COPS 11 Enrollment Sum V1 ZKR1526 02 14
User Manual: ZKR1526
Open the PDF directly: View PDF 
.
Page Count: 7
| Download | |
| Open PDF In Browser | View PDF |
MAXIMUS HELPING GOVERNMENT SERVE THE PEOPLE" DHCS HCO 14-17455 February 10, 2014 Ms. Margaret Tatar, Chief Department of Health Care Services Medi-Cal Managed Care Division MS 4400 P.O. Box 997413 Sacramento, CA 95899-7413 COPS-11 ENROLLMENT SUMMARY REPORT- Data for 12/27/2013 through 1127/2014 Reference: Health Care Options Contract #07-65829- 6.5.2.2.F.1 Dear Ms. Tatar: The purpose of the Emolhhent Summary Report is to provide a comprehensive view of emollment transactions over a reporting period. Volumes are categorized by transaction type, choice type (Medical, Dental), county, and plan. This is a contractually required report detailed in Health Care Options Contract 07-65829. If you have any questions regarding this report, please contact Haiyong Li at (916) 364-6656. Sincerely, Benjamin R. Coss Vice President California Health Care Options CC: Report File Admin File 3130 KILGORE ROAD, SUITE 100 I RANCHO CORDOVA, CALIFORNIA 95670 I 916.364.6610 I 916.364.0289 FAX I WWW.MAXIMUS.COM California Health Care Options COPS-11 – Enrollment Summary Report Data for 12/27/2013 through 1/27/2014 7UDQVDFWLRQ7\SH Enrollment 3ODQ7\SH&RXQW\3ODQ1DPH Dental LOS ANGELES ALAMEDA ALPINE Health Net 4,825 4,825 Liberty Dental Plan of CA 1,658 1,658 11,561 11,561 Access Dental Plan 2,440 413 228 379 3,460 HealthNet of California 2,225 414 350 244 3,233 Liberty Dental Plan of CA 2,232 410 315 391 3,348 County Total 6,897 1,237 893 1,014 10,041 18,458 1,237 893 1,014 21,602 Alameda Alliance For Health 3,427 1,172 805 415 5,819 Anthem Blue Cross Partnrshp 1,009 67 168 134 1,378 County Total 4,436 1,239 973 549 7,197 Anthem Blue Cross Partnrshp 3 4 1 3 4 1 1 6 8 180 26 38 13 257 CA Health and Wellness 29 26 37 4 96 KP Cal, LLC 11 County Total 220 52 75 17 364 Anthem Blue Cross Partnrshp 501 180 370 67 1,118 CA Health and Wellness 436 189 467 108 1,200 County Total 937 369 837 175 2,318 County Total BUTTE P 5,078 1 CA Health and Wellness AMADOR E 5,078 Dental Total Medical A Total Access Dental Plan County Total SACRAMENTO R Default Enrollment Anthem Blue Cross Partnrshp 11 /HJHQG $ $XWR$VVLJQ0HPEHUVZKRPDGHQRFKRLFHWKDWZHUHDVVLJQHGE\DOJRULWKP GRHVQRWLQFOXGHWKRVHZKRGHIDXOWHGE\FRQWLQXLW\RIFDUH ( 3DVVLYH(QUROOPHQW3URYLGHU/LQNDJH'HIDXOW 3 3ULRU3ODQ3UHYLRXVO\&RQWLQXLW\RI&DUH0HPEHUVGHIDXOWHGEHFDXVHWKH\ZHUHSUHYLRXVO\DPHPEHURUEHFDXVHRWKHUIDPLO\PHPEHUVZHUHDOUHDG\DVVLJQHGWRWKHSODQ 5 5HJXODU3UHYLRXVO\&KRLFH0HPEHUVZKRPDGHDFKRLFHRUVHOHFWHGDKHDOWKSODQE\VXEPLWWLQJDQHQUROOPHQWIRUPV Contract Reference - 6.5.2.2.F.1 Report Created at 2/4/2014 7:20:49 AM Page 1 of 6 California Health Care Options COPS-11 – Enrollment Summary Report Data for 12/27/2013 through 1/27/2014 7UDQVDFWLRQ7\SH Enrollment 3ODQ7\SH&RXQW\3ODQ1DPH Medical CALAVERAS COLUSA CONTRA COSTA EL DORADO FRESNO GLENN A E Total P Anthem Blue Cross Partnrshp 110 32 36 10 188 CA Health and Wellness 273 30 45 9 357 County Total 383 62 81 19 545 Anthem Blue Cross Partnrshp 41 23 6 7 77 CA Health and Wellness 17 24 13 6 60 County Total 58 47 19 13 137 854 174 1 59 1,088 Contra Costa Health Plan 3,669 1,280 21 346 5,316 County Total 4,523 1,454 22 405 6,404 Anthem Blue Cross Partnrshp 152 91 171 26 440 CA Health and Wellness 549 82 187 45 863 Anthem Blue Cross Partnrshp KP Cal, LLC 41 County Total 742 173 Anthem Blue Cross Partnrshp 2,175 CalViva Health County Total Anthem Blue Cross Partnrshp CA Health and Wellness County Total IMPERIAL R Default Enrollment CA Health and Wellness Molina Healthcare Partner County Total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ontract Reference - 6.5.2.2.F.1 Report Created at 2/4/2014 7:20:49 AM Page 2 of 6 California Health Care Options COPS-11 – Enrollment Summary Report Data for 12/27/2013 through 1/27/2014 7UDQVDFWLRQ7\SH Enrollment 3ODQ7\SH&RXQW\3ODQ1DPH Medical INYO KERN KINGS LOS ANGELES MADERA MARIPOSA E P 23 19 15 8 65 CA Health and Wellness 34 21 23 14 92 County Total 57 40 38 22 157 Health Net Comm Solutions 1,065 544 190 256 2,055 Kern Family Health Care 3,039 877 168 515 4,599 County Total 4,104 1,421 358 771 6,654 Anthem Blue Cross Partnrshp 322 82 111 69 584 CalViva Health 312 201 250 80 843 County Total 634 283 361 149 1,427 Health Net Comm Solutions 11,032 3,969 1,926 2,081 19,008 L.A. Care Health Plan 25,616 4,902 2,127 3,600 36,245 County Total 36,648 8,871 4,053 5,681 55,253 Anthem Blue Cross Partnrshp 340 102 206 66 714 CalViva Health 550 181 369 104 1,204 County Total 890 283 575 170 1,918 Anthem Blue Cross Partnrshp 105 19 18 6 148 20 23 31 5 79 125 42 49 11 227 Anthem Blue Cross Partnrshp 13 6 4 3 26 CA Health and Wellness 10 8 3 3 24 County Total 23 14 7 6 50 271 38 81 23 413 County Total NEVADA A Total Anthem Blue Cross Partnrshp CA Health and Wellness MONO R Default Enrollment Anthem Blue Cross Partnrshp /HJHQG $ $XWR$VVLJQ0HPEHUVZKRPDGHQRFKRLFHWKDWZHUHDVVLJQHGE\DOJRULWKP GRHVQRWLQFOXGHWKRVHZKRGHIDXOWHGE\FRQWLQXLW\RIFDUH ( 3DVVLYH(QUROOPHQW3URYLGHU/LQNDJH'HIDXOW 3 3ULRU3ODQ3UHYLRXVO\&RQWLQXLW\RI&DUH0HPEHUVGHIDXOWHGEHFDXVHWKH\ZHUHSUHYLRXVO\DPHPEHURUEHFDXVHRWKHUIDPLO\PHPEHUVZHUHDOUHDG\DVVLJQHGWRWKHSODQ 5 5HJXODU3UHYLRXVO\&KRLFH0HPEHUVZKRPDGHDFKRLFHRUVHOHFWHGDKHDOWKSODQE\VXEPLWWLQJDQHQUROOPHQWIRUPV Contract Reference - 6.5.2.2.F.1 Report Created at 2/4/2014 7:20:49 AM Page 3 of 6 California Health Care Options COPS-11 – Enrollment Summary Report Data for 12/27/2013 through 1/27/2014 7UDQVDFWLRQ7\SH Enrollment 3ODQ7\SH&RXQW\3ODQ1DPH Medical NEVADA PLACER RIVERSIDE SACRAMENTO SAN BENITO SAN BERNARDINO A E Total P CA Health and Wellness 146 41 125 14 326 County Total 417 79 206 37 739 1,134 106 56 72 1,368 CA Health and Wellness 212 105 74 28 419 KP Cal, LLC 219 Anthem Blue Cross Partnrshp County Total PLUMAS R Default Enrollment 219 1,565 211 130 100 2,006 Anthem Blue Cross Partnrshp 16 19 16 4 55 CA Health and Wellness 39 16 15 3 73 County Total 55 35 31 7 128 Inland Empire Health Plan 6,018 2,556 76 863 9,513 Molina Healthcare Partner 917 422 18 147 1,504 County Total 6,935 2,978 94 1,010 11,017 Anthem Blue Cross Partnrshp 2,954 341 13 381 3,689 Health Net Comm Solutions 1,561 790 261 318 2,930 KP Cal, LLC 1,590 88 1,678 Molina Healthcare Partner 1,098 136 201 111 1,546 County Total 7,203 1,267 475 898 9,843 74 84 116 23 297 Anthem Blue Cross Partnrshp Regular Medi-Cal (FFS) 260 260 County Total 334 84 116 23 557 Inland Empire Health Plan 6,621 2,827 203 1,158 10,809 Molina Healthcare Partner 1,209 477 16 203 1,905 /HJHQG $ $XWR$VVLJQ0HPEHUVZKRPDGHQRFKRLFHWKDWZHUHDVVLJQHGE\DOJRULWKP GRHVQRWLQFOXGHWKRVHZKRGHIDXOWHGE\FRQWLQXLW\RIFDUH ( 3DVVLYH(QUROOPHQW3URYLGHU/LQNDJH'HIDXOW 3 3ULRU3ODQ3UHYLRXVO\&RQWLQXLW\RI&DUH0HPEHUVGHIDXOWHGEHFDXVHWKH\ZHUHSUHYLRXVO\DPHPEHURUEHFDXVHRWKHUIDPLO\PHPEHUVZHUHDOUHDG\DVVLJQHGWRWKHSODQ 5 5HJXODU3UHYLRXVO\&KRLFH0HPEHUVZKRPDGHDFKRLFHRUVHOHFWHGDKHDOWKSODQE\VXEPLWWLQJDQHQUROOPHQWIRUPV Contract Reference - 6.5.2.2.F.1 Report Created at 2/4/2014 7:20:49 AM Page 4 of 6 California Health Care Options COPS-11 – Enrollment Summary Report Data for 12/27/2013 through 1/27/2014 7UDQVDFWLRQ7\SH Enrollment 3ODQ7\SH&RXQW\3ODQ1DPH Medical R Default Enrollment A E Total P SAN BERNARDINO County Total 7,830 3,304 219 1,361 12,714 SAN DIEGO Care1st Partner Plan, LLC 1,211 599 719 164 2,693 Community Hlth Grp Partner 4,121 1,243 442 575 6,381 Health Net Comm Solutions 1,189 150 187 1,526 60 604 KP Cal, LLC SAN FRANCISCO SAN JOAQUIN SANTA CLARA SIERRA Molina Healthcare Partner 2,586 1,049 541 416 4,592 County Total 9,651 3,041 1,702 1,402 15,796 597 74 42 45 758 San Francisco Health Plan 2,086 504 426 209 3,225 County Total 2,683 578 468 254 3,983 Health Net Comm Solutions 365 443 8 79 895 Health Plan of San Joaquin 3,434 384 9 443 4,270 County Total 3,799 827 17 522 5,165 Anthem Blue Cross Partnrshp 1,067 301 274 142 1,784 Santa Clara Family H.P. 4,008 871 612 426 5,917 County Total 5,075 1,172 886 568 7,701 Anthem Blue Cross Partnrshp Anthem Blue Cross Partnrshp CA Health and Wellness County Total STANISLAUS 544 13 1 1 14 1 14 1 2 1 16 335 6,812 Health Net Comm Solutions 2,165 4,312 Health Plan of San Joaquin 5,404 3,637 1 409 9,451 County Total 7,569 7,949 1 744 16,263 /HJHQG $ $XWR$VVLJQ0HPEHUVZKRPDGHQRFKRLFHWKDWZHUHDVVLJQHGE\DOJRULWKP GRHVQRWLQFOXGHWKRVHZKRGHIDXOWHGE\FRQWLQXLW\RIFDUH ( 3DVVLYH(QUROOPHQW3URYLGHU/LQNDJH'HIDXOW 3 3ULRU3ODQ3UHYLRXVO\&RQWLQXLW\RI&DUH0HPEHUVGHIDXOWHGEHFDXVHWKH\ZHUHSUHYLRXVO\DPHPEHURUEHFDXVHRWKHUIDPLO\PHPEHUVZHUHDOUHDG\DVVLJQHGWRWKHSODQ 5 5HJXODU3UHYLRXVO\&KRLFH0HPEHUVZKRPDGHDFKRLFHRUVHOHFWHGDKHDOWKSODQE\VXEPLWWLQJDQHQUROOPHQWIRUPV Contract Reference - 6.5.2.2.F.1 Report Created at 2/4/2014 7:20:49 AM Page 5 of 6 California Health Care Options COPS-11 – Enrollment Summary Report Data for 12/27/2013 through 1/27/2014 7UDQVDFWLRQ7\SH Enrollment 3ODQ7\SH&RXQW\3ODQ1DPH Medical SUTTER TEHAMA TULARE TUOLUMNE YUBA E P 369 100 149 46 664 CA Health and Wellness 139 99 177 35 450 County Total 508 199 326 81 1,114 Anthem Blue Cross Partnrshp 107 81 96 29 313 CA Health and Wellness 138 82 118 40 378 County Total 245 163 214 69 691 315 1,595 Anthem Blue Cross Partnrshp 1,280 Health Net Comm Solutions 1,206 892 7 373 2,478 County Total 2,486 892 7 688 4,073 56 29 71 13 169 CA Health and Wellness 234 24 101 19 378 County Total 290 53 172 32 547 Anthem Blue Cross Partnrshp 373 116 142 43 674 76 122 190 40 428 449 238 332 83 1,102 118,663 39,532 14,021 17,594 189,810 137,121 40,769 14,914 18,608 211,412 Anthem Blue Cross Partnrshp County Total Total A Total Anthem Blue Cross Partnrshp CA Health and Wellness Medical Total R Default Enrollment /HJHQG $ $XWR$VVLJQ0HPEHUVZKRPDGHQRFKRLFHWKDWZHUHDVVLJQHGE\DOJRULWKP GRHVQRWLQFOXGHWKRVHZKRGHIDXOWHGE\FRQWLQXLW\RIFDUH ( 3DVVLYH(QUROOPHQW3URYLGHU/LQNDJH'HIDXOW 3 3ULRU3ODQ3UHYLRXVO\&RQWLQXLW\RI&DUH0HPEHUVGHIDXOWHGEHFDXVHWKH\ZHUHSUHYLRXVO\DPHPEHURUEHFDXVHRWKHUIDPLO\PHPEHUVZHUHDOUHDG\DVVLJQHGWRWKHSODQ 5 5HJXODU3UHYLRXVO\&KRLFH0HPEHUVZKRPDGHDFKRLFHRUVHOHFWHGDKHDOWKSODQE\VXEPLWWLQJDQHQUROOPHQWIRUPV Contract Reference - 6.5.2.2.F.1 Report Created at 2/4/2014 7:20:49 AM Page 6 of 6
Source Exif Data:
File Type : PDF File Type Extension : pdf MIME Type : application/pdf PDF Version : 1.6 Linearized : No Author : Create Date : 2014:02:04 07:48:05-08:00 Modify Date : 2014:02:18 16:34:09-08:00 Subject : Language : en Tagged PDF : Yes XMP Toolkit : Adobe XMP Core 5.4-c005 78.147326, 2012/08/23-13:03:03 Format : application/pdf Creator : Description : Title : COPS-11 Enrollment Sum - v1 Creator Tool : Microsoft Reporting Services 9.0 Metadata Date : 2014:02:18 16:34:09-08:00 Producer : Adobe Acrobat 10.1.6 Paper Capture Plug-in Document ID : uuid:d30a17ee-d834-4980-b58a-2a25ede5d464 Instance ID : uuid:518b18ac-5681-45d0-b29a-d6a91ae5cf7a Page Count : 7EXIF Metadata provided by EXIF.tools