BI-NB Waiver 2 0 2 1 6 9BI-NF Waiver 1 10 0 2 1 30 33CAC Waiver 3 0 0 0 8 8CADI Waiver 3 12 301 0 24 41 587 652DD Waiver 3 4 145 0 10 12 308 330Elderly Waiver 35 244 0 223 695 0 918

DAKOTA Total 102 522 1213 0 620 1,529 2,338 4,487DODGE Comm Well 13 11 71 4 7 0 17 18 71 106

NF/ICF-DD 8 18 5 2 7 0 10 25 5 40CADI Waiver 1 20 0 1 0 20 21DD Waiver 4 23 0 0 4 23 27Elderly Waiver 3 52 1 9 0 4 61 0 65

DODGE Total 25 85 119 7 23 0 32 108 119 259



Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC TotalDOUGLAS Comm Well 22 79 296 0 22 79 296 397

NF/ICF-DD 14 110 13 0 14 110 13 137BI-NF Waiver 3 0 0 0 3 3CADI Waiver 7 68 0 0 7 68 75DD Waiver 1 6 35 0 1 6 35 42Elderly Waiver 18 178 0 18 178 0 196

DOUGLAS Total 55 380 415 0 55 380 415 850FARIBAULT Comm Well 1 21 102 0 9 48 102 159


FARIBAULT Total 10 55 130 0 41 139 130 310FILLMORE Comm Well 7 11 64 0 26 36 64 126

NF/ICF-DD 4 19 6 0 39 87 6 132BI-NF Waiver 1 0 0 0 1 1CADI Waiver 14 0 0 0 14 14DD Waiver 2 3 0 3 4 3 10Elderly Waiver 6 34 0 24 105 0 129

FILLMORE Total 17 66 88 0 92 232 88 412FREEBORN Comm Well 63 38 242 4 9 0 67 47 242 356

NF/ICF-DD 60 58 15 3 10 0 63 68 15 146BI-NB Waiver 1 0 0 0 1 1CAC Waiver 1 0 0 0 1 1CADI Waiver 3 3 43 0 3 3 43 49DD Waiver 3 4 51 0 3 4 51 58Elderly Waiver 44 59 1 7 0 45 66 0 111

FREEBORN Total 173 162 353 8 26 0 181 188 353 722GOODHUE Comm Well 32 71 199 0 32 71 199 302

NF/ICF-DD 43 131 34 0 43 131 34 208CADI Waiver 1 4 82 0 1 4 82 87DD Waiver 12 102 0 0 12 102 114Elderly Waiver 27 132 0 27 132 0 159

GOODHUE Total 103 350 417 0 103 350 417 870GRANT Comm Well 7 6 36 0 7 6 36 49

NF/ICF-DD 3 11 1 0 3 11 1 15CADI Waiver 10 0 0 0 10 10DD Waiver 4 4 0 0 4 4 8Elderly Waiver 2 19 0 2 19 0 21

GRANT Total 12 40 51 0 12 40 51 103HENNEPIN Comm Well 1 545 990 3949 1 1,796 2,536 10,377 14,709

NF/ICF-DD 166 509 162 0 553 1,466 481 2,500BI-NB Waiver 1 6 0 0 1 13 14BI-NF Waiver 2 2 37 0 2 10 89 101CAC Waiver 4 0 0 0 9 9CADI Waiver 26 84 1143 0 88 225 2,800 3,113DD Waiver 7 21 294 0 37 81 877 995Elderly Waiver 602 1998 0 1,297 4,409 0 5,706

HENNEPIN Total 1 1348 3605 5595 1 3,773 8,728 14,646 27,147



Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC TotalHOUSTON Comm Well 3 18 75 0 8 34 75 117

NF/ICF-DD 26 4 0 4 64 4 72CADI Waiver 1 5 0 0 1 5 6DD Waiver 2 10 0 0 5 10 15Elderly Waiver 2 25 0 5 54 0 59

HOUSTON Total 5 72 94 0 17 158 94 269HUBBARD Comm Well 72 31 162 0 72 31 162 265

NF/ICF-DD 11 9 3 0 11 9 3 23CADI Waiver 2 4 0 2 0 4 6DD Waiver 1 2 5 0 1 2 5 8Elderly Waiver 50 25 0 50 25 0 75

HUBBARD Total 136 67 174 0 136 67 174 377ISANTI Comm Well 5 14 225 0 19 39 225 283

NF/ICF-DD 6 31 5 0 24 84 5 113BI-NF Waiver 1 1 0 0 1 1 2CADI Waiver 66 0 1 0 66 67DD Waiver 1 24 0 0 1 24 25Elderly Waiver 3 39 0 16 94 0 110

ISANTI Total 14 86 321 0 60 219 321 600ITASCA Comm Well 393 0 98 130 393 621

NF/ICF-DD 5 0 35 95 5 135BI-NF Waiver 8 0 0 0 8 8CADI Waiver 58 0 3 5 58 66DD Waiver 14 0 1 8 14 23Elderly Waiver 0 64 217 0 281

ITASCA Total 478 0 201 455 478 1,134JACKSON Comm Well 10 27 0 4 20 27 51

NF/ICF-DD 2 6 0 7 28 0 35CADI Waiver 1 5 0 0 1 5 6DD Waiver 3 0 0 0 3 3Elderly Waiver 3 9 0 9 29 0 38

JACKSON Total 5 26 35 0 20 78 35 133KANABEC Comm Well 35 34 127 0 35 34 127 196

NF/ICF-DD 5 24 2 0 5 24 2 31BI-NF Waiver 1 0 0 0 1 1CADI Waiver 2 21 0 0 2 21 23DD Waiver 1 2 10 0 1 2 10 13Elderly Waiver 9 53 0 9 53 0 62

KANABEC Total 50 115 161 0 50 115 161 326KANDIYOHI Comm Well 13 26 183 0 62 61 240 363

NF/ICF-DD 1 16 4 0 9 157 6 172BI-NF Waiver 1 1 0 1 1 1 3CADI Waiver 1 24 0 9 6 32 47DD Waiver 1 4 24 0 20 8 31 59Elderly Waiver 5 10 0 18 99 0 117

KANDIYOHI Total 21 57 236 0 119 332 310 761



Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC TotalKITTSON Comm Well 7 6 0 7 16 10 33

NF/ICF-DD 1 9 2 0 5 39 3 47CADI Waiver 0 0 1 2 3DD Waiver 1 0 3 0 1 4Elderly Waiver 1 7 0 6 22 0 28

KITTSON Total 2 23 9 0 21 78 16 115KOOCHICHING Comm Well 8 11 62 0 37 77 111 225

NF/ICF-DD 2 2 0 7 51 4 62CADI Waiver 5 0 0 1 10 11DD Waiver 1 8 0 1 8 18 27Elderly Waiver 1 0 9 26 0 35

KOOCHICHING Total 9 14 77 0 54 163 143 360LAC QUI PARLE Comm Well 4 31 0 5 19 31 55

NF/ICF-DD 11 1 0 1 64 1 66CADI Waiver 8 0 0 1 8 9DD Waiver 7 0 1 0 7 8Elderly Waiver 2 0 3 35 0 38

LAC QUI PARLE Total 17 47 0 10 119 47 176LAKE Comm Well 7 10 25 0 15 22 53 90

NF/ICF-DD 6 1 2 0 17 9 2 28BI-NF Waiver 0 0 0 1 1CADI Waiver 1 2 0 2 0 7 9DD Waiver 1 0 0 1 4 5Elderly Waiver 3 8 0 15 29 0 44

LAKE Total 17 19 30 0 49 61 67 177LAKE OF THE WOODS Comm Well 1 3 8 0 12 5 8 25

NF/ICF-DD 1 0 11 7 0 18CADI Waiver 1 0 0 0 1 1Elderly Waiver 0 8 2 0 10

LAKE OF THE WOODS Total 1 4 9 0 31 14 9 54LE SUEUR Comm Well 3 18 93 0 6 28 93 127


LE SUEUR Total 9 57 126 0 28 147 126 301LINCOLN Comm Well 5 23 0 10 14 23 47

NF/ICF-DD 2 5 3 0 11 41 3 55CADI Waiver 5 0 0 0 5 5DD Waiver 1 0 1 1 1 3Elderly Waiver 4 0 6 18 0 24

LINCOLN Total 2 14 32 0 28 74 32 134LYON Comm Well 5 22 120 0 25 47 120 192

NF/ICF-DD 3 9 2 0 12 76 2 90CAC Waiver 1 0 0 0 1 1CADI Waiver 2 29 0 3 2 29 34DD Waiver 3 12 0 6 8 12 26Elderly Waiver 4 12 0 15 111 0 126

LYON Total 17 43 164 0 61 244 164 469



Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC TotalMCLEOD Comm Well 12 50 156 0 12 50 156 218

NF/ICF-DD 11 130 5 0 11 130 5 146BI-NF Waiver 2 0 0 0 2 2CAC Waiver 1 0 0 0 1 1CADI Waiver 5 2 48 0 5 2 48 55DD Waiver 1 6 28 0 1 6 28 35Elderly Waiver 16 100 0 16 100 0 116

MCLEOD Total 45 288 240 0 45 288 240 573MAHNOMEN Total Comm Well 1 30 0 4 17 42 63

BI-NF Waiver 0 4 8 0 12CAC Waiver 0 0 1 0 1CADI Waiver 1 5 0 1 2 6 9DD Waiver 3 0 1 3 4 8Elderly Waiver 0 3 20 0 23

MAHNOMEN Total 2 38 0 13 51 52 116MARSHALL Comm Well 1 6 23 0 9 22 35 66

NF/ICF-DD 3 0 1 21 0 22CADI Waiver 5 0 0 0 5 5DD Waiver 10 0 0 3 13 16Elderly Waiver 9 0 3 34 0 37

MARSHALL Total 1 18 38 0 13 80 53 146MARTIN Comm Well 3 19 146 0 14 47 146 207


MARTIN Total 7 105 289 0 28 240 289 557MEEKER Comm Well 13 45 103 0 13 45 103 161

NF/ICF-DD 5 72 1 0 5 72 1 78CADI Waiver 30 0 0 0 30 30DD Waiver 3 5 8 0 3 5 8 16Elderly Waiver 7 127 0 7 127 0 134

MEEKER Total 28 249 142 0 28 249 142 419MILLE LACS Comm Well 4 19 143 0 24 84 194 302

NF/ICF-DD 14 1 0 9 116 1 126BI-NB Waiver 0 0 0 1 1BI-NF Waiver 2 0 0 0 3 3CADI Waiver 1 2 32 0 1 2 44 47DD Waiver 1 9 0 1 5 14 20Elderly Waiver 1 22 0 9 111 0 120

MILLE LACS Total 6 58 187 0 44 318 257 619MORRISON Comm Well 51 20 259 17 0 61 101 259 421

NF/ICF-DD 15 4 3 4 2 0 23 73 3 99BI-NB Waiver 1 0 0 0 1 1BI-NF Waiver 2 0 0 0 2 2CADI Waiver 1 34 0 1 2 34 37DD Waiver 1 4 0 1 3 4 8Elderly Waiver 26 19 1 10 0 31 117 0 148

MORRISON Total 94 43 303 5 29 0 117 296 303 716



Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC TotalMOWER Comm Well 20 53 276 0 62 74 276 412

NF/ICF-DD 10 16 20 0 38 28 20 86BI-NF Waiver 1 0 0 0 1 1CADI Waiver 2 2 35 0 2 2 35 39DD Waiver 2 7 40 0 5 9 40 54Elderly Waiver 25 77 0 95 138 0 233

MOWER Total 59 155 372 0 202 251 372 825MURRAY Comm Well 3 28 0 4 15 28 47


MURRAY Total 3 13 34 0 15 96 34 145NICOLLET Comm Well 6 18 119 0 29 37 119 185

NF/ICF-DD 1 7 9 0 6 25 9 40CAC Waiver 0 1 0 0 1CADI Waiver 2 27 0 0 3 27 30DD Waiver 1 2 15 0 2 4 15 21Elderly Waiver 5 50 0 15 122 0 137

NICOLLET Total 13 79 170 0 53 191 170 414NOBLES Comm Well 6 35 107 0 41 92 107 240

NF/ICF-DD 10 4 0 4 39 4 47CADI Waiver 15 0 0 3 15 18DD Waiver 8 0 1 8 8 17Elderly Waiver 10 0 3 64 0 67

NOBLES Total 6 55 134 0 49 206 134 389NORMAN Comm Well 1 30 0 6 15 46 67

NF/ICF-DD 1 3 0 3 60 4 67CADI Waiver 4 0 0 0 7 7DD Waiver 3 0 0 1 4 5Elderly Waiver 1 2 0 6 22 0 28

NORMAN Total 2 3 40 0 15 98 61 174OLMSTED Comm Well 104 222 916 0 221 352 916 1,489

NF/ICF-DD 18 51 32 0 76 120 32 228BI-NF Waiver 2 0 0 0 2 2CAC Waiver 1 1 0 0 1 1 2CADI Waiver 2 7 165 0 6 8 165 179DD Waiver 1 7 109 0 4 13 109 126Elderly Waiver 60 148 0 148 279 0 427

OLMSTED Total 185 436 1225 0 455 773 1,225 2,453OTTER TAIL Comm Well 12 22 135 0 62 155 283 500

NF/ICF-DD 2 7 3 0 21 237 5 263BI-NB Waiver 0 0BI-NF Waiver 2 0 0 0 4 4CAC Waiver 0 0 0 0 0CADI Waiver 1 60 0 2 10 102 114DD Waiver 1 17 0 7 13 33 53Elderly Waiver 3 17 0 29 264 0 293

OTTER TAIL Total 17 48 217 0 121 679 427 1,227



Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC TotalPENNINGTON Comm Well 2 13 62 0 13 49 73 135


PENNINGTON Total 4 39 95 0 22 176 110 308PINE Comm Well 8 21 203 0 40 77 270 387


PINE Total 16 58 242 0 79 231 325 635PIPESTONE Comm Well 17 24 63 0 17 24 63 104

NF/ICF-DD 7 59 3 0 7 59 3 69CADI Waiver 8 0 0 0 8 8DD Waiver 1 13 0 1 0 13 14Elderly Waiver 6 34 0 6 34 0 40

PIPESTONE Total 31 117 87 0 31 117 87 235POLK Comm Well 3 13 127 0 46 79 233 358

NF/ICF-DD 4 31 6 0 29 159 8 196BI-NB Waiver 1 0 0 0 1 1BI-NF Waiver 1 0 0 0 2 2CADI Waiver 2 38 0 2 5 73 80DD Waiver 2 16 0 4 2 36 42Elderly Waiver 6 32 0 48 166 0 214

POLK Total 13 80 189 0 129 411 353 893POPE Comm Well 1 34 75 0 1 34 75 110

NF/ICF-DD 2 62 2 0 2 62 2 66BI-NF Waiver 4 0 0 0 4 4CAC Waiver 1 0 0 0 1 1CADI Waiver 1 20 0 0 1 20 21DD Waiver 4 18 0 0 4 18 22Elderly Waiver 1 69 0 1 69 0 70

POPE Total 4 170 120 0 4 170 120 294RAMSEY Comm Well 406 619 3790 0 1,239 1,432 6,396 9,067

NF/ICF-DD 54 212 93 0 333 632 194 1,159BI-NB Waiver 5 0 0 0 8 8BI-NF Waiver 1 31 0 5 0 49 54CAC Waiver 1 0 0 0 2 2CADI Waiver 24 32 816 0 72 105 1,469 1,646DD Waiver 10 10 231 0 63 45 459 567Elderly Waiver 287 869 0 832 1,981 0 2,813

RAMSEY Total 782 1742 4967 0 2,544 4,195 8,577 15,316RED LAKE Comm Well 6 9 0 4 12 19 35


RED LAKE Total 9 17 0 10 39 28 77



Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC TotalREDWOOD Comm Well 5 17 80 0 13 26 80 119


REDWOOD Total 8 52 103 0 46 123 103 272RENVILLE Comm Well 7 23 109 0 7 23 109 139

NF/ICF-DD 20 66 11 0 20 66 11 97BI-NF Waiver 2 0 0 0 2 2CADI Waiver 1 1 5 0 1 1 5 7DD Waiver 2 8 9 0 2 8 9 19Elderly Waiver 6 21 0 6 21 0 27

RENVILLE Total 36 119 136 0 36 119 136 291RICE Comm Well 9 20 140 0 55 60 231 346

NF/ICF-DD 8 20 3 0 37 72 9 118BI-NF Waiver 0 0 0 1 1CADI Waiver 1 1 43 0 8 4 79 91DD Waiver 3 1 23 0 17 5 43 65Elderly Waiver 14 62 0 77 201 0 278

RICE Total 35 104 209 0 194 342 363 899ROCK Comm Well 1 44 0 2 14 44 60

NF/ICF-DD 2 4 5 0 10 26 5 41BI-NB Waiver 1 0 0 0 1 1BI-NF Waiver 0 0 0 0 0CADI Waiver 17 0 1 0 17 18DD Waiver 2 10 0 0 3 10 13Elderly Waiver 2 12 0 8 33 0 41

ROCK Total 4 19 77 0 21 76 77 174ROSEAU Comm Well 2 11 36 0 7 38 54 99


ROSEAU Total 2 42 42 0 21 184 63 268ST LOUIS Comm Well 41 118 1900 0 203 426 2,521 3,150

NF/ICF-DD 39 88 58 0 195 401 66 662BI-NB Waiver 1 23 0 2 0 50 52BI-NF Waiver 54 0 3 2 78 83CAC Waiver 0 0 0 1 1CADI Waiver 3 9 341 0 16 31 500 547DD Waiver 11 188 0 7 39 326 372Elderly Waiver 41 214 0 238 893 0 1,131

ST LOUIS Total 125 440 2564 0 664 1,792 3,542 5,998SCOTT Comm Well 15 32 206 0 111 215 351 677


SCOTT Total 24 69 298 0 226 582 562 1,370



Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC TotalSHERBURNE Comm Well 5 20 164 0 26 82 291 399


SHERBURNE Total 16 80 266 0 79 375 504 958SIBLEY Comm Well 10 32 45 0 10 32 45 87

NF/ICF-DD 6 39 9 0 6 39 9 54BI-NF Waiver 1 0 0 0 1 1CADI Waiver 3 17 0 0 3 17 20DD Waiver 1 7 0 0 1 7 8Elderly Waiver 6 66 0 6 66 0 72

SIBLEY Total 22 141 79 0 22 141 79 242STEARNS Comm Well 50 53 731 0 168 248 979 1,395

NF/ICF-DD 3 32 2 0 31 165 6 202BI-NB Waiver 1 0 0 0 1 1BI-NF Waiver 3 0 0 0 3 3CADI Waiver 2 3 123 0 4 14 173 191DD Waiver 36 0 6 13 79 98Elderly Waiver 40 67 0 91 303 0 394

STEARNS Total 95 155 896 0 300 743 1,241 2,284STEELE Comm Well 46 47 232 0 46 47 232 325

NF/ICF-DD 13 38 14 0 13 38 14 65BI-NB Waiver 1 0 0 0 1 1BI-NF Waiver 5 0 0 0 5 5CADI Waiver 1 2 69 0 1 2 69 72DD Waiver 1 6 44 0 1 6 44 51Elderly Waiver 52 126 0 52 126 0 178

STEELE Total 113 219 365 0 113 219 365 697STEVENS Comm Well 7 9 38 0 7 9 38 54


STEVENS Total 16 85 75 0 16 85 75 176SWIFT Comm Well 2 41 0 10 30 41 81

NF/ICF-DD 2 3 3 0 9 38 3 50BI-NF Waiver 0 1 0 0 1CADI Waiver 5 0 1 2 5 8DD Waiver 13 0 0 1 13 14Elderly Waiver 5 0 8 53 0 61

SWIFT Total 2 10 62 0 29 124 62 215



Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC TotalTODD Comm Well 31 21 163 1 13 0 37 81 163 281

NF/ICF-DD 2 8 1 15 0 3 80 0 83BI-NF Waiver 2 0 0 0 2 2CAC Waiver 1 0 0 0 1 1CADI Waiver 1 3 35 0 2 3 35 40DD Waiver 2 13 2 0 2 5 13 20Elderly Waiver 17 20 15 0 17 101 0 118

TODD Total 53 52 214 2 45 0 61 270 214 545TRAVERSE Comm Well 1 19 32 0 1 19 32 52

NF/ICF-DD 6 42 3 0 6 42 3 51BI-NF Waiver 0 0 0 0 0CADI Waiver 1 5 0 0 1 5 6DD Waiver 1 2 0 0 1 2 3Elderly Waiver 14 0 0 14 0 14

TRAVERSE Total 7 77 42 0 7 77 42 126WABASHA Comm Well 11 31 69 2 15 0 13 46 69 128

NF/ICF-DD 16 33 5 8 0 21 41 0 62CADI Waiver 28 0 0 0 28 28DD Waiver 2 5 32 1 0 2 6 32 40Elderly Waiver 11 37 4 8 0 15 45 0 60

WABASHA Total 40 106 129 11 32 0 51 138 129 318WADENA Comm Well 16 19 199 1 11 0 23 75 199 297

NF/ICF-DD 11 7 7 16 0 16 106 7 129BI-NF Waiver 1 0 0 0 1 1CADI Waiver 1 1 52 0 2 6 52 60DD Waiver 18 1 0 0 3 18 21Elderly Waiver 7 10 5 0 8 81 0 89

WADENA Total 35 37 277 1 33 0 49 271 277 597WASECA Comm Well 23 24 104 0 23 24 104 151

NF/ICF-DD 14 36 2 0 14 36 2 52BI-NF Waiver 0 0 0 0 0CAC Waiver 1 0 0 0 1 1CADI Waiver 1 28 0 0 1 28 29DD Waiver 2 4 37 0 2 4 37 43Elderly Waiver 17 58 0 17 58 0 75

WASECA Total 56 123 172 0 56 123 172 351WASHINGTON Comm Well 34 103 391 0 160 237 698 1,095

NF/ICF-DD 10 45 8 0 67 124 16 207BI-NB Waiver 1 0 0 0 1 1BI-NF Waiver 2 0 1 0 7 8CAC Waiver 2 0 0 0 3 3CADI Waiver 1 4 89 0 10 16 185 211DD Waiver 1 1 63 0 3 5 127 135Elderly Waiver 23 139 0 86 348 0 434

WASHINGTON Total 69 292 556 0 327 730 1,037 2,094WATONWAN Comm Well 5 9 60 0 12 21 60 93

NF/ICF-DD 2 17 5 0 6 37 5 48CADI Waiver 7 0 0 0 7 7DD Waiver 5 0 0 0 5 5Elderly Waiver 15 0 1 25 0 26

WATONWAN Total 7 41 77 0 19 83 77 179



Waiver StatusComm WellNF/ICF-DDCADI WaiverDD WaiverElderly Waiver

WILKIN TotalComm WellNF/ICF-DDCAC WaiverCADI WaiverDD WaiverElderly Waiver

WINONA TotalComm WellNF/ICF-DDBI-NB WaiverBI-NF WaiverCAC WaiverCADI WaiverDD WaiverElderly Waiver

WRIGHT TotalComm WellNF/ICF-DDCADI WaiverDD WaiverElderly Waiver

YELLOW MEDICINE TotalComm WellNF/ICF-DDBI-NB WaiverBI-NF WaiverCAC WaiverCADI WaiverDD WaiverElderly Waiver

Plan Total

Plan Total

YELLOW MEDICINE

WRIGHT

WINONA

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

UCare County TotalPrimeWest Health SCHA

16 0 4 21 26 511 0 6 32 1 394 0 0 0 6 61 0 0 3 2 5

0 4 37 0 4122 0 14 93 35 142

14 15 246 0 58 53 246 3578 23 7 0 35 115 7 157

1 0 0 0 1 11 70 0 3 11 70 84

1 2 17 0 6 8 17 314 39 0 45 154 0 199

27 80 341 0 147 341 341 8299 27 145 0 58 119 319 4967 34 6 0 37 154 15 206

0 0 0 3 32 0 0 0 4 43 0 0 0 4 4

1 52 0 1 9 140 1503 26 0 0 12 51 63

7 46 0 62 262 0 32423 111 234 0 158 556 536 1,2501 5 51 0 6 18 51 75

9 1 0 1 47 1 491 1 11 0 1 1 11 13

3 2 0 0 4 2 65 0 3 41 0 44

2 23 65 0 11 111 65 187294 414 1,630 358 387 1,851 1 1,549 3,514 19,510 1 6,515 10,428 36,694 53,638160 690 71 215 473 99 0 458 1,842 636 0 2,536 8,424 1,380 12,340

0 0 1 0 0 3 0 1 1 45 0 5 3 97 1050 0 12 0 0 15 0 4 6 212 0 24 26 387 4370 0 2 0 0 4 0 0 1 18 0 1 2 41 44

11 17 276 10 25 471 0 78 191 4,624 0 317 675 9,128 10,12020 45 170 13 40 390 0 35 137 2,080 0 288 559 4,284 5,131

248 757 0 246 709 0 0 1,334 5,215 0 0 4,753 16,672 0 21,425733 1,923 2,162 842 1,634 2,833 1 3,459 10,907 27,125 1 14,439 36,789 52,011 103,240

Enrollment Summary

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

Jan-16 Feb-16 Mar-16 Apr-16 May-16 Jun-16 Jul-16 Aug-16 Sep-16 Oct-16 Nov-16 Dec-16Blue PlusMA Adults 21 - 64 49,361 50,336 51,801 54,007 55,122 56,181 56,764 56,394 58,173 56,439 56,625MA Adults 21 - 64 Expansion (AX) 52,573 52,945 55,271 58,049 59,379 60,586 60,894 60,930 62,720 60,395 60,258MA Aged - Institutionalized over 64 3,314 3,281 3,273 3,304 3,201 3,241 3,250 3,285 3,321 3,309 3,279MA Aged - Community over 64 8,049 8,061 8,090 8,120 8,207 8,282 8,309 8,338 8,419 8,446 8,408MA Children 135,309 139,341 144,545 151,664 155,501 158,638 160,101 159,302 163,871 160,180 160,405MA Pregnant Women All Ages 3,736 4,252 4,590 4,885 4,993 5,059 5,113 4,951 5,053 4,764 4,655MnCare Childless Adults 9,322 9,940 11,127 12,241 12,834 12,049 11,985 12,037 12,410 11,396 11,682MnCare Children 848 988 1,193 1,348 1,448 1,514 1,495 1,538 1,663 1,521 1,667MnCare Parents 7,663 9,591 11,306 12,420 12,908 12,046 11,426 11,397 12,109 11,206 11,817Total 270,175 278,735 291,196 306,038 313,593 317,596 319,337 318,172 327,739 317,656 318,796 0HealthPartnersMA Adults 21 - 64 14,480 14,119 14,462 14,894 15,118 15,360 15,442 15,148 15,513 14,895 14,871MA Adults 21 - 64 Expansion (AX) 17,835 16,973 17,550 18,151 18,495 18,588 18,467 18,486 18,932 18,160 18,127MA Aged - Institutionalized over 64 862 863 869 876 872 869 858 833 828 835 837MA Aged - Community over 64 3,913 3,928 3,920 3,951 3,993 4,068 4,088 4,131 4,169 4,175 4,150MA Children 39,162 38,294 39,477 40,864 41,636 42,183 42,359 41,827 42,751 41,466 41,155MA Disabled - Basic Care 3,229 3,287 3,283 3,261 3,189MA Pregnant Women All Ages 1,094 1,143 1,241 1,320 1,377 1,356 1,313 1,289 1,319 1,214 1,167MnCare Childless Adults 8,073 8,798 9,636 10,180 10,390 9,380 9,284 9,240 9,397 7,980 8,184MnCare Children 741 802 903 968 1,014 1,056 1,011 1,054 1,097 957 1,006MnCare Parents 6,389 7,137 7,932 8,330 8,422 7,552 7,280 7,068 7,298 6,134 6,167Total 92,549 92,057 95,990 99,534 101,317 100,412 103,331 102,363 104,587 99,077 98,853 0Hennepin HealthMA Adults 21 - 64 111 128 132 157 183 198 203 230 247 259 279MA Adults 21 - 64 Expansion (AX) 10,467 7,873 7,171 6,744 7,237 7,549 7,586 7,684 8,128 8,157 8,434MA Aged - Institutionalized over 64MA Aged - Community over 64MA Children 234 264 294 322 358 375 392 420 461 487 499MA Pregnant Women All Ages 15 19 19 31 30 35 35 40 51 51 51MnCare Childless Adults 63 106 146 201 237 196 190 198 219 231 251MnCare Children 1 3 2 2 1 1 1 1 1 3 4MnCare Parents 24 37 44 48 52 44 41 40 48 48 50Total 10,915 8,430 7,808 7,505 8,098 8,398 8,448 8,613 9,155 9,236 9,568 0

Enrollment Summary


Jan-16 Feb-16 Mar-16 Apr-16 May-16 Jun-16 Jul-16 Aug-16 Sep-16 Oct-16 Nov-16 Dec-16Itasca Medical CareMA Adults 21 - 64 1,479 1,415 1,394 1,410 1,479 1,505 1,506 1,512 1,562 1,539 1,552MA Adults 21 - 64 Expansion (AX) 1,678 1,623 1,648 1,687 1,708 1,692 1,684 1,715 1,781 1,699 1,686MA Aged - Institutionalized over 64 129 132 128 129 132 133 139 135 133 133 130MA Aged - Community over 64 503 499 499 504 500 513 526 527 537 535 528MA Children 3,541 3,448 3,464 3,536 3,663 3,721 3,734 3,712 3,837 3,805 3,849MA Pregnant Women All Ages 73 80 88 92 92 92 88 87 89 84 86MnCare Childless Adults 278 294 328 341 358 332 327 317 325 289 308MnCare Children 27 29 37 41 43 46 47 49 51 46 49MnCare Parents 222 262 300 330 352 306 290 290 307 277 285Total 7,930 7,782 7,886 8,070 8,327 8,340 8,341 8,344 8,622 8,407 8,473 0MedicaMA Adults 21 - 64 47,501 46,362 46,983 48,182 48,942 49,609 50,038 49,530 51,102 49,737 49,880MA Adults 21 - 64 Expansion (AX) 51,596 51,454 54,021 57,461 59,111 60,151 59,935 60,186 61,751 59,134 58,513MA Aged - Institutionalized over 64 2,783 2,758 2,740 2,750 2,832 2,856 2,907 2,914 2,966 2,939 2,918MA Aged - Community over 64 10,814 10,794 10,800 10,866 10,938 11,118 11,347 11,451 11,497 11,573 11,562MA Children 142,469 141,470 144,908 149,925 153,064 155,167 156,096 155,736 159,725 156,551 156,357MA Disabled - Basic Care 22,492 22,636 22,780 22,908 22,914 22,862 14,413 14,525 14,583 14,574 14,308MA PINS 414 414 406 400 391 385 380 374 371 366 357MA Pregnant Women All Ages 3,999 4,574 5,014 5,372 5,450 5,478 5,456 5,427 5,426 5,139 5,060MnCare Childless Adults 21,571 24,378 27,039 28,769 29,648 26,356 26,268 26,385 26,870 22,645 23,094MnCare Children 1,537 1,898 2,229 2,385 2,545 2,650 2,576 2,648 2,782 2,495 2,670MnCare Parents 14,250 16,792 19,519 20,874 21,456 18,811 18,153 18,152 18,822 16,115 16,712Total 319,426 323,530 336,439 349,892 357,291 355,443 347,569 347,328 355,895 341,268 341,431 0Metropolitan Health PlanMA Adults 21 - 64MA Adults 21 - 64 Expansion (AX) MA Aged - Institutionalized over 64MA Aged - Community over 64MA ChildrenMA Disabled - Basic Care 2,712 2,688 2,692 2,665 2,641 2,606 2,598 2,581 2,553 2,494 2,412MA Pregnant Women All AgesMnCare Childless AdultsMnCare ChildrenMnCare ParentsTotal 2,712 2,688 2,692 2,665 2,641 2,606 2,598 2,581 2,553 2,494 2,412 0

Enrollment Summary


Jan-16 Feb-16 Mar-16 Apr-16 May-16 Jun-16 Jul-16 Aug-16 Sep-16 Oct-16 Nov-16 Dec-16PrimeWest HealthMA Adults 21 - 64 6,031 5,860 6,001 6,097 6,119 6,225 6,294 6,189 6,366 6,225 6,288MA Adults 21 - 64 Expansion (AX) 5,881 5,702 5,927 6,134 6,248 6,281 6,314 6,266 6,420 6,219 6,243MA Aged - Institutionalized over 64 862 856 852 853 839 849 858 859 857 840 856MA Aged - Community over 64 1,829 1,823 1,809 1,806 1,803 1,794 1,805 1,811 1,817 1,807 1,810MA Children 17,262 16,960 17,491 17,945 18,216 18,496 18,519 18,410 18,825 18,458 18,603MA Disabled - Basic Care 2,155 2,173 2,194 2,194 2,226 2,232 2,233 2,231 2,224 2,223 2,174MA Pregnant Women All Ages 561 595 618 627 617 617 601 601 612 586 570MnCare Childless Adults 776 840 936 1,016 1,034 959 929 947 989 911 927MnCare Children 102 118 136 151 163 163 172 185 202 180 189MnCare Parents 915 1,223 1,395 1,491 1,520 1,400 1,282 1,270 1,346 1,204 1,224Total 36,374 36,150 37,359 38,314 38,785 39,016 39,007 38,769 39,658 38,653 38,884 0South Country Health AllianceMA Adults 21 - 64 6,198 5,876 5,868 5,930 5,907 5,889 5,822 5,667 5,717 5,548 5,531MA Adults 21 - 64 Expansion (AX) 6,210 5,678 5,614 5,667 5,557 5,453 5,314 5,263 5,312 4,991 4,951MA Aged - Institutionalized over 64 699 690 685 667 672 675 682 683 687 703 693MA Aged - Community over 64 1,687 1,695 1,695 1,693 1,691 1,716 1,740 1,763 1,766 1,769 1,788MA Children 16,250 15,384 15,538 15,792 15,889 15,918 15,818 15,559 15,821 15,517 15,388MA Disabled - Basic Care 2,355 2,344 2,360 2,387 2,413 2,427 2,862 2,897 2,918 2,913 2,839MA Pregnant Women All Ages 400 379 404 407 405 421 406 384 382 373 346MnCare Childless Adults 1,178 1,247 1,387 1,490 1,543 1,403 1,407 1,421 1,435 1,296 1,336MnCare Children 140 174 190 208 220 224 216 230 246 219 231MnCare Parents 1,228 1,424 1,587 1,688 1,762 1,595 1,494 1,493 1,534 1,338 1,372Total 36,345 34,891 35,328 35,929 36,059 35,721 35,761 35,360 35,818 34,667 34,475 0UCare MinnesotaMA Adults 21 - 64 2,506 2,449 2,433 2,465 2,507 2,477 2,475 2,410 2,454 2,354 2,328MA Adults 21 - 64 Expansion (AX) 2,836 2,620 2,607 2,616 2,604 2,553 2,483 2,438 2,448 2,249 2,233MA Aged - Institutionalized over 64 2,326 2,322 2,299 2,279 2,304 2,327 2,310 2,322 2,363 2,350 2,316MA Aged - Community over 64 11,985 11,939 11,919 11,916 11,974 12,060 12,098 12,098 12,158 12,136 12,097MA Children 7,243 7,156 7,173 7,267 7,341 7,297 7,206 7,045 7,098 6,845 6,796MA Disabled - Basic Care 22,715 22,674 22,695 22,762 22,856 22,920 27,084 27,507 27,683 27,579 27,144MA Pregnant Women All Ages 220 220 223 209 203 188 179 177 171 161 158MnCare Childless Adults 792 834 884 931 955 850 817 809 824 613 616MnCare Children 63 68 74 78 84 86 82 91 94 81 84MnCare Parents 564 665 738 796 805 720 656 657 673 541 564Total 51,250 50,947 51,045 51,319 51,633 51,478 55,390 55,554 55,966 54,909 54,336 0

Enrollment Summary


Jan-16 Feb-16 Mar-16 Apr-16 May-16 Jun-16 Jul-16 Aug-16 Sep-16 Oct-16 Nov-16 Dec-16StatewideMA Adults 21 - 64 127,667 126,545 129,074 133,142 135,377 137,444 138,544 137,080 141,134 136,996 137,354 0MA Adults 21 - 64 Expansion (AX) 149,076 144,868 149,809 156,509 160,339 162,853 162,677 162,968 167,492 161,004 160,445 0MA Aged - Institutionalized over 64 10,975 10,902 10,846 10,858 10,852 10,950 11,004 11,031 11,155 11,109 11,029 0MA Aged - Community over 64 38,780 38,739 38,732 38,856 39,106 39,551 39,913 40,119 40,363 40,441 40,343 0MA Children 361,470 362,317 372,890 387,315 395,668 401,795 404,225 402,011 412,389 403,309 403,052 0MA Disabled - Basic Care 52,429 52,515 52,721 52,916 53,050 53,047 52,419 53,028 53,244 53,044 52,066 0MA PINS 414 414 406 400 391 385 380 374 371 366 357 0MA Pregnant Women All Ages 10,098 11,262 12,197 12,943 13,167 13,246 13,191 12,956 13,103 12,372 12,093 0MnCare Childless Adults 42,053 46,437 51,483 55,169 56,999 51,525 51,207 51,354 52,469 45,361 46,398 0MnCare Children 3,459 4,080 4,764 5,181 5,518 5,740 5,600 5,796 6,136 5,502 5,900 0MnCare Parents 31,255 37,131 42,821 45,977 47,277 42,474 40,622 40,367 42,137 36,863 38,191 0Total 827,676 835,210 865,743 899,266 917,744 919,010 919,782 917,084 939,993 906,367 907,228 0

November 2016 MHCP Managed Care Enrollment Totals...Total enrollment by program for each health plan by benefit set. SNBC has been separated into two different totals: • Integrated

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