Attachment L Nevada Medicaid Caseload Demographics v3 181212 - HIPAA.XLSX

XLSX spreadsheet 141 KB Posted May 30, 2019

Attached to: Actuarial Services
Solicitation number: 40DHHS-S697
Issued by: Churchill County, Nevada

About this file

Written by GovTribe AI · Apr 2, 2024

This document is an attachment containing enrollment and demographic data related to the Nevada Medicaid and CHIP programs. The data includes monthly enrollment figures broken down by benefit program (Medicaid vs. CHIP), region, legacy vs. expansion populations, MCO enrollment assignments, MCO spending, and member demographics such as age, gender, race, and county of residence. The data covers the period from December 2012 through December 2018.

The enrollment data shows that as of November 2018, there were a total of 680,689 Medicaid and CHIP members, with 71.8% enrolled in MCOs. The majority of members reside in Clark County, with smaller populations in Washoe County and rural Nevada. The legacy Medicaid population accounts for roughly two-thirds of total enrollment, with the remaining one-third consisting of the Medicaid expansion population. MCO assignments are made through a combination of member choice and random assignment, with the largest share going to Anthem, followed by SilverSummit, and Health Plan of Nevada. The data also includes MCO capitation spending and per-member-per-month costs.

View the file

Other files

File	Type	Posted
Attachment J Business Associate Addendum.docx	DOCX document	May 30, 2019
ATTACHMENT B Vendor Certification 4-5-19.docx	DOCX document	May 30, 2019
ATTACHMENT E Reference Questionnaire 4-5-19~3.doc	DOC document	May 30, 2019
ATTACHMENT C Standard Form Contract-Health~1.docx	DOCX document	May 30, 2019
Attachment K Caseload Projections with Retros.xlsx	XLSX spreadsheet	May 30, 2019
ATTACHMENT F Proposed Staff Resume 4-5-19.doc	DOC document	May 30, 2019
RFP S697 Actuarial Q and A.xls	XLS spreadsheet	May 30, 2019
Attachment G Cost Schedule~1.xlsx	XLSX spreadsheet	May 30, 2019
ATTACHMENT A Confidentiality and Certification of Idemnification 4-5-19.docx	DOCX document	May 30, 2019
ATTACHMENT I Federal Laws and Authorities 4-5-19.docx	DOCX document	May 30, 2019
Amendment Question 11.xlsx	XLSX spreadsheet	May 30, 2019
Amendment Question 5.xlsx	XLSX spreadsheet	May 30, 2019
ATTACHMENT H Certification Regarding Lobbying 4-5-19.docx	DOCX document	May 30, 2019
Attachment D Insurance Schedule.docx	DOCX document	May 30, 2019
Question 37 History of Rate re-casts.docx	DOCX document	May 30, 2019
RFP 40DHHS-S697 LOI.pdf	PDF	May 30, 2019
Quote Instructions.pdf	PDF	May 30, 2019
RFP 40DHHS-S697 Actuarial Services Final.docx	DOCX document	May 30, 2019

Show all 18

On GovTribe

Work with this file

Download the original file
Contacts named in this file
Similar government files
Ask GovTribe AI about this file

Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

Read Me First

Nevada Medicaid & CHIP Enrollment and Demographics
Dec 2018	Version 3

5/29/18 HIPAA Compliant Report: Data which has a value less than 20 is replaced with a value of 20 to aid in complying with HIPAA mandates.

Please note well: slight, insignificant differences in totals between some tabs are due to timing of report generation, transitory demographic anomalies in member records, and data source.

Tabs 1 through 5:

Cumulative FFS and MCO data including retro-enrollment changes

Tabs A and B:

Static MCO enrollment data from capitation runs, split by MCO plan

Changes made to Tab B. in v2 and v3

Tab C.

MCO Spend v Members by Plan, PMPM Averages

Tabs (a), (b), etc...

Demographic snapshots for the most recent reportable month

1. FFS & MCO by Benefit Program

1. FFS & MCO by Benefit Program
Month/Year	FFS		MCO		Total	MCO %
	CHIP	Medicaid	CHIP	Medicaid
Nov 2018	3,610	188,348	25,435	463,243	680,636	71.80%
Oct 2018	3,768	196,702	24,515	466,937	691,922	71.03%
Sep 2018	3,675	196,035	24,619	469,194	693,523	71.20%
Aug 2018	3,602	199,773	25,203	467,209	695,787	70.77%
Jul 2018	3,626	198,977	24,577	467,517	694,697	70.84%
Jun 2018	3,450	199,264	24,046	465,568	692,328	70.72%
May 2018	3,442	199,680	24,515	465,152	692,789	70.68%
Apr 2018	3,427	199,750	24,503	464,821	692,501	70.66%
Mar 2018	3,484	199,808	24,666	462,811	690,769	70.57%
Feb 2018	3,496	199,484	24,623	463,197	690,800	70.62%
Jan 2018	3,529	204,039	24,054	459,931	691,553	69.99%	Please note well: slight, insignificant differences in totals between some tabs are due to transitory demographic anomalies in member records, data source, and retrieval timing.
Dec 2017	3,472	203,265	23,612	459,184	689,533	70.02%
Nov 2017	3,518	200,620	24,139	460,172	688,449	70.35%
Oct 2017	3,584	198,244	24,141	460,114	686,083	70.58%
Sep 2017	3,481	198,203	23,684	458,903	684,271	70.53%
Aug 2017	3,417	200,405	23,425	456,656	683,903	70.20%	Examples of anomalies are null values in certain fields (race, gender, member county), program unassigned, invalid DOB.
Jul 2017	3,396	197,010	23,214	456,966	680,586	70.55%
Jun 2017	3,415	196,733	22,967	454,981	678,096	70.48%
May 2017	3,463	196,489	23,706	454,408	678,066	70.51%
Apr 2017	3,457	198,056	22,811	452,052	676,376	70.21%
Mar 2017	3,461	200,854	22,577	449,638	676,530	69.80%
Feb 2017	3,524	201,207	23,327	447,719	675,777	69.70%
Jan 2017	3,574	202,832	22,610	446,516	675,532	69.45%
Dec 2016	3,463	199,873	22,267	445,167	670,770	69.69%
Nov 2016	3,428	198,503	22,850	443,164	667,945	69.77%
Oct 2016	3,439	201,684	22,207	437,944	665,274	69.17%
Sep 2016	3,393	200,397	21,377	435,432	660,599	69.15%
Aug 2016	3,316	203,128	21,518	430,294	658,256	68.64%
Jul 2016	3,362	198,989	20,981	430,304	653,636	69.04%
Jun 2016	4,166	201,580	19,556	427,105	652,407	68.46%
May 2016	3,385	200,047	21,051	428,140	652,623	68.83%
Apr 2016	3,418	200,073	20,446	426,859	650,796	68.73%
Mar 2016	3,895	204,748	18,582	424,811	652,036	68.00%
Feb 2016	3,183	204,071	20,166	423,359	650,779	68.15%
Jan 2016	3,052	202,899	19,194	421,549	646,694	68.15%
Dec 2015	3,081	203,688	19,863	414,974	641,606	67.77%
Nov 2015	3,212	196,266	19,528	414,870	633,876	68.53%
Oct 2015	3,024	192,784	19,371	412,469	627,648	68.80%
Sep 2015	3,131	196,939	17,987	403,354	621,411	67.80%
Aug 2015	2,849	196,602	18,569	396,303	614,323	67.53%
Jul 2015	2,930	198,181	18,123	390,134	609,368	67.00%
Jun 2015	3,046	197,882	18,084	385,981	604,993	66.79%
May 2015	2,899	200,724	18,393	382,125	604,141	66.30%
Apr 2015	2,938	214,250	17,206	369,962	604,356	64.06%
Mar 2015	3,413	223,781	16,632	362,438	606,264	62.53%
Feb 2015	3,220	216,018	17,509	368,578	605,325	63.78%
Jan 2015	3,165	203,649	18,704	375,937	601,455	65.61%
Dec 2014	3,233	196,301	20,736	380,002	600,272	66.76%
Nov 2014	3,324	185,620	21,362	385,211	595,517	68.27%
Oct 2014	3,451	186,480	21,236	387,479	598,646	68.27%
Sep 2014	3,775	184,205	20,437	382,258	590,675	68.18%
Aug 2014	3,568	184,821	22,449	372,159	582,997	67.69%
Jul 2014	3,379	196,532	20,623	348,550	569,084	64.87%
Jun 2014	3,219	208,002	20,333	322,987	554,541	61.91%
May 2014	3,093	216,337	19,249	300,764	539,443	59.32%
Apr 2014	2,858	232,103	18,314	269,038	522,313	55.02%
Mar 2014	2,833	231,572	17,846	246,720	498,971	53.02%
Feb 2014	2,899	210,828	17,812	227,866	459,405	53.48%
Jan 2014	2,969	196,103	18,200	209,307	426,579	53.33%
Dec 2013	3,005	142,467	19,002	197,204	361,678	59.78%
Nov 2013	3,090	137,439	19,338	193,643	353,510	60.25%
Oct 2013	2,763	148,214	18,647	180,738	350,362	56.91%
Sep 2013	2,693	150,859	18,594	178,627	350,773	56.22%
Aug 2013	2,712	150,233	18,712	180,530	352,187	56.57%
Jul 2013	2,715	148,411	18,584	180,470	350,180	56.84%
Jun 2013	2,736	146,807	18,539	174,922	343,004	56.40%
May 2013	2,782	146,768	18,587	174,032	342,169	56.29%
Apr 2013	2,807	146,442	18,598	173,573	341,420	56.29%
Mar 2013	2,786	144,215	18,425	174,011	339,437	56.69%
Feb 2013	2,796	142,996	18,444	173,531	337,767	56.84%
Jan 2013	2,768	144,194	18,333	172,642	337,937	56.51%
Dec 2012	2,747	142,676	18,145	172,641	336,209	56.75%
Nov 2012	2,781	144,245	18,499	170,244	335,769	56.21%
Oct 2012	2,735	143,510	18,239	170,540	335,024	56.35%
Sep 2012	2,757	143,393	18,267	170,084	334,501	56.31%
Aug 2012	2,807	141,763	18,559	170,853	333,982	56.71%
Jul 2012	2,816	138,680	18,642	173,078	333,216	57.54%
Jun 2012	2,771	137,718	18,671	171,453	330,613	57.51%
May 2012	2,752	137,173	18,539	171,592	330,056	57.61%
Apr 2012	2,745	137,620	18,486	170,785	329,636	57.42%
Mar 2012	2,794	136,433	18,768	170,603	328,598	57.63%
Feb 2012	2,759	134,985	18,518	170,870	327,132	57.89%
Jan 2012	2,785	134,477	18,529	170,751	326,542	57.96%

source: DSS

2. FFS & MCO by Region

2. FFS & MCO by Region
Month/Year	FFS	MCO	Total

	Clark County	Washoe County	Carson City	Rural Nevada	Clark County	Washoe County	Carson City	Rural Nevada
Nov 2018	107,244	20,511	12,747	51,508	429,173	59,295	40	170	680,688
Oct 2018	113,953	21,551	12,937	52,081	431,574	59,421	91	367	691,975
Sep 2018	113,500	21,390	12,999	51,870	433,404	59,776	118	516	693,573
Aug 2018	116,618	21,994	12,996	51,810	432,078	59,500	134	700	695,830
Jul 2018	116,300	21,787	12,969	51,589	431,538	59,562	180	815	694,740
Jun 2018	116,308	22,026	13,041	51,379	429,169	59,334	203	908	692,368
May 2018	116,460	22,216	13,054	51,429	428,972	59,399	230	1,066	692,826
Apr 2018	116,768	22,090	13,064	51,294	428,539	59,404	238	1,143	692,540
Mar 2018	116,977	22,171	12,989	51,195	426,783	59,234	247	1,213	690,809
Feb 2018	116,875	22,088	13,020	51,036	426,682	59,626	270	1,242	690,839
Jan 2018	120,644	22,908	13,040	51,009	423,058	59,302	302	1,323	691,586
Dec 2017	120,356	22,828	12,865	50,717	421,724	59,301	336	1,435	689,562
Nov 2017	118,003	22,637	12,904	50,626	422,944	59,496	373	1,498	688,481
Oct 2017	116,472	22,190	12,900	50,298	422,502	59,813	404	1,536	686,115
Sep 2017	116,517	22,142	12,868	50,191	420,771	59,779	442	1,595	684,305
Aug 2017	118,493	22,458	12,880	50,025	418,213	59,720	464	1,684	683,937	Please note well: slight, insignificant differences in totals between some tabs are due to transitory demographic anomalies in member records, data source, and retrieval timing.
Jul 2017	115,656	22,199	12,835	49,751	417,849	60,017	494	1,820	680,621
Jun 2017	115,725	22,079	12,769	49,608	415,548	60,002	519	1,879	678,129
May 2017	115,240	22,223	12,863	49,656	415,338	60,248	546	1,982	678,096
Apr 2017	116,325	22,631	12,902	49,688	412,027	60,267	529	2,040	676,409
Mar 2017	118,604	23,040	12,931	49,774	409,356	60,236	551	2,072	676,564	Examples of anomalies are null values in certain fields (race, gender, member county), program unassigned, invalid DOB.
Feb 2017	118,822	23,382	12,929	49,632	408,152	60,157	572	2,165	675,811
Jan 2017	120,398	23,408	12,931	49,703	406,076	60,240	583	2,227	675,566
Dec 2016	118,215	23,043	12,864	49,247	404,228	60,359	590	2,257	670,803
Nov 2016	117,133	22,955	12,843	49,035	402,676	60,407	605	2,326	667,980
Oct 2016	120,171	23,281	12,800	48,897	397,249	60,045	582	2,275	665,300
Sep 2016	119,324	23,198	12,698	48,603	394,278	59,764	568	2,199	660,632
Aug 2016	121,641	23,613	12,618	48,604	389,520	59,523	585	2,184	658,288
Jul 2016	118,185	23,211	12,550	48,437	388,919	59,684	564	2,118	653,668
Jun 2016	120,922	23,865	12,556	48,432	384,727	59,262	545	2,127	652,436
May 2016	118,453	23,788	12,664	48,560	386,698	59,852	531	2,110	652,656
Apr 2016	118,499	23,842	12,669	48,514	384,691	59,953	540	2,121	650,829
Mar 2016	122,636	24,637	12,739	48,664	380,719	59,996	547	2,131	652,069
Feb 2016	121,298	24,677	12,770	48,540	380,682	60,145	546	2,152	650,810
Jan 2016	120,546	24,480	12,696	48,258	377,959	60,093	541	2,150	646,723
Dec 2015	122,223	24,281	12,584	47,708	372,311	59,831	555	2,140	641,633
Nov 2015	116,452	23,462	12,424	47,174	371,878	59,916	537	2,067	633,910
Oct 2015	114,063	22,943	12,281	46,554	369,386	59,854	531	2,069	627,681
Sep 2015	118,222	23,754	12,144	45,983	360,094	58,683	533	2,031	621,444
Aug 2015	118,170	23,968	12,014	45,327	354,213	58,195	510	1,954	614,351
Jul 2015	120,076	24,430	11,936	44,696	347,959	57,822	510	1,966	609,395
Jun 2015	119,768	24,856	11,918	44,415	344,543	57,109	484	1,929	605,022
May 2015	121,266	25,994	11,964	44,432	341,826	56,336	463	1,893	604,174
Apr 2015	132,379	28,235	12,035	44,574	330,184	54,653	479	1,852	604,391
Mar 2015	140,524	29,722	12,174	44,809	322,623	54,134	491	1,822	606,299
Feb 2015	133,598	28,377	12,300	44,995	327,959	55,788	501	1,839	605,357
Jan 2015	123,861	25,735	12,380	44,871	333,730	58,486	531	1,894	601,488
Dec 2014	117,411	24,769	12,622	44,765	338,431	59,813	528	1,966	600,305
Nov 2014	108,449	23,310	12,622	44,594	343,172	60,875	515	2,011	595,548
Oct 2014	109,118	23,174	12,703	44,966	343,449	62,706	503	2,057	598,676
Sep 2014	107,888	23,000	12,555	44,567	338,158	61,973	510	2,054	590,705
Aug 2014	108,286	23,333	12,556	44,242	331,092	61,010	499	2,007	583,025
Jul 2014	119,253	25,021	12,337	43,331	309,224	57,674	447	1,828	569,115
Jun 2014	130,117	26,658	12,070	42,414	287,029	54,149	438	1,704	554,579
May 2014	138,147	28,088	11,839	41,394	267,275	50,773	381	1,584	539,481
Apr 2014	151,738	31,370	11,609	40,281	240,325	45,225	350	1,452	522,350
Mar 2014	152,481	32,345	11,218	38,401	221,907	40,970	322	1,367	499,011
Feb 2014	137,412	30,609	10,394	35,352	207,165	36,971	298	1,244	459,445
Jan 2014	127,742	29,198	9,781	32,396	192,874	33,267	264	1,102	426,624
Dec 2013	91,169	19,727	8,061	26,560	183,339	31,517	279	1,071	361,723
Nov 2013	87,980	18,687	7,901	26,006	180,310	31,332	267	1,072	353,555
Oct 2013	97,571	19,650	7,915	25,889	168,250	29,917	220	998	350,410
Sep 2013	99,666	20,129	7,877	25,928	166,451	29,556	221	993	350,821
Aug 2013	98,893	20,113	7,932	26,057	168,511	29,542	231	958	352,237
Jul 2013	97,285	19,831	7,860	26,204	168,760	29,170	236	888	350,234
Jun 2013	96,518	19,680	7,771	25,631	163,960	28,417	217	867	343,061
May 2013	96,658	19,375	7,870	25,704	163,050	28,500	210	859	342,226
Apr 2013	96,461	19,241	7,868	25,732	162,407	28,708	201	855	341,473
Mar 2013	94,464	19,052	7,831	25,701	162,752	28,618	186	880	339,484
Feb 2013	93,434	18,851	7,880	25,678	162,623	28,341	176	835	337,818
Jan 2013	94,440	19,087	7,932	25,554	162,015	27,993	174	793	337,988
Dec 2012	93,161	19,117	7,872	25,342	162,252	27,568	183	783	336,278
Nov 2012	94,482	19,409	7,881	25,326	160,624	27,201	158	760	335,841
Oct 2012	93,753	19,280	7,893	25,366	160,692	27,137	164	786	335,071
Sep 2012	93,493	19,353	7,922	25,426	160,253	27,154	163	781	334,545
Aug 2012	91,868	19,231	7,906	25,608	161,134	27,311	180	787	334,025
Jul 2012	89,183	18,844	7,919	25,594	162,811	27,960	186	763	333,260
Jun 2012	88,490	18,639	7,863	25,543	161,396	27,769	193	766	330,659
May 2012	88,168	18,681	7,863	25,717	161,217	27,934	199	781	330,560
Apr 2012	88,016	18,753	7,863	25,809	160,301	27,991	193	786	329,712
Mar 2012	87,071	18,667	7,851	25,704	160,230	28,150	203	789	328,665
Feb 2012	85,848	18,442	7,843	25,680	160,324	28,061	210	798	327,206
Jan 2012	85,377	18,180	7,884	25,821	160,153	28,140	199	788	326,542

source: DSS

3. Legacy v Expansion

3. Legacy v Expansion Population
	Expansion	Legacy	Total

Month/Year
Nov 2018	223,349	457,340	680,689
Oct 2018	227,992	463,983	691,975
Sep 2018	227,826	465,747	693,573
Aug 2018	228,288	467,542	695,830
Jul 2018	228,911	465,830	694,741
Jun 2018	228,561	463,808	692,369
May 2018	229,160	463,666	692,826	Please note well: slight, insignificant differences in totals between some tabs are due to transitory demographic anomalies in member records, data source, and retrieval timing.
Apr 2018	229,532	463,008	692,540
Mar 2018	228,901	461,908	690,809
Feb 2018	229,468	461,371	690,839
Jan 2018	230,777	460,809	691,586
Dec 2017	230,806	458,756	689,562	Examples of anomalies are null values in certain fields (race, gender, member county), program unassigned, invalid DOB.
Nov 2017	229,063	459,418	688,481
Oct 2017	226,527	459,588	686,115
Sep 2017	226,222	458,083	684,305
Aug 2017	226,271	457,667	683,938
Jul 2017	225,495	455,126	680,621
Jun 2017	225,242	452,887	678,129
May 2017	225,545	452,552	678,097
Apr 2017	225,270	451,140	676,410
Mar 2017	225,670	450,895	676,565
Feb 2017	225,413	450,399	675,812
Jan 2017	226,413	449,154	675,567
Dec 2016	223,926	446,878	670,804
Nov 2016	221,345	446,637	667,982
Oct 2016	219,287	446,014	665,301
Sep 2016	216,996	443,637	660,633
Aug 2016	215,646	442,642	658,288
Jul 2016	214,150	439,518	653,668
Jun 2016	214,947	437,489	652,436
May 2016	215,613	437,043	652,656
Apr 2016	215,751	435,078	650,829
Mar 2016	217,634	434,435	652,069
Feb 2016	216,955	433,855	650,810
Jan 2016	215,091	431,632	646,723
Dec 2015	211,028	430,606	641,634
Nov 2015	206,099	427,812	633,911
Oct 2015	201,548	426,134	627,682
Sep 2015	198,702	422,743	621,445
Aug 2015	195,523	418,829	614,352
Jul 2015	193,693	415,702	609,395
Jun 2015	192,805	412,218	605,023
May 2015	194,770	409,405	604,175
Apr 2015	196,151	408,241	604,392
Mar 2015	196,305	409,995	606,300
Feb 2015	194,075	411,283	605,358
Jan 2015	186,476	415,013	601,489
Dec 2014	181,981	418,325	600,306
Nov 2014	172,436	423,112	595,548
Oct 2014	166,603	432,073	598,676
Sep 2014	160,780	429,926	590,706
Aug 2014	155,042	427,984	583,026
Jul 2014	148,467	420,649	569,116
Jun 2014	140,041	414,539	554,580
May 2014	131,200	408,281	539,481
Apr 2014	120,521	401,829	522,350
Mar 2014	106,866	392,146	499,012
Feb 2014	80,375	379,070	459,445
Jan 2014	57,942	368,682	426,624
Dec 2013	1,984	359,739	361,723
Nov 2013	1,198	352,357	353,555
Oct 2013	779	349,631	350,410
Sep 2013		350,821	350,821
Aug 2013		352,238	352,238
Jul 2013		350,234	350,234
Jun 2013		343,061	343,061
May 2013		342,226	342,226
Apr 2013		341,473	341,473
Mar 2013		339,484	339,484
Feb 2013		337,818	337,818
Jan 2013		337,989	337,989
Dec 2012		336,279	336,279
Nov 2012		335,842	335,842
Oct 2012		335,071	335,071
Sep 2012		334,545	334,545
Aug 2012		334,025	334,025
Jul 2012		333,260	333,260
Jun 2012		330,659	330,659
May 2012		330,560	330,560
Apr 2012		329,712	329,712
Mar 2012		328,665	328,665
Feb 2012		327,206	327,206
Jan 2012		326,542	326,542

source: DSS

4. Legacy v Exp by Age Cohort

4. Legacy v Expansion by Age Cohort *
Month/Year	< 18 years old		18 to 64		> 65		Total
	Legacy	Expansion	Legacy	Expansion	Legacy	Expansion
Nov 2018	290,412	12,520	121,771	210,817	45,137	20	680,677
Oct 2018	294,580	12,594	124,140	215,311	45,198	87	691,910
Sep 2018	295,693	12,418	124,916	215,393	45,047	20	693,487
Aug 2018	297,238	12,173	125,449	216,086	44,751	29	695,726
Jul 2018	295,866	12,233	125,271	216,666	44,602	20	694,658
Jun 2018	294,465	12,287	124,837	216,263	44,392	20	692,264
May 2018	294,739	12,400	124,674	216,754	44,151	20	692,738
Apr 2018	294,590	12,574	124,386	216,948	43,932	20	692,450
Mar 2018	294,080	12,599	123,954	216,296	43,760	20	690,709
Feb 2018	294,016	12,632	123,679	216,827	43,537	20	690,711	Please note well: slight, insignificant differences in totals between some tabs are due to transitory demographic anomalies in member records, data source, and retrieval timing.
Jan 2018	294,038	12,769	123,341	217,997	43,270	20	691,435
Dec 2017	292,831	12,746	122,858	217,956	42,888	103	689,382
Nov 2017	293,755	12,528	122,784	216,518	42,695	20	688,300
Oct 2017	293,818	12,355	123,122	214,162	42,488	20	685,965
Sep 2017	292,670	12,396	122,968	213,819	42,284	20	684,157	Examples of anomalies are null values in certain fields (race, gender, member county), program unassigned, invalid DOB.
Aug 2017	292,642	12,307	122,923	213,957	41,945	20	683,794
Jul 2017	291,115	12,294	122,163	213,192	41,700	20	680,484
Jun 2017	290,087	12,212	121,338	213,018	41,318	20	677,993
May 2017	290,410	12,192	120,949	213,302	41,064	50	677,967
Apr 2017	289,503	12,272	120,686	212,894	40,839	103	676,297
Mar 2017	289,480	12,275	120,693	213,295	40,609	99	676,451
Feb 2017	289,683	12,202	120,235	213,118	40,337	92	675,667
Jan 2017	289,337	12,319	119,523	213,972	40,131	121	675,403
Dec 2016	288,315	12,048	118,563	211,845	39,819	32	670,622
Nov 2016	288,327	11,903	118,472	209,390	39,679	51	667,822
Oct 2016	287,962	11,785	118,380	207,406	39,488	95	665,116
Sep 2016	286,245	11,509	118,026	205,432	39,181	54	660,447
Aug 2016	285,861	11,274	117,833	204,307	38,790	64	658,129
Jul 2016	283,692	11,096	117,149	202,977	38,514	77	653,505
Jun 2016	282,698	11,097	116,426	203,780	38,232	70	652,303
May 2016	282,529	10,964	116,309	204,590	38,087	58	652,537
Apr 2016	281,354	10,953	115,821	204,728	37,782	69	650,707
Mar 2016	280,958	11,120	115,847	206,317	37,498	197	651,937
Feb 2016	281,257	10,911	115,405	205,765	37,040	279	650,657
Jan 2016	279,989	10,775	114,724	204,034	36,758	281	646,561
Dec 2015	279,821	10,529	114,330	200,115	36,323	383	641,501
Nov 2015	277,584	10,341	113,988	195,372	36,133	385	633,803
Oct 2015	276,416	10,138	113,706	191,088	35,891	321	627,560
Sep 2015	273,640	9,888	113,363	188,516	35,621	297	621,325
Aug 2015	271,162	9,684	112,228	185,580	35,315	258	614,227
Jul 2015	268,788	9,470	111,645	183,963	35,166	259	609,291
Jun 2015	266,450	9,287	110,786	183,257	34,868	261	604,909
May 2015	264,314	9,170	110,480	185,275	34,503	325	604,067
Apr 2015	263,207	9,109	110,705	186,692	34,209	350	604,272
Mar 2015	264,405	8,990	111,589	186,959	33,895	356	606,194
Feb 2015	265,417	8,735	112,193	184,971	33,560	369	605,245
Jan 2015	268,404	8,328	113,249	177,792	33,239	356	601,368
Dec 2014	271,822	8,043	113,516	173,584	32,865	354	600,184
Nov 2014	274,550	7,446	115,291	164,676	33,139	314	595,416
Oct 2014	281,044	6,997	117,912	159,351	32,981	255	598,540
Sep 2014	279,360	6,603	117,801	153,976	32,641	201	590,582
Aug 2014	278,278	6,283	117,205	148,614	32,371	145	582,896
Jul 2014	272,659	6,005	115,764	142,363	32,102	98	568,991
Jun 2014	268,232	5,657	114,358	134,313	31,815	71	554,446
May 2014	263,573	5,380	112,989	125,764	31,581	56	539,343
Apr 2014	258,466	4,876	111,808	115,609	31,432	36	522,227
Mar 2014	252,232	4,616	108,665	102,232	31,114	20	498,879
Feb 2014	242,985	3,823	105,178	76,538	30,784	20	459,328
Jan 2014	235,821	2,889	102,392	55,046	30,340	20	426,508
Dec 2013	228,749	1,891	100,840	92	30,020		361,592
Nov 2013	223,962	1,150	98,479	48	29,798		353,437
Oct 2013	221,676	750	98,192	29	29,646		350,293
Sep 2013	221,806		99,384		29,509		350,699
Aug 2013	222,628		99,969		29,524		352,121
Jul 2013	221,506		99,281		29,338		350,125
Jun 2013	217,290		96,543		29,113		342,946
May 2013	216,996		96,095		29,028		342,119
Apr 2013	216,733		95,698		28,942		341,373
Mar 2013	215,566		94,912		28,889		339,367
Feb 2013	214,636		94,232		28,836		337,704
Jan 2013	214,720		94,217		28,936		337,873
Dec 2012	214,182		93,244		28,732		336,158
Nov 2012	214,245		92,855		28,630		335,730
Oct 2012	213,543		92,823		28,586		334,952
Sep 2012	213,394		92,548		28,491		334,433
Aug 2012	213,244		92,337		28,336		333,917
Jul 2012	213,174		91,759		28,218		333,151
Jun 2012	211,755		90,792		27,990		330,537
May 2012	211,975		90,616		27,869		330,460
Apr 2012	211,501		90,396		27,731		329,628
Mar 2012	210,731		90,227		27,632		328,590
Feb 2012	209,898		89,773		27,448		327,119
Jan 2012	209,714		89,546		27,281		326,541
* The actual total member count may not be precise due to HIPAA requirements
source: DSS

4.b Legacy v Exp by Age - MCO-F

4b - Legacy v Expansion by Age Cohort w MCO and FFS
Month/Year	Legacy						Expansion
	MCO			FFS			MCO			FFS
	< 18 years old	18 to 64	> 65	< 18 years old	18 to 64	> 65	< 18 years old	18 to 64	> 65	< 18 years old	18 to 64	> 65
Nov 2018	235,933	59,932	20	54,479	61,838	45,135	10,950	181,835	20	1,570	28,982	20	Please note well: slight, insignificant differences in totals between some tabs are due to transitory demographic anomalies in member records, data source, and retrieval timing.
Oct 2018	236,958	60,456	20	57,622	63,684	45,196	10,865	183,055	71	1,729	32,256	20
Sep 2018	238,232	61,124	20	57,461	63,792	45,043	10,728	183,700	20	1,690	31,693	20
Aug 2018	238,117	60,905	20	59,121	64,544	44,747	10,443	182,905	27	1,730	33,181	20
Jul 2018	237,378	60,786	20	58,488	64,485	44,598	10,567	183,338	20	1,666	33,327
Jun 2018	235,493	60,184	20	58,972	64,652	44,389	10,558	183,359	20	1,729	32,904	20	Examples of anomalies are null values in certain fields (race, gender, member county), program unassigned, invalid DOB.
May 2018	235,759	60,040	20	58,980	64,634	44,149	10,683	183,169	20	1,717	33,585
Apr 2018	235,512	59,644	20	59,078	64,742	43,931	10,864	183,290	20	1,710	33,658	20
Mar 2018	234,639	59,270	20	59,441	64,684	43,758	10,858	182,700	20	1,741	33,596	20
Feb 2018	234,535	59,389	20	59,481	64,290	43,533	10,871	183,010	20	1,761	33,817
Jan 2018	233,245	58,687	20	60,793	64,654	43,268	10,847	181,191	20	1,922	36,806
Dec 2017	232,763	58,664	20	60,068	64,194	42,887	10,900	180,371	91	1,846	37,585	20
Nov 2017	233,596	58,803	20	60,159	63,981	42,694	10,757	181,132	20	1,771	35,386
Oct 2017	233,653	59,020		60,165	64,102	42,488	10,691	180,880	20	1,664	33,282
Sep 2017	232,375	58,946		60,295	64,022	42,284	10,645	180,610	20	1,751	33,209
Aug 2017	231,301	58,670		61,341	64,252	41,945	10,495	179,604	20	1,812	34,353	20
Jul 2017	231,207	58,458		59,908	63,705	41,700	10,530	179,971	20	1,764	33,221
Jun 2017	230,375	57,905	20	59,712	63,433	41,317	10,453	179,196	20	1,759	33,822	20
May 2017	230,649	57,583	20	59,761	63,365	41,062	10,430	179,401	42	1,762	33,901	20
Apr 2017	228,851	57,126	20	60,652	63,559	40,837	10,513	178,278	88	1,759	34,616	20
Mar 2017	227,782	56,854		61,698	63,838	40,609	10,452	177,030	89	1,823	36,265	20
Feb 2017	228,423	56,797	20	61,260	63,437	40,336	10,365	175,379	73	1,837	37,739	20
Jan 2017	227,610	56,153	20	61,727	63,369	40,129	10,370	174,883	101	1,949	39,089	20
Dec 2016	227,392	56,041		60,923	62,521	39,819	10,159	173,811	27	1,889	38,034	20
Nov 2016	227,118	55,929	20	61,209	62,542	39,677	9,982	172,935	44	1,921	36,455	20
Oct 2016	224,706	55,361	20	63,256	63,019	39,484	9,714	170,273	87	2,071	37,133	20
Sep 2016	222,904	55,323	20	63,341	62,703	39,176	9,535	168,991	45	1,974	36,441	20
Aug 2016	221,231	54,813	20	64,630	63,020	38,783	9,261	166,445	48	2,013	37,862	20
Jul 2016	220,549	54,762	20	63,143	62,387	38,508	9,213	166,682	65	1,883	36,295	20
Jun 2016	217,516	54,004	20	65,182	62,422	38,225	9,143	165,926	61	1,954	37,854	20
May 2016	218,581	54,042	20	63,948	62,267	38,079	9,113	167,391	50	1,851	37,199	20
Apr 2016	217,081	53,962	20	64,273	61,859	37,773	9,034	167,156	61	1,919	37,572	20
Mar 2016	214,543	53,311	20	66,415	62,536	37,491	8,944	166,409	178	2,176	39,908	20
Feb 2016	216,210	53,515	20	65,047	61,890	37,034	8,814	164,737	241	2,097	41,028	38
Jan 2016	215,513	53,511	20	64,476	61,213	36,751	8,686	162,784	236	2,089	41,250	45
Dec 2015	214,394	52,936	20	65,426	61,394	36,317	8,467	158,717	312	2,062	41,398	71
Nov 2015	214,395	53,260	20	63,188	60,728	36,125	8,474	157,951	305	1,867	37,421	80
Oct 2015	214,049	53,231	20	62,366	60,475	35,884	8,335	155,954	260	1,803	35,134	61
Sep 2015	208,959	52,150	20	64,680	61,213	35,614	7,991	151,984	245	1,897	36,532	52
Aug 2015	206,836	51,142	20	64,325	61,086	35,309	7,742	148,920	219	1,942	36,660	39
Jul 2015	203,830	50,465	20	64,958	61,180	35,160	7,515	146,217	219	1,955	37,746	40
Jun 2015	201,683	49,979	20	64,767	60,806	34,861	7,333	144,844	215	1,954	38,413	46
May 2015	198,444	49,812	20	65,870	60,667	34,497	7,116	144,867	268	2,054	40,408	57
Apr 2015	191,617	48,326	20	71,590	62,378	34,201	6,657	140,263	295	2,452	46,429	55
Mar 2015	188,087	48,249	20	76,318	63,339	33,889	6,367	136,056	304	2,623	50,903	52
Feb 2015	193,680	50,315	20	71,737	61,877	33,555	6,340	135,426	317	2,395	49,545	52
Jan 2015	200,716	52,350	20	67,688	60,898	33,231	6,299	134,958	308	2,029	42,834	48
Dec 2014	206,400	53,705	20	65,422	59,810	32,857	6,133	134,184	307	1,910	39,400	47
Nov 2014	211,347	56,050	20	63,203	59,241	33,131	5,870	133,014	279	1,576	31,662	35
Oct 2014	217,753	57,901	20	63,291	60,011	32,970	5,514	127,307	223	1,483	32,044	32
source: DSS

5. Legacy v Exp by Prog & Plan

5. Legacy v Expansion Population by Benefit Program and Plan
	Legacy	Expansion	Total

	CHIP		Medicaid		Medicaid
Month/Year	FFS	MCO	FFS	MCO	FFS	MCO	% to Total
Nov 2018	3,610	25,435	157,792	270,450	30,556	192,793	32.8%	680,636
Oct 2018	3,768	24,515	162,701	272,946	34,001	193,991	33.0%	691,922
Sep 2018	3,675	24,619	162,650	274,753	33,385	194,441	32.9%	693,523
Aug 2018	3,602	25,203	164,860	273,834	34,913	193,375	32.8%	695,787
Jul 2018	3,626	24,577	163,983	273,601	34,994	193,916	33.0%	694,697
Jun 2018	3,450	24,046	164,627	271,644	34,637	193,924	33.0%	692,328
May 2018	3,442	24,515	164,377	271,295	35,303	193,857	33.1%	692,789
Apr 2018	3,427	24,503	164,379	270,660	35,371	194,161	33.1%	692,501	Please note well: slight, insignificant differences in totals between some tabs are due to transitory demographic anomalies in member records, data source, and retrieval timing.
Mar 2018	3,484	24,666	164,469	269,249	35,339	193,562	33.1%	690,769
Feb 2018	3,496	24,623	163,905	269,308	35,579	193,889	33.2%	690,800
Jan 2018	3,529	24,054	165,310	267,883	38,729	192,048	33.4%	691,553
Dec 2017	3,472	23,612	163,821	267,822	39,444	191,362	33.5%	689,533
Nov 2017	3,518	24,139	163,462	268,267	37,158	191,905	33.3%	688,449	Examples of anomalies are null values in certain fields (race, gender, member county), program unassigned, invalid DOB.
Oct 2017	3,584	24,141	163,297	268,534	34,947	191,580	33.0%	686,083
Sep 2017	3,481	23,684	163,242	267,642	34,961	191,261	33.1%	684,271
Aug 2017	3,417	23,425	164,238	266,552	36,167	190,104	33.1%	683,903
Jul 2017	3,396	23,214	162,024	266,457	34,986	190,509	33.1%	680,586
Jun 2017	3,415	22,967	161,150	265,322	35,583	189,659	33.2%	678,096
May 2017	3,463	23,706	160,817	264,535	35,672	189,873	33.3%	678,066
Apr 2017	3,457	22,811	161,665	263,173	36,391	188,879	33.3%	676,376
Mar 2017	3,461	22,577	162,755	262,067	38,099	187,571	33.4%	676,530
Feb 2017	3,524	23,327	161,611	261,902	39,596	185,817	33.4%	675,777
Jan 2017	3,574	22,610	161,773	261,162	41,059	185,354	33.5%	675,532
Dec 2016	3,463	22,267	159,943	261,172	39,927	183,999	33.4%	670,771
Nov 2016	3,428	22,850	160,119	260,206	38,382	182,963	33.1%	667,948
Oct 2016	3,439	22,207	162,470	257,873	39,212	180,075	33.0%	665,276
Sep 2016	3,393	21,377	161,972	256,861	38,425	178,571	32.8%	660,599
Aug 2016	3,316	21,518	163,237	254,539	39,891	175,755	32.8%	658,256
Jul 2016	3,362	20,981	160,799	254,344	38,190	175,960	32.8%	653,636
Jun 2016	4,166	19,556	161,763	251,975	39,817	175,130	32.9%	652,407
May 2016	3,385	21,051	160,988	251,586	39,059	176,554	33.0%	652,623
Apr 2016	3,418	20,446	160,573	250,608	39,500	176,251	33.2%	650,796
Mar 2016	3,895	18,582	162,645	249,280	42,103	175,531	33.4%	652,036
Feb 2016	3,183	20,166	160,908	249,567	43,163	173,792	33.3%	650,779
Jan 2016	3,052	19,194	159,514	249,843	43,385	171,706	33.3%	646,694
Dec 2015	3,081	19,863	160,156	247,478	43,532	167,496	32.9%	641,606
Nov 2015	3,212	19,528	156,897	248,140	39,369	166,730	32.5%	633,876
Oct 2015	3,024	19,371	155,785	247,920	36,999	164,549	32.1%	627,648
Sep 2015	3,131	17,987	158,457	243,134	38,482	160,220	32.0%	621,411
Aug 2015	2,849	18,569	157,960	239,422	38,642	156,881	31.8%	614,323
Jul 2015	2,930	18,123	158,439	236,183	39,742	153,951	31.8%	609,368
Jun 2015	3,046	18,084	157,469	233,589	40,413	152,392	31.9%	604,993
May 2015	2,899	18,393	158,205	229,874	42,519	152,251	32.2%	604,141
Apr 2015	2,938	17,206	165,314	222,747	48,936	147,215	32.5%	604,356
Mar 2015	3,413	16,632	170,203	219,711	53,578	142,727	32.4%	606,264
Feb 2015	3,220	17,509	164,026	226,495	51,992	142,083	32.1%	605,325
Jan 2015	3,165	18,704	158,738	234,372	44,911	141,565	31.0%	601,455
Dec 2014	3,233	20,736	154,944	239,378	41,357	140,624	30.3%	600,272
Nov 2014	3,324	21,362	152,347	246,048	33,273	139,163	29.0%	595,517
Oct 2014	3,451	21,236	152,921	254,435	33,559	133,044	27.8%	598,646
Sep 2014	3,775	20,437	151,849	253,834	32,356	128,424	27.2%	590,675
Aug 2014	3,568	22,449	151,682	250,256	33,139	121,903	26.6%	582,997
Jul 2014	3,379	20,623	154,685	241,930	41,847	106,620	26.1%	569,084
Jun 2014	3,219	20,333	156,477	234,471	51,525	88,516	25.3%	554,541
May 2014	3,093	19,249	158,588	227,313	57,749	73,451	24.3%	539,443
Apr 2014	2,858	18,314	164,028	216,592	68,075	52,446	23.1%	522,313
Mar 2014	2,833	17,846	162,597	208,829	68,975	37,891	21.4%	498,971
Feb 2014	2,899	17,812	155,101	203,218	55,727	24,648	17.5%	459,405
Jan 2014	2,969	18,200	150,066	197,402	46,037	11,905	13.6%	426,579
Dec 2013	3,005	19,002	141,346	196,341	1,121	863	0.5%	361,678
Nov 2013	3,090	19,338	136,705	193,179	734	464	0.3%	353,510
Oct 2013	2,763	18,647	147,562	180,611	652	127	0.2%	350,362
Sep 2013	2,693	18,594	150,859	178,627				350,773
Aug 2013	2,712	18,712	150,233	180,530				352,187
Jul 2013	2,715	18,584	148,411	180,470				350,180
Jun 2013	2,736	18,539	146,807	174,922				343,004
May 2013	2,782	18,587	146,768	174,032				342,169
Apr 2013	2,807	18,598	146,442	173,573				341,420
Mar 2013	2,786	18,425	144,215	174,011				339,437
Feb 2013	2,796	18,444	142,996	173,531				337,767
Jan 2013	2,768	18,333	144,194	172,642				337,937
Dec 2012	2,747	18,145	142,676	172,641				336,209
Nov 2012	2,781	18,499	144,245	170,244				335,769
Oct 2012	2,735	18,239	143,510	170,540				335,024
Sep 2012	2,757	18,267	143,393	170,084				334,501
Aug 2012	2,807	18,559	141,763	170,853				333,982
Jul 2012	2,816	18,642	138,680	173,078				333,216
Jun 2012	2,771	18,671	137,718	171,453				330,613
May 2012	2,752	18,539	137,173	171,592				330,056
Apr 2012	2,745	18,486	137,620	170,785				329,636
Mar 2012	2,794	18,768	136,433	170,603				328,598
Feb 2012	2,759	18,518	134,985	170,870				327,132
Jan 2012	2,785	18,529	134,477	170,751				326,542
source: DSS

A. MCO Enrollment

A. MCO Enrollment (revised 7/10/2018)

(totals will differ from other sheets as these data are produced at the monthly capitation run and are static--no retro changes included here)

Month/Year

Medicaid

Medicaid Total

CHIP

CHIP Total

Plan Totals

Totals

Total MCO Enrollment*

Program Shares of MCO Enrollment*

Total

Plan Shares of MCO Enrollment*

Total

Plan Shares of MCO Enrollment*

ANT

HPN

SSH

ANT

HPN

SSH

Medicaid

Chip

Medicaid

Chip

ANT

HPN

SSH

Clark

Washoe

Clark

Washoe

Clark

Washoe

Clark

Washoe

Clark

Washoe

Clark

Washoe

ANT

HPN

SSH

Clark

Washoe

Clark

Washoe

Clark

Washoe

Clark

Washoe

Clark

Washoe

Clark

Washoe

Clark

Washoe

ANT

HPN

SSH

Dec 2018

Russ Carpenter: Russ Carpenter:

As of11/25/2018	149,285	19,954	206,816	27,298	41,409	5,962	450,724	7,664	1,470	11,627	2,798	1,602	305	25,466	178,373	248,539	49,278	397,510	53,214	20,893	4,573	476,190	83.48%	11.17%	4.39%	0.96%	100.00%	32.96%	4.50%	45.87%	6.32%	9.03%	1.32%	100.00%	37.46%	52.19%	10.35%
	Nov 2018

Russ Carpenter: Russ Carpenter:

As of10/28/2018	149,665	20,118	210,084	27,825	42,426	6,099	456,217	7,602	1,441	11,540	2,791	1,649	305	25,328	178,826	252,240	50,479	402,175	54,042	20,791	4,537	481,545	83.52%	11.22%	4.32%	0.94%	100.00%	32.66%	4.48%	46.02%	6.36%	9.15%	1.33%	100.00%	37.14%	52.38%	10.48%
	Oct 2018

Russ Carpenter: Russ Carpenter:

As of 9/23/2018	148,668	19,939	211,707	28,128	42,832	6,156	457,430	7,014	1,346	10,953	2,593	1,556	307	23,769	176,967	253,381	50,851	403,207	54,223	19,523	4,246	481,199	83.79%	11.27%	4.06%	0.88%	100.00%	32.35%	4.42%	46.27%	6.38%	9.22%	1.34%	100.00%	36.78%	52.66%	10.57%
	Sep 2018	148,232	19,890	213,373	28,556	43,634	6,378	460,063	7,044	1,365	11,224	2,570	1,603	323	24,129	176,531	255,723	51,938	405,239	54,824	19,871	4,258	484,192	83.69%	11.32%	4.10%	0.88%	100.00%	32.07%	4.39%	46.39%	6.43%	9.34%	1.38%	100.00%	36.46%	52.81%	10.73%
	Aug 2018	145,784	19,579	211,721	28,424	43,188	6,312	455,008	7,368	1,416	11,687	2,686	1,673	340	25,170	174,147	254,518	51,513	400,693	54,315	20,728	4,442	480,178	83.45%	11.31%	4.32%	0.93%	100.00%	31.89%	4.37%	46.53%	6.48%	9.34%	1.39%	100.00%	36.27%	53.00%	10.73%
	Jul 2018	145,869	19,650	213,580	28,828	43,388	6,467	457,782	7,125	1,368	11,444	2,615	1,600	327	24,479	174,012	256,467	51,782	402,837	54,945	20,169	4,310	482,261	83.53%	11.39%	4.18%	0.89%	100.00%	31.72%	4.36%	46.66%	6.52%	9.33%	1.41%	100.00%	36.08%	53.18%	10.74%
	Jun 2018	143,662	19,120	215,651	29,239	43,360	6,814	457,846	6,897	1,289	11,106	2,604	1,612	353	23,861	170,968	258,600	52,139	402,673	55,173	19,615	4,246	481,707	83.59%	11.45%	4.07%	0.88%	100.00%	31.26%	4.24%	47.07%	6.61%	9.34%	1.49%	100.00%	35.49%	53.68%	10.82%
	May 2018	143,540	19,221	215,548	29,391	40,550	6,356	454,606	7,034	1,321	11,340	2,666	1,711	363	24,435	171,116	258,945	48,980	399,638	54,968	20,085	4,350	479,041	83.42%	11.47%	4.19%	0.91%	100.00%	31.43%	4.29%	47.36%	6.69%	8.82%	1.40%	100.00%	35.72%	54.05%	10.22%
	Apr 2018	144,535	19,483	217,647	29,804	37,865	5,934	455,268	7,076	1,318	11,324	2,668	1,573	330	24,289	172,412	261,443	45,702	400,047	55,221	19,973	4,316	479,557	83.42%	11.52%	4.16%	0.90%	100.00%	31.61%	4.34%	47.75%	6.77%	8.22%	1.31%	100.00%	35.95%	54.52%	9.53%
	Mar 2018	145,429	19,718	218,740	30,072	35,080	5,537	454,576	7,091	1,323	11,494	2,684	1,536	324	24,452	173,561	262,990	42,477	399,249	55,327	20,121	4,331	479,028	83.35%	11.55%	4.20%	0.90%	100.00%	31.84%	4.39%	48.06%	6.84%	7.64%	1.22%	100.00%	36.23%	54.90%	8.87%
	Feb 2018	147,143	20,113	220,023	30,683	32,210	5,069	455,241	7,131	1,333	11,561	2,737	1,449	320	24,531	175,720	265,004	39,048	399,376	55,865	20,141	4,390	479,772	83.24%	11.64%	4.20%	0.92%	100.00%	32.16%	4.47%	48.27%	6.97%	7.02%	1.12%	100.00%	36.63%	55.24%	8.14%
	Jan 2018	147,904	30,831	220,329	20,425	27,461	4,251	451,201	6,988	1,324	11,409	2,759	1,210	260	23,950	187,047	254,922	33,182	395,694	55,507	19,607	4,343	475,151	83.28%	11.68%	4.13%	0.91%	100.00%	32.60%	6.77%	48.77%	4.88%	6.03%	0.95%	100.00%	39.37%	53.65%	6.98%
	Dec 2017	149,507	20,887	221,735	31,306	23,137	3,586	450,158	6,937	1,313	11,164	2,725	977	222	23,338	178,644	266,930	27,922	394,379	55,779	19,078	4,260	473,496	83.29%	11.78%	4.03%	0.90%	100.00%	33.04%	4.69%	49.19%	7.19%	5.09%	0.80%	100.00%	37.73%	56.37%	5.90%
	Nov 2017	151,253	21,263	223,682	31,648	18,188	2,611	448,645	7,387	1,352	11,575	2,815	735	144	24,008	181,255	269,720	21,678	393,123	55,522	19,697	4,311	472,653	83.17%	11.75%	4.17%	0.91%	100.00%	33.56%	4.78%	49.77%	7.29%	4.00%	0.58%	100.00%	38.35%	57.07%	4.59%
	Oct 2017	154,077	21,844	226,591	32,550	13,577	1,967	450,606	7,575	1,357	11,712	2,821	513	89	24,067	184,853	273,674	16,146	394,245	56,361	19,800	4,267	474,673	83.06%	11.87%	4.17%	0.90%	100.00%	34.06%	4.89%	50.20%	7.45%	2.97%	0.43%	100.00%	38.94%	57.66%	3.40%
	Sep 2017	156,583	22,143	227,802	33,087	9,613	1,368	450,596	7,480	1,364	11,598	2,739	325	75	23,581	187,570	275,226	11,381	393,998	56,598	19,403	4,178	474,177	83.09%	11.94%	4.09%	0.88%	100.00%	34.60%	4.96%	50.49%	7.56%	2.10%	0.30%	100.00%	39.56%	58.04%	2.40%
	Aug 2017	157,376	22,464	227,313	33,336	2,758	407	443,654	7,488	1,370	11,540	2,718	140	29	23,285	188,698	274,907	3,334	387,447	56,207	19,168	4,117	466,939	82.98%	12.04%	4.11%	0.88%	100.00%	35.31%	5.10%	51.15%	7.72%	0.62%	0.09%	100.00%	40.41%	58.87%	0.71%
	Jul 2017	159,711	23,039	229,573	33,881	698	93	446,995	7,413	1,378	11,556	2,714	45	20	23,126	191,541	277,724	856	389,982	57,013	19,014	4,112	470,121	82.95%	12.13%	4.04%	0.87%	100.00%	35.55%	5.19%	51.29%	7.78%	0.16%	0.02%	100.00%	40.74%	59.08%	0.18%
	Jun 2017	161,771	23,372	229,673	34,123	- 0	- 0	448,939	7,382	1,417	11,347	2,698	- 0	- 0	22,844	193,942	277,841	- 0	391,444	57,495	18,729	4,115	471,783	82.97%	12.19%	3.97%	0.87%	100.00%	35.85%	5.25%	51.09%	7.80%	- 0	- 0	100.00%	41.11%	58.89%	- 0
	May 2017	160,271	23,193	227,836	34,151			445,451	7,708	1,455	11,769	2,749			23,681	192,627	276,505		388,107	57,344	19,477	4,204	469,132	82.73%	12.22%	4.15%	0.90%	100.00%	35.81%	5.25%	51.07%	7.87%			100.00%	41.06%	58.94%
	Apr 2017	160,270	23,425	227,650	34,501			445,846	7,367	1,406	11,357	2,699			22,829	192,468	276,207		387,920	57,926	18,724	4,105	468,675	82.77%	12.36%	4.00%	0.88%	100.00%	35.77%	5.30%	51.00%	7.94%			100.00%	41.07%	58.93%
	Mar 2017	159,375	23,507	225,611	34,478			442,971	7,080	1,399	11,117	2,714			22,310	191,361	273,920		384,986	57,985	18,197	4,113	465,281	82.74%	12.46%	3.91%	0.88%	100.00%	35.78%	5.35%	50.88%	7.99%			100.00%	41.13%	58.87%
	Feb 2017	158,486	23,408	224,544	34,320			440,758	7,475	1,442	11,697	2,860			23,474	190,811	273,421		383,030	57,728	19,172	4,302	464,232	82.51%	12.44%	4.13%	0.93%	100.00%	35.75%	5.35%	50.89%	8.01%			100.00%	41.10%	58.90%
	Jan 2017	158,293	23,588	224,464	34,681			441,026	7,162	1,412	11,228	2,763			22,565	190,455	273,136		382,757	58,269	18,390	4,175	463,591	82.56%	12.57%	3.97%	0.90%	100.00%	35.69%	5.39%	50.84%	8.08%			100.00%	41.08%	58.92%
	Dec 2016	157,924	23,630	224,464	34,965			440,983	6,985	1,436	10,933	2,751			22,105	189,975	273,113		382,388	58,595	17,918	4,187	463,088	82.57%	12.65%	3.87%	0.90%	100.00%	35.61%	5.41%	50.83%	8.14%			100.00%	41.02%	58.98%
	Nov 2016	157,152	23,498	222,011	34,750			437,411	7,194	1,485	11,261	2,872			22,812	189,329	270,894		379,163	58,248	18,455	4,357	460,223	82.39%	12.66%	4.01%	0.95%	100.00%	35.71%	5.43%	50.69%	8.17%			100.00%	41.14%	58.86%
	Oct 2016	156,601	23,645	220,890	34,931			436,067	6,974	1,451	11,076	2,831			22,332	188,671	269,728		377,491	58,576	18,050	4,282	458,399	82.35%	12.78%	3.94%	0.93%	100.00%	35.68%	5.47%	50.60%	8.24%			100.00%	41.16%	58.84%
	Sep 2016	158,474	23,877	217,163	34,579			434,093	6,884	1,434	10,535	2,719			21,572	190,669	264,996		375,637	58,456	17,419	4,153	455,665	82.44%	12.83%	3.82%	0.91%	100.00%	36.29%	5.55%	49.97%	8.19%			100.00%	41.84%	58.16%
	Aug 2016	156,338	23,709	214,566	34,474			429,087	6,997	1,468	10,562	2,798			21,825	188,512	262,400		370,904	58,183	17,559	4,266	450,912	82.26%	12.90%	3.89%	0.95%	100.00%	36.22%	5.58%	49.93%	8.27%			100.00%	41.81%	58.19%
	Jul 2016	154,776	23,708	212,156	34,502			425,142	6,324	1,313	9,645	2,562			19,844	186,121	258,865		366,932	58,210	15,969	3,875	444,986	82.46%	13.08%	3.59%	0.87%	100.00%	36.20%	5.62%	49.84%	8.33%			100.00%	41.83%	58.17%
	Jun 2016	156,416	23,830	214,243	34,643			429,132	6,808	1,414	10,313	2,717			21,252	188,468	261,916		370,659	58,473	17,121	4,131	450,384	82.30%	12.98%	3.80%	0.92%	100.00%	36.24%	5.60%	49.86%	8.30%			100.00%	41.85%	58.15%
	May 2016	155,340	23,904	213,028	34,722			426,994	6,818	1,416	10,360	2,709			21,303	187,478	260,819		368,368	58,626	17,178	4,125	448,297	82.17%	13.08%	3.83%	0.92%	100.00%	36.17%	5.65%	49.83%	8.35%			100.00%	41.82%	58.18%
	Apr 2016	154,831	23,936	211,901	34,786			425,454	6,588	1,388	10,076	2,647			20,699	186,743	259,410		366,732	58,722	16,664	4,035	446,153	82.20%	13.16%	3.74%	0.90%	100.00%	36.18%	5.68%	49.75%	8.39%			100.00%	41.86%	58.14%
	Mar 2016	153,919	24,053	210,681	35,176			423,829	6,056	1,291	9,169	2,469			18,985	185,319	257,495		364,600	59,229	15,225	3,760	442,814	82.34%	13.38%	3.44%	0.85%	100.00%	36.13%	5.72%	49.65%	8.50%			100.00%	41.85%	58.15%
	Feb 2016	153,543	24,003	209,513	35,099			422,158	6,569	1,426	9,913	2,572			20,480	185,541	257,097		363,056	59,102	16,482	3,998	442,638	82.02%	13.35%	3.72%	0.90%	100.00%	36.17%	5.74%	49.57%	8.51%			100.00%	41.92%	58.08%
	Jan 2016	152,566	23,857	207,929	35,097			419,449	6,154	1,364	9,482	2,504			19,504	183,941	255,012		360,495	58,954	15,636	3,868	438,953	82.13%	13.43%	3.56%	0.88%	100.00%	36.16%	5.75%	49.53%	8.57%			100.00%	41.90%	58.10%
	Dec 2015	151,084	23,797	204,906	35,148			414,935	6,390	1,394	9,864	2,552			20,200	182,665	252,470		355,990	58,945	16,254	3,946	435,135	81.81%	13.55%	3.74%	0.91%	100.00%	36.19%	5.79%	49.36%	8.66%			100.00%	41.98%	58.02%
	Nov 2015	151,169	23,836	204,543	35,242			414,790	6,271	1,393	9,652	2,478			19,794	182,669	251,915		355,712	59,078	15,923	3,871	434,584	81.85%	13.59%	3.66%	0.89%	100.00%	36.23%	5.81%	49.29%	8.68%			100.00%	42.03%	57.97%
	Oct 2015	150,454	23,671	203,020	35,310			412,455	6,216	1,400	9,497	2,495			19,608	181,741	250,322		353,474	58,981	15,713	3,895	432,063	81.81%	13.65%	3.64%	0.90%	100.00%	36.26%	5.80%	49.19%	8.75%			100.00%	42.06%	57.94%
	Sep 2015	150,685	23,708	194,753	34,273			403,419	5,948	1,370	8,701	2,288			18,307	181,711	240,015		345,438	57,981	14,649	3,658	421,726	81.91%	13.75%	3.47%	0.87%	100.00%	37.14%	5.95%	48.24%	8.67%			100.00%	43.09%	56.91%
	Aug 2015	148,399	23,457	190,432	33,995			396,283	6,109	1,372	9,043	2,335			18,859	179,337	235,805		338,831	57,452	15,152	3,707	415,142	81.62%	13.84%	3.65%	0.89%	100.00%	37.22%	5.98%	48.05%	8.75%			100.00%	43.20%	56.80%
	Jul 2015	146,044	23,404	186,929	33,855			390,232	5,944	1,348	8,946	2,278			18,516	176,740	232,008		332,973	57,259	14,890	3,626	408,748	81.46%	14.01%	3.64%	0.89%	100.00%	37.18%	6.06%	47.92%	8.84%			100.00%	43.24%	56.76%
	Jun 2015	144,258	23,185	185,249	33,296			385,988	5,898	1,333	8,931	2,258			18,420	174,674	229,734		329,507	56,481	14,829	3,591	404,408	81.48%	13.97%	3.67%	0.89%	100.00%	37.13%	6.06%	48.02%	8.79%			100.00%	43.19%	56.81%
	May 2015	143,154	22,874	183,324	32,745			382,097	5,974	1,310	9,134	2,300			18,718	173,312	227,503		326,478	55,619	15,108	3,610	400,815	81.45%	13.88%	3.77%	0.90%	100.00%	37.21%	6.03%	48.02%	8.74%			100.00%	43.24%	56.76%
	Apr 2015	138,727	22,356	177,574	31,866			370,523	5,615	1,219	8,764	2,215			17,813	167,917	220,419		316,301	54,222	14,379	3,434	388,336	81.45%	13.96%	3.70%	0.88%	100.00%	37.17%	6.07%	47.98%	8.78%			100.00%	43.24%	56.76%
	Mar 2015	136,345	22,265	172,505	31,381			362,496	5,380	1,221	8,369	2,176			17,146	165,211	214,431		308,850	53,646	13,749	3,397	379,642	81.35%	14.13%	3.62%	0.89%	100.00%	37.33%	6.19%	47.64%	8.84%			100.00%	43.52%	56.48%
	Feb 2015	138,734	22,953	174,703	32,217			368,607	5,627	1,275	8,816	2,262			17,980	168,589	217,998		313,437	55,170	14,443	3,537	386,587	81.08%	14.27%	3.74%	0.91%	100.00%	37.34%	6.27%	47.47%	8.92%			100.00%	43.61%	56.39%
	Jan 2015	141,010	24,049	177,123	33,605			375,787	5,954	1,356	9,316	2,452			19,078	172,369	222,496		318,133	57,654	15,270	3,808	394,865	80.57%	14.60%	3.87%	0.96%	100.00%	37.22%	6.43%	47.22%	9.13%			100.00%	43.65%	56.35%
	Dec 2014	147,136	25,069	181,498	34,880			388,583	6,961	1,553	10,573	2,711			21,798	180,719	229,662		328,634	59,949	17,534	4,264	410,381	80.08%	14.61%	4.27%	1.04%	100.00%	37.55%	6.49%	46.80%	9.16%			100.00%	44.04%	55.96%
	Nov 2014	145,958	25,036	179,514	34,728			385,236	6,820	1,537	10,613	2,692			21,662	179,351	227,547		325,472	59,764	17,433	4,229	406,898	79.99%	14.69%	4.28%	1.04%	100.00%	37.55%	6.53%	46.73%	9.20%			100.00%	44.08%	55.92%
	Oct 2014	146,485	25,610	179,439	36,142			387,676	6,711	1,518	10,582	2,715			21,526	180,324	228,878		325,924	61,752	17,293	4,233	409,202	79.65%	15.09%	4.23%	1.03%	100.00%	37.44%	6.63%	46.44%	9.50%			100.00%	44.07%	55.93%
	Sep 2014	145,202	25,911	175,872	35,415			382,400	6,733	1,472	9,955	2,567			20,727	179,318	223,809		321,074	61,326	16,688	4,039	403,127	79.65%	15.21%	4.14%	1.00%	100.00%	37.69%	6.79%	46.10%	9.42%			100.00%	44.48%	55.52%
	Aug 2014	141,435	25,256	170,717	34,746			372,154	7,425	1,676	10,951	2,697			22,749	175,792	219,111		312,152	60,002	18,376	4,373	394,903	79.05%	15.19%	4.65%	1.11%	100.00%	37.70%	6.82%	46.00%	9.48%			100.00%	44.52%	55.48%
	Jul 2014	132,713	23,652	159,223	33,113			348,701	6,832	1,526	10,163	2,535			21,056	164,723	205,034		291,936	56,765	16,995	4,061	369,757	78.95%	15.35%	4.60%	1.10%	100.00%	37.74%	6.81%	45.81%	9.64%			100.00%	44.55%	55.45%
	Jun 2014	123,524	21,836	146,413	31,275			323,048	6,757	1,485	9,998	2,490			20,730	153,602	190,176		269,937	53,111	16,755	3,975	343,778	78.52%	15.45%	4.87%	1.16%	100.00%	37.90%	6.78%	45.50%	9.82%			100.00%	44.68%	55.32%
	May 2014	115,438	20,083	135,627	29,633			300,781	6,426	1,416	9,561	2,387			19,790	143,363	177,208		251,065	49,716	15,987	3,803	320,571	78.32%	15.51%	4.99%	1.19%	100.00%	38.01%	6.71%	45.29%	9.99%			100.00%	44.72%	55.28%
	Apr 2014	104,450	17,315	120,483	26,926			269,174	6,230	1,312	9,285	2,317			19,144	129,307	159,011		224,933	44,241	15,515	3,629	288,318	78.02%	15.34%	5.38%	1.26%	100.00%	38.39%	6.46%	45.01%	10.14%			100.00%	44.85%	55.15%
	Mar 2014	96,985	15,283	109,880	24,688			246,836	6,175	1,306	9,157	2,250			18,888	119,749	145,975		206,865	39,971	15,332	3,556	265,724	77.85%	15.04%	5.77%	1.34%	100.00%	38.82%	6.24%	44.80%	10.14%			100.00%	45.07%	54.93%
	Feb 2014	91,103	13,310	101,028	22,425			227,866	6,202	1,364	9,051	2,223			18,840	111,979	134,727		192,131	35,735	15,253	3,587	246,706	77.88%	14.48%	6.18%	1.45%	100.00%	39.44%	5.95%	44.62%	9.99%			100.00%	45.39%	54.61%
	Jan 2014	85,028	11,362	92,561	20,356			209,307	6,265	1,280	9,038	2,311			18,894	103,935	124,266		177,589	31,718	15,303	3,591	228,201	77.82%	13.90%	6.71%	1.57%	100.00%	40.01%	5.54%	44.52%	9.93%			100.00%	45.55%	54.45%
	Dec 2013	80,503	10,361	86,943	19,371			197,178	6,214	1,156	9,382	2,472			19,224	98,234	118,168		167,446	29,732	15,596	3,628	216,402	77.38%	13.74%	7.21%	1.68%	100.00%	40.07%	5.32%	44.51%	10.09%			100.00%	45.39%	54.61%
	Nov 2013	79,078	10,265	85,127	19,199			193,669	6,229	966	9,449	2,700			19,344	96,538	116,475		164,205	29,464	15,678	3,666	213,013	77.09%	13.83%	7.36%	1.72%	100.00%	40.05%	5.27%	44.40%	10.28%			100.00%	45.32%	54.68%
	Oct 2013	72,536	9,482	80,208	18,644			180,870	5,821	890	9,273	2,633			18,617	88,729	110,758		152,744	28,126	15,094	3,523	199,487	76.57%	14.10%	7.57%	1.77%	100.00%	39.28%	5.20%	44.86%	10.67%			100.00%	44.48%	55.52%
	Sep 2013	72,051	9,509	78,887	18,291			178,738	6,030	882	9,057	2,605			18,574	88,472	108,840		150,938	27,800	15,087	3,487	197,312	76.50%	14.09%	7.65%	1.77%	100.00%	39.57%	5.27%	44.57%	10.59%			100.00%	44.84%	55.16%
	Aug 2013	72,992	9,469	79,769	18,308			180,538	6,062	871	9,145	2,613			18,691	89,394	109,835		152,761	27,777	15,207	3,484	199,229	76.68%	13.94%	7.63%	1.75%	100.00%	39.68%	5.19%	44.63%	10.50%			100.00%	44.87%	55.13%
	Jul 2013	73,147	9,195	79,844	18,135			180,321	5,975	861	9,128	2,600			18,564	89,178	109,707		152,991	27,330	15,103	3,461	198,885	76.92%	13.74%	7.59%	1.74%	100.00%	39.78%	5.06%	44.74%	10.43%			100.00%	44.84%	55.16%

source: ODRAS MCO-290

RC - 8/7/2018 - The tallies on this report represent enrollment data captured on the last Sunday prior to the last Wednesday of each month and include no retro-eligible changes.

RC - 7/10/2018 - The AET plan was removed from report; see previous months for 4-plan totals running from 7/17 through 6/18; 3-plan totals as accounted for here will continue to be reported

B. MCO Assignments v3

B. MCO Enrollment Assignments * v3
Month/Year	History

Russ Carpenter: Russ Carpenter:

DHCFP Discontinued in Oct 2017 Random Russ Carpenter: Russ Carpenter:

The newly enrolled member has not made a choice for an MCO; Random assignments currently set for 33% for ANT, 17% for HPN, 50% for SSH HISChoice Russ Carpenter: Russ Carpenter:

A previously enrolled member regains eligibility and does not fall under the Family or 60-Day Rule, though has made a choice for the plan they want to be covered by. Family Russ Carpenter: Russ Carpenter:

Family is currently enrolled in this plan. AppChoice Russ Carpenter: Russ Carpenter:

This applies only to members who have not been enrolled with an DHCFP MCO vendor before.

Choice came on application. This is looked at when algorithm asks if "MCO Choice Present" when case is new. 60-Day Rule Russ Carpenter: Russ Carpenter:

If a member has been disenrolled for less than 60 days, but regains eligibility.

Russ Carpenter: Russ Carpenter:

DHCFP Discontinued in Oct 2017 Ratio of Random Assignmt Russ Carpenter: Russ Carpenter:

Random assignment algorithm changed as of May 26, 2018.

ANT = 33.0%

HPN = 17.0%

SSH = 50.0%

ANT

HPN

SSH

ANT

HPN

SSH

ANT

HPN

SSH

ANT

HPN

SSH

ANT

HPN

SSH

ANT

HPN

SSH

ANT

HPN

SSH

Dec 2018

Russ Carpenter: Russ Carpenter:

Auto-enrollment as of 11/25/18 for Dec 2018

Russ Carpenter: Russ Carpenter:

Random assignment algorithm changed as of May 26, 2018.

ANT = 33.0%

HPN = 17.0%

SSH = 50.0%

Russ Carpenter: Russ Carpenter:

The newly enrolled member has not made a choice for an MCO; Random assignments currently set for 33% for ANT, 17% for HPN, 50% for SSH Russ Carpenter: Russ Carpenter:

A previously enrolled member regains eligibility and does not fall under the Family or 60-Day Rule, though has made a choice for the plan they want to be covered by.

Russ Carpenter: Russ Carpenter:

Family is currently enrolled in this plan.

Russ Carpenter: Russ Carpenter:

This applies only to members who have not been enrolled with an DHCFP MCO vendor before.

Choice came on application. This is looked at when algorithm asks if "MCO Choice Present" when case is new.	0	139	73	211	127	201	20	299	444	88	59	33	20	115	142	32	32.86%	17.26%	49.88%
	Nov 2018	0	1,242	640	1,799	2,102	2,944	224	879	1,113	235	1,668	1,219	180	453	763	170	33.74%	17.39%	48.87%
	Oct 2018	0	1,131	607	1,709	2,312	2,787	226	796	991	222	1,866	1,263	173	630	781	182	32.81%	17.61%	49.58%
	Sep 2018	0	1,177	625	1,779	2,255	2,964	243	846	1,187	234	1,822	1,363	179	488	687	141	32.87%	17.45%	49.68%
	Aug 2018	0	1,322	708	1,994	2,468	3,510	215	852	1,259	264	1,872	1,962	321	476	785	102	32.85%	17.59%	49.55%
	Jul 2018	0	1,292	692	1,946	2,110	3,164	263	1,410	1,950	369	1,581	1,749	216	474	723	72	32.88%	17.61%	49.52%
	Jun 2018	0	1,305	699	1,976	2,209	3,404	268	832	1,307	263	1,497	1,842	263	491	688	73	32.79%	17.56%	49.65%
	May 2018	0	100	54	3,836	2,503	3,805	208	740	772	268	1,385	1,857	228	20	20	20	2.51%	1.35%	96.14%
	Apr 2018	0	0	0	3,984	2,476	3,487	232	861	1,291	268	1,291	1,727	253	188	277	35	0.00%	0.00%	100.00%
	Mar 2018	0	0	20	4,243	2,294	3,472	204	866	1,325	254	1,183	1,834	280	684	893	73	0.00%	0.47%	99.53%

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it. Updated Apr 2, 2024.