COPS 11 Enrollment Sum V1 ZKR1526 02 14

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DHCS HCO 14-17455
MAXIM
US
HELPING GOVERNMENT SERVE THE PEOPLE"
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
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Enrollment Default Enrollment Total
R A E P
Dental LOS ANGELES Access Dental Plan 5,078 5,078
Health Net 4,825 4,825
Liberty Dental Plan of CA 1,658 1,658
County Total 11,561 11,561
SACRAMENTO 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
Dental Total 18,458 1,237 893 1,014 21,602
Medical ALAMEDA 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
ALPINE Anthem Blue Cross Partnrshp 1 3 4
CA Health and Wellness 1 3 4
County Total 1 1 6 8
AMADOR Anthem Blue Cross Partnrshp 180 26 38 13 257
CA Health and Wellness 29 26 37 4 96
KP Cal, LLC 11 11
County Total 220 52 75 17 364
BUTTE 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
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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
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Enrollment Default Enrollment Total
R A E P
Medical CALAVERAS 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
COLUSA 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
CONTRA COSTA Anthem Blue Cross Partnrshp 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
EL DORADO Anthem Blue Cross Partnrshp 152 91 171 26 440
CA Health and Wellness 549 82 187 45 863
KP Cal, LLC 41 41
County Total 742 173 358 71 1,344
FRESNO Anthem Blue Cross Partnrshp 2,175 342 384 2,901
CalViva Health 4,245 1,067 1,016 6,328
County Total 6,420 1,409 1,400 9,229
GLENN Anthem Blue Cross Partnrshp 103 34 37 10 184
CA Health and Wellness 57 29 49 18 153
County Total 160 63 86 28 337
IMPERIAL CA Health and Wellness 1,088 253 117 153 1,611
Molina Healthcare Partner 106 386 609 74 1,175
County Total 1,194 639 726 227 2,786
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Contract 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
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Enrollment Default Enrollment Total
R A E P
Medical INYO Anthem Blue Cross Partnrshp 23 19 15 8 65
CA Health and Wellness 34 21 23 14 92
County Total 57 40 38 22 157
KERN 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
KINGS Anthem Blue Cross Partnrshp 322 82 111 69 584
CalViva Health 312 201 250 80 843
County Total 634 283 361 149 1,427
LOS ANGELES 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
MADERA 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
MARIPOSA Anthem Blue Cross Partnrshp 105 19 18 6 148
CA Health and Wellness 20 23 31 5 79
County Total 125 42 49 11 227
MONO 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
NEVADA Anthem Blue Cross Partnrshp 271 38 81 23 413
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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
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Enrollment Default Enrollment Total
R A E P
Medical NEVADA CA Health and Wellness 146 41 125 14 326
County Total 417 79 206 37 739
PLACER Anthem Blue Cross Partnrshp 1,134 106 56 72 1,368
CA Health and Wellness 212 105 74 28 419
KP Cal, LLC 219 219
County Total 1,565 211 130 100 2,006
PLUMAS 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
RIVERSIDE 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
SACRAMENTO 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
SAN BENITO Anthem Blue Cross Partnrshp 74 84 116 23 297
Regular Medi-Cal (FFS) 260 260
County Total 334 84 116 23 557
SAN BERNARDINO Inland Empire Health Plan 6,621 2,827 203 1,158 10,809
Molina Healthcare Partner 1,209 477 16 203 1,905
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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
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Enrollment Default Enrollment Total
R A E P
Medical 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
KP Cal, LLC 544 60 604
Molina Healthcare Partner 2,586 1,049 541 416 4,592
County Total 9,651 3,041 1,702 1,402 15,796
SAN FRANCISCO Anthem Blue Cross Partnrshp 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
SAN JOAQUIN 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
SANTA CLARA 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
SIERRA Anthem Blue Cross Partnrshp 13 1 14
CA Health and Wellness 1 1 2
County Total 14 1 1 16
STANISLAUS Health Net Comm Solutions 2,165 4,312 335 6,812
Health Plan of San Joaquin 5,404 3,637 1 409 9,451
County Total 7,569 7,949 1 744 16,263
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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
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Enrollment Default Enrollment Total
R A E P
Medical SUTTER Anthem Blue Cross Partnrshp 369 100 149 46 664
CA Health and Wellness 139 99 177 35 450
County Total 508 199 326 81 1,114
TEHAMA 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
TULARE Anthem Blue Cross Partnrshp 1,280 315 1,595
Health Net Comm Solutions 1,206 892 7 373 2,478
County Total 2,486 892 7 688 4,073
TUOLUMNE Anthem Blue Cross Partnrshp 56 29 71 13 169
CA Health and Wellness 234 24 101 19 378
County Total 290 53 172 32 547
YUBA Anthem Blue Cross Partnrshp 373 116 142 43 674
CA Health and Wellness 76 122 190 40 428
County Total 449 238 332 83 1,102
Medical Total 118,663 39,532 14,021 17,594 189,810
Total 137,121 40,769 14,914 18,608 211,412
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Contract Reference - 6.5.2.2.F.1 Report Created at 2/4/2014 7:20:49 AM Page 6 of 6

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