Michigan MedicaidI Ca~itation Summaries -Paid To Date Bv Month bv PlHP' September, 2006 1 1705322...

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Transcript of Michigan MedicaidI Ca~itation Summaries -Paid To Date Bv Month bv PlHP' September, 2006 1 1705322...

Page 1: Michigan MedicaidI Ca~itation Summaries -Paid To Date Bv Month bv PlHP' September, 2006 1 1705322 OOGE Access Alliance of Michigan $ 3.401.668 $ 79.975 $ 1.833,798 $ 5.315.442 2 1708001
Page 2: Michigan MedicaidI Ca~itation Summaries -Paid To Date Bv Month bv PlHP' September, 2006 1 1705322 OOGE Access Alliance of Michigan $ 3.401.668 $ 79.975 $ 1.833,798 $ 5.315.442 2 1708001

Michigan Medicaid

Mental Health, Substance Abuse and Habilitation Supports Waiver

CAPITATION REPORT

These are the rates calculated under the rate structure for FY2006. September, 2006

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

For the Mental Health and Substance Abuse programs, only individuals eligible for Medicaid on card cut-off date are capitated. Therefore, while additional Medicaid eligible individuals are expected for this month, the revenue figures for payment will not change. Payments for individuals enrolled in the Habilitation Supports Waiver may be paid retroactively as reflected on the Summary and HSW-Summary pages.

This data does not include any gross adjustments made to the revenue stream. Only revenues paid out through the capitation system are shown.

Page 3: Michigan MedicaidI Ca~itation Summaries -Paid To Date Bv Month bv PlHP' September, 2006 1 1705322 OOGE Access Alliance of Michigan $ 3.401.668 $ 79.975 $ 1.833,798 $ 5.315.442 2 1708001

M i c h i g a n M e d i c a i d M o n t h l y C a p i t a t i o n S u m m a r y - T a b l e of C o n t e n t s Section I Worksheet ( Page I I Section I Worksheet I Page

INTRODUCTION CAPITATION - Habil i tat ion Supports Waiver (Summaries w i t h Population and Revenue) General notes on use of the data 2 Habilitation Supports Waiver

SUMMARY by PlHP HSW by PlHP 44

Two page summary table of all data Summary 4 by County HSW by County 45

Five page Year to Date Summary YTD-Summary 6 POPULATION - Habil i tat ion Supports Waiver

Summary Charts Summary Charts 11 by PlHP by Program Group and Age Group HSW-Pop 52

Enrollment Age Profile Charts Age Profile Charts 12 REVENUE - Habil i tat ion Supports Waiver

CAPITATION (Summaries with Population and Revenue) Habilitation Supports Waiver

Mental Health Capitation by PlHP by GenderIProgram GrouplAge Group HSW-DAB, HSW-TANF 56

by PlHP MH by PlHP 14 Summary - Habil i tat ion Supports Waiver

TANF by PlHP MH TANF by PlHP 15 Habilitation Supports Waiver

by County MH by County 16 Summary of Payment and Recovely Amounts by PIHFHSW-Summary 60

Substance Abuse Capitation Net Enrollees and Payments HSW Net Enrollees & Payments 61

by PlHP SA by PlHP 19 Reference Data

TANF by PlHP SA TANF by PlHP 20 Affiliations and Included Counties Affiliations 65

by County SA by County 21 Capitation Base Rates Cap Base Rates

POPULATION Mental Health Capitaiton Base Rates 68

by PlHP by Program Group and Age Group MHSA-Pop Common to MH and SA 24 Substance Abuse Capitation Base Rates 69

REVENUE AgelSex Factors

Mental Health Revenue Mental Health AaelSex Factors AaeSex Factors MH 70 - - by PlHP by GenderIProgram GroupIAge Group MHSP-DAB, MHSP-TANF State Plan 28 Substance Abuse Age Sex Factors AgeSex Factors SA 71 - by PlHP by GenderIProgram GroupIAge Group MHB3-DAB. MHB3-TANF 1915(b)(3) 32 Geographic Factors

Substance Abuse Revenue Mental Health Geographic Factors Geographic Factors MH 72

by PlHP by GenderIProgram GroupIAge Group SASP-DAB, SASP-TANF State Plan 36 Substance Abuse Geographic Factors Geographic Factors SA 74

by PlHP by GenderIProgram GroupIAge Group SAB3-DAB. SAB3-TANF 1915(b)(3) 40

Report Generated: 9/6/2006 2:16 PM MDCH Mental Health 8 Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report Table of Contents

Page 3 o f 75

Page 4: Michigan MedicaidI Ca~itation Summaries -Paid To Date Bv Month bv PlHP' September, 2006 1 1705322 OOGE Access Alliance of Michigan $ 3.401.668 $ 79.975 $ 1.833,798 $ 5.315.442 2 1708001

Medicaid Capitation Summary I September, 2006 --

18 LDAB Population Male 169,732 40,233 20,900 23,720 26,376 33,318 25,185 - 19

20

21

22

23

Total DAB Population

TANF Population

24

25

HabSupports Enrollees Retro - Retro Payments FY 2005-2006 28 1- - -.

Male 322 __ I

( Female I 528,786 1 342,382 1 70,667 1 86,961 1 24.109 1 4,634 1 33

26

27

Female

Male

Total TANF Po~ulation

Combined Current Medicaid Population'

HabSupports Enrollees Current (included above)

( Female 1 3,025 1 22 1 159 1 665 1 853 1 995 ] 331

Total HabSupports Enrollees Current (included above) I 7,268 1 80 ( 454 ( 1.723 1 2,090 1 2.234 1 68 7

Report Generated: 9/6/2006 2:16 PM

I 922.782 1 689.771 1 89.299 1 103.818 1 32.646 1 7.182 1 66

29

30

31

32

33

34

MDCH Mental tiealth B Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report Summary

219,779

38931 1

393,996

Male

Page 5 of 75

' SP & 8 3 Population figures do not include Retroactive Eligibles

I Female

Total HabSupports Enrollees Retro - Retro Payments FY 2005-2006

HabSupports Enrollees Retro - Retro Payments FY 2004-2005 1 Male

Female

Total HabSupports Enrollees Retro - Retm Payments FY 2004-2005

Total HabSupports Enrollees

28.209

68,442

347,389

1.312.293

4.243

219

541

-- -- -

7,809

18.232

39.132

18,632

90,843

1,239

93,218

356

75821 3

58

9

34

-

114

24,693

48.413

16,857

128,431

295

3

22

~

476

30,335

56,711

8,537

152.231

1,058

11

49

1,772

50,343

83.661

2.548

89,357

1,237

67,967

93,152

33

74

162

-- --

2,252

109

248

- --

2,482

13

26

. - - --

713

Page 5: Michigan MedicaidI Ca~itation Summaries -Paid To Date Bv Month bv PlHP' September, 2006 1 1705322 OOGE Access Alliance of Michigan $ 3.401.668 $ 79.975 $ 1.833,798 $ 5.315.442 2 1708001

Capitation Summaries - Paid To Date By Month by PIHP*

1 1705322 OOGE Access Alliance of Michigan $ 3,375,266 $ 81,649 $ 1,847.691 $ 5,304,605

2 1708001 OOBJ CMH Affiliation of Mid-Michigan $ 5.635.201 $ 127.527 $ 1,545,897 $ 7,308,626

3 4344340 OOGG CMH for Central Michigan $ 2.626.063 $ 62.041 $ 1,837,550 $ 4.525.654

4 4483587 OOGS CMHSA NehvoNork of West Michigan $ 5.566.330 $ 125,950 $ 448,919 $ 6.141.199

5 31 19549 OOGJ Detroit Wayne County CMH Agency $ 23.836.447 $ 983.360 $ 5.358.056 $ 30.177.863

Genesee County CMH Services 1 $ 4.630.883 1 $ 192.796 ( $ 1.478.085 ( $ 6.301.764 (1 $ 4.628.525 1 $ 192,213 ( $ 1,474,013 1 $ 6.294.751 11 $ 4.637.148 1 $ 193,284 1 $ 1.478.478 1 $ 6,308.910

7 1712452 OOHA LakeshoreBehavioralHealthAlliance I $ 3.615.019 $ 78.446 5 1.034.771 I $ 4.728.2361 $ 3.606.220 $ 78,764 $ 1.034.771 $ 4,719,7541 $ 3.613.861 $ 78,858 $ 1.044,1841$ 4.736.903

8

9

10

11

12

3402136 1 OOGR I Southwest Alliance 1 $ 4.242.563 1 $ 132.853 1 $ 1,709.422 1 $ 6.084.838 11 5 4,251,609 1 $ 132,998 1 9 1,748.333 1 $ 6,132,940 1) $ 4,264,898 1 $ 133.925 1 $ 1,751,376 1 $ 6.150.199

1708164 1 OOHO I Thumb Mental Health Alliance I $ 3.688.819 1 $ 62.043 1 $ 1.509.930 1 $ 5.260.792 11 $ 3.716.611 1 $ 63.002 1 $ 1.515.047 1 $ 5.294.660 11 16 3.747.870 1 5 63.831 1 $ 1,515,356 1 $ 5.327.057

1712229

3396315

1724945

4476125 1 OOHF 1 Northern Affiliation 1 $ 2.270.426 1 $ 62.413 1 $ 2.141.984 1 $ 4.474.823 11 $ 2,279.806 1 $ 62,980 1 $ $ 2.284.820 1 $ 63,315 1 $ 2.137.027 1 $ 4.485.162

4540048 I OOHC 1 Northern Lakes I $ 2.948.770 1 $ 59.665 1 $ 652.342 1 $ 3.660.777 11 $ 2.952.631 1 $ 59.521 1 $ $ 2.947.878 1 $ 59.875 1 5 649.505 1 $ 3,657,257

13

14

15

be updated as retrolrecovery payments occur for each service month.

OOGV

OOGX

OOHJ

1705289

1712541

4390138

18

Report Generated: 9/6/7006 2 1 6 PM MDCH Mental Health & Substance Abuse Specialty Setvices and Habilitation Supports Waiver Capitation Report YTD-Summary

Page 7 of 75

Lifeways

Mawmb County CMH Services

Northcare

0058

OOHQ

OOHU

'HSW Payments are reflected by service month. The amounts will 16 100.855.727 16 100.963.232 $ 101.196.145 I

2920843

$ 1,969.569

$ 7,900,685

$ 4.019.354

Oakland County CMH Authority

Saginaw County CMH Authority

Southeast Partnership

OOHR

$ 45.221

$ 174,319

$ 66.149

$ 11.335.390

$ 2.009.090

$ 4.092.824

Venture Behavioral Health

State Subtotals

$ 454.304

$ 2.171.625

$ 1.987.272

$ 197.187

$ 98,099

$ 101.629

$ 4,319,980

$ 98,082,679

$ 2.469.094

$ 10,246,630

$ 6.072.775

$ 3.614.414

$ 526.970

$ 2,501,995

$ 121,702

$ 2,773,047

$ 1.972.020

$ 7,914.413

$ 4.018.726

5 15.146.991

5 2.634.159

$ 6,696,448

5 1.249.080

$ 32,070.307

$ 45.287

$ 174,223

$ 66.666-$

$ 11,357.209

$ 2.M73.906

$ 4,099,450

$ 5.690.761 I

$ 132.926.033

$ 461.965

$ 2,176,288

1,976,348

$ 197,416.

$ 98,299

$ 101.893

$ 4,340.529 1 $ 122.795

$ 2.479.272

$ 10,264.924

$ 6.061.739

$ 3,644.557

$ 527.086

$ 2.481.529

$ 1,237,480

$ 32.103,184

I

$ 98,186,345 5 2.776.887

$ 1.988.423

$ 7,954,665

$ 4,030.830

$ 15,199.182

$ 2,629,291

$ 6,682,872

$ 5,700,804

5 133.066.416

$ 45,456

$ 174.937

$ 66,857

5 11,391,591

$ 2,014,474

$ 4,126,276

$ 4,348.931

$ 98,413.919

$ 465.563

$ 2.176.709

$ 2.003.818

$ 197,554

$ 98,440

$ 102,671

$ 123.132

$ 2,782,226

$ 2.499.441

$ 10.306.312

$ 6.101.506

$ 3.594.089

$ 527.086

$ 2,491,348

$ 1.265.552 I

5 32.087.174

$ 15,183.234

$ 2.640.000

$ 6.720.295

$ 5,737.616

5 133,283.318

1

Page 6: Michigan MedicaidI Ca~itation Summaries -Paid To Date Bv Month bv PlHP' September, 2006 1 1705322 OOGE Access Alliance of Michigan $ 3.401.668 $ 79.975 $ 1.833,798 $ 5.315.442 2 1708001

Ca~itat ion Summaries -Paid To Date Bv Month bv PlHP'

I September, 2006

1 1705322 OOGE Access Alliance of Michigan $ 3.401.668 $ 79.975 $ 1.833,798 $ 5.315.442

2 1708001 OOBJ CMH Affiliation of Mid-Michigan $ 5,660.749 $ 124,556 $ 1,564,757 $ 7.350.061

3 4344340 OOGG CMH for Central Michigan $ 2,624,627 $ 60.301 $ 1,827,360 $ 4.512.288

4 4483587 OOGS CMHSA Network of West Michigan $ 5,607,473 $ 124,088 $ 449,165 $ 6,180,726

5 3119549 1 OOGJ I Detroit Wayne County CMH Agency 1 $ 23.851.504 1 $ 971.285 1 $ 5.410.092 1 $ 30,232381 11 $ 23,927,127 1 $ 979.381 1 $ 5,388,608 1 $ 30,295,116 1 1 $ 23.864.151 1 $ 976,353 1 $ 5.119.102 1 $ 29,953,606

6 1705233 0028 Genesee County CMH Services 1 $ 4.632.680 1 $ 189.637 1 $ 1.558.838 1 $ 6,381.155 11 $ 4,648,026 $ 191.838 1 $ 1,550.985 1 $ 6.390.849 1 $ 4.645.375 1 $ 190,995 1 $ 1.504.889 1 $ 6,341,253

7

8

9

10

11

1712452

1712229

339631 5

12

13

14

1724945 1 OOHJ 1 Northcare 1 $ 3.972.438 1 $ 63.551 1 $ 2.028.139 1 $ 6,064,127 11 $ 3,965,547 1 $ 63,748 1 $ 2.017.315 1 $ 6.046.604 11 $ 3,960,160 1 $ 63.373 ( $ 1.966.236 1 $ 5.989.770 1

15

16

OOHA

OOGV

OOGX

4540048

1705289

1712541

17

18

Report Generated: 9/6/2006 2.16 PM MDCH Mental Hea l th & Subs tance A b u s e Specialty Services and Habil i tation Suppor ts W a i v e r Capi tat ion Report Y T D - S u m m a r y

4390138 1 OOHU 1 Southeast Partnership 1 $ 4,145.306 1 $ 99.827 1 $ 2.486.995 1 $ 6.732.128 11 $ 4.153.312 1 $ 100.901 1 $ 2.412.817 1 5 6,667,030 ( 1 $ 4,147.402 1 $ 100.308 ( $ 2,268,687 1 $ 6.516.398

I

Page 9 of 75

LakeshoreBehavioralHealthAlliance

L~feways

Macomb County CMH Services

Northern Affiliation I $ 2,254,108 1 $ 60.719 1 $ 2.149.713 1 $ 4,464,541 11 $ 2,254.121 4476125 $ 60.692 1 $ 2,149,934 1 $ 4.464.747 11 $ 2,250,295

OOHC

0058

OOHQ

3402136

1708164

State Subtotals

OOHF $ 60.229 1 $ 2.058.794 1 $ 4,369.318

OOHO Thumb Mental Health Alliance 1 $ 3.734.097 1 $ 61.801 1 $ 1,515,080 1 $ 5.310.978 11 $ 3,754,946 ( $ 62.652 1 $ 1,525,264 1 $ 5,342,861 11 $ 3,736,549 ] $ 62,489 1 $ 1.434.703 1 $ 5.233.741

$ 3,645,886

$ 1,991.207

$ 7.997.054

Northern Lakes

Oakland County CMH Authority

Saginaw County CMH Authority

OOGR

'HSW Payments are reflected by service month. The amounts will $ 101.208.535 $ 101.518.759 $ 101,331.973 be updated as retrolrecovery payments occur for each service month.

5 98,483,179

Southwest Allianc~ 1 $ 4.274.066 1 $ 129,685 1 $ 1.763.011 1 $ 6.166.761 11 $ 4.285.481 / $ 131.149 1 $ 1,766.600 1 $ 6.183.230 11 $ 4.273.440 1 $ 130.524 1 $ 1,719.149 1 $ 6.123.113

$ 77,034

$ 43.730

S 171,652

$ 2,934,120

$ 11.428.537

$ 2,003,766

Venture Behavioral Health 1 $ 4.323.894 1 $ 119.843 1 $ 1,230,132 1 $ 5,673,868 1) $ 4,333,694 1 $ 121.024 1 $ 1,222,045 1 $ 5,676,764 11 $ 4,320,329 1 $ 119,874 1 $ 1.189.699 ( $ 5.629.902 2920843

$ 2,725,356

OOHR

$ 1.010.753

$ 466,979

$ 2,140.808

$ 57.357

$ 194.330

$ 95,986

$ 32.206.510

$ 4,733.673

$ 2,501.915

$ 10.309.515

$ 663.856

$ 3,586.353

$ 520.683

5 133,415,046

$ 3.648.145

$ 1.986.192

$ 8.018.180

$ 3,655,333

$ 15.209.219

$ 2,620,435

$ 98.767.797

$ 77,851

$ 43,826

$ 173,860

$ 2,936,726

$ 11,462,619

$ 2,012,734

$ 2.750.962

$ 1,020.372

5 471,616

$ 2,112,224

$ 57.769

$ 196.903

$ 96.528

$ 31,939,198

$ 4.746.368

$ 2.501.634

$ 10,304.264

$ 659,895.

$ 3.505.850

$ 506.332

$ 133.457.957

$ 3.642.254

$ 1.980,679

$ 8,049.379

-

$ 3.654.390

$ 15.165.372

5 2,615,594

$ 98.590.873

$ 77,329

$ 43,696

$ 174.734

$ 2,927,382

$ 11,426.446

$ 2,008,845

$ 2,741,100

$ 1.011.065

$ 445.059

$ 1.961.288

$ 57,589

$ 196.714

$ 95.769

$ 30.432.009

5 4.730.648

$ 2.469,434

$ 10,185,401

$ 131.763.982

$ 636.623

$ 3,214,344

$ 473.595

$ 3.621.595

15 14.837.504

$ 2,578,208

Page 7: Michigan MedicaidI Ca~itation Summaries -Paid To Date Bv Month bv PlHP' September, 2006 1 1705322 OOGE Access Alliance of Michigan $ 3.401.668 $ 79.975 $ 1.833,798 $ 5.315.442 2 1708001

MA Summarv - Charts 1 September, 20061 Note: The Y axis scales are not the same for these two charts.

Medicaid Revenue I

Report Generated: 9/6/2006 2.16 PM

Medicaid Population

+Total TANF

+Total HabSupports

0 - 1 7 18 - 25 26 - 39 40 -49 50 - 64 65+

MDCH Mental Health 8 Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report Summary Charts

Page I1 of 75

Page 8: Michigan MedicaidI Ca~itation Summaries -Paid To Date Bv Month bv PlHP' September, 2006 1 1705322 OOGE Access Alliance of Michigan $ 3.401.668 $ 79.975 $ 1.833,798 $ 5.315.442 2 1708001

ILIA Age Profile - by Gender - Charts beptember, 2004 Note: The Y axis scales are not the same for the three populations.

Age Profile - DD (EBP) Age Profile - Habilitation Supports Waiver Enrollees

0 0 a 0 F 0 N Q m a ct 0 m a w 0 r- 0 m 0 01 - Q n( a 0 Q ct a V) Q w Q r- Q m 0 01

-- --- /:- -Male EBP - - - Female EBP - E B P - M a n d F ] r=---~~le HSW Enrollees - - - Female HSW Enrollees -HSW Enrollees - M and F; ---- ~ . . .- -. . . -- -. - --

Report Generated: 9/6/2006 2:16 PM MDCH Mental Health 8 Substance Abuse Specialty Services and Hab~litation Supports Waiver Capitation Report Age P~ofile Charts

Page 13 of 75

Page 9: Michigan MedicaidI Ca~itation Summaries -Paid To Date Bv Month bv PlHP' September, 2006 1 1705322 OOGE Access Alliance of Michigan $ 3.401.668 $ 79.975 $ 1.833,798 $ 5.315.442 2 1708001

Mental Health - TANF Capitation by PlHP beptember, 2006)

Summary by Population by Gender

Reporl Generated: 9/6/2006 2:16 PM MDCH Mental Health & Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Reporl MH TANF t ~ y PlHP

Page 15 of 75

Page 10: Michigan MedicaidI Ca~itation Summaries -Paid To Date Bv Month bv PlHP' September, 2006 1 1705322 OOGE Access Alliance of Michigan $ 3.401.668 $ 79.975 $ 1.833,798 $ 5.315.442 2 1708001

Mental Health - Capitation by County Summary by Population by Gender Ceptember. 2001

321 1705322 1 00GE I 32 1 HURON 1 657 1 880 1 1 . 5 3 4 7 1837-08 33 1708001 OOBJ 33 INGHAM 4,774 5,972 10,896 14,696 36,338

34 1708001 OOBJ 34 IONlA 910 1,170 2,454 3,212

35 4476125 OOHF 35 IOSCO 558 737 1.313 1.570

36 1724945 OOHJ 36 IRON 306 439 463 1,827

37 4344340 OOGG 37 ISABELLA 90 1 1,141 2,094 7,006

38 1712229 OOGV 38 JACKSON 2.916 3.496 6.655 8.718 21.785

3 9 1 3402136 1 00GR 1 39 1 KALAMAZOO 1 3,885 1 4.964 1 8.696 1 11.841 11 29.386

40 4476125 1 00HF 1 40 1 KALKASKA I 360 461 933 1 1,219 41 4483587 1 000s 1 41 1 KENT 9,820 1 12,060 23,703 1 31,248

421 1724945 1 OOHJ 1 42 1 KEWEENAW I 46 1 69 1 58 1 73 1 1 246

43 4540048 OOHC 43 LAKE 408 54 1 651

44 1708164 OOHO 44 LAPEER 842 1,121 2.948 3,492

451 4540048 1 00HC I 45 1 LEELANAU 1 1111 1571 3991 46511 1.132

4s 4390138 OOHU 46 LENAWEE 1.295 1,859 3,488 4,519 11.161

47 4390138 OOHU 47 LIVINGSTON 798 1.172 2,656 3,381

48 1724945 OOHJ 48 LUCE 200 225 250 37 1

49 1724945 OOHJ 49 MACKINAC 160 219 450 1,318

50 3396315 OOGX 50 MACOMB 8,281 12,461 21,495 70,409

51 1708001 OOBJ 51 MANISTEE 489 630 1.039 1.266 3.424

52 1724945 OOHJ 52 MARQUEnE 938 1,320 2.042 2,598 6.898

53 4540048 OOHC 53 MASON 545 701 1,369 1,733

54 4344340 OOGG 54 MECOSTA 734 1.019 1.874 2.394

55 1724945 OOHJ 55 MENOMINEE 379 588 864 1,081 2,912

56 4344340 OOGG 56 MIDLAND 1,218 1,538 2,792 3,538 9,086

57 4540048 OOHC 57 MISSAUKEE 219 296 67 1 781 IF 1 1.967

58 4390138 OOHU 58 MONROE 1,575 2,347 4,180 5,630 13,732

59 1705322 OOGE 59 MONTCALM 1,127 1,373 2,991 3,762 9,253

60 4476125 OOHF 60 MONTMORENCY 236 298 452 572 1,558

Report Generated: 9/6/2006 2:16 PM MDCH Mental Health a Substance Abuse Specialty Services and Habi MH by County

lation Supports Waiver Capitation Report Page 17 of 75

Page 11: Michigan MedicaidI Ca~itation Summaries -Paid To Date Bv Month bv PlHP' September, 2006 1 1705322 OOGE Access Alliance of Michigan $ 3.401.668 $ 79.975 $ 1.833,798 $ 5.315.442 2 1708001

Substance Abuse - Capitation by PlHP beptember, 2001

Summary by Population by Gender

1

2

3

4

s

1705322 1 OOGE I Access Alliance of Michigan I 6,150 1 7.998 1 15,793 ( 19,893 1 1 49,834 1 $ 19.899 ( $ 14,004 1 $ 13.387 ( $ 33,623

1708001 1 OOBJ I CMH Affiliation of Mid-Michioan 9.792 1 12.677 1 23.995 1 31.407 11 77.871 1 $ 29.347 1 $ 21.908 1 $ 19.202 1 $ 54.289

6

7

8

~ $ 80,913 I $ 124.747

4344340

4483587

31 19549

9

lo

11

1705233

1712452

1712229

12

13

14

15

i s 1 2920843 1 OOHR I Venture Behavioral Health 1 9.524 1 12.511 1 22.529 1 29.249 1 73.813 1 b 29.650 1 $ 22.244 1 $ 18.042 1 $ 49.938 11 $ 1 19.874 1

OOGG

OOGS

OOGJ

3396315

1724945

4476125

16

17

I I I State subtotal4 169,732 1 219,779 1 393,996 1 528,786 11 1,312,293 1 $ 799,493 1 $ 571,089 1 $ 309,681 1 $ 1,060,838 ( 1 $ 2,741,100 1

0028

OOHA

OOGV

4540048

1705289

1712541

4390138

3402136 1 00GR I Southwest Alliance I 7,225 1 9,371 1 18,054 1 23,712 1 1 58,362 1 $ 35,477 1 $ 27,040 1 $ 16,733 1 $ 51,274 130,524

1708164 1 OOHO I Thumb Mental Health Alliance 4,007 1 5,117 11,541 ( 14,583 1 35,248 1 $ 12,699 1 $ 8,979 1 $ 11,087 ( $ 29,725

Report Generated: 9/6/2006 2:16 PM

CMH for Central Michigan

CMHSA Network of West Michigan

Detroit Wavne Countv CMH Aaencv

OOGX

OOHJ

OOHF

MDCH Mental Health & Substance Abuse Spec;ialty Services and Habilitation Supports Waiver Capitation Keport SA by PlHP

4,727 6,092 10,963 14,030 35,812 $ 15,075 $ 10,887 $ 10,038 $

9.820 12,060 23,703 31,248 76,831 $ 28,223 $ 22,401 $ 16,923 $

52.703 64.304 111.993 159.605 388.605 % 328.635 $ 218.751 S 7fi 538 $ 976.353

Genesee County CMH Services

Lakeshore Behavioral Health Alliance

Lifeways

OOHC

0058

OOHQ

OOHU

Page 19 of 75

78,134 $ 55,696. $ 42,310 $ 20,144 $ 72.846 190,995

5.894 50,514 $ 18,444 $ 15,384 $ 10,899 $ 32.602

3,734 28,153 $ 11.586 $ 8,214 $ 6,255 $ 17.640

Macomb County CMH Services

Northcare

Northern Affiliation

8,281 12.461 21,495 28,172 70,409 $ 47.694 $ 36,411 $ 21,749 $ 68,881 174,734

5,460 7,864 11,697 14.594 39.615 $ 18.785. $ 12,451 $ 8,940 $ 23,197

5,191 6.854 12,342 15.249 39,636 $ 15,328 $ 10,447 $ 10,036 $ 24,417

Northern Lakes

Oakland County CMH Authority

Saginaw County CMH Authority

Southeast partners hi^

4,561 5,971 11,653 14.242 36,427 $ 13.301 $ 9,916 $ 10,120 $ 24,254 57,589

11,331 16,308 22.801 30.080 80,520 $ 63.934 $ 46,714 $ 18.245 $ 67,821

5,064 6,217 10,324 14,710 36.315 $ 28,655 $ 21,522 $ 9.543 $ 36,049

6.697 9.332 17.110 23.055 56.194 $ 27.067 $ 21.507 $ 11.800 $ 39.935

Page 12: Michigan MedicaidI Ca~itation Summaries -Paid To Date Bv Month bv PlHP' September, 2006 1 1705322 OOGE Access Alliance of Michigan $ 3.401.668 $ 79.975 $ 1.833,798 $ 5.315.442 2 1708001

Substance Abuse - Capitation by County be~tember. 2001

Summary by Population Group and Gender

Report Generated: 9/6/2006 2:16 PM MDCH Mental Health 8 Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report SA by County

Page 21 of 75

Page 13: Michigan MedicaidI Ca~itation Summaries -Paid To Date Bv Month bv PlHP' September, 2006 1 1705322 OOGE Access Alliance of Michigan $ 3.401.668 $ 79.975 $ 1.833,798 $ 5.315.442 2 1708001

Substance Abuse - Capitation by County )eptember, 2001

Summary by Population Group and Gender

Report Generated: 9/6/2006 2:16 PM MDCH Mental Health & Subslance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report SA by County

Page 23 of 75

Page 14: Michigan MedicaidI Ca~itation Summaries -Paid To Date Bv Month bv PlHP' September, 2006 1 1705322 OOGE Access Alliance of Michigan $ 3.401.668 $ 79.975 $ 1.833,798 $ 5.315.442 2 1708001

Mental Healthlsubstance Abuse Population - PlHP by Age Group - DAB - Female )eptember, 2001 Detail by Gender by Population by Age Group

1 1705322 1 OOGE I Access Alliance of Michigan 815 1 728 1 930 1 1,174 1 1.792 1 2,559 1 7,998

2 1708001 1 OOBJ I CMH Affiliation of Mid-Michiaan I F I DAB I 1.752 1 1.157 1 1.436 1 1.762 1 2.793 1 3.777 1 12.677

8 1 1712229 1 OOGV I Lifewavs

6

7

I F I DAB I

1705233 1 0028 1 Genesee County CMH Services I F I DAB I 1.900 ( 1,094 1 1,594 1 1,964 1 2,732 1 2.565 1 1 1,849

1712452 1 OOHA I Lakeshore Behavioral Health Alliance I F I DAB 1,074 744 1 1.057

9

l o

11

Report Generated: 9/6/2006 2:16 PM

1.214 1 1.856 1 2,296 8.241

12

13

14

15

16

17

18

Check Values

3396315

1724945

4476125

19

20

MDCH Mental Health &Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report MHSA-Pop

Page 25 of 75

OOGX

OOHJ

OOHF

State Subtotals

Macornb County CMH Services

Northcare

Northern Affiliation

28,209

F

F

F

18,232

DAB

DAB

DAB

24,693

1,188

546

631

30.335

91 7

548

51 7

50,343

1,165

670

686

67.967 219,779

1,477

929

929

2.740

1,621

1~582

4,974

3.550

2.509

12,461

7.864

6.854 "

Page 15: Michigan MedicaidI Ca~itation Summaries -Paid To Date Bv Month bv PlHP' September, 2006 1 1705322 OOGE Access Alliance of Michigan $ 3.401.668 $ 79.975 $ 1.833,798 $ 5.315.442 2 1708001

Mental HealthlSubstance Abuse Population - PlHP by Age Group - TANF - Female )eptember, 2001 Detail by Gender by Population by Age Group

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

Check Values

Report Generated: 9/6/2006 2:16 PM MDCH Mental Health 8 Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report MHSA-Pop

Page 27 of 75

Page 16: Michigan MedicaidI Ca~itation Summaries -Paid To Date Bv Month bv PlHP' September, 2006 1 1705322 OOGE Access Alliance of Michigan $ 3.401.668 $ 79.975 $ 1.833,798 $ 5.315.442 2 1708001

Mental Health - Revenue by PlHP by Age Group - State Plan - DAB - Female keptember, 2001

Detail

3 1 4344340 1 OOGG I CMH for Central Michiaan I F I DAB 1 $ 18.684 1 5 55.835 1 $ 122.542 1 $ 149.489 1 5 168.341 1 $ 64.460 1 $ 579,352 1 4

5

6

7

8

9

4483587

31 19549

1705233

l o

11

12

13

1712452

1712229

3396315

14

i s 16

State Subtotals I I 1 $ 835,451 ( $ 1,888,639 1 $ 4,838,391 1 $ 5,425,132 1 $ 6,721,418 1 $ 3,022,186 1 $ 22,731.217

Check Values

OOGS

OOGJ

0028

1724945

4476125

4540048

1705289

17

18

19

20

Report Generated: 9/6/2006 2 3 6 PM

OOHA

OOGV

OOGX

1712541

4390138

3402136

MDCH Mental Health 8 Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report MHSP-DAB

CMHSA Network of West Michigan

Detroit Wayne County CMH Agency

Genesee Countv CMH Services

OOHJ

OOHF

OOHC

0058

1708164

2920843

Page 29 of 75

Lakeshore Behavioral Health Alliance

Lifeways

Macomb Countv CMH Services

OOHQ

OOHU

OOGR

F

F

F

Northcare

Northern Affiliation

Norlhem Lakes

Oakland Countv CMH Authoritv

OOHO

OOHR

F

F

F

Saginaw County CMH Authority

Southeast Partnership

Southwest Alliance

DAB

DAB

DAB

F

F

F

F

Thumb Mental Health Alliance

Venture Behavioral Health

DAB

DAB

DAB

F

F

F

$ 53,616

$ 214,829

$ 48.393

DAB

DAB

DAB

DAB

F

F

$ 32,897

$ 19,659

$ 57.867

DAB

DAB

DAB

$ 123.423

$ 427.974

$ 96.907

$ 19,814

$ 13,024

$ 19,903

$ 104.465

DAB

DAB

$ 79,243

$ 35.021

$ 155.331

$ 17,931

$ 34,319

$ 39.647

$ 335,183

5 1,097,094

$ 267.457

$ 69,169

$ 37,115

$ 52,272

$ 201.951

$ 29,550

$ 39.657

$ 213,239

$ 103,058

5 373.790

$ 41.276

$ 95,865

5 84.711

$ 313,243

$ 1,276,481

5 300.433

$ 160,184

$ 93,282

$ 135.221

$ 548.553

$ 69,221

$ 82.406

$ 223,291

$ 101,230

$ 432.052

$ 117.687

$ 218,019

$ 235.131

$ 328.879

$ 1,739,569

$ 310.847

$ 202,494

$ 115,168

$ 166.358

$ 616.254

5 170,358

$ 217.664

$ 253,919

$ 123,418

$ 596.197

$ 115,954

$ 247,398

$ 235.908

$ 141.431

$ 627.198

$ 92.058

$ 262,813

$ 145,876

$ 192,419

$ 804.460

5 205.005

$ 238,219

$ 1,295,774

$ 5,383.145

$ 1.116.095

$ 99,095

$ 46,097

$ 341.366

$ 130,159

$ 268.944

$ 281.326

$ 901.685

$ 428,483

5 1.956.603

$ 181,547

$ 72,987

$ 83.407

$ 514.229

5 253.440

$ 295,737

$ 896,020

$ 477,453

$ 649,579

$ 2.789.914

5 45,099

$ 125,132

5 113.507

$ 468,105

$ 989.677

$ 990.229

5 106.725

$ 121.750

$ 834,298

$ 995,433

Page 17: Michigan MedicaidI Ca~itation Summaries -Paid To Date Bv Month bv PlHP' September, 2006 1 1705322 OOGE Access Alliance of Michigan $ 3.401.668 $ 79.975 $ 1.833,798 $ 5.315.442 2 1708001

Mental Health - Revenue by PlHP by Age Group - State Plan - TANF - Female kt-

Detail

2 1708001 OOBJ CMH Affiliation of Mid-Michigan F TANF

3 4344340 OOGG CMH for Central Michigan F TANF

4 4483587 OOGS CMHSA Network of West Michiaan F TANF

5 1 31 19549 1 OOGJ I Detroit Wavne Countv CMH Aqencv I F I TANF - . 6 1705233 0028 1 Genesee County CMH Services F TANF

'7 1712452 OOHA I Lakeshore Behavioral Health Alliance F TANF

8 1 1712229 1 OOGV I Lifewavs I F I TANF

9 3396315 OOGX Macomb County CMH Services F TANF

lo 1724945 OOHJ Northcare F TANF

11 1 4476125 1 OOHF I Northern Affiliation I F I TANF

12 1 4540048 1 OOHC I Northern Lakes I F I TANF

13 1705289 0058 Oakland County CMH Authority

14 1712541 1 OOHQ I Saainaw Countv CMH Authoritv I F I TANF

151 4390138 1 OOHU I Southeast Partnership I F I TANF

16 3402136 1 00GR I Southwest Alliance I F I TANF

17 1708164 OOHO Thumb Mental Health Alliance

18 1 2920843 1 OOHR I Venture Behavioral Health I F I TANF

I I I State Subtotals I I

Report Generated: 9/6/2006 2:16 PM

Check Values

MDCH Mental Health & Substance Abuse Specialty Services and Habilitation Supports Waiver Cap~tation Report MHSP-TANF

Page 31 of 75

Page 18: Michigan MedicaidI Ca~itation Summaries -Paid To Date Bv Month bv PlHP' September, 2006 1 1705322 OOGE Access Alliance of Michigan $ 3.401.668 $ 79.975 $ 1.833,798 $ 5.315.442 2 1708001

Mental Health - Revenue by PlHP by Age Group - 1915(b)(3) - DAB - Female LeDtembeaa

Detail

I

2

3

4

5

6

1705322

1708001

4344340

7

8

9

4483587

31 19549

1705233

l o

I1

12

OOGE

OOBJ

OOGG

1712452

1712229

339631 5

1 3

14

i s

16

OOGS

OOGJ

0028

1724945

4476125

4540048

17

18

19

Report Generated: 9/6/2006 2.16 PM

Access Alliance of Michigan

CMH Affiliation of Mid-Michigan

CMH for Central Michigan

OOHA

OOGV

OOGX

1705289

1712541

4390138

3402136

20

MDCH Mental Health & Substance Abuse Specialty Serv~ces and Habilitation Supports Waiver Capitation Report MHB3-DAB

CMHSA Network of West Michigan

Detroit Wayne County CMH Agency

Genesee Countv CMH Services

OOHJ

OOHF

OOHC

1708164

2920843

Page 33 of 75

F

F

F

Lakeshore Behavioral Health Alliance

Lifeways

Macomb Countv CMH Services

0058

OOHQ

OOHU

OOGR

Check Values

State Subtotals

F

F

F

Northcare

Northern Affiliation

Northern Lakes

OOHO

OOHR

DAB

DAB

DAB

F

F

F

Oakland County CMH Authority

Saginaw County CMH Authority

Southeast Partnership

Southwest Alliance

$ 713,309

DAB

DAB

DAB

F

F

F

Thumb Mental Health Alliance

Venture Behavioral Health

$ 18,362

$ 42,416

$ 15,953

DAB

DAB

DAB

F

F

F

F

$ 1.612.653

$ 45,775

$ 183.402

$ 41.325

DAB

DAB

DAB

F

F

$ 57.053

$ 97,431

$ 47,674

$ 28.085

$ 16.783

$ 49.409

DAB

DAB

DAB

DAB

$ 4,131,305

$ 105,385

$ 365,436

$ 82.750

$ 16,921

$ 11,125

$ 16.999

DAB

DAB

$ 138,049

$ 229,056

$ 104,638

$ 67.659

$ 29,905

$ 132.626

$ 89,209

$ 15,303

$ 29,299

$ 33.848

$ 4,632,395

$ 286.194

$ 936.737

$ 228.372

$ 59,058

$ 31,692

$ 44.634

$ 25.231

$ 33.864

$ 158,877

$ 256,230

$ 127,643

$ 182.079

$ 87,998

$ 319.175

$ 172,441

$ 35,245

$ 81,857

$ 72.332

$ 5,739,250

$ 267,475

$ 1,089,973

$ 256.538

$ 136.774

$ 79.651

$ 115.457

$ 59,104

$ 70,370

$ 180,401

$ 302.119

$ 143,747

$ 190.659

$ 86,438

$ 368.910

$ 468,388

$ 100,485

$ 186,157

$ 200.771

$ 2,580,537

$ 280,815

$ 1,485,364

$ 265.441

$ 172,905

$ 98,335

$ 142.051

$ 145.464

$ 185,859

$ 19.409.450

$ 81.248

$ 128,871

$ 55,047

$ 216,818

$ 105,380

$ 509.065

$ 526,201

$ 99,013

$ 211,245

$ 201.444

$ 633,991

$ 1,056,123

$ 494.702

$ 120,768

$ 535,516

5 78.617

$ 224,411

$ 124,567

$ 164.304

$ 175,049

$ 203,409

$ 1,106.412

$ 4,596,428

$ 953.044

$ 84,608

$ 39,366

O 291.476

$ 686,884

$ 111,140

$ 229.643

$ 240.214

$ 769.908

$ 365,871

$ 1.670.661

$ 155.029

$ 62.324

5 71.208

$ 216,408

$ 252,529

$ 765,098

$ 407,693

$ 554.654

$ 439.093

$ 38.499

$ 106.854

$ 96.913

$ 2,362,216

$ 399,686

$ 845,054

$ 845.522

$ 91,138

$ 103,961

$ 712,394

$ 849.993

Page 19: Michigan MedicaidI Ca~itation Summaries -Paid To Date Bv Month bv PlHP' September, 2006 1 1705322 OOGE Access Alliance of Michigan $ 3.401.668 $ 79.975 $ 1.833,798 $ 5.315.442 2 1708001

Mental Health - Revenue bv PlHP bv Aae Grout, - 1915fbM3) - TANF - Female Detail

Check Values 0

Report Generated: 9/6/2006 2:16 PM MDCH Mental Health 8 Substance Abuse Specialty Sewices and Habilitation Supports Waive1 Capitation Report MHRB-TANF

Page 35 of 75

Page 20: Michigan MedicaidI Ca~itation Summaries -Paid To Date Bv Month bv PlHP' September, 2006 1 1705322 OOGE Access Alliance of Michigan $ 3.401.668 $ 79.975 $ 1.833,798 $ 5.315.442 2 1708001

Substance Abuse - Revenue by PlHP by Age Group - State Plan - DAB - Female Detail be~tember. 2001

2 1 1708001 1 OOBJ I CMH Affiliation of Mid-Michiaan 753 1 $ 1.504 1 $ 5.643 1 $ 7.929 1 $ 2.486 1 $ 76 1 $ 18.391 1 3

4

5

6

7

a

16

17

18

19

Reoort Generated: 9/6/2006 2:16 PM

4344340

4483587

31 19549

1705233

1712452

1712229

20

Check Values 42.140.667

3402136

1708164

2920843

I I I I I I I I

State Subtotals I I I $ 18.805 1 $ 35,677 1 $ 146,526 I $ 207.197 I $ 69.272 I $ 2,462 1 $ 479,939

MDCH Mental Health & Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report SASP-DAB

OOGG

OOGS

OOGJ

0028

OOHA

OOGV

Page 37 of 75

OOGR

OOHO

OOHR

CMH for Central Michigan

CMHSA Network of West Michigan

Detroit Wayne County CMH Agency

Genesee County CMH Services

Lakeshore Behavioral Health Alliance

Lifewavs

Southwest Alliance

Thumb Mental Health Alliance

Venture Behavioral Health

F

F

F

F

F

F

F

F F

DAB

DAB

DAB

DAB

DAB

DAB

DAB

DAB

DAB

$ 296

$ 759

$ 7,657

$ 1,463

$ 473

$ 321

$ 921

$ 281

$ 774

$ 768

$ 1,520

$ 13,263

$ 2,549

$ 982

$ 490

$ 1.697

$ 564

$ 1.386

$ 2,685

$ 6.587

$ 54,120

$ 11,222

$ 4.207

$ 2.301

$ 7,518

$ 2,215

$ 5,814

$ 4,118

$ 7,731

$ 79.202

$ 15,849

$ 5,536

$ 2.842

$ 9.486

$ 3.350

$ 8,011

$ 1,235

$ 2.158

$ 28.729

$ 4,371

$ 1,670

$ 923

$ 3,008

$ 1.104

$ 2.639

$ 34

$ 66

$ 922

$ 103

$ 46 B 24

$ 9.1 37

$ 18,821

$ 183,892

$ 35,557

$ 12,914

$ 6.902

$ 107

$ 32

$ 75

$ 22.737

$ 7,547

$ 18.699

Page 21: Michigan MedicaidI Ca~itation Summaries -Paid To Date Bv Month bv PlHP' September, 2006 1 1705322 OOGE Access Alliance of Michigan $ 3.401.668 $ 79.975 $ 1.833,798 $ 5.315.442 2 1708001

Substance Abuse - Revenue by PlHP by Age Group - State Plan - TANF - Female Detail leptember, 2001

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

Check Values

Report Generated: 9/6/2006 2:16 PM MDCH Mental Health & Substance Abuse Specialty Services and Habilitation Suppofls Waiver Capitation Report SASP-TANF

Page 39 of 75

Page 22: Michigan MedicaidI Ca~itation Summaries -Paid To Date Bv Month bv PlHP' September, 2006 1 1705322 OOGE Access Alliance of Michigan $ 3.401.668 $ 79.975 $ 1.833,798 $ 5.315.442 2 1708001

Substance Abuse - Revenue by PlHP by Age Group - 1915(b)(3) - DAB - Female Detail beptember, 2001

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

Report Generated: 9/6/2006 2:16 PM

Check Values

MDCH Mental Health 8 Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report SAB3-DAB

Page 41 of 75

Page 23: Michigan MedicaidI Ca~itation Summaries -Paid To Date Bv Month bv PlHP' September, 2006 1 1705322 OOGE Access Alliance of Michigan $ 3.401.668 $ 79.975 $ 1.833,798 $ 5.315.442 2 1708001

Substance Abuse - Revenue bv PlHP bv Aae G~OUD - 19151bM3) - TANF - Female Detail

2

3

4

5

6

7

1708001

4344340

4483587

8

9

l o 11

3119549

1705233

171 2452

12

13

14

I I I State Subtotals I 1 1 $ 5.565 1 $ 14.341 1 $ 94,980 1 $ 55,407 1 $ 3.557 1 $ - 1 $ 173.850 1

OOBJ

OOGG

OOGS

1712229

339631 5

1724945

4476125

15

16

17

18

Report Generated: 9/6/2006 2:16 PM

OOGJ

0028

OOHA

4540048

1705289

1712541

Check Values 0

CMH Affiliation of Mid-Michigan

CMH for Central Michigan

CMHSA Network of West Michiaan

OOGV

OOGX

OOHJ

OOHF

4390138

3402136

1708164

2920843

MDCH Mental Health & Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report SAB3-TANF

Detroit Wayne County CMH Agency

Genesee County CMH Services

Lakeshore Behavioral Health Alliance

OOHC

0058

OOHQ

Page 43 of 75

F

F

F

Lifeways

Macomb County CMH Services

Northcare

Northern Affiliation

OOHU

OOGR

OOHO

OOHR

F

F

F

Northern Lakes

Oakland County CMH Authority

Saainaw Countv CMH Authoritv

TANF

TANF

TANF

F

F

F

F

Southeast Partnership

Southwest Alliance

Thumb Mental Health Alliance

Venture Behavioral Health

TANF

TANF

TANF

F

F

F

$ 205

$ 90

$ 416

TANF

TANF

TANF

TANF

F

F

F

F

$ 2.006

$ 407

$ 137

TANF

TANF

TANF

$ 849

$ 377

$ 915

$ 75

$ 363

$ 97

$ 104

TANF

TANF

TANF

TANF

$ 4,015

$ 942

$ 554

$ 95

$ 406

$ 184

$ 5,119

$ 2.169

$ 5.294

$ 310

$ 849

$ 364

$ 360

$ 152

$ 314

$ 188

$ 194

$ 30.834

$ 6,796

$ 3.110

$ 374

$ 841

$ 463

$ 2.525

$ 1,287

$ 2.676

$ 1,652

$ 5.979

$ 2.131

$ 2.089

$ 600

$ 800

$ 428

$ 781

$ 19,743

$ 3.679

$ 1.408

$ 2,128

$ 5,804

$ 3.310

$ 152

$ 54

$ 173

$ 771

$ 3.845

$ 1,108

S 1.356

$ 3,575

$ 4,791

$ 2,632

$ 4.512

$ 1,455

$ 185

$ 87

$ 1,248

$ 3,781

$ 1.857

$ - $ - $ -

$ 52

$ 279

$ 65

$ 52

$ 2,061

$ 2.391

$ 1.545

$ 2.459

$ 8,849

$ 3,975

$ 9.475

$ - $ - $ -

$ 81

$ 280

$ 94

$ 58,053

$ 12,008

$ 5.297

$ - $ - $ - $ -

$ 103

$ 126

$ 92

$ 146

$ 2,860

- $ 11,315

$ 3,765

S 3.961

$ - $ - $ -

$ 3,926

16 11,112

$ 5.907

$ - $ - $ - $ -

$ 6,491

16 8,422

$ 4,887

$ 8.093

Page 24: Michigan MedicaidI Ca~itation Summaries -Paid To Date Bv Month bv PlHP' September, 2006 1 1705322 OOGE Access Alliance of Michigan $ 3.401.668 $ 79.975 $ 1.833,798 $ 5.315.442 2 1708001

Habilitation Supports Waiver - Capitation by County Detail by Population Group by Gender te~tember. 2001 Revenue is calculated based on County of Residence and Paid to Country of Financial Responsibility

Report Generated: 9/6/2006 2:16 PM MDCH Mental Health 8 Substance Abuse Spec~aWSe~ices and Habilitation Supports Waiver Capitation Report HSW by County

Page 45 of 75

Page 25: Michigan MedicaidI Ca~itation Summaries -Paid To Date Bv Month bv PlHP' September, 2006 1 1705322 OOGE Access Alliance of Michigan $ 3.401.668 $ 79.975 $ 1.833,798 $ 5.315.442 2 1708001

Habilitation Supports Waiver - Capitation by County Detail by Population Group by Gender beptember, 2001 Revenue is calculated based on County of Residence and Paid to Country of Financial Responsibility

Report Generated: 9/6/2006 236 PM MDCH Mental Health 8. Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report HSW by County

Page 47 of 75

Page 26: Michigan MedicaidI Ca~itation Summaries -Paid To Date Bv Month bv PlHP' September, 2006 1 1705322 OOGE Access Alliance of Michigan $ 3.401.668 $ 79.975 $ 1.833,798 $ 5.315.442 2 1708001

Habilitation Supports Waiver - Capitation by County Detail by Population Group by Gender bepternber, 2001 Revenue is calculated based on County of Residence and Paid to Country of Financial Responsibility

Report Generated' 9/6/2006 2:16 PM MDCH Mental Health 8 Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report HSW by County

Page 49 of 75

Page 27: Michigan MedicaidI Ca~itation Summaries -Paid To Date Bv Month bv PlHP' September, 2006 1 1705322 OOGE Access Alliance of Michigan $ 3.401.668 $ 79.975 $ 1.833,798 $ 5.315.442 2 1708001

Habilitation Supports Waiver - Capitation by County Detail by Population Group by Gender beptember, 2001 Revenue is calculated based on County of Residence and Paid to Country of Financial Responsibility

2920843 1 00HR 1 11 I BERRIEN 1 70 1 OTTAWA I 4,571 1 $ 4,571 1

Reoort Generated: 9/6/2006 2:16 PM MDCH Mental Health & Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report HSW by County

Page 51 of 75

Page 28: Michigan MedicaidI Ca~itation Summaries -Paid To Date Bv Month bv PlHP' September, 2006 1 1705322 OOGE Access Alliance of Michigan $ 3.401.668 $ 79.975 $ 1.833,798 $ 5.315.442 2 1708001

Habilitation Supports Waiver - Population by PlHP by Age Group - DAB - Female Ceptember, 2001

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

I8

19

20

Check Values

Report Generated: 9/6/2006 2:16 PM MDCH Mental Health & Substance Abuse Specialty Services and Habilitation Supports Waiver C;ap~tation Report HSW-Pop

Page 53 of 75

Page 29: Michigan MedicaidI Ca~itation Summaries -Paid To Date Bv Month bv PlHP' September, 2006 1 1705322 OOGE Access Alliance of Michigan $ 3.401.668 $ 79.975 $ 1.833,798 $ 5.315.442 2 1708001

Habilitation Supports Waiver - Population by PlHP by Age Group - TANF - Female beptember, 2001

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

Check Values

Report Generated: 9/6/2006 236 PM MDCH Mental Health 8 Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report HSW-POP

Page 55 of 75

Page 30: Michigan MedicaidI Ca~itation Summaries -Paid To Date Bv Month bv PlHP' September, 2006 1 1705322 OOGE Access Alliance of Michigan $ 3.401.668 $ 79.975 $ 1.833,798 $ 5.315.442 2 1708001

Habilitation Supports Waiver - Revenue by PlHP by Age Group - DAB - Female beptember, 2001

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

Check Values

Report Generated: 9/6/2006 2:16 PM MDCH Mental Health & Substance Abuse Specialty Services and Habilitation Supports Waiver Cap~tation Report HSW-DAB

Page 57 of 75

Page 31: Michigan MedicaidI Ca~itation Summaries -Paid To Date Bv Month bv PlHP' September, 2006 1 1705322 OOGE Access Alliance of Michigan $ 3.401.668 $ 79.975 $ 1.833,798 $ 5.315.442 2 1708001

Habilitation Supports Waiver - Revenue by PlHP by Age Group - TANF - Female \eptember, 2001

I I I state Subtotals I I I $ 12,701 1 $ 12,955 1 $ 25,655 1

Report Generated: 91612006 2:16 PM

Check Values

MDCH Mental Health S Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report HSW-TANF

Page 59 of 75

Page 32: Michigan MedicaidI Ca~itation Summaries -Paid To Date Bv Month bv PlHP' September, 2006 1 1705322 OOGE Access Alliance of Michigan $ 3.401.668 $ 79.975 $ 1.833,798 $ 5.315.442 2 1708001

HSW Net Summaries - T o Date By Month b y PlHP

I September, 2006 1

1

2

3

4

5

6

1705322

1708001

4344340

7

8

9

13 1 1705289 1 0058 1 Oakland County CMH Authority I 8581 $ 3.618.509 11 8601 $ 3,626,401 11 8591 $ 3.623.309 11 8571 $ 3.614.414 11

4483587

3119549

1705233

10

11

12

OOGE

OOBJ

OOGG

1712452

1712229

3396315

OOGS

OOGJ

0028

1724945

4476125

4540048

14

15

16

Report Generated: 9/6/2006 2:16 PM

Access Alliance of Michigan

CMH Affiliation of Mid-Michigan

CMH for Central Michigan

OOHA

OOGV

OOGX

17

18

MDCH Mental Health & Substance Abuse Specialty Sewices and Habilitation Supports Waiver Capitation Report HSW Net Enrollees & Payments

CMHSA Network of West Michigan

Deb-oit Wayne County CMH Agency

Genesee Countv CMH Services

OOHJ

OOHF

OOHC

1712541

4390138

3402136

Page 61 of 75

386

365

558

Lakeshore Behavioral Health Alliance

Lifeways

Macomb Countv CMH Services

1708164

2920843

151

1.181

353

Northcare

Northern Affiliation

Northern Lakes

OOHQ

OOHU

OOGR

$ 1,629,075

$ 1.557.721

5 1.821.002

224

259

467

OOHO

OOHR

1 1,861,641 1 1 i 1,856,926 11 :;;I i 1,647,691 11 1.553.669 1,549,736 1,545,897

564 5 1.841.397 561 $ 1.831.373 563 5 1.837.550

$ 426,563

$ 5.411.842

$ 1.461.296

349

423

175

Saginaw County CMH Authority

Southeast Partnership

Southwest Alliance

1 1541 $ 434,807 1 1 1581 $ 445,924 11 1591 $ 448,glgll

1.190 $ 5,453.176 1,168 $ 5,352,900 1,169 $ 5,358,056

353 t 1.461.127 3 6 0 5 1.489.914 357 $ 1.478.085

$ 1,:zl:::: $

$ 2.148.452

Thumb Mental Health Alliance

Venture Behavioral Health

State Subtotals

1 i lr:;::::: 11 i l.:z:;::: 11 i l v : ~ ~ ; ~ ~ ~ 11 469 5 2.158.272 470 $ 2.162.290 472 $ 2.171.625

$ ;:9:::;:; $

5 665.769

95

734

443

1 35:1 1,937,945 11 1,992,731 11 :3! 1,987,272]1

2.157.533 2,165,777 2.141.984

170 $ 645.852 173 5 656.039 172 0 652.342

$ 4 4 0 . ~ 0

$ 2.480.178

$ 1.721.743

2781 $ 1,459,053

1 1131 $ 522,387 11 I 121 $ 517,877 11 1141 $ 526,970 11 742 $ 2.508.240 743 $ 2.512.384 740 $ 2.501.995

441 $ 1.713.737 445 $ 1,728,595 440 5 1,709.422

1.233.642 307

7.606

$ 1.229.603

$ 31,642,321

287

310

7,671

$ 1,504,289

$ 1.241.559 I

$ 32,129,144

288 5 1.509.930

312 $ 1.249.080

Page 33: Michigan MedicaidI Ca~itation Summaries -Paid To Date Bv Month bv PlHP' September, 2006 1 1705322 OOGE Access Alliance of Michigan $ 3.401.668 $ 79.975 $ 1.833,798 $ 5.315.442 2 1708001

HSW Net Summaries -To Date By Month by PlHP

1 September. 2006 1

2 1708001 1 OOBJ I CMH Affiliation of Mid-Michigan 3681 $ 1,569,166 I ( 3671 $ 1.564.757 11 364 5 1.551.780 11 3541 5 3 4344340 1 OOGG I CMH for Central Michiaan 5621 S 1.832.599 11 5601 S 1.827.360 11 551 1 % 1 798 273 11 5301 Z 1 779 733

4 1 4483587 1 OOGS I CMHSA Network of West Michigan I 5 31 19549 OOGJ Detroit Wayne County CMH Agency

6 1705233 0028 Genesee County CMH Services 378 5 7 1712452 OOHA Lakeshore Behavioral Health Alliance 220 5 1.010.753

8

9

10

11

12

13

14

15

16

17

Report Generated: 9/6/2006 2:16 PM

3396315

1724945

4476125

4540048

1705289

18

MDCH Mental Health & Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report HSW Net Enrollees 8. Payments

1712229

1712541

4390138

3402136

1708164

Page 63 of 75

OOGV

OOGX

OOHJ

Liieways

OOHF

OOHC

0058

2920843

OOHQ

OOHU

OOGR

OOHO

Macomb County CMH Services

Northcare

262

Northern Affiliation

Northern Lakes

Oakland County CMH Authority

OOHR

Saginaw County CMH ~uthority

Southeast Partnership

Southwest Alliance

Thumb Mental Health Alliance

467

366

5 467,056

427

175

854

Venture Behavioral Health

State Subtotals

~-1 471,676 11 445-0591

5

5 5 3,603,543 762 5 3,214,344

114

739

455

289

5 2.150.131

5 2,028.139

31 11

7,720

2.140.808 2.1 12.224 1,967,288

2,028,139 2,017,315 1.966.236

5 525,466

5 2.500.336

5 1.766.938

5 1.514.491

1131 5 520,68311 IIO~ 5 506,332 ll 473,595

735 $ 2,486.995 713 5 2.412.817 2.268.687

454 $ 1.763.011 455 5 1.766.600 1,719.149

289 5 1.515.080 291 5 1.525.264 274 5 1,434,703

$ 1.246.842

5 32.327,116

I

307

7.691

5 1.230.132 I

5 32.206.510

305

7.626

5 1,222,046-

5 31.939.198

I

2971 $ 1.189.699

7.264i 30.432.009 (

Page 34: Michigan MedicaidI Ca~itation Summaries -Paid To Date Bv Month bv PlHP' September, 2006 1 1705322 OOGE Access Alliance of Michigan $ 3.401.668 $ 79.975 $ 1.833,798 $ 5.315.442 2 1708001

Affiliations piiGZii1

1705322 1 OOGE I Access Alliance of Michigan I Bay-Arenac CMH 1 06 1 Arenac I Bay-Arenac Behavioral Health

1705322 1 OOGE I Access Alliance of Michiaan I Bav-Arenac CMH 1 09 1 Bav 1 Bav-Arenac Behavioral Health

6 1 1705322 1 OOGE I Access Alliance of Michiaan 1 Tuscola Countv CMH 1 79 1 Tuscola I Bav-Arenac Behavioral Health I

3

4

5

I CEl CMH 9 1 1708001 1 OOBJ I CMH Affiliation of Mid-Michiaan 1 33 1 lnaham I Mid-South CA I

1705322

1705322

1705322

lo

11

12

16 1 4344340 1 OOGG I CMH for Central Michiaan I Central Michiaan CMH 1 26 1 Gladwin I Northern Michiaan CA I

OOGE

OOGE

OOGE

13

14

1s

1708001

1708001

1708001

19 1 4344340 1 OOGG I CMH for Central Michiaan I Central Michiaan CMH 1 56 1 Midland I Northern Michiaan CA I

Access Alliance of Michigan

Access Alliance of Michigan

Access Alliance of Michiaan

1708001

1708001

4344340

17

18

OOBJ

OOBJ

OOBJ

4344340 1 00GG 1 CMH forcentral Michigan I Central Michigan CMH 1 37 1 lsabella I Northern Michigan CA

4344340 1 00GG 1 CMH for Central Michiaan I Central Michiaan CMH 1 54 1 Mecosta I Northem Michiaan CA 1

22 1 4390138 1 OOHU 1 CMH Partnershio of Southeast Michiaan I Livinaston Countv CMH 1 47 1 Livinaston I Washtenaw Countv CMH I

Huron Behavioral Health

Montcalrn Center Behavl. Hlt

Shiawassee Countv CMH

OOBJ

OOBJ

OOGG

20

21

- CMH Affiliation of Mid-Michigan

CMH Affiliation of Mid-Michigan

CMH Affiliation of Mid-Michigan

4344340 1 00GG 1 CMH for Central Michigan I Central Michigan CMH 1 67 1 Osceola I Northern Michigan CA

4390138 1 OOHU I CMH Partnenhio of Southeast Michiaan I Lenawee Countv CMH 1 46 1 Lenawee I Mid-South CA 1

251 4483587 1 OOGS I CMHSA Network of West Michiaan I Kent Countv CMH 1 41 1 Kent I Mink Substance Abuse Coordinatina Aaencv I

32

59

78

CMH Affiliation of Mid-Michigan

CMH Affiliation of Mid-Michigan

CMH for Central Michigan

23

24

Gratiot County CMH

lonia County CMH

Manistee-Benzie CMH

29 3402136 1 00GR I Kalarnazoo PHP Affiliation I Allegan County CMH 1 03 1 Allegan I Lakeshore CA I

Huron

Montcalrn

Shiawassee

Manistee-Benzie CMH

Newaygo County CMH

Central Michigan CMH

4390138 1 OOHU I CMH Partnership of Southeast Michigan I Monroe County CMH 1 58 1 Monroe I Southeast MI Community Alliance

26

27

28

Report Generated: 9/6/2006 2:16 PM MDCH Mental Health 8 Substance Abuse Specialty S e ~ i c e s and Habilitation Supports Waiver Capitation Report Affiliations

Bay-Arenac Behavioral Health

Bay-Arenac Behavioral Health

Rav-Arenac Behavioral Health

29

34

10

4390138

Page 65 of 75

51

62

18

31 19549

31 19549

1705233

Gratiot

lonia

Benzie

OOHU

Mid-South CA

Mink Substance Abuse Coordinating Agency

Northern Michigan CA

Manistee

Newaygo

Clare

OOGJ

OOGJ

0028

Northern Michigan CA

Mink Substance Abuse Coordinating Agency

Northern Michigan CA

CMH Partnership of Southeast Michigan I Washtenaw County CMH

- Detroit Wayne County CMH Agency

Detroit Wayne County CMH Agency

Genesee Countv CMH Sewices

81

Detroit-Wayne County CMH

Detroit-Wayne County CMH

Genesee Countv Health Deot

Washtenaw Washtenaw County CMH

82

82

25

Wayne

Wayne

Genesee

- - . Detroit Health Department

Southeast Michigan Community Alliance

Genesee Countv Health Deot

Page 35: Michigan MedicaidI Ca~itation Summaries -Paid To Date Bv Month bv PlHP' September, 2006 1 1705322 OOGE Access Alliance of Michigan $ 3.401.668 $ 79.975 $ 1.833,798 $ 5.315.442 2 1708001

Affiliations beptember, 2001

- - - - - - - - -

61 1 4476125 1 OOHF I Northern Affiliation I ~ o r t h ~oun t rv CMHA 1 6 9 1 Otseoo 7 Northern Mlchioan CA -

I

59

60

4476125 1 00HF 1 Northern Affiliation I North Country CMHA 1 24 1 Emmet I Northern Michigan CA

62

63

64

68 1 4540048 1 OOHC I Northwest CMH Affiliation I Northern Lakes CMH 1 45 1 Leelanau I Northern Michiaan CA I

4476125 1 00HF 1 Northern Affiliation I ~ o r t h country CMHA

65

66

67

4476125

4476125

4476125

71 1 4540048 1 OOHC I Northwest CMH Affiliation I Northern Lakes CMH 1 83 1 Wexford I Northern Michioan CA I

40

4476125

4540048

4540048

69

70

Kalkaska I Northern Michigan CA

OOHF

OOHF

OOHF

4540048 1 00HC I Northwest CMH Affiliation I Northern Lakes CMH 1 57 1 Missaukee I Northern Michigan CA

4540048 1 00HC I Northwest CMH Affiliation I Northern Lakes CMH 1 72 1 Roscornrnon I Northern Michiaan CA I

OOHF

OOHC

OOHC

72

73

74

Northern Affiliation

Northern Affiliation

Northern Affiliation

75

76

77

78

79

80

84 1 2920843 1 OOHR I Venture Behavioral Health I Van Buren Countv CMH 1 80 1 Van Buren I Kalamazoo Countv CMH I

Northern Affiliation

Northwest CMH Affiliation

Northwest CMH Affiliation

4540048

4540048

4540048

81

82

83

Report Generated: 9/6/2006 2:16 PM

Northeast Michigan CMH

Northeast Michigan CMH

Northeast Michigan CMH

1705289

1712541

1708164

1708164

1708164

2920843

MDCH Mental Health & Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report Affiliations

Northeast Michigan CMH

Northern Lakes CMH

Northern Lakes CMH

OOHC

OOHC

OOHC

2920843

2920843

2920843

Page 67 of 75

01

04

60

0058

OOHQ

OOHO

OOHO

OOHO

OOHR

71

20

28

Northwest CMH Affiliation

Northwest CMH Affiliation

Northwest CMH Affiliation

OOHR

OOHR

OOHR

Alcona

Alpena

Montmorency

Oakland County CMH Authority

Saginaw County CMH Authority

Thumb Mental Health Alliance

Thumb Mental Health Alliance

Thumb Mental Health Alliance

Venture Behavioral Health

Northern Michigan CA

Northern Michigan CA

Northern Michigan CA

Presque Isle

Crawford

Grand Traverse

West Michigan CMH

West Michigan CMH

West Michiaan CMH

Venture Behavioral Health

Venture Behavioral Health

Venture Behavioral Health

Northern Michigan CA

Northern Michigan CA

Northern Michigan CA

Oakland County CMHA

Saginaw County CMH

Lapeer County CMH

Sanilac County CMH

St. Clair County CMH

Barry County CMH

43

53

64

Bemen Mental Health

Pines Behavioral Health CMH

Summit Pointe CMH

63

73

44

76

74

08

Lake

Mason

Oceana

11

12

13

Northern Michigan CA

Northern Michigan CA

NorUlern Michiaan CA

Oakland

Saginaw

Lapeer

Sanilac

St. Clair

Barry

Oakland County Health Div

Saginaw County Health Dept

St. Clair County Health Dept. CA

St. Clair County Health Dept. CA

St. Clair County Health Dept. CA

Kalamazoo County CMH

Benien

Branch

Calhoun

Lakeshore CA

Kalamazoo County CMH

Mid-South CA

Page 36: Michigan MedicaidI Ca~itation Summaries -Paid To Date Bv Month bv PlHP' September, 2006 1 1705322 OOGE Access Alliance of Michigan $ 3.401.668 $ 79.975 $ 1.833,798 $ 5.315.442 2 1708001

Substance Abuse To avoid problems with transmitting data in HlPAA compliant formats, all capitation rates are set to a minimum of $0.01.

Capitation Statewide Base Rates

Report Generated: 9/6/2006 2:16 PM

I September, 2006

MDCH Mental Health 8 Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report Cap Base Rates

Base Rate X AgeSex Factor X Geographic Factor = Capitation Rate

Page 69 of 75

Page 37: Michigan MedicaidI Ca~itation Summaries -Paid To Date Bv Month bv PlHP' September, 2006 1 1705322 OOGE Access Alliance of Michigan $ 3.401.668 $ 79.975 $ 1.833,798 $ 5.315.442 2 1708001

vs sJol3ej xa~a6v uodatl uo!tel!de3 JaA!eM syoddng uo!lel!l!qeH pue sa3!maS Allepads asnqv a3uelsqng .g qlleaH lelualy ~3a~

Page 38: Michigan MedicaidI Ca~itation Summaries -Paid To Date Bv Month bv PlHP' September, 2006 1 1705322 OOGE Access Alliance of Michigan $ 3.401.668 $ 79.975 $ 1.833,798 $ 5.315.442 2 1708001

HW sJopej yde~6oas uodatl uo!iei!de3 Jah!eM svoddng uo!lel!l!qeH pue sa3!~ag hle!3adg asnqv a3uelsqng g qlleaH IeluaCy ~30~

ajeu uo!ge)!de3 = lope j qqde~6oag x lope j xaga6 y x ajeu aseg (00Zi ((c)(q)s~~~ pue ueld aws 01 Alddv) sJowej ~!yd~~fjoa~) weaH le$uaw

Page 39: Michigan MedicaidI Ca~itation Summaries -Paid To Date Bv Month bv PlHP' September, 2006 1 1705322 OOGE Access Alliance of Michigan $ 3.401.668 $ 79.975 $ 1.833,798 $ 5.315.442 2 1708001

vg SJOpej a!qde~6oa3 poda~ uo!jel!de3 laA!eM spoddns uo!lel!l!qeH pue saa!Nag Qle!aads asnqv a3uelsqng g UlleaH leluaw ~30~