county elderly snp...county elderly snp dual/non-dual enrollment for recipients enrolled in msc+,...

Minnesota Health Care Programs Managed Care Enrollment Totals May 2017

Table of Contents Programs

Enrollment Summary by Benefit Total enrollment by program for each health plan by benefit set. SNBC has been separated into two different totals: • Integrated (combines Medicaid and Medicare Parts A, B and D). • Non-Integrated (Medicaid only), this category has been split between recipients with Medicare coverage and those without.

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

Families and Children Total enrollment for each health plan by county. • MinnesotaCare - Parents & Adults without Children (includes enrollees 65 and older eligible for MinnesotaCare) • MinnesotaCare Child - Under age 21 • Medical Assistance (MA) Parents and Children < age 65 • Medical Assistance Exp (MA/AX) Adults without Children < age 65

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

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

Enrollment Summary by Elig Grp Enrollment Summary CY 2017 - Overall enrollment summary by eligibility and age.

Jeanine Heller, Manager Managed Care Purchasing and Payment Policy Minnesota Department of Human Services [email protected]

mailto:[email protected]

mailto:[email protected]

Programs May 2017

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

Elderly/Disabled MHM Moving Home Minnesota MSC + Minnesota Senior Care Plus - MA and Non-Citizen MA > 65 MSHO Minnesota Senior Health Options > 65 SNBC Special Needs Basic Care

May 2017 Managed Care Enrollment Total Summary

Blue Plus

Health Partners

Hennepin Health

Itasca Medical

Care Medica5 PrimeWest

Health

South Country Health

Alliance UCare Total Families and Children (under age 65)

MinnesotaCare4 28,670 19,398 1,872 571 2,889 3,166 22,754 79,320 MinnesotaCare Child 2,030 1,139 76 37 228 246 1,454 5,210 Medical Assistance (MA) Parents/Children 254,461 92,560 9,451 5,334 26,333 24,537 135,271 547,947 Medical Assistance (MA/AX) Childless Adults 74,292 28,619 21,956 1,914 6,820 6,746 32,969 173,316

Elderly and Special Needs Products

Minnesota Senior Care Plus (MSC+) Duals1 3,504 1,743 210 3,198 789 868 2,890 13,202 Non Duals 428 267 3 716 22 38 1,357 2,831

Minnesota Senior Health Option (MSHO)2 7,752 3,096 461 11,177 1,931 1,685 11,458 37,560 Moving Home Minnesota (MHM) 1 1 2 Special Needs BasicCare (SNBC) - Integrated2 206 521 1,299 2,026

Special Needs BasicCare (SNBC) - Non-Integrated3 Duals 2,148 985 7,513 1,152 1,325 12,404 25,527 Non Duals 1,598 1,149 6,763 738 907 12,596 23,751

Program Totals MinnesotaCare 30,700 20,537 1,948 608 0 3,117 3,412 24,208 84,530 MA Total (includes the following programs) 340,437 130,031 33,541 7,922 29,368 37,991 36,627 210,245 826,162

Families and Children (under age 65) 328,753 121,179 31,407 7,248 0 33,153 31,283 168,240 721,263 MSC Plus 3,932 2,010 0 213 3,914 811 906 4,247 16,033 MSHO 7,752 3,096 0 461 11,177 1,931 1,685 11,458 37,560 MHM 0 0 0 0 1 0 0 1 2 SNBC 0 3,746 2,134 0 14,276 2,096 2,753 26,299 51,304

Total Enrollment 371,137 150,568 35,489 8,530 29,368 41,108 40,039 234,453 910,692 1 Duals include enrollees with both Part A and B, Part A only, Part B only 2 Integrated - Combines Medicaid, Medicare Parts A, B and D 3 Non-Integrated - Medicaid only 4 MinnesotaCare contains adults over 65 (M7) 5 Medica no longer accepting enrollment for Families and Children effective May 1, 2017

Families and Children Enrollment Totals for May 2017

BLUE PLUS HEALTHPARTNERS HENNEPIN HEALTH ITASCA MEDICAL CARE PRIMEWEST HEALTH

MnCare MnCare

Child MA MA/AX MnCare MnCare




Child MA MA/AX Aitkin 001 224 12 1,752 634 162 11 161 104 Anoka 002 994 46 6,188 1,934 1,761 100 9,808 3,202 Becker 003 436 44 4,263 1,068 122 13 128 68 Beltrami 004 285 20 410 36 6,643 1,904 Benton 005 230 26 3,441 995 298 17 1,117 376 Big Stone 006 106 7 552 151 Blue Earth 007 480 36 2,951 1,193 Brown 008 133 6 574 234 Carlton 009 276 29 3,036 1,079 221 11 310 163 Carver 010 494 32 3,267 1,030 339 24 1,779 524 Cass 011 645 39 4,092 1,340 28 1 92 60 Chippewa 012 155 13 1,340 275 Chisago 013 326 22 3,584 1,082 349 26 1,211 389 Clay 014 574 40 7,076 1,817 130 8 89 58 Clearwater 015 67 5 102 9 1,077 321 Cook 016 88 5 505 211 95 1 71 40 Cottonwood 017 104 8 1,202 284 Crow Wing 018 869 53 7,256 2,166 393 25 483 216 Dakota 019 1,802 113 12,043 3,416 1,504 97 8,367 2,729 Dodge 020 92 4 1,061 287 Douglas 021 548 40 3,071 934 Faribault 022 168 11 1,425 413 Fillmore 023 170 10 1,304 343 Freeborn 024 316 15 2,687 736 Goodhue 025 Grant 026 122 6 802 191 Hennepin 027 2,244 97 20,652 7,598 4,380 205 27,757 6,698 1,872 76 9,451 21,956 Houston 028 73 1 641 188 Hubbard 029 177 4 238 22 2,930 758 Isanti 030 569 38 3,695 1,112 Itasca 031 270 20 571 37 5,334 1,914 Jackson 032 115 5 805 249 Kanabec 033

Does Not Included Elderly or Disabled MA/AX - Childless Adults MnCare - Includes enrollees over age 65 MnCare Child - Enrollees under age 21

5/3/2017



MnCare MnCare





Child MA MA/AX Kandiyohi 034 553 54 5,595 1,146 Kittson 035 85 8 458 104 2 8 7 Koochiching 036 160 11 1,517 538 101 8 81 45 LacQuiParle 037 104 6 551 163 Lake 038 103 5 835 329 97 7 66 45 Lake of Woods 039 107 8 377 141 LeSueur 040 248 16 1,868 464 Lincoln 041 69 2 532 175 Lyon 042 264 20 2,953 576 McLeod 043 430 34 3,333 785 Mahnomen 044 57 12 564 186 3 16 3 Marshall 045 124 6 819 245 12 11 Martin 046 201 21 1,835 492 Meeker 047 299 32 2,397 534 Mille Lacs 048 246 18 3,004 872 202 15 518 213 Morrison 049 Mower 050 207 19 2,795 696 Murray 051 105 9 728 164 Nicollet 052 200 16 2,116 552 Nobles 053 188 15 2,617 326 Norman 054 128 12 925 211 1 8 7 Olmsted 055 305 8 1,467 732 Otter Tail 056 772 58 6,160 1,616 209 20 151 95 Pennington 057 157 15 1,159 363 8 1 7 4 Pine 058 302 23 2,895 887 213 9 214 125 Pipestone 059 128 8 1,181 209 Polk 060 279 31 4,231 1,080 140 10 152 75 Pope 061 167 9 1,185 329 Ramsey 062 5,441 416 55,767 15,329 3,281 187 21,480 7,395 Red Lake 063 37 1 380 126 26 6 5 Redwood 064 211 18 1,360 306 Renville 065 197 17 2,028 435 Rice 066 416 34 4,671 1,020


5/3/2017

23,419 1,495 220,923 60,914 16,573 1,013 58,843 18,474 232 1 619 7,593 617 47 5,314 1,684 2,212 172 25,254 6,318



MnCare MnCare





Child MA MA/AX Rock 067 76 5 740 150 Roseau 068 104 6 1,129 304 97 6 126 47 St. Louis 069 935 63 9,108 4,627 1,136 50 1,905 926 Scott 070 404 23 2,333 573 582 27 3,567 837 Sherburne 071 565 47 6,057 1,427 510 40 1,669 455 Sibley 072 Stearns 073 969 90 14,451 3,718 1,080 76 2,683 961 Steele 074 Stevens 075 91 6 674 173 Swift 076 123 16 1,092 252 Todd 077 Traverse 078 51 2 460 96 Wabasha 079 121 4 922 338 Wadena 080 Waseca 081 Washington 082 563 47 3,113 1,010 1,208 98 6,398 2,203 Watonwan 083 125 16 1,037 205 Wilkin 084 69 704 148 8 5 4 Winona 085 278 22 2,219 836 Wright 086 760 59 7,541 1,951 712 46 2,115 529 Yellow Medicine 087 133 16 996 230

Program Total 28,670 2,030 254,461 74,292 19,398 1,139 92,560 28,619 1,872 76 9,451 21,956 571 37 5,334 1,914 2,889 228 26,333 6,820 Health Plan Total 359,453 141,716 33,355 7,856 36,270


5/3/2017


SOUTH COUNTRY HEALTH ALLIANCE UCARE MN PROGRAM TOTALS

MnCare MnCare



Child MA MA/AX Total Aitkin 001 386 23 1,913 738 3,060 Anoka 002 2,473 169 16,394 4,321 5,228 315 32,390 9,457 47,390 Becker 003 558 57 4,391 1,136 6,142 Beltrami 004 695 56 6,643 1,904 9,298 Benton 005 528 43 4,558 1,371 6,500 Big Stone 006 13 119 7 552 151 829 Blue Earth 007 299 22 2,391 826 779 58 5,342 2,019 8,198 Brown 008 200 17 1,502 334 333 23 2,076 568 3,000 Carlton 009 497 40 3,346 1,242 5,125 Carver 010 80 239 65 913 56 5,285 1,619 7,873 Cass 011 673 40 4,184 1,400 6,297 Chippewa 012 47 8 265 59 202 21 1,605 334 2,162 Chisago 013 675 48 4,795 1,471 6,989 Clay 014 704 48 7,165 1,875 9,792 Clearwater 015 169 14 1,077 321 1,581 Cook 016 183 6 576 251 1,016 Cottonwood 017 47 4 359 65 151 12 1,561 349 2,073 Crow Wing 018 1,262 78 7,739 2,382 11,461 Dakota 019 1,951 116 12,485 3,548 5,257 326 32,895 9,693 48,171 Dodge 020 97 16 765 122 189 20 1,826 409 2,444 Douglas 021 27 575 40 3,071 934 4,620 Faribault 022 61 6 346 108 229 17 1,771 521 2,538 Fillmore 023 148 12 653 191 318 22 1,957 534 2,831 Freeborn 024 180 10 897 253 496 25 3,584 989 5,094 Goodhue 025 482 39 3,353 1,028 76 1 558 40 3,353 1,028 4,979 Grant 026 2 124 6 802 191 1,123 Hennepin 027 10,598 627 60,956 11,589 19,094 1,005 118,816 47,841 186,756 Houston 028 128 7 485 262 201 8 1,126 450 1,785 Hubbard 029 415 26 2,930 758 4,129 Isanti 030 60 3 345 116 629 41 4,040 1,228 5,938 Itasca 031 841 57 5,334 1,914 8,146 Jackson 032 24 4 134 39 139 9 939 288 1,375 Kanabec 033 266 11 1,886 651 36 1 302 12 1,886 651 2,851


5/3/2017



MnCare MnCare



Child MA MA/AX Total Kandiyohi 034 141 8 619 196 694 62 6,214 1,342 8,312 Kittson 035 87 8 466 111 672 Koochiching 036 261 19 1,598 583 2,461 LacQuiParle 037 27 5 78 25 131 11 629 188 959 Lake 038 200 12 901 374 1,487 Lake of Woods 039 1 4 2 108 8 381 143 640 LeSueur 040 74 9 580 128 322 25 2,448 592 3,387 Lincoln 041 18 1 52 13 87 3 584 188 862 Lyon 042 96 7 393 124 360 27 3,346 700 4,433 McLeod 043 57 2 487 36 3,333 785 4,641 Mahnomen 044 60 12 580 189 841 Marshall 045 124 6 831 256 1,217 Martin 046 81 8 463 138 282 29 2,298 630 3,239 Meeker 047 38 2 337 34 2,397 534 3,302 Mille Lacs 048 448 33 3,522 1,085 5,088 Morrison 049 563 39 4,020 1,145 41 2 604 41 4,020 1,145 5,810 Mower 050 265 17 1,711 405 472 36 4,506 1,101 6,115 Murray 051 40 3 115 16 145 12 843 180 1,180 Nicollet 052 101 13 524 156 301 29 2,640 708 3,678 Nobles 053 48 4 364 65 236 19 2,981 391 3,627 Norman 054 129 12 933 218 1,292 Olmsted 055 1,533 89 10,518 3,027 1,838 97 11,985 3,759 17,679 Otter Tail 056 981 78 6,311 1,711 9,081 Pennington 057 165 16 1,166 367 1,714 Pine 058 515 32 3,109 1,012 4,668 Pipestone 059 12 140 8 1,181 209 1,538 Polk 060 419 41 4,383 1,155 5,998 Pope 061 9 2 176 11 1,185 329 1,701 Ramsey 062 624 28 2,428 654 9,346 631 79,675 23,378 113,030 Red Lake 063 63 1 386 131 581 Redwood 064 62 7 278 71 273 25 1,638 377 2,313 Renville 065 21 218 17 2,028 435 2,698 Rice 066 303 26 1,828 480 719 60 6,499 1,500 8,778


5/3/2017

2,902 216 21,945 5,316 1,473 82 9,821 2,483



MnCare MnCare



Child MA MA/AX Total Rock 067 35 3 189 33 111 8 929 183 1,231 Roseau 068 201 12 1,255 351 1,819 St. Louis 069 670 58 6,293 2,311 2,741 171 17,306 7,864 28,082 Scott 070 773 57 5,017 1,181 1,759 107 10,917 2,591 15,374 Sherburne 071 1,075 87 7,726 1,882 10,770 Sibley 072 177 11 1,535 420 36 45 23 213 11 1,580 443 2,247 Stearns 073 2,049 166 17,134 4,679 24,028 Steele 074 372 33 3,875 931 38 4 410 37 3,875 931 5,253 Stevens 075 2 93 6 674 173 946 Swift 076 23 5 135 32 146 21 1,227 284 1,678 Todd 077 414 31 2,871 817 33 447 31 2,871 817 4,166 Traverse 078 2 53 2 460 96 611 Wabasha 079 131 14 891 250 252 18 1,813 588 2,671 Wadena 080 209 20 2,016 556 13 222 20 2,016 556 2,814 Waseca 081 255 15 1,823 492 25 3 280 18 1,823 492 2,613 Washington 082 841 64 5,799 1,830 2,612 209 15,310 5,043 23,174 Watonwan 083 52 9 381 56 177 25 1,418 261 1,881 Wilkin 084 77 0 709 152 938 Winona 085 239 19 967 441 517 41 3,186 1,277 5,021 Wright 086 89 4 350 92 1,561 109 10,006 2,572 14,248 Yellow Medicine 087 41 5 191 28 174 21 1,187 258 1,640

Program Total 3,166 246 24,537 6,746 22,754 1,454 135,271 32,969 79,320 5,210 547,947 173,316 Health Plan Total 34,695 192,448 805,793


5/3/2017

Dual/Non Dual Elderly and Disabled Managed Care Enrollment Totals May 2017

County Medicare Status

Blue Plus HealthPartners Henn Hlth Itasca Medical Care Medica

MSC+ MSHO Total MSC+ MSHO SNBC

Non Int Total SNBC MSC+ MSHO Total MHM MSC+ MSHO SNBC

Non Int Total AITKIN Dual 23 107 130 54 54 7 62 69

Non Dual 28 28 1 1 Total 23 107 130 82 82 8 62 70 ANOKA Dual 104 213 317 131 204 21 356 147 551 739 1,437

Non Dual 6 6 3 15 18 16 467 483 Total 110 213 323 134 204 36 374 163 551 1,206 1,920 BECKER Dual 80 154 234 50 50 34 159 193

Non Dual 4 4 35 35 2 2 Total 84 154 238 85 85 36 159 195 BELTRAMI Dual

Non Dual Total BENTON Dual 32 160 192 12 20 105 137 17 164 181

Non Dual 3 3 52 52 3 3 Total 35 160 195 12 20 157 189 20 164 184 BIG STONE Dual

Non Dual Total BLUE EARTH Dual 84 84 7 20 27

Non Dual 4 4 1 1 Total 88 88 8 20 28 BROWN Dual

Non Dual Total CARLTON Dual 36 105 141 61 61 33 177 210

Non Dual 50 50 Total 36 105 141 111 111 33 177 210 CARVER Dual 40 81 121 21 43 5 69 21 97 91 209

Non Dual 2 2 3 4 7 1 77 78 Total 42 81 123 24 43 9 76 22 97 168 287 CASS Dual 70 78 148 63 63 16 64 80

Non Dual 4 4 52 52 Total 74 78 152 115 115 16 64 80 CHIPPEWA Dual 19 161 180

Non Dual 1 1 Total 20 161 181

Duals - enrolles /Medicare A and/or B MSC+ - Minnesota Senior Care Plus MSHO SNBC Integrated - Combine Medicaid Medicare MSHO-Minnesota Senior Health Options Non-Integrated - Medicaid only SNBC - Special Needs Basic Care 5/3/2017






Non Int Total

CHISAGO Dual 32 46 78 14 20 52 86 25 89 114 Non Dual 1 47 48

Total 32 46 78 15 20 99 134 25 89 114 CLAY Dual 43 260 303 123 123 20 216 236

Non Dual 14 14 68 68 11 11 Total 57 260 317 191 191 31 216 247 CLEARWATER Dual

Non Dual Total COOK Dual 9 29 38 8 8

Non Dual 2 2 Total 9 29 38 10 10 COTTONWOOD Dual 24 43 67

Non Dual Total 24 43 67 CROW WING Dual 70 206 276 166 166 24 229 253

Non Dual 90 90 Total 70 206 276 256 256 24 229 253 DAKOTA Dual 213 235 448 122 263 33 418 176 594 855 1,625

Non Dual 5 5 7 33 40 6 568 574 Total 218 235 453 129 263 66 458 182 594 1,423 2,199 DODGE Dual

Non Dual Total DOUGLAS Dual

Non Dual Total FARIBAULT Dual 31 82 113 2 6 8

Non Dual Total 31 82 113 2 6 8 FILLMORE Dual 63 152 215 6 9 15

Non Dual 2 2 Total 65 152 217 6 9 15 FREEBORN Dual

Non Dual Total







Non Int Total

GOODHUE Dual Non Dual

Total GRANT Dual

Non Dual Total HENNEPIN Dual 664 1,068 59 1,791 985 1 1,413 4,200 3,243 8,857

Non Dual 126 78 204 1,149 456 3,337 3,793 Total 790 1,068 137 1,995 2,134 1 1,869 4,200 6,580 12,650 HOUSTON Dual 12 76 88 16 16

Non Dual Total 12 76 88 16 16 HUBBARD Dual

Non Dual Total ISANTI Dual 27 32 59 18 107 125

Non Dual 1 1 2 2 Total 28 32 60 20 107 127 ITASCA Dual 210 461 671

Non Dual 3 3 Total 213 461 674 JACKSON Dual 13 54 67

Non Dual Total 13 54 67 KANABEC Dual

Non Dual Total KANDIYOHI Dual 96 286 382 42 42

Non Dual 23 23 31 31 Total 119 286 405 73 73 KITTSON Dual 22 53 75 5 5 2 2

Non Dual 1 1 Total 22 53 75 6 6 2 2 KOOCHICHING Dual 21 45 66 46 46 22 106 128

Non Dual 30 30 1 1 Total 21 45 66 76 76 23 106 129







Non Int Total

LAC QUI PARLE Dual 9 90 99 1 6 7 Non Dual

Total 9 90 99 1 6 7 LAKE Dual 29 29 58 23 23 7 19 26

Non Dual 1 1 17 17 Total 30 29 59 40 40 7 19 26 LAKE OF THE WOODS Dual 28 10 38 1 1

Non Dual Total 28 10 38 1 1 LE SUEUR Dual 12 85 97 5 6 11

Non Dual 2 2 Total 14 85 99 5 6 11 LINCOLN Dual 26 53 79

Non Dual Total 26 53 79 LYON Dual 46 190 236

Non Dual 7 7 Total 53 190 243 MCLEOD Dual

Non Dual Total MAHNOMEN Dual 9 29 38 8 8 4 14 18

Non Dual 6 6 Total 9 29 38 14 14 4 14 18 MARSHALL Dual 10 57 67 7 7 2 2

Non Dual 3 3 Total 10 57 67 10 10 2 2 MARTIN Dual 23 124 147

Non Dual 2 2 Total 25 124 149 MEEKER Dual

Non Dual Total MILLE LACS Dual 19 95 114 38 38 13 159 172

Non Dual 36 36 1 1 Total 19 95 114 74 74 14 159 173







Non Int Total

MORRISON Dual 13 83 96 9 129 138 Non Dual

Total 13 83 96 9 129 138 MOWER Dual 112 88 200 11 15 26

Non Dual 16 16 3 3 Total 128 88 216 14 15 29 MURRAY Dual 6 75 81

Non Dual Total 6 75 81 NICOLLET Dual 35 103 138 1 10 11

Non Dual 8 8 Total 43 103 146 1 10 11 NOBLES Dual 43 145 188

Non Dual 6 6 Total 49 145 194 NORMAN Dual 6 46 52 14 14 5 51 56

Non Dual 6 6 Total 6 46 52 20 20 5 51 56 OLMSTED Dual 242 319 561 20 29 49

Non Dual 16 16 4 4 Total 258 319 577 24 29 53 OTTER TAIL Dual 69 390 459 126 126 33 224 257

Non Dual 4 4 78 78 Total 73 390 463 204 204 33 224 257 PENNINGTON Dual 17 129 146 13 13 2 12 14

Non Dual 2 2 Total 17 129 146 15 15 2 12 14 PINE Dual 37 76 113 47 47 23 76 99

Non Dual 3 3 35 35 1 1 Total 40 76 116 82 82 24 76 100 PIPESTONE Dual

Non Dual Total POLK Dual 82 239 321 103 103 33 76 109

Non Dual 4 4 52 52 5 5 Total 86 239 325 155 155 38 76 114







Non Int Total

POPE Dual Non Dual

Total RAMSEY Dual 489 408 897 514 1,070 106 1,690 483 986 1,725 3,194

Non Dual 231 231 103 119 222 140 1,704 1,844 Total 720 408 1,128 617 1,070 225 1,912 623 986 3,429 5,038 RED LAKE Dual 4 29 33 6 6 2 1 3

Non Dual 4 4 Total 4 29 33 10 10 2 1 3 REDWOOD Dual 37 73 110

Non Dual 1 1 Total 38 73 111 RENVILLE Dual

Non Dual Total RICE Dual 121 150 271 30 81 87 198

Non Dual 2 2 5 70 75 Total 123 150 273 35 81 157 273 ROCK Dual 13 51 64

Non Dual 3 3 Total 16 51 67 ROSEAU Dual 13 133 146 13 13 8 8

Non Dual 3 3 9 9 Total 16 133 149 22 22 8 8 ST LOUIS Dual 254 349 603 502 502 274 1,003 1,277

Non Dual 2 2 448 448 20 20 Total 256 349 605 950 950 294 1,003 1,297 SCOTT Dual 80 126 206 52 110 8 170 85 263 155 503

Non Dual 2 2 2 13 15 2 111 113 Total 82 126 208 54 110 21 185 87 263 266 616 SHERBURNE Dual 26 100 126 13 23 12 48 20 183 143 346

Non Dual 3 3 3 7 10 3 90 93 Total 29 100 129 16 23 19 58 23 183 233 439 SIBLEY Dual

Non Dual Total







Non Int Total

STEARNS Dual 92 236 328 66 73 235 374 37 282 319 Non Dual 33 33 7 144 151 4 4

Total 125 236 361 73 73 379 525 41 282 323 STEELE Dual

Non Dual Total STEVENS Dual

Non Dual Total SWIFT Dual 27 110 137

Non Dual Total 27 110 137 TODD Dual 1 68 69 6 102 108

Non Dual Total 1 68 69 6 102 108 TRAVERSE Dual

Non Dual Total WABASHA Dual

Non Dual Total WADENA Dual 8 74 82 5 111 116

Non Dual Total 8 74 82 5 111 116 WASECA Dual

Non Dual Total WASHINGTON Dual 91 104 195 111 181 24 316 61 186 281 528

Non Dual 4 4 9 24 33 14 196 210 Total 95 104 199 120 181 48 349 75 186 477 738 WATONWAN Dual 9 38 47 3 3 6

Non Dual 1 1 Total 10 38 48 3 3 6 WILKIN Dual 6 58 64 2 2 3 33 36

Non Dual 1 1 7 7 1 1 Total 7 58 65 9 9 4 33 37







Non Int Total

WINONA Dual 119 245 364 5 11 16 Non Dual 1 1

Total 120 245 365 5 11 16 WRIGHT Dual 70 203 273 23 21 10 54 29 228 152 409

Non Dual 2 2 3 3 6 13 111 124 Total 72 203 275 26 21 13 60 42 228 263 533 YELLOW MEDICINE Dual 7 84 91

Non Dual 1 1 Total 8 84 92 Health Plan Total Dual 3,504 7,752 11,256 1,743 3,096 2,148 6,987 985 210 461 671 1 3,198 11,178 7,513 21,890

Non Dual 428 0 428 267 0 1,598 1,865 1,149 3 0 3 0 716 0 6,762 7,478 Health Plan Total 3,932 7,752 11,684 2,010 3,096 3,746 8,852 2,134 213 461 674 1 3,914 11,178 14,275 29,368




PrimeWest Health South Country Health Alliance UCare ALL Plans

MSC+ MSHO SNBC

Int SNBC

Non Int Total MSC+ MSHO SNBC

Int SNBC

Non Int Total MHM MSC+ MSHO SNBC

Int SNBC


Int SNBC

Non Int Total AITKIN Dual 7 41 66 114 0 37 210 0 120 367

Non Dual 41 41 0 1 0 0 69 70 Total 7 41 107 155 0 38 210 0 189 437 ANOKA Dual 119 585 112 571 1,387 0 501 1,553 112 1,331 3,497

Non Dual 24 608 632 0 49 0 0 1,090 1,139 Total 143 585 112 1,179 2,019 0 550 1,553 112 2,421 4,636 BECKER Dual 5 14 139 158 0 119 327 0 189 635

Non Dual 81 81 0 6 0 0 116 122 Total 5 14 220 239 0 125 327 0 305 757 BELTRAMI Dual 304 158 11 277 750 0 304 158 11 277 750

Non Dual 8 201 209 0 8 0 0 201 209 Total 312 158 11 478 959 0 312 158 11 478 959 BENTON Dual 12 61 138 211 0 73 405 0 243 721

Non Dual 4 106 110 0 10 0 0 158 168 Total 16 61 244 321 0 83 405 0 401 889 BIG STONE Dual 23 97 1 31 152 0 23 97 1 31 152

Non Dual 2 21 23 0 2 0 0 21 23 Total 25 97 1 52 175 0 25 97 1 52 175 BLUE EARTH Dual 47 431 325 803 0 138 451 0 325 914

Non Dual 3 188 191 0 8 0 0 188 196 Total 50 431 513 994 0 146 451 0 513 1,110 BROWN Dual 87 214 84 91 476 0 87 214 84 91 476

Non Dual 61 61 0 0 0 0 61 61 Total 87 214 84 152 537 0 87 214 84 152 537 CARLTON Dual 27 77 147 251 0 96 359 0 208 663

Non Dual 116 116 0 0 0 0 166 166 Total 27 77 263 367 0 96 359 0 374 829 CARVER Dual 21 88 15 87 211 0 103 309 15 183 610

Non Dual 2 75 77 0 8 0 0 156 164 Total 23 88 15 162 288 0 111 309 15 339 774 CASS Dual 20 41 89 150 0 106 183 0 152 441

Non Dual 81 81 0 4 0 0 133 137 Total 20 41 170 231 0 110 183 0 285 578 CHIPPEWA Dual 3 26 48 77 0 22 187 0 48 257

Non Dual 35 35 0 1 0 0 35 36 Total 3 26 83 112 0 23 187 0 83 293





MSC+ MSHO SNBC

Int SNBC


Int SNBC


Int SNBC


Int SNBC

Non Int Total

CHISAGO Dual 10 82 184 276 0 81 237 0 236 554 Non Dual 110 110 0 1 0 0 157 158

Total 10 82 294 386 0 82 237 0 393 712 CLAY Dual 4 17 329 350 0 67 493 0 452 1,012

Non Dual 4 224 228 0 29 0 0 292 321 Total 8 17 553 578 0 96 493 0 744 1,333 CLEARWATER Dual 59 98 3 46 206 0 59 98 3 46 206

Non Dual 1 38 39 0 1 0 0 38 39 Total 60 98 3 84 245 0 60 98 3 84 245 COOK Dual 1 10 10 21 0 10 39 0 18 67

Non Dual 3 3 0 0 0 0 5 5 Total 1 10 13 24 0 10 39 0 23 72 COTTONWOOD Dual 13 114 57 184 0 37 157 0 57 251

Non Dual 2 47 49 0 2 0 0 47 49 Total 15 114 104 233 0 39 157 0 104 300 CROW WING Dual 26 156 182 364 0 120 591 0 348 1,059

Non Dual 122 122 0 0 0 0 212 212 Total 26 156 304 486 0 120 591 0 560 1,271 DAKOTA Dual 112 542 90 561 1,305 0 623 1,634 90 1,449 3,796

Non Dual 14 531 545 0 32 0 0 1,132 1,164 Total 126 542 90 1,092 1,850 0 655 1,634 90 2,581 4,960 DODGE Dual 28 86 22 55 191 7 20 27 0 35 106 22 55 218

Non Dual 3 34 37 1 1 0 4 0 0 34 38 Total 31 86 22 89 228 8 20 28 0 39 106 22 89 256 DOUGLAS Dual 61 353 72 219 705 0 61 353 72 219 705

Non Dual 4 121 125 0 4 0 0 121 125 Total 65 353 72 340 830 0 65 353 72 340 830 FARIBAULT Dual 8 53 73 134 0 41 141 0 73 255

Non Dual 57 57 0 0 0 0 57 57 Total 8 53 130 191 0 41 141 0 130 312 FILLMORE Dual 21 67 64 152 0 90 228 0 64 382

Non Dual 1 26 27 0 3 0 0 26 29 Total 22 67 90 179 0 93 228 0 90 411 FREEBORN Dual 173 162 27 196 558 5 30 35 0 178 192 27 196 593

Non Dual 12 114 126 0 12 0 0 114 126 Total 185 162 27 310 684 5 30 35 0 190 192 27 310 719





MSC+ MSHO SNBC

Int SNBC


Int SNBC


Int SNBC


Int SNBC

Non Int Total

GOODHUE Dual 101 368 129 152 750 0 101 368 129 152 750 Non Dual 2 118 120 0 2 0 0 118 120

Total 103 368 129 270 870 0 103 368 129 270 870 GRANT Dual 13 46 8 20 87 0 13 46 8 20 87

Non Dual 17 17 0 0 0 0 17 17 Total 13 46 8 37 104 0 13 46 8 37 104 HENNEPIN Dual 1 1,056 3,782 425 1,931 7,195 2 3,133 9,050 425 6,218 18,828

Non Dual 626 2,927 3,553 0 1,208 0 0 7,491 8,699 Total 1 1,682 3,782 425 4,858 10,748 2 4,341 9,050 425 13,709 27,527 HOUSTON Dual 9 72 56 137 0 21 164 0 56 241

Non Dual 31 31 0 0 0 0 31 31 Total 9 72 87 168 0 21 164 0 87 272 HUBBARD Dual 141 66 5 106 318 0 141 66 5 106 318

Non Dual 61 61 0 0 0 0 61 61 Total 141 66 5 167 379 0 141 66 5 167 379 ISANTI Dual 20 89 195 304 0 65 228 0 195 488

Non Dual 3 123 126 0 6 0 0 123 129 Total 23 89 318 430 0 71 228 0 318 617 ITASCA Dual 286 286 0 210 461 0 286 957

Non Dual 203 203 0 3 0 0 203 206 Total 489 489 0 213 461 0 489 1,163 JACKSON Dual 4 32 25 61 0 17 86 0 25 128

Non Dual 17 17 0 0 0 0 17 17 Total 4 32 42 78 0 17 86 0 42 145 KANABEC Dual 54 110 16 88 268 0 54 110 16 88 268

Non Dual 2 50 52 0 2 0 0 50 52 Total 56 110 16 138 320 0 56 110 16 138 320 KANDIYOHI Dual 18 63 120 201 0 114 349 0 162 625

Non Dual 10 117 127 0 33 0 0 148 181 Total 28 63 237 328 0 147 349 0 310 806 KITTSON Dual 3 20 7 30 0 25 75 0 12 112

Non Dual 5 5 0 0 0 0 6 6 Total 3 20 12 35 0 25 75 0 18 118 KOOCHICHING Dual 8 19 53 80 0 51 170 0 99 320

Non Dual 35 35 0 1 0 0 65 66 Total 8 19 88 115 0 52 170 0 164 386





MSC+ MSHO SNBC

Int SNBC


Int SNBC


Int SNBC


Int SNBC

Non Int Total

LAC QUI PARLE Dual 1 12 30 43 0 11 108 0 30 149 Non Dual 16 16 0 0 0 0 16 16

Total 1 12 46 59 0 11 108 0 46 165 LAKE Dual 13 20 18 51 0 49 68 0 41 158

Non Dual 13 13 0 1 0 0 30 31 Total 13 20 31 64 0 50 68 0 71 189 LAKE OF THE WOODS Dual 2 4 6 12 0 30 15 0 6 51

Non Dual 2 2 0 0 0 0 2 2 Total 2 4 8 14 0 30 15 0 8 53 LE SUEUR Dual 7 63 82 152 0 24 154 0 82 260

Non Dual 44 44 0 2 0 0 44 46 Total 7 63 126 196 0 26 154 0 126 306 LINCOLN Dual 2 17 24 43 0 28 70 0 24 122

Non Dual 5 5 0 0 0 0 5 5 Total 2 17 29 48 0 28 70 0 29 127 LYON Dual 17 45 105 167 0 63 235 0 105 403

Non Dual 2 78 80 0 9 0 0 78 87 Total 19 45 183 247 0 72 235 0 183 490 MCLEOD Dual 51 290 25 140 506 0 51 290 25 140 506

Non Dual 1 88 89 0 1 0 0 88 89 Total 52 290 25 228 595 0 52 290 25 228 595 MAHNOMEN Dual 1 20 21 0 13 44 0 28 85

Non Dual 1 16 17 0 1 0 0 22 23 Total 1 1 36 38 0 14 44 0 50 108 MARSHALL Dual 2 17 27 46 0 12 76 0 34 122

Non Dual 17 17 0 0 0 0 20 20 Total 2 17 44 63 0 12 76 0 54 142 MARTIN Dual 11 105 197 313 0 34 229 0 197 460

Non Dual 1 87 88 0 3 0 0 87 90 Total 12 105 284 401 0 37 229 0 284 550 MEEKER Dual 31 249 26 60 366 0 31 249 26 60 366

Non Dual 2 52 54 0 2 0 0 52 54 Total 33 249 26 112 420 0 33 249 26 112 420 MILLE LACS Dual 9 68 121 198 0 41 322 0 159 522

Non Dual 66 66 0 1 0 0 102 103 Total 9 68 187 264 0 42 322 0 261 625





MSC+ MSHO SNBC

Int SNBC


Int SNBC


Int SNBC


Int SNBC

Non Int Total

MORRISON Dual 92 44 9 172 317 7 32 39 0 121 288 9 172 590 Non Dual 3 117 120 0 3 0 0 117 120

Total 95 44 9 289 437 7 32 39 0 124 288 9 289 710 MOWER Dual 62 162 233 457 0 185 265 0 233 683

Non Dual 7 143 150 0 26 0 0 143 169 Total 69 162 376 607 0 211 265 0 376 852 MURRAY Dual 1 11 28 40 0 7 86 0 28 121

Non Dual 2 9 11 0 2 0 0 9 11 Total 3 11 37 51 0 9 86 0 37 132 NICOLLET Dual 16 84 105 205 0 52 197 0 105 354

Non Dual 1 66 67 0 9 0 0 66 75 Total 17 84 171 272 0 61 197 0 171 429 NOBLES Dual 7 56 84 147 0 50 201 0 84 335

Non Dual 3 50 53 0 9 0 0 50 59 Total 10 56 134 200 0 59 201 0 134 394 NORMAN Dual 2 2 29 33 0 13 99 0 43 155

Non Dual 14 14 0 0 0 0 20 20 Total 2 2 43 47 0 13 99 0 63 175 OLMSTED Dual 187 478 101 575 1,341 0 449 826 101 575 1,951

Non Dual 34 513 547 0 54 0 0 513 567 Total 221 478 101 1,088 1,888 0 503 826 101 1,088 2,518 OTTER TAIL Dual 18 53 154 225 0 120 667 0 280 1,067

Non Dual 78 78 0 4 0 0 156 160 Total 18 53 232 303 0 124 667 0 436 1,227 PENNINGTON Dual 2 42 63 107 0 21 183 0 76 280

Non Dual 30 30 0 0 0 0 32 32 Total 2 42 93 137 0 21 183 0 108 312 PINE Dual 14 67 144 225 0 74 219 0 191 484

Non Dual 2 98 100 0 6 0 0 133 139 Total 16 67 242 325 0 80 219 0 324 623 PIPESTONE Dual 33 126 13 34 206 0 33 126 13 34 206

Non Dual 1 31 32 0 1 0 0 31 32 Total 34 126 13 65 238 0 34 126 13 65 238 POLK Dual 12 84 129 225 0 127 399 0 232 758

Non Dual 2 69 71 0 11 0 0 121 132 Total 14 84 198 296 0 138 399 0 353 890





MSC+ MSHO SNBC

Int SNBC


Int SNBC


Int SNBC


Int SNBC

Non Int Total

POPE Dual 8 167 17 76 268 0 8 167 17 76 268 Non Dual 37 37 0 0 0 0 37 37

Total 8 167 17 113 305 0 8 167 17 113 305 RAMSEY Dual 483 1,788 349 1,528 4,148 0 1,969 4,252 349 3,359 9,929

Non Dual 488 2,740 3,228 0 962 0 0 4,563 5,525 Total 971 1,788 349 4,268 7,376 0 2,931 4,252 349 7,922 15,454 RED LAKE Dual 1 9 14 24 0 7 39 0 20 66

Non Dual 5 5 0 0 0 0 9 9 Total 1 9 19 29 0 7 39 0 29 75 REDWOOD Dual 14 53 60 127 0 51 126 0 60 237

Non Dual 1 44 45 0 2 0 0 44 46 Total 15 53 104 172 0 53 126 0 104 283 RENVILLE Dual 42 118 11 76 247 0 42 118 11 76 247

Non Dual 1 40 41 0 1 0 0 40 41 Total 43 118 11 116 288 0 43 118 11 116 288 RICE Dual 36 111 100 247 0 187 342 0 187 716

Non Dual 9 112 121 0 16 0 0 182 198 Total 45 111 212 368 0 203 342 0 369 914 ROCK Dual 6 22 62 90 0 19 73 0 62 154

Non Dual 14 14 0 3 0 0 14 17 Total 6 22 76 104 0 22 73 0 76 171 ROSEAU Dual 5 41 32 78 0 18 182 0 45 245

Non Dual 13 13 0 3 0 0 22 25 Total 5 41 45 91 0 21 182 0 67 270 ST LOUIS Dual 141 489 1,415 2,045 0 669 1,841 0 1,917 4,427

Non Dual 11 1,120 1,131 0 33 0 0 1,568 1,601 Total 152 489 2,535 3,176 0 702 1,841 0 3,485 6,028 SCOTT Dual 26 83 31 103 243 0 243 582 31 266 1,122

Non Dual 7 129 136 0 13 0 0 253 266 Total 33 83 31 232 379 0 256 582 31 519 1,388 SHERBURNE Dual 18 76 22 127 243 0 77 382 22 282 763

Non Dual 2 109 111 0 11 0 0 206 217 Total 20 76 22 236 354 0 88 382 22 488 980 SIBLEY Dual 21 135 13 35 204 0 21 135 13 35 204

Non Dual 3 23 26 0 3 0 0 23 26 Total 24 135 13 58 230 0 24 135 13 58 230





MSC+ MSHO SNBC

Int SNBC


Int SNBC


Int SNBC


Int SNBC

Non Int Total

STEARNS Dual 36 158 96 321 611 0 231 749 96 556 1,632 Non Dual 68 460 528 0 112 0 0 604 716

Total 104 158 96 781 1,139 0 343 749 96 1,160 2,348 STEELE Dual 119 226 131 121 597 0 119 226 131 121 597

Non Dual 11 116 127 0 11 0 0 116 127 Total 130 226 131 237 724 0 130 226 131 237 724 STEVENS Dual 15 87 9 44 155 0 15 87 9 44 155

Non Dual 1 21 22 0 1 0 0 21 22 Total 16 87 9 65 177 0 16 87 9 65 177 SWIFT Dual 2 11 41 54 0 29 121 0 41 191

Non Dual 17 17 0 0 0 0 17 17 Total 2 11 58 71 0 29 121 0 58 208 TODD Dual 56 61 12 137 266 1 42 43 0 64 273 12 137 486

Non Dual 77 77 0 0 0 0 77 77 Total 56 61 12 214 343 1 42 43 0 64 273 12 214 563 TRAVERSE Dual 8 76 5 23 112 0 8 76 5 23 112

Non Dual 1 10 11 0 1 0 0 10 11 Total 9 76 5 33 123 0 9 76 5 33 123 WABASHA Dual 42 114 21 66 243 12 36 48 0 54 150 21 66 291

Non Dual 39 39 0 0 0 0 39 39 Total 42 114 21 105 282 12 36 48 0 54 150 21 105 330 WADENA Dual 40 35 15 148 238 4 30 34 0 57 250 15 148 470

Non Dual 107 107 0 0 0 0 107 107 Total 40 35 15 255 345 4 30 34 0 57 250 15 255 577 WASECA Dual 55 130 42 64 291 0 55 130 42 64 291

Non Dual 2 51 53 0 2 0 0 51 53 Total 57 130 42 115 344 0 57 130 42 115 344 WASHINGTON Dual 69 296 35 258 658 0 332 767 35 563 1,697

Non Dual 13 235 248 0 40 0 0 455 495 Total 82 296 35 493 906 0 372 767 35 1,018 2,192 WATONWAN Dual 4 43 56 103 0 16 84 0 56 156

Non Dual 28 28 0 1 0 0 28 29 Total 4 43 84 131 0 17 84 0 84 185 WILKIN Dual 18 18 0 9 91 0 20 120

Non Dual 7 7 0 2 0 0 14 16 Total 25 25 0 11 91 0 34 136





MSC+ MSHO SNBC

Int SNBC


Int SNBC


Int SNBC


Int SNBC

Non Int Total

WINONA Dual 32 77 201 310 0 156 333 0 201 690 Non Dual 2 122 124 0 3 0 0 122 125

Total 34 77 323 434 0 159 333 0 323 815 WRIGHT Dual 21 114 23 120 278 0 143 566 23 282 1,014

Non Dual 7 87 94 0 25 0 0 201 226 Total 28 114 23 207 372 0 168 566 23 483 1,240 YELLOW MEDICINE Dual 1 23 32 56 0 8 107 0 32 147

Non Dual 31 31 0 1 0 0 31 32 Total 1 23 63 87 0 9 107 0 63 179 Health Plan Total Dual 789 1,931 206 1,152 4,078 868 1,685 521 1,325 4,399 1 2,890 11,457 1,299 12,405 28,052 2 13,202 37,560 2,026 25,528 78,318

Non Dual 22 0 0 738 760 38 0 0 907 945 0 1,357 0 0 12,596 13,953 0 2,831 0 0 23,750 26,581 Health Plan Total 811 1,931 206 1,890 4,838 906 1,685 521 2,232 5,344 1 4,247 11,457 1,299 25,001 42,005 2 16,033 37,560 2,026 49,278 104,899


May 2017 Elderly/Disabled Living Arrangement/Nursing Home Certifiable

Waiver Status

Blue Plus Health Partners

Hennepin Health

Itasca Medical Care Medica

MSC+ MSHO MSC+ MSHO SNBC SNBC MSC+ MSHO MHM MSC+ MSHO SNBC AITKIN Comm Well 11 37 70 5 25

NF/ICF-DD 2 27 1 17 BI-NF Waiver CADI Waiver 1 5 1 DD Waiver 3 6 1 Elderly Waiver 9 40 2 19

AITKIN Total 23 107 82 8 62 ANOKA Comm Well 51 42 93 94 28 87 217 715

NF/ICF-DD 10 25 5 14 11 79 27 BI-NB Waiver BI-NF Waiver 1 1 9 CAC Waiver 2 CADI Waiver 2 11 1 5 4 4 29 300 DD Waiver 2 4 3 153 Elderly Waiver 45 135 34 91 61 222

ANOKA Total 110 213 134 204 36 163 551 1206 BECKER Comm Well 37 23 65 18 44

NF/ICF-DD 21 51 3 10 45 BI-NF Waiver CADI Waiver 1 3 14 2 DD Waiver 1 1 3 Elderly Waiver 24 76 8 68

BECKER Total 84 154 85 36 159 BELTRAMI Comm Well

NF/ICF-DD BI-NB Waiver CADI Waiver DD Waiver Elderly Waiver

BELTRAMI Total BENTON Comm Well 18 19 8 7 117 6 33

NF/ICF-DD 11 63 2 1 5 78 BI-NF Waiver 1 CADI Waiver 1 1 26 4 DD Waiver 7 1 13 2 Elderly Waiver 6 70 1 11 7 49

BENTON Total 35 160 12 20 157 20 164 BIG STONE Comm Well

NF/ICF-DD CADI Waiver DD Waiver Elderly Waiver

BIG STONE Total BLUE EARTH Comm Well 24 3 4

NF/ICF-DD 22 3 6 BI-NF Waiver CAC Waiver CADI Waiver 4 DD Waiver 5 1 1 Elderly Waiver 33 1 9

BLUE EARTH Total 88 8 20

Comm/Non-NHC: Community resident w/no waiver 26 of 54 Institutional - SNF/ICF-DD Comm/NHC - Community resident with elderly waiver services 5/3/2017 CAC,CADI, RC/DD, TBI - HCB Waiver Services


Waiver Status


Hennepin Health


MSC+ MSHO MSC+ MSHO SNBC SNBC MSC+ MSHO MHM MSC+ MSHO SNBC BROWN Comm Well

NF/ICF-DD BI-NF Waiver CAC Waiver CADI Waiver DD Waiver Elderly Waiver

BROWN Total CARLTON Comm Well 11 15 77 8 34

NF/ICF-DD 9 25 9 45 BI-NB Waiver BI-NF Waiver CADI Waiver 1 1 27 1 3 DD Waiver 3 7 1 3 Elderly Waiver 15 61 14 92

CARLTON Total 36 105 111 33 177 CARVER Comm Well 15 9 14 8 8 7 16 94

NF/ICF-DD 10 23 4 13 6 12 7 BI-NF Waiver 1 CADI Waiver 1 1 5 43 DD Waiver 1 24 Elderly Waiver 17 48 6 21 9 63

CARVER Total 42 81 24 43 9 22 97 168 CASS Comm Well 38 31 97 10 34

NF/ICF-DD 13 7 1 2 10 BI-NB Waiver BI-NF Waiver 1 1 CADI Waiver 1 3 12 1 DD Waiver 1 6 4 1 Elderly Waiver 21 31 2 19

CASS Total 74 78 115 16 64 CHIPPEWA Comm Well 9 26

NF/ICF-DD 4 83 CADI Waiver DD Waiver 1 4 Elderly Waiver 6 48

CHIPPEWA Total 20 161 CHISAGO Comm Well 13 7 7 6 54 8 19

NF/ICF-DD 4 7 3 5 1 5 25 BI-NB Waiver 1 BI-NF Waiver 1 CADI Waiver 1 2 22 2 4 DD Waiver 1 1 21 1 1 Elderly Waiver 13 29 5 9 8 40

CHISAGO Total 32 46 15 20 99 25 89



Waiver Status


Hennepin Health


MSC+ MSHO MSC+ MSHO SNBC SNBC MSC+ MSHO MHM MSC+ MSHO SNBC CLAY Comm Well 25 59 147 10 67

NF/ICF-DD 7 69 2 6 44 BI-NF Waiver 1 CAC Waiver 1 CADI Waiver 6 29 1 14 DD Waiver 1 1 11 4 Elderly Waiver 24 125 14 87

CLAY Total 57 260 191 31 216 CLEARWATER Comm Well


CLEARWATER Total COOK Comm Well 7 10 7

NF/ICF-DD 2 10 CADI Waiver 1 2 DD Waiver 1 Elderly Waiver 8

COOK Total 9 29 10 COTTONWOOD Comm Well 15 8

NF/ICF-DD 5 21 BI-NF Waiver CADI Waiver DD Waiver Elderly Waiver 4 14

COTTONWOOD Total 24 43 CROW WING Comm Well 39 69 215 11 61

NF/ICF-DD 8 35 2 5 35 BI-NB Waiver 1 CAC Waiver CADI Waiver 1 24 1 4 DD Waiver 2 5 15 1 2 Elderly Waiver 20 97 6 126

CROW WING Total 70 206 256 24 229 DAKOTA Comm Well 91 66 91 111 43 75 180 748

NF/ICF-DD 29 38 9 33 20 100 18 BI-NB Waiver 2 1 1 5 BI-NF Waiver 2 1 23 CAC Waiver 6 CADI Waiver 10 8 3 19 14 38 449 DD Waiver 3 2 1 1 4 4 7 174 Elderly Waiver 81 121 24 118 69 267

DAKOTA Total 218 235 129 263 66 182 594 1423 DODGE Comm Well


DODGE Total



Waiver Status


Hennepin Health


MSC+ MSHO MSC+ MSHO SNBC SNBC MSC+ MSHO MHM MSC+ MSHO SNBC DOUGLAS Comm Well


DOUGLAS Total FARIBAULT Comm Well 9 22 5

NF/ICF-DD 13 30 1 1 CADI Waiver 1 DD Waiver 3 Elderly Waiver 6 29 1

FARIBAULT Total 31 82 2 6 FILLMORE Comm Well 17 21 3 2

NF/ICF-DD 31 57 3 5 BI-NF Waiver CADI Waiver DD Waiver 3 2 Elderly Waiver 14 72 2

FILLMORE Total 65 152 6 9 FREEBORN Comm Well

NF/ICF-DD BI-NB Waiver CAC Waiver CADI Waiver DD Waiver Elderly Waiver

FREEBORN Total GOODHUE Comm Well


GOODHUE Total GRANT Comm Well


GRANT Total HENNEPIN Comm Well 463 409 98 1543 1 932 1243 4456

NF/ICF-DD 146 189 8 65 252 744 236 BI-NB Waiver 3 5 BI-NF Waiver 2 4 1 6 44 CAC Waiver 1 1 7 CADI Waiver 20 17 21 392 83 154 1354 DD Waiver 15 4 9 126 16 57 478 Elderly Waiver 146 447 585 1996

HENNEPIN Total 790 1068 137 2134 1 1869 4200 6580



Waiver Status


Hennepin Health


MSC+ MSHO MSC+ MSHO SNBC SNBC MSC+ MSHO MHM MSC+ MSHO SNBC HOUSTON Comm Well 4 14 4

NF/ICF-DD 5 34 7 CADI Waiver DD Waiver 2 1 Elderly Waiver 3 26 4

HOUSTON Total 12 76 16 HUBBARD Comm Well


HUBBARD Total ISANTI Comm Well 10 6 5 24

NF/ICF-DD 11 8 7 44 BI-NF Waiver 1 CADI Waiver 1 DD Waiver Elderly Waiver 7 18 7 38

ISANTI Total 28 32 20 107 ITASCA Comm Well 106 131

NF/ICF-DD 40 97 BI-NB Waiver BI-NF Waiver CADI Waiver 5 7 DD Waiver 1 9 Elderly Waiver 61 217

ITASCA Total 213 461 JACKSON Comm Well 4 6

NF/ICF-DD 3 23 CADI Waiver 1 DD Waiver Elderly Waiver 6 24

JACKSON Total 13 54 KANABEC Comm Well

NF/ICF-DD BI-NF Waiver CADI Waiver DD Waiver Elderly Waiver

KANABEC Total KANDIYOHI Comm Well 64 40 58

NF/ICF-DD 16 149 2 BI-NF Waiver 1 CADI Waiver 8 5 5 DD Waiver 20 4 7 Elderly Waiver 11 88

KANDIYOHI Total 119 286 73



Waiver Status


Hennepin Health


MSC+ MSHO MSC+ MSHO SNBC SNBC MSC+ MSHO MHM MSC+ MSHO SNBC KITTSON Comm Well 6 12 4

NF/ICF-DD 8 26 1 2 CADI Waiver 1 DD Waiver 3 Elderly Waiver 5 15

KITTSON Total 22 53 6 2 KOOCHICHING Comm Well 13 12 62 14 51

NF/ICF-DD 5 20 1 1 31 CADI Waiver 4 1 DD Waiver 9 6 Elderly Waiver 3 13 8 17

KOOCHICHING Total 21 45 76 23 106 LAC QUI PARLE Comm Well 5 9 4

NF/ICF-DD 1 50 1 2 CADI Waiver 1 DD Waiver 1 Elderly Waiver 2 30

LAC QUI PARLE Total 9 90 1 6 LAKE Comm Well 8 3 31 4 8

NF/ICF-DD 7 7 1 5 BI-NF Waiver 1 CADI Waiver 4 1 1 DD Waiver 1 4 Elderly Waiver 15 18 1 5

LAKE Total 30 29 40 7 19 LAKE OF THE WOODS Comm Well 13 2

NF/ICF-DD 9 3 1 CADI Waiver 1 DD Waiver Elderly Waiver 6 4

LAKE OF THE WOODS Total 28 10 1 LE SUEUR Comm Well 3 10 1

NF/ICF-DD 1 23 3 1 CADI Waiver DD Waiver 1 1 Elderly Waiver 10 51 1 4

LE SUEUR Total 14 85 5 6 LINCOLN Comm Well 7 9


LINCOLN Total 26 53 LYON Comm Well 25 29

NF/ICF-DD 10 59 CAC Waiver CADI Waiver 1 2 DD Waiver 3 8 Elderly Waiver 14 92

LYON Total 53 190



Waiver Status


Hennepin Health


MSC+ MSHO MSC+ MSHO SNBC SNBC MSC+ MSHO MHM MSC+ MSHO SNBC MCLEOD Comm Well


MCLEOD Total MAHNOMEN Total Comm Well 3 6 13 1 6

BI-NF Waiver 2 9 2 CAC Waiver 1 CADI Waiver 1 1 1 DD Waiver 1 2 Elderly Waiver 3 13 5

MAHNOMEN Total 9 29 14 4 14 MARSHALL Comm Well 7 16 8 2


MARSHALL Total 10 57 10 2 MARTIN Comm Well 12 31

NF/ICF-DD 5 33 BI-NF Waiver CADI Waiver 2 DD Waiver 3 1 Elderly Waiver 5 57

MARTIN Total 25 124 MEEKER Comm Well


MEEKER Total MILLE LACS Comm Well 11 14 54 5 51

NF/ICF-DD 4 39 6 62 BI-NB Waiver BI-NF Waiver 1 CAC Waiver 1 CADI Waiver 12 DD Waiver 6 1 4 Elderly Waiver 4 42 2 42

MILLE LACS Total 19 95 74 14 159 MORRISON Comm Well 10 16 4 25

NF/ICF-DD 1 20 2 38 BI-NB Waiver BI-NF Waiver CADI Waiver 2 DD Waiver 1 3 Elderly Waiver 2 46 3 61

MORRISON Total 13 83 9 129



Waiver Status


Hennepin Health


MSC+ MSHO MSC+ MSHO SNBC SNBC MSC+ MSHO MHM MSC+ MSHO SNBC MOWER Comm Well 39 12 9 4

NF/ICF-DD 21 12 3 BI-NF Waiver CAC Waiver CADI Waiver DD Waiver 4 2 2 Elderly Waiver 64 62 2 9

MOWER Total 128 88 14 15 MURRAY Comm Well 3 15

NF/ICF-DD 2 31 CADI Waiver DD Waiver 3 Elderly Waiver 1 26

MURRAY Total 6 75 NICOLLET Comm Well 26 18 1 2

NF/ICF-DD 7 16 4 CAC Waiver 1 CADI Waiver 1 DD Waiver 1 2 1 Elderly Waiver 8 66 3

NICOLLET Total 43 103 1 10 NOBLES Comm Well 38 51

NF/ICF-DD 4 31 CADI Waiver 2 DD Waiver 1 7 Elderly Waiver 6 54

NOBLES Total 49 145 NORMAN Comm Well 5 8 14 3 7

NF/ICF-DD 21 1 2 35 CADI Waiver 4 DD Waiver 1 1 Elderly Waiver 1 16 9

NORMAN Total 6 46 20 5 51 OLMSTED Comm Well 114 124 12 19

NF/ICF-DD 55 63 7 4 BI-NF Waiver CAC Waiver CADI Waiver 4 2 DD Waiver 2 5 Elderly Waiver 83 125 5 6

OLMSTED Total 258 319 24 29 OTTER TAIL Comm Well 37 74 135 11 64

NF/ICF-DD 15 145 4 7 72 BI-NB Waiver 1 BI-NF Waiver 2 CAC Waiver CADI Waiver 5 44 2 7 DD Waiver 4 6 18 5 5 Elderly Waiver 17 160 8 76

OTTER TAIL Total 73 390 204 33 224



Waiver Status


Hennepin Health


MSC+ MSHO MSC+ MSHO SNBC SNBC MSC+ MSHO MHM MSC+ MSHO SNBC PENNINGTON Comm Well 10 31 13 2 7

NF/ICF-DD 2 44 1 CADI Waiver 1 DD Waiver 2 1 1 Elderly Waiver 3 54 3

PENNINGTON Total 17 129 15 2 12 PINE Comm Well 27 20 62 11 33

NF/ICF-DD 4 3 1 2 8 BI-NF Waiver CADI Waiver 1 15 1 DD Waiver 1 4 3 5 Elderly Waiver 8 52 7 30

PINE Total 40 76 82 24 76 PIPESTONE Comm Well


PIPESTONE Total POLK Comm Well 33 47 97 16 18

NF/ICF-DD 20 99 1 10 23 BI-NB Waiver BI-NF Waiver 1 CADI Waiver 1 1 34 1 2 DD Waiver 2 1 22 2 Elderly Waiver 30 91 9 33

POLK Total 86 239 155 38 76 POPE Comm Well


POPE Total RAMSEY Comm Well 330 113 343 386 195 250 313 2401

NF/ICF-DD 97 57 102 175 1 79 148 94 BI-NB Waiver 3 BI-NF Waiver 2 1 1 1 19 CAC Waiver 1 CADI Waiver 20 6 30 27 22 31 48 686 DD Waiver 14 3 16 8 6 19 25 225 Elderly Waiver 257 229 125 474 243 452

RAMSEY Total 720 408 617 1070 225 623 986 3429 RED LAKE Comm Well 3 8 9 1 1

NF/ICF-DD 1 1 CADI Waiver DD Waiver 1 Elderly Waiver 1 19 1

RED LAKE Total 4 29 10 2 1



Waiver Status


Hennepin Health


MSC+ MSHO MSC+ MSHO SNBC SNBC MSC+ MSHO MHM MSC+ MSHO SNBC REDWOOD Comm Well 9 9

NF/ICF-DD 11 32 CADI Waiver 2 1 DD Waiver 4 7 Elderly Waiver 12 24

REDWOOD Total 38 73 RENVILLE Comm Well


RENVILLE Total RICE Comm Well 38 19 17 22 91

NF/ICF-DD 21 24 6 21 5 BI-NF Waiver 1 CADI Waiver 7 2 2 39 DD Waiver 10 3 3 3 21 Elderly Waiver 47 102 9 33

RICE Total 123 150 35 81 157 ROCK Comm Well 3 10

NF/ICF-DD 7 19 BI-NB Waiver BI-NF Waiver CADI Waiver 1 1 DD Waiver 1 Elderly Waiver 5 20

ROCK Total 16 51 ROSEAU Comm Well 5 19 18 3

NF/ICF-DD 7 61 2 CADI Waiver 1 DD Waiver 1 2 1 Elderly Waiver 3 51 5

ROSEAU Total 16 133 22 8 ST LOUIS Comm Well 54 36 607 104 257

NF/ICF-DD 98 94 7 77 214 BI-NB Waiver 22 1 BI-NF Waiver 22 3 1 CAC Waiver 1 CADI Waiver 3 6 172 10 23 DD Waiver 5 5 119 1 28 Elderly Waiver 96 208 98 480

ST LOUIS Total 256 349 950 294 1003 SCOTT Comm Well 38 30 41 56 15 40 93 134

NF/ICF-DD 17 38 6 11 9 51 29 BI-NF Waiver 1 CADI Waiver 3 4 2 5 70 DD Waiver 2 32 Elderly Waiver 27 58 4 43 36 114

SCOTT Total 82 126 54 110 21 87 263 266



Waiver Status


Hennepin Health


MSC+ MSHO MSC+ MSHO SNBC SNBC MSC+ MSHO MHM MSC+ MSHO SNBC SHERBURNE Comm Well 9 16 6 9 11 11 41 126

NF/ICF-DD 11 36 5 9 1 2 50 14 BI-NF Waiver 6 CADI Waiver 1 2 6 1 2 54 DD Waiver 1 1 1 1 6 33 Elderly Waiver 7 45 4 5 9 84

SHERBURNE Total 29 100 16 23 19 23 183 233 SIBLEY Comm Well


SIBLEY Total STEARNS Comm Well 67 50 39 28 274 22 125

NF/ICF-DD 18 69 6 10 4 10 44 BI-NB Waiver BI-NF Waiver 2 CAC Waiver CADI Waiver 1 2 3 2 53 9 DD Waiver 3 4 4 46 8 Elderly Waiver 36 111 21 33 9 96

STEARNS Total 125 236 73 73 379 41 282 STEELE Comm Well

NF/ICF-DD BI-NB Waiver BI-NF Waiver CADI Waiver DD Waiver Elderly Waiver

STEELE Total STEVENS Comm Well


STEVENS Total SWIFT Comm Well 11 29

NF/ICF-DD 6 30 BI-NF Waiver 1 CADI Waiver 1 DD Waiver 1 Elderly Waiver 8 50

SWIFT Total 27 110



Waiver Status


Hennepin Health


MSC+ MSHO MSC+ MSHO SNBC SNBC MSC+ MSHO MHM MSC+ MSHO SNBC TODD Comm Well 14 4 33

NF/ICF-DD 26 26 BI-NF Waiver CAC Waiver CADI Waiver 1 DD Waiver 1 2 Elderly Waiver 1 27 1 41

TODD Total 1 68 6 102 TRAVERSE Comm Well


TRAVERSE Total WABASHA Comm Well


WABASHA Total WADENA Comm Well 4 14 3 34

NF/ICF-DD 2 37 2 39 BI-NF Waiver CADI Waiver 1 2 3 DD Waiver 2 Elderly Waiver 1 21 33

WADENA Total 8 74 5 111 WASECA Comm Well


WASECA Total WASHINGTON Comm Well 38 30 71 67 31 34 51 305

NF/ICF-DD 20 16 22 26 17 32 6 BI-NB Waiver BI-NF Waiver 1 3 CAC Waiver 1 CADI Waiver 4 3 2 2 9 3 9 95 DD Waiver 1 1 1 2 8 3 67 Elderly Waiver 31 54 24 84 21 91

WASHINGTON Total 95 104 120 181 48 75 186 477 WATONWAN Comm Well 5 11 2 1

NF/ICF-DD 5 17 2 CADI Waiver DD Waiver Elderly Waiver 10 1

WATONWAN Total 10 38 3 3



Waiver Status


Hennepin Health


MSC+ MSHO MSC+ MSHO SNBC SNBC MSC+ MSHO MHM MSC+ MSHO SNBC WILKIN Comm Well 1 15 6 2 8

NF/ICF-DD 4 18 2 14 CADI Waiver 2 DD Waiver 1 4 Elderly Waiver 2 25 7

WILKIN Total 7 58 9 4 33 WINONA Comm Well 41 39 2 2

NF/ICF-DD 27 89 1 1 CAC Waiver CADI Waiver 2 10 1 DD Waiver 5 6 1 Elderly Waiver 45 101 8

WINONA Total 120 245 5 11 WRIGHT Comm Well 22 39 13 9 9 24 53 145

NF/ICF-DD 16 50 3 1 1 4 73 5 BI-NB Waiver 1 3 BI-NF Waiver 2 CAC Waiver 1 CADI Waiver 1 4 1 3 6 80 DD Waiver 2 1 6 27 Elderly Waiver 33 108 10 11 11 90

WRIGHT Total 72 203 26 21 13 42 228 263 YELLOW MEDICINE Comm Well 4 13

NF/ICF-DD 1 37 CADI Waiver DD Waiver 1 Elderly Waiver 3 33

YELLOW MEDICINE Total 8 84 Plan Total Comm Well 1,649 1,613 1,189 1,190 2,694 1,543 106 131 1 1,797 3,351 9,273

NF/ICF-DD 799 2,325 311 488 45 65 40 97 0 599 2,301 443 BI-NB Waiver 2 0 1 0 24 3 0 0 0 2 2 16 BI-NF Waiver 8 9 3 3 33 4 0 0 0 8 10 109 CAC Waiver 1 0 0 0 4 1 0 0 0 0 1 18 CADI Waiver 81 101 63 53 596 392 5 7 0 166 378 3,175 DD Waiver 115 126 39 15 350 126 1 9 0 63 197 1,241 Elderly Waiver 1,277 3,578 404 1,347 0 0 61 217 0 1,279 4,938 0

Plan Total 3,932 7,752 2,010 3,096 3,746 2,134 213 461 1 3,914 11,178 14,275



Waiver Status

PrimeWest Health SCHA UCare County Total

MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC Total AITKIN Comm Well 5 18 83 0 21 80 153 254

NF/ICF-DD 2 7 0 4 51 1 56 BI-NF Waiver 1 0 0 0 1 1 CADI Waiver 12 0 2 0 17 19 DD Waiver 1 11 0 0 5 17 22 Elderly Waiver 15 0 11 74 0 85

AITKIN Total 7 41 107 0 38 210 189 437 ANOKA Comm Well 73 231 821 0 304 584 1,564 2,452

NF/ICF-DD 7 61 20 0 33 179 47 259 BI-NB Waiver 1 0 0 0 1 1 BI-NF Waiver 1 14 0 1 2 23 26 CAC Waiver 1 0 0 0 3 3 CADI Waiver 5 20 264 0 12 65 568 645 DD Waiver 4 170 0 2 7 327 336 Elderly Waiver 58 268 0 198 716 0 914

ANOKA Total 143 585 1291 0 550 1,553 2,533 4,636 BECKER Comm Well 1 5 150 0 56 72 215 343

NF/ICF-DD 1 3 6 0 32 99 9 140 BI-NF Waiver 1 0 0 0 1 1 CADI Waiver 44 0 1 5 58 64 DD Waiver 1 1 19 0 2 2 22 26 Elderly Waiver 2 5 0 34 149 0 183

BECKER Total 5 14 220 0 125 327 305 757 BELTRAMI Comm Well 139 38 407 0 139 38 407 584

NF/ICF-DD 39 39 11 0 39 39 11 89 BI-NB Waiver 1 0 0 0 1 1 CADI Waiver 1 1 45 0 1 1 45 47 DD Waiver 9 4 25 0 9 4 25 38 Elderly Waiver 124 76 0 124 76 0 200

BELTRAMI Total 312 158 489 0 312 158 489 959 BENTON Comm Well 11 19 179 0 43 78 296 417

NF/ICF-DD 1 23 3 0 17 166 4 187 BI-NF Waiver 2 0 1 0 2 3 CADI Waiver 2 39 0 1 7 65 73 DD Waiver 21 0 3 7 34 44 Elderly Waiver 4 17 0 18 147 0 165

BENTON Total 16 61 244 0 83 405 401 889 BIG STONE Comm Well 11 21 28 0 11 21 28 60

NF/ICF-DD 8 37 6 0 8 37 6 51 CADI Waiver 2 18 0 2 0 18 20 DD Waiver 2 1 0 0 2 1 3 Elderly Waiver 4 37 0 4 37 0 41

BIG STONE Total 25 97 53 0 25 97 53 175 BLUE EARTH Comm Well 13 150 378 0 40 154 378 572

NF/ICF-DD 10 81 13 0 35 87 13 135 BI-NF Waiver 1 6 0 1 0 6 7 CAC Waiver 1 0 0 0 1 1 CADI Waiver 2 12 64 0 6 12 64 82 DD Waiver 2 18 51 0 8 19 51 78 Elderly Waiver 22 170 0 56 179 0 235

BLUE EARTH Total 50 431 513 0 146 451 513 1,110



Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC Total BROWN Comm Well 27 36 139 0 27 36 139 202

NF/ICF-DD 28 84 6 0 28 84 6 118 BI-NF Waiver 2 0 0 0 2 2 CAC Waiver 1 0 0 0 1 1 CADI Waiver 3 8 40 0 3 8 40 51 DD Waiver 3 4 48 0 3 4 48 55 Elderly Waiver 26 82 0 26 82 0 108

BROWN Total 87 214 236 0 87 214 236 537 CARLTON Comm Well 11 15 184 0 30 64 261 355

NF/ICF-DD 6 21 5 0 24 91 5 120 BI-NB Waiver 1 2 0 1 0 2 3 BI-NF Waiver 1 0 0 0 1 1 CADI Waiver 1 3 43 0 3 7 70 80 DD Waiver 1 28 0 2 6 35 43 Elderly Waiver 7 38 0 36 191 0 227

CARLTON Total 27 77 263 0 96 359 374 829 CARVER Comm Well 8 24 107 0 44 57 209 310

NF/ICF-DD 9 25 14 0 29 73 21 123 BI-NF Waiver 0 0 1 0 1 CADI Waiver 2 4 35 0 2 10 79 91 DD Waiver 1 21 0 0 2 45 47 Elderly Waiver 4 34 0 36 166 0 202

CARVER Total 23 88 177 0 111 309 354 774 CASS Comm Well 8 25 135 0 56 90 232 378

NF/ICF-DD 4 1 2 0 19 18 3 40 BI-NB Waiver 3 0 0 0 3 3 BI-NF Waiver 1 0 1 0 2 3 CADI Waiver 1 22 0 2 4 34 40 DD Waiver 1 1 7 0 3 7 11 21 Elderly Waiver 6 14 0 29 64 0 93

CASS Total 20 41 170 0 110 183 285 578 CHIPPEWA Comm Well 2 10 55 0 11 36 55 102

NF/ICF-DD 7 6 0 4 90 6 100 CADI Waiver 12 0 0 0 12 12 DD Waiver 1 3 10 0 2 7 10 19 Elderly Waiver 6 0 6 54 0 60

CHIPPEWA Total 3 26 83 0 23 187 83 293 CHISAGO Comm Well 2 25 160 0 30 57 214 301

NF/ICF-DD 2 21 6 0 14 58 7 79 BI-NB Waiver 2 0 1 0 2 3 BI-NF Waiver 0 0 0 1 1 CADI Waiver 3 67 0 6 6 89 101 DD Waiver 3 59 0 2 5 80 87 Elderly Waiver 3 33 0 29 111 0 140

CHISAGO Total 10 82 294 0 82 237 393 712



Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC Total CLAY Comm Well 3 8 344 0 38 134 491 663

NF/ICF-DD 4 5 0 13 117 7 137 BI-NF Waiver 5 0 0 0 6 6 CAC Waiver 0 0 0 1 1 CADI Waiver 2 2 131 0 3 22 160 185 DD Waiver 68 0 1 5 79 85 Elderly Waiver 3 3 0 41 215 0 256

CLAY Total 8 17 553 0 96 493 744 1,333 CLEARWATER Comm Well 19 42 71 0 19 42 71 132


CLEARWATER Total 60 98 87 0 60 98 87 245 COOK Comm Well 7 9 0 7 17 16 40

NF/ICF-DD 1 1 0 3 10 1 14 CADI Waiver 1 0 0 1 3 4 DD Waiver 2 0 0 0 3 3 Elderly Waiver 3 0 0 11 0 11

COOK Total 1 10 13 0 10 39 23 72 COTTONWOOD Comm Well 6 27 80 0 21 35 80 136

NF/ICF-DD 3 51 3 0 8 72 3 83 BI-NF Waiver 3 0 0 0 3 3 CADI Waiver 1 7 0 1 0 7 8 DD Waiver 2 1 11 0 2 1 11 14 Elderly Waiver 3 35 0 7 49 0 56

COTTONWOOD Total 15 114 104 0 39 157 104 300 CROW WING Comm Well 12 56 244 0 62 186 459 707

NF/ICF-DD 7 16 2 0 20 86 4 110 BI-NB Waiver 0 0 1 0 1 CAC Waiver 1 0 0 0 1 1 CADI Waiver 2 3 34 0 4 7 58 69 DD Waiver 1 23 0 3 8 38 49 Elderly Waiver 5 80 0 31 303 0 334

CROW WING Total 26 156 304 0 120 591 560 1,271 DAKOTA Comm Well 58 197 691 0 315 554 1,482 2,351

NF/ICF-DD 15 66 7 0 73 237 25 335 BI-NB Waiver 2 0 3 1 7 11 BI-NF Waiver 1 13 0 2 2 36 40 CAC Waiver 3 0 0 0 9 9 CADI Waiver 12 24 317 0 39 70 785 894 DD Waiver 4 6 149 0 12 16 327 355 Elderly Waiver 37 248 0 211 754 0 965

DAKOTA Total 126 542 1182 0 655 1,634 2,671 4,960 DODGE Comm Well 14 14 61 2 5 0 16 19 61 96

NF/ICF-DD 11 17 4 4 7 0 15 24 4 43 CADI Waiver 2 20 0 2 0 20 22 DD Waiver 4 26 0 0 4 26 30 Elderly Waiver 4 51 2 8 0 6 59 0 65

DODGE Total 31 86 111 8 20 0 39 106 111 256



Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC Total DOUGLAS Comm Well 30 78 302 0 30 78 302 410


DOUGLAS Total 65 353 412 0 65 353 412 830 FARIBAULT Comm Well 1 21 100 0 10 48 100 158

NF/ICF-DD 4 9 1 0 18 40 1 59 CADI Waiver 2 11 0 2 1 11 14 DD Waiver 1 1 18 0 4 1 18 23 Elderly Waiver 22 0 7 51 0 58

FARIBAULT Total 8 53 130 0 41 141 130 312 FILLMORE Comm Well 10 16 55 0 30 39 55 124

NF/ICF-DD 6 18 6 0 40 80 6 126 BI-NF Waiver 0 0 0 0 0 CADI Waiver 1 24 0 0 1 24 25 DD Waiver 2 5 0 3 4 5 12 Elderly Waiver 6 30 0 20 104 0 124

FILLMORE Total 22 67 90 0 93 228 90 411 FREEBORN Comm Well 71 43 233 3 13 0 74 56 233 363

NF/ICF-DD 65 54 8 2 10 0 67 64 8 139 BI-NB Waiver 1 0 0 0 1 1 CAC Waiver 1 0 0 0 1 1 CADI Waiver 5 2 45 0 5 2 45 52 DD Waiver 3 6 49 0 3 6 49 58 Elderly Waiver 41 57 7 0 41 64 0 105

FREEBORN Total 185 162 337 5 30 0 190 192 337 719 GOODHUE Comm Well 33 82 179 0 33 82 179 294

NF/ICF-DD 41 138 25 0 41 138 25 204 CADI Waiver 2 9 92 0 2 9 92 103 DD Waiver 15 103 0 0 15 103 118 Elderly Waiver 27 124 0 27 124 0 151

GOODHUE Total 103 368 399 0 103 368 399 870 GRANT Comm Well 8 8 31 0 8 8 31 47

NF/ICF-DD 1 10 0 1 10 0 11 CADI Waiver 1 10 0 1 0 10 11 DD Waiver 5 4 0 0 5 4 9 Elderly Waiver 3 23 0 3 23 0 26

GRANT Total 13 46 45 0 13 46 45 104 HENNEPIN Comm Well 1 686 1067 3606 2 2,081 2,719 9,703 14,505

NF/ICF-DD 185 479 133 0 583 1,412 442 2,437 BI-NB Waiver 2 4 0 0 2 12 14 BI-NF Waiver 3 1 44 0 4 9 92 105 CAC Waiver 4 0 0 0 13 13 CADI Waiver 112 144 1187 0 215 315 2,954 3,484 DD Waiver 8 23 305 0 39 84 918 1,041 Elderly Waiver 688 2066 0 1,419 4,509 0 5,928

HENNEPIN Total 1 1682 3782 5283 2 4,341 9,050 14,134 27,527



Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC Total HOUSTON Comm Well 6 15 69 0 10 33 69 112


HOUSTON Total 9 72 87 0 21 164 87 272 HUBBARD Comm Well 80 29 157 0 80 29 157 266

NF/ICF-DD 12 12 4 0 12 12 4 28 CADI Waiver 2 6 0 2 0 6 8 DD Waiver 1 2 5 0 1 2 5 8 Elderly Waiver 46 23 0 46 23 0 69

HUBBARD Total 141 66 172 0 141 66 172 379 ISANTI Comm Well 10 22 207 0 25 52 207 284

NF/ICF-DD 8 25 4 0 26 77 4 107 BI-NF Waiver 1 1 0 0 2 1 3 CADI Waiver 1 2 79 0 2 2 79 83 DD Waiver 1 27 0 0 1 27 28 Elderly Waiver 4 38 0 18 94 0 112

ISANTI Total 23 89 318 0 71 228 318 617 ITASCA Comm Well 391 0 106 131 391 628

NF/ICF-DD 7 0 40 97 7 144 BI-NB Waiver 1 0 0 0 1 1 BI-NF Waiver 7 0 0 0 7 7 CADI Waiver 68 0 5 7 68 80 DD Waiver 15 0 1 9 15 25 Elderly Waiver 0 61 217 0 278

ITASCA Total 489 0 213 461 489 1,163 JACKSON Comm Well 2 12 29 0 6 18 29 53

NF/ICF-DD 1 5 0 4 28 0 32 CADI Waiver 2 9 0 0 3 9 12 DD Waiver 4 0 0 0 4 4 Elderly Waiver 1 13 0 7 37 0 44

JACKSON Total 4 32 42 0 17 86 42 145 KANABEC Comm Well 39 35 122 0 39 35 122 196

NF/ICF-DD 6 23 1 0 6 23 1 30 BI-NF Waiver 0 0 0 0 0 CADI Waiver 2 22 0 0 2 22 24 DD Waiver 1 2 9 0 1 2 9 12 Elderly Waiver 10 48 0 10 48 0 58

KANABEC Total 56 110 154 0 56 110 154 320 KANDIYOHI Comm Well 17 31 180 0 81 71 238 390

NF/ICF-DD 1 18 2 0 17 167 4 188 BI-NF Waiver 1 1 0 0 1 2 3 CADI Waiver 2 29 0 10 5 34 49 DD Waiver 3 5 25 0 23 9 32 64 Elderly Waiver 5 8 0 16 96 0 112

KANDIYOHI Total 28 63 237 0 147 349 310 806



Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC Total KITTSON Comm Well 7 8 0 6 19 12 37

NF/ICF-DD 2 6 2 0 10 34 3 47 CADI Waiver 0 0 0 1 1 DD Waiver 2 0 3 0 2 5 Elderly Waiver 1 7 0 6 22 0 28

KITTSON Total 3 20 12 0 25 75 18 118 KOOCHICHING Comm Well 7 12 70 0 34 75 132 241

NF/ICF-DD 1 3 1 0 7 54 2 63 CADI Waiver 10 0 0 1 14 15 DD Waiver 1 7 0 0 7 16 23 Elderly Waiver 3 0 11 33 0 44

KOOCHICHING Total 8 19 88 0 52 170 164 386 LAC QUI PARLE Comm Well 3 31 0 5 16 31 52


LAC QUI PARLE Total 1 12 46 0 11 108 46 165 LAKE Comm Well 5 13 24 0 17 24 55 96

NF/ICF-DD 6 2 2 0 14 14 2 30 BI-NF Waiver 0 0 0 1 1 CADI Waiver 1 4 0 2 1 8 11 DD Waiver 1 0 0 1 5 6 Elderly Waiver 1 5 0 17 28 0 45

LAKE Total 13 20 31 0 50 68 71 189 LAKE OF THE WOODS Comm Well 1 3 8 0 14 5 8 27

NF/ICF-DD 1 0 9 5 0 14 CADI Waiver 0 0 1 0 1 DD Waiver 0 0 0 0 0 Elderly Waiver 1 0 7 4 0 11

LAKE OF THE WOODS Total 2 4 8 0 30 15 8 53 LE SUEUR Comm Well 3 24 90 0 6 35 90 131


LE SUEUR Total 7 63 126 0 26 154 126 306 LINCOLN Comm Well 5 19 0 7 14 19 40

NF/ICF-DD 2 6 2 0 14 34 2 50 CADI Waiver 5 0 0 0 5 5 DD Waiver 3 0 1 3 3 7 Elderly Waiver 6 0 6 19 0 25

LINCOLN Total 2 17 29 0 28 70 29 127 LYON Comm Well 8 24 126 0 33 53 126 212

NF/ICF-DD 2 9 4 0 12 68 4 84 CAC Waiver 1 0 0 0 1 1 CADI Waiver 1 38 0 2 2 38 42 DD Waiver 3 14 0 6 8 14 28 Elderly Waiver 5 12 0 19 104 0 123

LYON Total 19 45 183 0 72 235 183 490



Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC Total MCLEOD Comm Well 14 47 156 0 14 47 156 217


MCLEOD Total 52 290 253 0 52 290 253 595 MAHNOMEN Total Comm Well 28 0 4 12 41 57

BI-NF Waiver 0 4 9 0 13 CAC Waiver 0 0 1 0 1 CADI Waiver 1 5 0 1 2 6 9 DD Waiver 1 3 0 2 2 3 7 Elderly Waiver 0 3 18 0 21

MAHNOMEN Total 1 1 36 0 14 44 50 108 MARSHALL Comm Well 1 6 28 0 8 24 36 68

NF/ICF-DD 5 0 2 21 0 23 CADI Waiver 6 0 0 0 6 6 DD Waiver 10 0 0 3 12 15 Elderly Waiver 1 6 0 2 28 0 30

MARSHALL Total 2 17 44 0 12 76 54 142 MARTIN Comm Well 5 20 140 0 17 51 140 208

NF/ICF-DD 6 26 21 0 11 59 21 91 BI-NF Waiver 1 0 0 0 1 1 CADI Waiver 1 1 43 0 1 3 43 47 DD Waiver 8 79 0 3 9 79 91 Elderly Waiver 50 0 5 107 0 112

MARTIN Total 12 105 284 0 37 229 284 550 MEEKER Comm Well 19 50 100 0 19 50 100 169

NF/ICF-DD 6 74 1 0 6 74 1 81 CADI Waiver 2 28 0 0 2 28 30 DD Waiver 3 5 9 0 3 5 9 17 Elderly Waiver 5 118 0 5 118 0 123

MEEKER Total 33 249 138 0 33 249 138 420 MILLE LACS Comm Well 5 23 146 0 21 88 200 309

NF/ICF-DD 17 1 0 10 118 1 129 BI-NB Waiver 0 0 0 0 0 BI-NF Waiver 1 2 0 0 1 3 4 CAC Waiver 0 0 0 1 1 CADI Waiver 2 2 28 0 2 2 40 44 DD Waiver 1 10 0 1 5 16 22 Elderly Waiver 2 24 0 8 108 0 116

MILLE LACS Total 9 68 187 0 42 322 261 625 MORRISON Comm Well 56 21 246 18 0 70 80 246 396

NF/ICF-DD 9 4 2 5 4 0 17 66 2 85 BI-NB Waiver 1 0 0 0 1 1 BI-NF Waiver 1 0 0 0 1 1 CADI Waiver 1 38 0 1 2 38 41 DD Waiver 2 10 0 2 4 10 16 Elderly Waiver 27 19 2 10 0 34 136 0 170

MORRISON Total 95 44 298 7 32 0 124 288 298 710



Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC Total MOWER Comm Well 24 58 278 0 72 74 278 424


MOWER Total 69 162 376 0 211 265 376 852 MURRAY Comm Well 4 30 0 3 19 30 52

NF/ICF-DD 1 1 0 2 32 1 35 CADI Waiver 5 0 0 0 5 5 DD Waiver 2 1 0 0 5 1 6 Elderly Waiver 3 4 0 4 30 0 34

MURRAY Total 3 11 37 0 9 86 37 132 NICOLLET Comm Well 11 19 119 0 38 39 119 196

NF/ICF-DD 1 8 1 0 8 28 1 37 CAC Waiver 0 1 0 0 1 CADI Waiver 1 2 36 0 1 3 36 40 DD Waiver 1 2 15 0 2 5 15 22 Elderly Waiver 3 53 0 11 122 0 133

NICOLLET Total 17 84 171 0 61 197 171 429 NOBLES Comm Well 9 32 102 0 47 83 102 232

NF/ICF-DD 12 3 0 4 43 3 50 CADI Waiver 19 0 0 2 19 21 DD Waiver 10 0 1 7 10 18 Elderly Waiver 1 12 0 7 66 0 73

NOBLES Total 10 56 134 0 59 201 134 394 NORMAN Comm Well 1 1 27 0 9 16 41 66

NF/ICF-DD 4 0 2 56 5 63 CADI Waiver 6 0 0 0 10 10 DD Waiver 6 0 0 1 7 8 Elderly Waiver 1 1 0 2 26 0 28

NORMAN Total 2 2 43 0 13 99 63 175 OLMSTED Comm Well 130 258 875 0 256 401 875 1,532

NF/ICF-DD 18 50 25 0 80 117 25 222 BI-NF Waiver 4 0 0 0 4 4 CAC Waiver 1 1 0 0 1 1 2 CADI Waiver 4 14 169 0 8 16 169 193 DD Waiver 7 8 115 0 9 13 115 137 Elderly Waiver 62 147 0 150 278 0 428

OLMSTED Total 221 478 1189 0 503 826 1,189 2,518 OTTER TAIL Comm Well 11 23 154 0 59 161 289 509

NF/ICF-DD 5 7 2 0 27 224 6 257 BI-NB Waiver 1 0 0 0 2 2 BI-NF Waiver 1 0 0 0 3 3 CAC Waiver 0 0 0 0 0 CADI Waiver 1 2 56 0 3 14 100 117 DD Waiver 2 18 0 9 13 36 58 Elderly Waiver 1 19 0 26 255 0 281

OTTER TAIL Total 18 53 232 0 124 667 436 1,227



Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC Total PENNINGTON Comm Well 1 17 59 0 13 55 72 140

NF/ICF-DD 11 2 0 2 56 2 60 CADI Waiver 13 0 0 0 14 14 DD Waiver 2 19 0 2 3 20 25 Elderly Waiver 1 12 0 4 69 0 73

PENNINGTON Total 2 42 93 0 21 183 108 312 PINE Comm Well 9 23 207 0 47 76 269 392

NF/ICF-DD 1 10 3 0 7 21 4 32 BI-NF Waiver 1 0 0 0 1 1 CADI Waiver 1 20 0 3 0 35 38 DD Waiver 1 11 0 3 7 15 25 Elderly Waiver 5 33 0 20 115 0 135

PINE Total 16 67 242 0 80 219 324 623 PIPESTONE Comm Well 21 29 56 0 21 29 56 106

NF/ICF-DD 6 62 2 0 6 62 2 70 CADI Waiver 10 0 0 0 10 10 DD Waiver 1 10 0 1 0 10 11 Elderly Waiver 6 35 0 6 35 0 41

PIPESTONE Total 34 126 78 0 34 126 78 238 POLK Comm Well 5 10 128 0 54 75 225 354

NF/ICF-DD 3 35 5 0 33 157 6 196 BI-NB Waiver 1 0 0 0 1 1 BI-NF Waiver 1 0 0 0 2 2 CADI Waiver 2 45 0 2 5 79 86 DD Waiver 1 18 0 4 2 40 46 Elderly Waiver 6 36 0 45 160 0 205

POLK Total 14 84 198 0 138 399 353 890 POPE Comm Well 1 37 87 0 1 37 87 125

NF/ICF-DD 3 58 1 0 3 58 1 62 BI-NF Waiver 4 0 0 0 4 4 CAC Waiver 1 0 0 0 1 1 CADI Waiver 1 19 0 0 1 19 20 DD Waiver 4 18 0 0 4 18 22 Elderly Waiver 4 67 0 4 67 0 71

POPE Total 8 167 130 0 8 167 130 305 RAMSEY Comm Well 533 643 3482 0 1,456 1,455 6,078 8,989

NF/ICF-DD 70 197 83 0 348 577 178 1,103 BI-NB Waiver 1 2 0 0 1 5 6 BI-NF Waiver 1 1 33 0 5 1 53 59 CAC Waiver 2 0 0 0 3 3 CADI Waiver 60 66 782 0 141 147 1,490 1,778 DD Waiver 10 11 233 0 59 47 464 570 Elderly Waiver 297 869 0 922 2,024 0 2,946

RAMSEY Total 971 1788 4617 0 2,931 4,252 8,271 15,454 RED LAKE Comm Well 6 11 0 4 15 20 39


RED LAKE Total 1 9 19 0 7 39 29 75



Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC Total REDWOOD Comm Well 7 23 79 0 16 32 79 127

NF/ICF-DD 8 9 10 0 19 41 10 70 CADI Waiver 11 0 2 1 11 14 DD Waiver 3 4 0 4 10 4 18 Elderly Waiver 18 0 12 42 0 54

REDWOOD Total 15 53 104 0 53 126 104 283 RENVILLE Comm Well 15 25 99 0 15 25 99 139

NF/ICF-DD 19 58 10 0 19 58 10 87 BI-NF Waiver 2 0 0 0 2 2 CADI Waiver 2 1 5 0 2 1 5 8 DD Waiver 2 9 11 0 2 9 11 22 Elderly Waiver 5 25 0 5 25 0 30

RENVILLE Total 43 118 127 0 43 118 127 288 RICE Comm Well 15 20 134 0 70 61 225 356

NF/ICF-DD 6 25 4 0 33 70 9 112 BI-NF Waiver 0 0 0 1 1 CADI Waiver 1 50 0 8 4 89 101 DD Waiver 5 1 24 0 18 7 45 70 Elderly Waiver 18 65 0 74 200 0 274

RICE Total 45 111 212 0 203 342 369 914 ROCK Comm Well 3 7 37 0 6 17 37 60

NF/ICF-DD 1 6 5 0 8 25 5 38 BI-NB Waiver 0 0 0 0 0 BI-NF Waiver 1 0 0 0 1 1 CADI Waiver 24 0 1 1 24 26 DD Waiver 1 9 0 0 2 9 11 Elderly Waiver 2 8 0 7 28 0 35

ROCK Total 6 22 76 0 22 73 76 171 ROSEAU Comm Well 3 10 38 0 8 32 56 96


ROSEAU Total 5 41 45 0 21 182 67 270 ST LOUIS Comm Well 57 140 1861 0 215 433 2,468 3,116

NF/ICF-DD 39 94 54 0 214 402 61 677 BI-NB Waiver 2 18 0 3 0 40 43 BI-NF Waiver 1 56 0 4 1 78 83 CAC Waiver 0 0 0 1 1 CADI Waiver 6 15 356 0 19 44 528 591 DD Waiver 2 19 190 0 8 52 309 369 Elderly Waiver 45 221 0 239 909 0 1,148

ST LOUIS Total 152 489 2535 0 702 1,841 3,485 6,028 SCOTT Comm Well 17 37 168 0 136 216 317 669

NF/ICF-DD 1 10 12 0 33 110 41 184 BI-NF Waiver 2 0 0 0 3 3 CADI Waiver 3 2 59 0 8 7 133 148 DD Waiver 22 0 0 0 56 56 Elderly Waiver 12 34 0 79 249 0 328

SCOTT Total 33 83 263 0 256 582 550 1,388



Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC Total SHERBURNE Comm Well 10 23 150 0 36 89 287 412

NF/ICF-DD 7 18 7 0 25 113 22 160 BI-NF Waiver 7 0 0 0 13 13 CADI Waiver 2 55 0 2 6 115 123 DD Waiver 39 0 2 7 73 82 Elderly Waiver 3 33 0 23 167 0 190

SHERBURNE Total 20 76 258 0 88 382 510 980 SIBLEY Comm Well 14 34 40 0 14 34 40 88

NF/ICF-DD 5 40 9 0 5 40 9 54 BI-NF Waiver 0 0 0 0 0 CADI Waiver 2 16 0 0 2 16 18 DD Waiver 1 6 0 0 1 6 7 Elderly Waiver 5 58 0 5 58 0 63

SIBLEY Total 24 135 71 0 24 135 71 230 STEARNS Comm Well 51 46 695 0 179 249 969 1,397

NF/ICF-DD 3 30 4 0 37 153 8 198 BI-NB Waiver 2 0 0 0 2 2 BI-NF Waiver 3 0 0 0 5 5 CAC Waiver 1 0 0 0 1 1 CADI Waiver 3 6 135 0 7 19 188 214 DD Waiver 1 37 0 7 13 83 103 Elderly Waiver 47 75 0 113 315 0 428

STEARNS Total 104 158 877 0 343 749 1,256 2,348 STEELE Comm Well 61 51 224 0 61 51 224 336

NF/ICF-DD 16 40 8 0 16 40 8 64 BI-NB Waiver 1 0 0 0 1 1 BI-NF Waiver 4 0 0 0 4 4 CADI Waiver 4 79 0 0 4 79 83 DD Waiver 3 6 52 0 3 6 52 61 Elderly Waiver 50 125 0 50 125 0 175

STEELE Total 130 226 368 0 130 226 368 724 STEVENS Comm Well 7 10 43 0 7 10 43 60

NF/ICF-DD 6 36 4 0 6 36 4 46 BI-NF Waiver 1 0 0 0 1 1 CADI Waiver 1 4 11 0 1 4 11 16 DD Waiver 1 4 15 0 1 4 15 20 Elderly Waiver 1 33 0 1 33 0 34

STEVENS Total 16 87 74 0 16 87 74 177 SWIFT Comm Well 2 41 0 11 31 41 83

NF/ICF-DD 1 5 2 0 7 35 2 44 BI-NF Waiver 0 1 0 0 1 CADI Waiver 3 0 1 0 3 4 DD Waiver 1 12 0 1 1 12 14 Elderly Waiver 4 0 8 54 0 62

SWIFT Total 2 11 58 0 29 121 58 208



Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC Total TODD Comm Well 33 27 166 13 0 37 87 166 290

NF/ICF-DD 3 8 1 1 12 0 4 72 1 77 BI-NF Waiver 2 0 0 0 2 2 CAC Waiver 1 0 0 0 1 1 CADI Waiver 1 3 43 0 2 3 43 48 DD Waiver 2 13 2 0 2 5 13 20 Elderly Waiver 17 23 15 0 19 106 0 125

TODD Total 56 61 226 1 42 0 64 273 226 563 TRAVERSE Comm Well 4 15 29 0 4 15 29 48

NF/ICF-DD 5 43 2 0 5 43 2 50 BI-NF Waiver 0 0 0 0 0 CADI Waiver 1 4 0 0 1 4 5 DD Waiver 1 3 0 0 1 3 4 Elderly Waiver 16 0 0 16 0 16

TRAVERSE Total 9 76 38 0 9 76 38 123 WABASHA Comm Well 14 34 64 2 14 0 16 48 64 128

NF/ICF-DD 15 34 2 6 10 0 21 44 2 67 CADI Waiver 1 31 0 0 1 31 32 DD Waiver 2 7 29 2 0 2 9 29 40 Elderly Waiver 11 38 4 10 0 15 48 0 63

WABASHA Total 42 114 126 12 36 0 54 150 126 330 WADENA Comm Well 20 15 187 13 0 27 76 187 290

NF/ICF-DD 13 8 7 4 10 0 21 94 7 122 BI-NF Waiver 1 0 0 0 1 1 CADI Waiver 1 1 56 0 2 6 56 64 DD Waiver 19 1 0 0 3 19 22 Elderly Waiver 6 11 6 0 7 71 0 78

WADENA Total 40 35 270 4 30 0 57 250 270 577 WASECA Comm Well 22 26 93 0 22 26 93 141

NF/ICF-DD 12 36 0 12 36 0 48 BI-NF Waiver 1 0 0 0 1 1 CAC Waiver 1 0 0 0 1 1 CADI Waiver 1 4 30 0 1 4 30 35 DD Waiver 2 8 32 0 2 8 32 42 Elderly Waiver 20 56 0 20 56 0 76

WASECA Total 57 130 157 0 57 130 157 344 WASHINGTON Comm Well 39 122 364 0 182 270 700 1,152

NF/ICF-DD 14 43 6 0 73 117 12 202 BI-NB Waiver 1 0 0 0 1 1 BI-NF Waiver 2 0 1 0 5 6 CAC Waiver 2 0 0 0 3 3 CADI Waiver 6 6 90 0 15 20 194 229 DD Waiver 1 2 63 0 3 8 138 149 Elderly Waiver 22 123 0 98 352 0 450

WASHINGTON Total 82 296 528 0 372 767 1,053 2,192 WATONWAN Comm Well 2 9 65 0 9 21 65 95


WATONWAN Total 4 43 84 0 17 84 84 185



Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC Total WILKIN Comm Well 19 0 3 23 25 51

NF/ICF-DD 1 0 6 32 1 39 CADI Waiver 4 0 0 0 6 6 DD Waiver 1 0 0 4 2 6 Elderly Waiver 0 2 32 0 34

WILKIN Total 25 0 11 91 34 136 WINONA Comm Well 18 15 226 0 61 56 226 343

NF/ICF-DD 8 22 7 0 36 112 7 155 CAC Waiver 1 0 0 0 1 1 CADI Waiver 4 72 0 7 10 72 89 DD Waiver 1 2 17 0 7 8 17 32 Elderly Waiver 3 38 0 48 147 0 195

WINONA Total 34 77 323 0 159 333 323 815 WRIGHT Comm Well 14 27 138 0 73 128 292 493

NF/ICF-DD 7 34 7 0 30 158 13 201 BI-NB Waiver 0 0 0 4 4 BI-NF Waiver 2 0 0 0 4 4 CAC Waiver 3 0 0 0 4 4 CADI Waiver 1 52 0 4 11 133 148 DD Waiver 3 28 0 0 11 56 67 Elderly Waiver 7 49 0 61 258 0 319

WRIGHT Total 28 114 230 0 168 566 506 1,240 YELLOW MEDICINE Comm Well 1 5 47 0 5 18 47 70

NF/ICF-DD 7 0 1 44 0 45 CADI Waiver 1 14 0 0 1 14 15 DD Waiver 3 2 0 0 4 2 6 Elderly Waiver 7 0 3 40 0 43

YELLOW MEDICINE Total 1 23 63 0 9 107 63 179 Plan Total Comm Well 368 429 1,566 404 418 1,754 1 1,958 3,797 18,509 2 7,471 10,929 35,339 53,741

NF/ICF-DD 147 687 66 224 486 73 0 524 1,794 552 0 2,644 8,178 1,244 12,066 BI-NB Waiver 0 0 1 0 0 3 0 3 3 40 0 8 5 87 100 BI-NF Waiver 0 0 10 0 0 11 0 6 7 217 0 25 29 384 438 CAC Waiver 0 0 3 0 0 4 0 0 1 22 0 1 2 52 55 CADI Waiver 20 23 281 16 36 512 0 248 347 4,810 0 599 945 9,766 11,310 DD Waiver 22 52 169 18 53 396 0 58 163 2,150 0 316 615 4,432 5,363 Elderly Waiver 254 740 0 244 692 0 0 1,450 5,345 0 0 4,969 16,857 0 21,826

Plan Total 811 1,931 2,096 906 1,685 2,753 1 4,247 11,457 26,300 2 16,033 37,560 51,304 104,899


Enrollment Summary Jan-17 Feb-17 Mar-17 Apr-17 May-17 Jun-17 Jul-17 Aug-17 Sep-17 Oct-17 Nov-17 Dec-17

Blue Plus MA Adults 21 - 64 57,134 57,256 57,237 58,385 64,495 MA Adults 21 - 64 Expansion (AX) 60,699 62,563 64,244 66,425 74,270 MA Aged - Institutionalized over 64 3,227 3,193 3,142 3,150 3,126 MA Aged - Community over 64 8,551 8,565 8,583 8,630 8,558 MA Children 162,141 163,121 163,581 166,589 184,305 MA Pregnant Women All Ages 4,959 5,069 5,095 5,274 5,693 MnCare Childless Adults 8,604 9,924 11,126 11,557 14,425 MnCare Children 1,122 1,411 1,600 1,718 2,028 MnCare Parents 8,454 10,321 11,757 12,531 14,244 Total 314,891 321,423 326,365 334,259 371,144 0 0 0 0 0 0 0 HealthPartners MA Adults 21 - 64 14,904 14,849 14,725 14,839 22,533 MA Adults 21 - 64 Expansion (AX) 18,425 18,707 18,903 19,434 28,613 MA Aged - Institutionalized over 64 815 810 810 806 802 MA Aged - Community over 64 4,305 4,315 4,310 4,354 4,306 MA Children 41,644 41,513 41,409 41,944 68,113 MA Disabled - Basic Care 3,500 3,583 3,663 3,750 3,746 MA Pregnant Women All Ages 1,243 1,262 1,255 1,298 1,915 MnCare Childless Adults 5,745 6,786 7,313 7,549 11,199 MnCare Children 616 711 785 816 1,139 MnCare Parents 4,134 4,942 5,465 5,744 8,200 Total 95,331 97,478 98,638 100,534 150,566 0 0 0 0 0 0 0 Hennepin Health MA Adults 21 - 64 293 313 326 348 2,067 MA Adults 21 - 64 Expansion (AX) 9,034 9,446 9,861 10,042 21,946 MA Aged - Institutionalized over 64 MA Aged - Community over 64 MA Children 504 543 602 675 7,215 MA Disabled - Basic Care* 2,221 2,202 2,177 2,163 2,134 MA Pregnant Women All Ages 57 57 60 66 168 MnCare Childless Adults 181 224 265 292 1,199 MnCare Children 7 9 11 13 76 MnCare Parents 43 56 73 88 674 Total 12,340 12,850 13,375 13,687 35,479 0 0 0 0 0 0 0 Itasca Medical Care MA Adults 21 - 64 1,559 1,514 1,472 1,467 1,456 MA Adults 21 - 64 Expansion (AX) 1,788 1,810 1,864 1,907 1,913 MA Aged - Institutionalized over 64 136 139 140 135 137 MA Aged - Community over 64 549 547 550 545 538 MA Children 3,900 3,864 3,763 3,770 3,769 MA Pregnant Women All Ages 85 98 102 104 109 MnCare Childless Adults 219 248 271 259 259 MnCare Children 33 32 37 40 37 MnCare Parents 221 260 301 311 312 Total 8,490 8,512 8,500 8,538 8,530 0 0 0 0 0 0 0

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


Medica MA Adults 21 - 64 49,587 49,352 48,976 49,528 MA Adults 21 - 64 Expansion (AX) 58,286 59,501 60,955 62,285 MA Aged - Institutionalized over 64 2,942 2,930 2,885 2,923 2,893 MA Aged - Community over 64 12,305 12,350 12,371 12,375 12,191 MA Children 155,017 154,917 154,048 155,411 MA Disabled - Basic Care 14,640 14,653 14,664 14,689 14,275 MA Pregnant Women All Ages 5,207 5,249 5,250 5,247 MnCare Childless Adults 15,679 18,949 20,949 21,255 MnCare Children 1,461 1,788 2,003 2,136 MnCare Parents 10,634 13,125 14,980 15,651 Total 325,758 332,814 337,081 341,500 29,359 0 0 0 0 0 0 0 PrimeWest Health MA Adults 21 - 64 6,448 6,456 6,469 6,554 6,536 MA Adults 21 - 64 Expansion (AX) 6,268 6,457 6,608 6,746 6,820 MA Aged - Institutionalized over 64 841 840 839 842 837 MA Aged - Community over 64 1,934 1,948 1,935 1,932 1,906 MA Children 19,007 19,060 19,131 19,257 19,238 MA Disabled - Basic Care 2,138 2,134 2,159 2,145 2,096 MA Pregnant Women All Ages 592 575 575 571 556 MnCare Childless Adults 663 762 835 872 1,409 MnCare Children 135 149 162 171 228 MnCare Parents 955 1,106 1,251 1,309 1,480 Total 38,981 39,487 39,964 40,399 41,106 0 0 0 0 0 0 0 South Country Health Alliance MA Adults 21 - 64 5,469 5,400 5,302 5,289 6,288 MA Adults 21 - 64 Expansion (AX) 4,915 4,878 4,870 4,981 6,745 MA Aged - Institutionalized over 64 696 704 718 716 714 MA Aged - Community over 64 1,910 1,908 1,896 1,899 1,876 MA Children 15,167 14,996 14,781 14,872 17,802 MA Disabled - Basic Care 2,805 2,813 2,810 2,809 2,752 MA Pregnant Women All Ages 355 348 361 363 446 MnCare Childless Adults 949 1,101 1,196 1,246 1,595 MnCare Children 155 182 185 190 246 MnCare Parents 912 1,092 1,186 1,243 1,571 Total 33,333 33,422 33,305 33,608 40,035 0 0 0 0 0 0 0



UCare Minnesota MA Adults 21 - 64 2,199 2,169 2,126 2,148 32,427 MA Adults 21 - 64 Expansion (AX) 2,168 2,147 2,113 2,094 32,959 MA Aged - Institutionalized over 64 2,382 2,347 2,322 2,357 2,318 MA Aged - Community over 64 13,486 13,512 13,517 13,553 13,390 MA Children 6,550 6,537 6,416 6,437 99,452 MA Disabled - Basic Care 26,909 26,875 26,864 26,824 26,294 MA Pregnant Women All Ages 161 170 159 165 3,387 MnCare Childless Adults 413 458 492 510 12,343 MnCare Children 43 50 51 53 1,454 MnCare Parents 402 446 489 520 10,408 Total 54,713 54,711 54,549 54,661 234,432 0 0 0 0 0 0 0 Statewide MA Adults 21 - 64 137,593 137,309 136,633 138,558 135,802 0 0 0 0 0 0 0 MA Adults 21 - 64 Expansion (AX) 161,583 165,509 169,418 173,914 173,266 0 0 0 0 0 0 0 MA Aged - Institutionalized over 64 11,039 10,963 10,856 10,929 10,827 0 0 0 0 0 0 0 MA Aged - Community over 64 43,040 43,145 43,162 43,288 42,765 0 0 0 0 0 0 0 MA Children 403,930 404,551 403,731 408,955 399,894 0 0 0 0 0 0 0 MA Disabled - Basic Care 52,213 52,260 52,337 52,380 51,297 0 0 0 0 0 0 0 MA Pregnant Women All Ages 12,659 12,828 12,857 13,088 12,274 0 0 0 0 0 0 0 MnCare Childless Adults 32,453 38,452 42,447 43,540 42,429 0 0 0 0 0 0 0 MnCare Children 3,572 4,332 4,834 5,137 5,208 0 0 0 0 0 0 0 MnCare Parents 25,755 31,348 35,502 37,397 36,889 0 0 0 0 0 0 0 Total 883,837 900,697 911,777 927,186 910,651 0 0 0 0 0 0 0


county elderly snp...county elderly snp dual/non-dual enrollment for recipients enrolled in msc+,...

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