county elderly snp...polk 060 290 33 4,316 1,138 131 13 164 68 pope 061 175 13 1,168 322 ramsey 062...

Minnesota Health Care Programs Managed Care Enrollment Totals October 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 October 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

October 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 29,628 21,030 2,099 618 3,031 3,245 24,855 84,506 MinnesotaCare Child 2,494 1,416 136 56 264 297 1,782 6,445 Medical Assistance (MA) Parents/Children 253,442 97,662 7,151 5,593 27,292 25,934 158,334 575,408 Medical Assistance (MA/AX) Childless Adults 74,247 32,079 19,117 1,944 7,113 6,964 40,078 181,542

Elderly and Special Needs Products

Minnesota Senior Care Plus (MSC+) Duals1 3,424 1,843 210 3,424 787 867 2,993 13,548 Non Duals 423 268 3 641 21 36 1,362 2,754

Minnesota Senior Health Option (MSHO)2 8,114 3,066 463 10,912 1,915 1,759 11,771 38,000 Moving Home Minnesota (MHM) 0 Special Needs BasicCare (SNBC) - Integrated2 200 581 1,295 2,076

Special Needs BasicCare (SNBC) - Non-Integrated3 Duals 2,445 889 7,243 1,173 1,307 12,828 25,885 Non Duals 1,907 1,115 6,442 740 927 12,814 23,945

Program Totals MinnesotaCare 32,122 22,446 2,235 674 0 3,295 3,542 26,637 90,951 MA Total (includes the following programs) 339,650 139,270 28,272 8,213 28,662 39,241 38,375 241,475 863,158 Families and Children (under age 65) 327,689 129,741 26,268 7,537 0 34,405 32,898 198,412 756,950 MSC Plus 3,847 2,111 0 213 4,065 808 903 4,355 16,302 MSHO 8,114 3,066 0 463 10,912 1,915 1,759 11,771 38,000 MHM 0 0 0 0 0 0 0 0 0 SNBC 0 4,352 2,004 0 13,685 2,113 2,815 26,937 51,906

Total Enrollment 371,772 161,716 30,507 8,887 28,662 42,536 41,917 268,112 954,109 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 October 2017

BLUE PLUS HEALTHPARTNERS HENNEPIN HEALTH ITASCA MEDICAL CARE PRIMEWEST HEALTH

MnCare MnCare

Child MA MA/AX MnCare MnCare




Child MA MA/AX Aitkin 001 231 17 1,779 622 146 11 171 118 Anoka 002 979 54 5,948 1,776 1,893 123 10,371 3,280 Becker 003 485 46 4,330 1,104 121 18 129 77 Beltrami 004 305 33 460 41 6,862 2,018 Benton 005 231 33 3,566 1,000 297 25 1,170 380 Big Stone 006 103 8 530 159 Blue Earth 007 525 42 3,181 1,300 Brown 008 141 9 697 242 Carlton 009 301 35 3,131 1,069 214 12 351 172 Carver 010 526 44 3,316 1,073 345 28 1,847 531 Cass 011 622 47 4,106 1,356 43 99 64 Chippewa 012 149 12 1,396 291 Chisago 013 356 35 3,701 1,112 361 29 1,254 409 Clay 014 651 45 7,353 1,842 143 6 97 69 Clearwater 015 58 5 117 7 1,100 337 Cook 016 105 5 513 219 97 1 78 34 Cottonwood 017 123 12 1,216 298 Crow Wing 018 921 76 7,492 2,214 380 23 534 236 Dakota 019 1,880 146 11,529 3,157 1,644 118 9,105 2,895 Dodge 020 114 8 1,140 303 Douglas 021 577 56 3,289 975 Faribault 022 171 16 1,467 438 Fillmore 023 183 15 1,388 353 Freeborn 024 332 16 2,821 701 Goodhue 025 Grant 026 118 7 848 191 Hennepin 027 1,653 78 15,791 6,242 5,562 355 30,398 9,591 2,099 136 7,151 19,117 Houston 028 77 3 564 191 Hubbard 029 171 4 275 26 3,020 756 Isanti 030 581 55 3,817 1,128 Itasca 031 275 18 618 56 5,593 1,944

Does Not Included Elderly or Disabled MA/AX - Childless Adults MnCare - Includes enrollees over age 65 10/4/2017 MnCare Child - Enrollees under age 21



MnCare MnCare





Child MA MA/AX Jackson 032 118 4 815 265 Kanabec 033 Kandiyohi 034 571 55 5,798 1,225 Kittson 035 79 8 471 107 2 6 8 Koochiching 036 179 17 1,484 512 103 6 84 49 LacQuiParle 037 117 10 562 155 Lake 038 106 10 906 366 83 8 81 47 Lake of Woods 039 111 8 388 135 LeSueur 040 270 16 1,922 480 Lincoln 041 66 2 528 174 Lyon 042 292 25 3,019 583 McLeod 043 441 31 3,435 824 Mahnomen 044 66 10 599 204 3 14 4 Marshall 045 142 9 903 244 9 10 Martin 046 209 24 1,968 508 Meeker 047 293 33 2,453 576 Mille Lacs 048 275 29 3,165 917 197 16 577 235 Morrison 049 Mower 050 216 21 2,969 722 Murray 051 105 6 744 160 Nicollet 052 221 24 2,154 570 Nobles 053 190 13 2,876 337 Norman 054 137 16 1,004 223 1 11 6 Olmsted 055 343 18 1,727 807 Otter Tail 056 800 77 6,397 1,696 210 20 167 107 Pennington 057 156 15 1,147 362 6 1 18 5 Pine 058 333 24 2,940 936 210 11 204 137 Pipestone 059 120 12 1,202 207 Polk 060 290 33 4,316 1,138 131 13 164 68 Pope 061 175 13 1,168 322 Ramsey 062 5,819 543 55,853 16,224 3,551 208 21,624 7,434


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 Red Lake 063 25 1 386 131 21 7 6 Redwood 064 227 17 1,485 291 Renville 065 198 22 2,186 462 Rice 066 410 35 4,676 1,110 Rock 067 77 8 756 152 Roseau 068 116 10 1,135 306 94 4 112 48 St. Louis 069 1,049 84 8,582 4,173 992 46 1,752 887 Scott 070 385 26 2,219 545 617 43 3,642 891 Sherburne 071 613 66 6,112 1,482 522 48 1,817 465 Sibley 072 Stearns 073 1,085 109 15,241 3,931 1,094 80 2,735 972 Steele 074 Stevens 075 94 5 719 182 Swift 076 127 14 1,140 270 Todd 077 Traverse 078 60 3 480 104 Wabasha 079 132 4 989 351 Wadena 080 Waseca 081 Washington 082 575 56 3,050 972 1,250 105 6,718 2,273 Watonwan 083 115 18 1,080 206 Wilkin 084 71 3 769 169 9 2 7 4 Winona 085 298 25 2,257 862 Wright 086 828 81 7,634 1,976 688 56 2,309 567 Yellow Medicine 087 138 11 1,034 239

Program Total 29,628 2,494 253,442 74,247 21,030 1,416 97,662 32,079 2,099 136 7,151 19,117 618 56 5,593 1,944 3,031 264 27,292 7,113 Health Plan Total 359,811 152,187 28,503 8,211 37,700



SOUTH COUNTRY HEALTH ALLIANCE UCARE MN PROGRAM TOTALS

MnCare MnCare



Child MA MA/AX Total Aitkin 001 377 28 1,950 740 3,095 Anoka 002 2,680 201 16,910 4,645 5,552 378 33,229 9,701 48,860 Becker 003 606 64 4,459 1,181 6,310 Beltrami 004 765 74 6,862 2,018 9,719 Benton 005 528 58 4,736 1,380 6,702 Big Stone 006 13 116 8 530 159 813 Blue Earth 007 307 30 2,537 865 832 72 5,718 2,165 8,787 Brown 008 205 20 1,527 322 346 29 2,224 564 3,163 Carlton 009 515 47 3,482 1,241 5,285 Carver 010 98 5 402 87 969 77 5,565 1,691 8,302 Cass 011 665 47 4,205 1,420 6,337 Chippewa 012 51 8 301 63 200 20 1,697 354 2,271 Chisago 013 717 64 4,955 1,521 7,257 Clay 014 794 51 7,450 1,911 10,206 Clearwater 015 175 12 1,100 337 1,624 Cook 016 202 6 591 253 1,052 Cottonwood 017 48 4 382 73 171 16 1,598 371 2,156 Crow Wing 018 1,301 99 8,026 2,450 11,876 Dakota 019 2,220 161 14,521 4,086 5,744 425 35,155 10,138 51,462 Dodge 020 102 9 827 121 216 17 1,967 424 2,624 Douglas 021 33 1 610 57 3,289 975 4,931 Faribault 022 67 8 422 128 238 24 1,889 566 2,717 Fillmore 023 148 14 740 215 331 29 2,128 568 3,056 Freeborn 024 183 14 1,053 262 515 30 3,874 963 5,382 Goodhue 025 487 54 3,569 1,066 92 1 579 55 3,569 1,066 5,269 Grant 026 4 122 7 848 191 1,168 Hennepin 027 11,293 699 73,502 15,272 20,607 1,268 126,842 50,222 198,939 Houston 028 141 11 589 266 218 14 1,153 457 1,842 Hubbard 029 446 30 3,020 756 4,252 Isanti 030 72 2 440 145 653 57 4,257 1,273 6,240 Itasca 031 893 74 5,593 1,944 8,504




MnCare MnCare



Child MA MA/AX Total Jackson 032 31 3 172 51 149 7 987 316 1,459 Kanabec 033 262 14 1,991 707 40 1 302 15 1,991 707 3,015 Kandiyohi 034 150 17 831 272 721 72 6,629 1,497 8,919 Kittson 035 81 8 477 115 681 Koochiching 036 282 23 1,568 561 2,434 LacQuiParle 037 28 4 77 22 145 14 639 177 975 Lake 038 189 18 987 413 1,607 Lake of Woods 039 1 3 5 112 8 391 140 651 LeSueur 040 91 9 687 133 361 25 2,609 613 3,608 Lincoln 041 26 2 72 20 92 4 600 194 890 Lyon 042 99 13 495 140 391 38 3,514 723 4,666 McLeod 043 70 4 511 35 3,435 824 4,805 Mahnomen 044 69 10 613 208 900 Marshall 045 142 9 912 254 1,317 Martin 046 85 9 572 155 294 33 2,540 663 3,530 Meeker 047 43 3 336 36 2,453 576 3,401 Mille Lacs 048 472 45 3,742 1,152 5,411 Morrison 049 588 44 4,171 1,200 47 4 635 48 4,171 1,200 6,054 Mower 050 265 23 2,040 469 481 44 5,009 1,191 6,725 Murray 051 38 4 127 25 143 10 871 185 1,209 Nicollet 052 100 15 690 194 321 39 2,844 764 3,968 Nobles 053 58 4 420 85 248 17 3,296 422 3,983 Norman 054 138 16 1,015 229 1,398 Olmsted 055 1,648 125 11,047 3,176 1,991 143 12,774 3,983 18,891 Otter Tail 056 1,010 97 6,564 1,803 9,474 Pennington 057 162 16 1,165 367 1,710 Pine 058 543 35 3,144 1,073 4,795 Pipestone 059 15 1 135 13 1,202 207 1,557 Polk 060 421 46 4,480 1,206 6,153 Pope 061 16 1 191 14 1,168 322 1,695 Ramsey 062 910 52 4,206 1,184 10,280 803 81,683 24,842 117,608


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



MnCare MnCare



Child MA MA/AX Total Red Lake 063 46 1 393 137 577 Redwood 064 53 5 367 75 280 22 1,852 366 2,520 Renville 065 21 219 22 2,186 462 2,889 Rice 066 335 29 2,384 528 745 64 7,060 1,638 9,507 Rock 067 36 3 210 44 113 11 966 196 1,286 Roseau 068 210 14 1,247 354 1,825 St. Louis 069 796 89 8,113 3,281 2,837 219 18,447 8,341 29,844 Scott 070 848 71 5,420 1,325 1,850 140 11,281 2,761 16,032 Sherburne 071 1,135 114 7,929 1,947 11,125 Sibley 072 183 16 1,601 415 37 3 108 47 220 19 1,709 462 2,410 Stearns 073 2,179 189 17,976 4,903 25,247 Steele 074 403 47 4,090 967 39 5 442 52 4,090 967 5,551 Stevens 075 4 98 5 719 182 1,004 Swift 076 28 4 168 39 155 18 1,308 309 1,790 Todd 077 414 39 3,131 803 38 1 452 40 3,131 803 4,426 Traverse 078 4 64 3 480 104 651 Wabasha 079 140 14 895 235 272 18 1,884 586 2,760 Wadena 080 212 22 2,045 590 15 227 22 2,045 590 2,884 Waseca 081 249 18 2,087 538 29 2 278 20 2,087 538 2,923 Washington 082 905 78 5,994 1,990 2,730 239 15,762 5,235 23,966 Watonwan 083 52 9 455 58 167 27 1,535 264 1,993 Wilkin 084 80 5 776 173 1,034 Winona 085 224 17 1,126 495 522 42 3,383 1,357 5,304 Wright 086 136 6 547 125 1,652 143 10,490 2,668 14,953 Yellow Medicine 087 44 7 204 33 182 18 1,238 272 1,710

Program Total 3,245 297 25,934 6,964 24,855 1,782 158,334 40,078 84,506 6,445 575,408 181,542 Health Plan Total 36,440 225,049 847,901


Dual/Non Dual Elderly and Disabled Managed Care Enrollment Totals October 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 20 109 129 54 54 6 64 70 Non Dual 1 1 30 30 1 1

Total 21 109 130 84 84 7 64 71 ANOKA Dual 97 219 316 131 217 45 393 177 538 710 1,425

Non Dual 5 5 3 39 42 11 440 451 Total 102 219 321 134 217 84 435 188 538 1,150 1,876 BECKER Dual 70 159 229 54 54 36 154 190

Non Dual 3 3 35 35 1 1 Total 73 159 232 89 89 37 154 191 BELTRAMI Dual

Non Dual Total BENTON Dual 34 172 206 16 21 101 138 13 162 175

Non Dual 2 2 1 54 55 1 1 Total 36 172 208 17 21 155 193 14 162 176 BIG STONE Dual

Non Dual Total BLUE EARTH Dual 86 86 10 22 32

Non Dual 4 4 Total 90 90 10 22 32 BROWN Dual

Non Dual Total CARLTON Dual 38 123 161 65 65 39 167 206

Non Dual 51 51 1 1 Total 38 123 161 116 116 40 167 207 CARVER Dual 42 75 117 21 43 10 74 32 88 97 217

Non Dual 1 9 10 71 71 Total 42 75 117 22 43 19 84 32 88 168 288 CASS Dual 66 84 150 68 68 22 57 79

Non Dual 53 53 1 1 Total 66 84 150 121 121 23 57 80 CHIPPEWA Dual 22 170 192

Non Dual Total 22 170 192

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 10/4/2017





SNBC Non Int Total

CHISAGO Dual 32 55 87 15 21 61 97 22 88 110 Non Dual 1 42 43

Total 32 55 87 16 21 103 140 22 88 110 CLAY Dual 46 266 312 119 119 22 210 232

Non Dual 16 16 65 65 12 12 Total 62 266 328 184 184 34 210 244 CLEARWATER Dual

Non Dual Total COOK Dual 4 35 39 8 8

Non Dual 2 2 Total 4 35 39 10 10 COTTONWOOD Dual 21 44 65

Non Dual Total 21 44 65 CROW WING Dual 76 213 289 161 161 35 215 250

Non Dual 1 1 86 86 Total 77 213 290 247 247 35 215 250 DAKOTA Dual 206 275 481 146 265 53 464 186 587 840 1,613

Non Dual 4 4 9 66 75 3 551 554 Total 210 275 485 155 265 119 539 189 587 1,391 2,167 DODGE Dual

Non Dual Total DOUGLAS Dual

Non Dual Total FARIBAULT Dual 31 77 108 3 7 10

Non Dual Total 31 77 108 3 7 10 FILLMORE Dual 65 157 222 6 8 14

Non Dual 3 3 Total 68 157 225 6 8 14 FREEBORN Dual

Non Dual Total






SNBC Non Int Total

GOODHUE Dual Non Dual

Total GRANT Dual

Non Dual Total HENNEPIN Dual 694 1,056 175 1,925 889 1,474 4,072 3,058 8,604

Non Dual 122 243 365 1,115 406 3,123 3,529 Total 816 1,056 418 2,290 2,004 1,880 4,072 6,181 12,133 HOUSTON Dual 12 77 89 1 20 21

Non Dual Total 12 77 89 1 20 21 HUBBARD Dual

Non Dual Total ISANTI Dual 22 41 63 17 114 131

Non Dual 1 1 2 2 Total 23 41 64 19 114 133 ITASCA Dual 210 463 673

Non Dual 3 3 Total 213 463 676 JACKSON Dual 11 58 69

Non Dual Total 11 58 69 KANABEC Dual

Non Dual Total KANDIYOHI Dual 98 273 371 42 42

Non Dual 21 21 40 40 Total 119 273 392 82 82 KITTSON Dual 21 50 71 6 6 2 2

Non Dual 3 3 Total 21 50 71 9 9 2 2 KOOCHICHING Dual 20 50 70 50 50 23 109 132

Non Dual 27 27 Total 20 50 70 77 77 23 109 132






SNBC Non Int Total

LAC QUI PARLE Dual 13 93 106 1 6 7 Non Dual

Total 13 93 106 1 6 7 LAKE Dual 33 32 65 25 25 7 17 24

Non Dual 1 1 15 15 Total 34 32 66 40 40 7 17 24 LAKE OF THE WOOD Dual 30 13 43 1 1

Non Dual Total 30 13 43 1 1 LE SUEUR Dual 11 86 97 3 7 10

Non Dual 2 2 Total 13 86 99 3 7 10 LINCOLN Dual 22 59 81

Non Dual Total 22 59 81 LYON Dual 36 195 231

Non Dual 5 5 Total 41 195 236 MCLEOD Dual

Non Dual Total MAHNOMEN Dual 11 34 45 8 8 6 17 23

Non Dual 6 6 Total 11 34 45 14 14 6 17 23 MARSHALL Dual 8 58 66 6 6 3 3

Non Dual 2 2 Total 8 58 66 8 8 3 3 MARTIN Dual 22 124 146

Non Dual 2 2 Total 24 124 148 MEEKER Dual

Non Dual Total MILLE LACS Dual 19 103 122 38 38 15 162 177

Non Dual 1 1 36 36 Total 20 103 123 74 74 15 162 177






SNBC Non Int Total

MORRISON Dual 17 108 125 13 132 145 Non Dual

Total 17 108 125 13 132 145 MOWER Dual 113 92 205 12 15 27

Non Dual 18 18 4 4 Total 131 92 223 16 15 31 MURRAY Dual 10 77 87

Non Dual Total 10 77 87 NICOLLET Dual 40 108 148 5 5

Non Dual 7 7 Total 47 108 155 5 5 NOBLES Dual 42 143 185

Non Dual 4 4 Total 46 143 189 NORMAN Dual 7 47 54 12 12 4 46 50

Non Dual 8 8 Total 7 47 54 20 20 4 46 50 OLMSTED Dual 227 315 542 22 33 55

Non Dual 22 22 4 4 Total 249 315 564 26 33 59 OTTER TAIL Dual 75 393 468 126 126 33 215 248

Non Dual 5 5 78 78 1 1 Total 80 393 473 204 204 34 215 249 PENNINGTON Dual 16 124 140 10 10 3 15 18

Non Dual 3 3 Total 16 124 140 13 13 3 15 18 PINE Dual 34 82 116 51 51 24 76 100

Non Dual 2 2 37 37 1 1 Total 36 82 118 88 88 25 76 101 PIPESTONE Dual

Non Dual Total POLK Dual 76 249 325 102 102 35 76 111

Non Dual 3 3 53 53 5 5 Total 79 249 328 155 155 40 76 116






SNBC Non Int Total

POPE Dual Non Dual

Total RAMSEY Dual 480 446 926 528 1,055 172 1,755 519 960 1,699 3,178

Non Dual 230 230 104 193 297 137 1,664 1,801 Total 710 446 1,156 632 1,055 365 2,052 656 960 3,363 4,979 RED LAKE Dual 3 33 36 5 5 2 2

Non Dual 3 3 Total 3 33 36 8 8 2 2 REDWOOD Dual 34 76 110

Non Dual Total 34 76 110 RENVILLE Dual

Non Dual Total RICE Dual 111 174 285 35 82 86 203

Non Dual 3 3 3 72 75 Total 114 174 288 38 82 158 278 ROCK Dual 13 58 71

Non Dual 2 2 Total 15 58 73 ROSEAU Dual 20 131 151 13 13 1 10 11

Non Dual 2 2 7 7 Total 22 131 153 20 20 1 10 11 ST LOUIS Dual 250 367 617 487 487 276 965 1,241

Non Dual 3 3 424 424 20 20 Total 253 367 620 911 911 296 965 1,261 SCOTT Dual 74 138 212 58 105 13 176 92 272 158 522

Non Dual 1 1 1 23 24 2 101 103 Total 75 138 213 59 105 36 200 94 272 259 625 SHERBURNE Dual 23 115 138 12 25 22 59 20 187 135 342

Non Dual 3 3 3 10 13 3 89 92 Total 26 115 141 15 25 32 72 23 187 224 434 SIBLEY Dual

Non Dual Total






SNBC Non Int Total

STEARNS Dual 96 244 340 71 67 259 397 44 267 311 Non Dual 37 37 8 154 162 4 4

Total 133 244 377 79 67 413 559 48 267 315 STEELE Dual

Non Dual Total STEVENS Dual

Non Dual Total SWIFT Dual 28 109 137

Non Dual Total 28 109 137 TODD Dual 1 73 74 5 92 97

Non Dual Total 1 73 74 5 92 97 TRAVERSE Dual

Non Dual Total WABASHA Dual

Non Dual Total WADENA Dual 8 72 80 7 107 114

Non Dual 1 1 Total 9 72 81 7 107 114 WASECA Dual

Non Dual Total WASHINGTON Dual 82 112 194 124 163 48 335 73 197 260 530

Non Dual 3 3 13 35 48 9 187 196 Total 85 112 197 137 163 83 383 82 197 447 726 WATONWAN Dual 6 37 43 4 5 9

Non Dual 1 1 Total 7 37 44 4 5 9 WILKIN Dual 7 65 72 4 4 4 32 36

Non Dual 9 9 Total 7 65 72 13 13 4 32 36






SNBC Non Int Total

WINONA Dual 111 253 364 3 7 10 Non Dual

Total 111 253 364 3 7 10 WRIGHT Dual 67 212 279 27 28 14 69 37 219 158 414

Non Dual 3 3 2 6 8 9 104 113 Total 70 212 282 29 28 20 77 46 219 262 527 YELLOW Dual 8 82 90 MEDICINA Non Dual 1 1 Total 9 82 91

Health Plan Total Dual 3,424 8,114 11,538 1,843 3,066 2,445 7,354 889 210 463 673 0 3,424 10,912 7,243 21,579 Non Dual 423 0 423 268 0 1,907 2,175 1,115 3 0 3 0 641 0 6,442 7,083

Health Plan Total 3,847 8,114 11,961 2,111 3,066 4,352 9,529 2,004 213 463 676 0 4,065 10,912 13,685 28,662




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 4 45 71 120 0 30 218 0 125 373 Non Dual 45 45 0 2 0 0 75 77

Total 4 45 116 165 0 32 218 0 200 450 ANOKA Dual 152 583 101 602 1,438 0 557 1,557 101 1,357 3,572

Non Dual 26 651 677 0 45 0 0 1,130 1,175 Total 178 583 101 1,253 2,115 0 602 1,557 101 2,487 4,747 BECKER Dual 8 13 130 151 0 114 326 0 184 624

Non Dual 89 89 0 4 0 0 124 128 Total 8 13 219 240 0 118 326 0 308 752 BELTRAMI Dual 301 153 13 278 745 0 301 153 13 278 745

Non Dual 7 191 198 0 7 0 0 191 198 Total 308 153 13 469 943 0 308 153 13 469 943 BENTON Dual 17 63 141 221 0 80 418 0 242 740

Non Dual 3 116 119 0 7 0 0 170 177 Total 20 63 257 340 0 87 418 0 412 917 BIG STONE Dual 21 95 1 35 152 0 21 95 1 35 152

Non Dual 2 24 26 0 2 0 0 24 26 Total 23 95 1 59 178 0 23 95 1 59 178 BLUE EARTH Dual 47 453 328 828 0 143 475 0 328 946

Non Dual 4 205 209 0 8 0 0 205 213 Total 51 453 533 1,037 0 151 475 0 533 1,159 BROWN Dual 72 223 95 82 472 0 72 223 95 82 472

Non Dual 2 61 63 0 2 0 0 61 63 Total 74 223 95 143 535 0 74 223 95 143 535 CARLTON Dual 21 76 142 239 0 98 366 0 207 671

Non Dual 122 122 0 1 0 0 173 174 Total 21 76 264 361 0 99 366 0 380 845 CARVER Dual 24 89 16 95 224 0 119 295 16 202 632

Non Dual 3 72 75 0 4 0 0 152 156 Total 27 89 16 167 299 0 123 295 16 354 788 CASS Dual 18 41 97 156 0 106 182 0 165 453

Non Dual 79 79 0 1 0 0 132 133 Total 18 41 176 235 0 107 182 0 297 586 CHIPPEWA Dual 6 23 43 72 0 28 193 0 43 264

Non Dual 41 41 0 0 0 0 41 41 Total 6 23 84 113 0 28 193 0 84 305





MSC+ MSHO SNBC Int


SNBC Int


SNBC Int


SNBC Int

SNBC Non Int Total

CHISAGO Dual 14 81 184 279 0 83 245 0 245 573 Non Dual 126 126 0 1 0 0 168 169

Total 14 81 310 405 0 84 245 0 413 742 CLAY Dual 5 19 353 377 0 73 495 0 472 1,040

Non Dual 3 232 235 0 31 0 0 297 328 Total 8 19 585 612 0 104 495 0 769 1,368 CLEARWATER Dual 58 98 3 58 217 0 58 98 3 58 217

Non Dual 39 39 0 0 0 0 39 39 Total 58 98 3 97 256 0 58 98 3 97 256 COOK Dual 12 9 21 0 4 47 0 17 68

Non Dual 3 3 0 0 0 0 5 5 Total 12 12 24 0 4 47 0 22 73 COTTONWOOD Dual 11 101 60 172 0 32 145 0 60 237

Non Dual 2 44 46 0 2 0 0 44 46 Total 13 101 104 218 0 34 145 0 104 283 CROW WING Dual 24 158 189 371 0 135 586 0 350 1,071

Non Dual 105 105 0 1 0 0 191 192 Total 24 158 294 476 0 136 586 0 541 1,263 DAKOTA Dual 120 563 90 586 1,359 0 658 1,690 90 1,479 3,917

Non Dual 13 540 553 0 29 0 0 1,157 1,186 Total 133 563 90 1,126 1,912 0 687 1,690 90 2,636 5,103 DODGE Dual 27 90 26 50 193 8 24 32 0 35 114 26 50 225

Non Dual 3 42 45 1 1 0 4 0 0 42 46 Total 30 90 26 92 238 9 24 33 0 39 114 26 92 271 DOUGLAS Dual 60 362 73 225 720 0 60 362 73 225 720

Non Dual 4 119 123 0 4 0 0 119 123 Total 64 362 73 344 843 0 64 362 73 344 843 FARIBAULT Dual 11 53 75 139 0 45 137 0 75 257

Non Dual 58 58 0 0 0 0 58 58 Total 11 53 133 197 0 45 137 0 133 315 FILLMORE Dual 19 75 69 163 0 90 240 0 69 399

Non Dual 29 29 0 3 0 0 29 32 Total 19 75 98 192 0 93 240 0 98 431 FREEBORN Dual 174 174 24 192 564 6 30 36 0 180 204 24 192 600

Non Dual 8 119 127 0 8 0 0 119 127 Total 182 174 24 311 691 6 30 36 0 188 204 24 311 727





MSC+ MSHO SNBC Int


SNBC Int


SNBC Int


SNBC Int

SNBC Non Int Total

GOODHUE Dual 103 365 138 142 748 0 103 365 138 142 748 Non Dual 2 122 124 0 2 0 0 122 124

Total 105 365 138 264 872 0 105 365 138 264 872 GRANT Dual 14 50 7 19 90 0 14 50 7 19 90

Non Dual 16 16 0 0 0 0 16 16 Total 14 50 7 35 106 0 14 50 7 35 106 HENNEPIN Dual 1,096 3,913 413 2,144 7,566 0 3,264 9,041 413 6,266 18,984

Non Dual 620 3,024 3,644 0 1,148 0 0 7,505 8,653 Total 1,716 3,913 413 5,168 11,210 0 4,412 9,041 413 13,771 27,637 HOUSTON Dual 11 68 57 136 0 24 165 0 57 246

Non Dual 29 29 0 0 0 0 29 29 Total 11 68 86 165 0 24 165 0 86 275 HUBBARD Dual 133 67 4 109 313 0 133 67 4 109 313

Non Dual 74 74 0 0 0 0 74 74 Total 133 67 4 183 387 0 133 67 4 183 387 ISANTI Dual 21 92 188 301 0 60 247 0 188 495

Non Dual 129 129 0 3 0 0 129 132 Total 21 92 317 430 0 63 247 0 317 627 ITASCA Dual 295 295 0 210 463 0 295 968

Non Dual 197 197 0 3 0 0 197 200 Total 492 492 0 213 463 0 492 1,168 JACKSON Dual 5 29 20 54 0 16 87 0 20 123

Non Dual 21 21 0 0 0 0 21 21 Total 5 29 41 75 0 16 87 0 41 144 KANABEC Dual 56 126 23 91 296 0 56 126 23 91 296

Non Dual 1 54 55 0 1 0 0 54 55 Total 57 126 23 145 351 0 57 126 23 145 351 KANDIYOHI Dual 17 67 121 205 0 115 340 0 163 618

Non Dual 11 112 123 0 32 0 0 152 184 Total 28 67 233 328 0 147 340 0 315 802 KITTSON Dual 2 18 8 28 0 23 70 0 14 107

Non Dual 5 5 0 0 0 0 8 8 Total 2 18 13 33 0 23 70 0 22 115 KOOCHICHING Dual 11 19 55 85 0 54 178 0 105 337

Non Dual 37 37 0 0 0 0 64 64 Total 11 19 92 122 0 54 178 0 169 401





MSC+ MSHO SNBC Int


SNBC Int


SNBC Int


SNBC Int

SNBC Non Int Total

LAC QUI PARLE Dual 3 13 25 41 0 17 112 0 25 154 Non Dual 12 12 0 0 0 0 12 12

Total 3 13 37 53 0 17 112 0 37 166 LAKE Dual 13 17 17 47 0 53 66 0 42 161

Non Dual 20 20 0 1 0 0 35 36 Total 13 17 37 67 0 54 66 0 77 197 LAKE OF THE WOOD Dual 2 5 7 14 0 32 19 0 7 58

Non Dual 4 4 0 0 0 0 4 4 Total 2 5 11 18 0 32 19 0 11 62 LE SUEUR Dual 10 63 84 157 0 24 156 0 84 264

Non Dual 1 43 44 0 3 0 0 43 46 Total 11 63 127 201 0 27 156 0 127 310 LINCOLN Dual 5 18 21 44 0 27 77 0 21 125

Non Dual 4 4 0 0 0 0 4 4 Total 5 18 25 48 0 27 77 0 25 129 LYON Dual 17 45 101 163 0 53 240 0 101 394

Non Dual 4 78 82 0 9 0 0 78 87 Total 21 45 179 245 0 62 240 0 179 481 MCLEOD Dual 63 292 22 140 517 0 63 292 22 140 517

Non Dual 94 94 0 0 0 0 94 94 Total 63 292 22 234 611 0 63 292 22 234 611 MAHNOMEN Dual 1 1 24 26 0 18 52 0 32 102

Non Dual 1 19 20 0 1 0 0 25 26 Total 2 1 43 46 0 19 52 0 57 128 MARSHALL Dual 2 17 24 43 0 10 78 0 30 118

Non Dual 19 19 0 0 0 0 21 21 Total 2 17 43 62 0 10 78 0 51 139 MARTIN Dual 8 109 194 311 0 30 233 0 194 457

Non Dual 1 76 77 0 3 0 0 76 79 Total 9 109 270 388 0 33 233 0 270 536 MEEKER Dual 33 249 21 64 367 0 33 249 21 64 367

Non Dual 3 49 52 0 3 0 0 49 52 Total 36 249 21 113 419 0 36 249 21 113 419 MILLE LACS Dual 10 69 128 207 0 44 334 0 166 544

Non Dual 68 68 0 1 0 0 104 105 Total 10 69 196 275 0 45 334 0 270 649





MSC+ MSHO SNBC Int


SNBC Int


SNBC Int


SNBC Int

SNBC Non Int Total

MORRISON Dual 93 51 9 188 341 4 33 37 0 127 324 9 188 648 Non Dual 118 118 0 0 0 0 118 118

Total 93 51 9 306 459 4 33 37 0 127 324 9 306 766 MOWER Dual 60 160 236 456 0 185 267 0 236 688

Non Dual 7 150 157 0 29 0 0 150 179 Total 67 160 386 613 0 214 267 0 386 867 MURRAY Dual 1 11 30 42 0 11 88 0 30 129

Non Dual 2 10 12 0 2 0 0 10 12 Total 3 11 40 54 0 13 88 0 40 141 NICOLLET Dual 12 93 103 208 0 52 206 0 103 361

Non Dual 3 64 67 0 10 0 0 64 74 Total 15 93 167 275 0 62 206 0 167 435 NOBLES Dual 13 52 91 156 0 55 195 0 91 341

Non Dual 4 52 56 0 8 0 0 52 60 Total 17 52 143 212 0 63 195 0 143 401 NORMAN Dual 3 4 27 34 0 14 97 0 39 150

Non Dual 14 14 0 0 0 0 22 22 Total 3 4 41 48 0 14 97 0 61 172 OLMSTED Dual 189 493 110 571 1,363 0 438 841 110 571 1,960

Non Dual 26 519 545 0 52 0 0 519 571 Total 215 493 110 1,090 1,908 0 490 841 110 1,090 2,531 OTTER TAIL Dual 20 52 154 226 0 128 660 0 280 1,068

Non Dual 88 88 0 6 0 0 166 172 Total 20 52 242 314 0 134 660 0 446 1,240 PENNINGTON Dual 3 40 69 112 0 22 179 0 79 280

Non Dual 31 31 0 0 0 0 34 34 Total 3 40 100 143 0 22 179 0 113 314 PINE Dual 15 67 148 230 0 73 225 0 199 497

Non Dual 2 103 105 0 5 0 0 140 145 Total 17 67 251 335 0 78 225 0 339 642 PIPESTONE Dual 33 122 14 33 202 0 33 122 14 33 202

Non Dual 28 28 0 0 0 0 28 28 Total 33 122 14 61 230 0 33 122 14 61 230 POLK Dual 12 88 136 236 0 123 413 0 238 774

Non Dual 3 73 76 0 11 0 0 126 137 Total 15 88 209 312 0 134 413 0 364 911





MSC+ MSHO SNBC Int


SNBC Int


SNBC Int


SNBC Int

SNBC Non Int Total

POPE Dual 6 165 16 75 262 0 6 165 16 75 262 Non Dual 33 33 0 0 0 0 33 33

Total 6 165 16 108 295 0 6 165 16 108 295 RAMSEY Dual 484 1,824 367 1,528 4,203 0 2,011 4,285 367 3,399 10,062

Non Dual 499 2,686 3,185 0 970 0 0 4,543 5,513 Total 983 1,824 367 4,214 7,388 0 2,981 4,285 367 7,942 15,575 RED LAKE Dual 9 15 24 0 5 42 0 20 67

Non Dual 8 8 0 0 0 0 11 11 Total 9 23 32 0 5 42 0 31 78 REDWOOD Dual 14 54 56 124 0 48 130 0 56 234

Non Dual 3 39 42 0 3 0 0 39 42 Total 17 54 95 166 0 51 130 0 95 276 RENVILLE Dual 44 112 11 76 243 0 44 112 11 76 243

Non Dual 2 39 41 0 2 0 0 39 41 Total 46 112 11 115 284 0 46 112 11 115 284 RICE Dual 38 112 99 249 0 184 368 0 185 737

Non Dual 14 110 124 0 20 0 0 182 202 Total 52 112 209 373 0 204 368 0 367 939 ROCK Dual 5 24 57 86 0 18 82 0 57 157

Non Dual 14 14 0 2 0 0 14 16 Total 5 24 71 100 0 20 82 0 71 173 ROSEAU Dual 4 40 31 75 0 25 181 0 44 250

Non Dual 11 11 0 2 0 0 18 20 Total 4 40 42 86 0 27 181 0 62 270 ST LOUIS Dual 141 527 1,455 2,123 0 667 1,859 0 1,942 4,468

Non Dual 12 1,128 1,140 0 35 0 0 1,552 1,587 Total 153 527 2,583 3,263 0 702 1,859 0 3,494 6,055 SCOTT Dual 24 91 30 100 245 0 248 606 30 271 1,155

Non Dual 6 138 144 0 10 0 0 262 272 Total 30 91 30 238 389 0 258 606 30 533 1,427 SHERBURNE Dual 12 83 19 135 249 0 67 410 19 292 788

Non Dual 2 107 109 0 11 0 0 206 217 Total 14 83 19 242 358 0 78 410 19 498 1,005 SIBLEY Dual 22 143 16 40 221 0 22 143 16 40 221

Non Dual 5 26 31 0 5 0 0 26 31 Total 27 143 16 66 252 0 27 143 16 66 252





MSC+ MSHO SNBC Int


SNBC Int


SNBC Int


SNBC Int

SNBC Non Int Total

STEARNS Dual 41 150 89 328 608 0 252 728 89 587 1,656 Non Dual 60 465 525 0 109 0 0 619 728

Total 101 150 89 793 1,133 0 361 728 89 1,206 2,384 STEELE Dual 127 234 130 123 614 0 127 234 130 123 614

Non Dual 12 119 131 0 12 0 0 119 131 Total 139 234 130 242 745 0 139 234 130 242 745 STEVENS Dual 14 82 10 37 143 0 14 82 10 37 143

Non Dual 2 20 22 0 2 0 0 20 22 Total 16 82 10 57 165 0 16 82 10 57 165 SWIFT Dual 2 12 45 59 0 30 121 0 45 196

Non Dual 23 23 0 0 0 0 23 23 Total 2 12 68 82 0 30 121 0 68 219 TODD Dual 57 60 14 139 270 2 46 48 0 65 271 14 139 489

Non Dual 1 73 74 0 1 0 0 73 74 Total 58 60 14 212 344 2 46 48 0 66 271 14 212 563 TRAVERSE Dual 7 68 5 24 104 0 7 68 5 24 104

Non Dual 1 14 15 0 1 0 0 14 15 Total 8 68 5 38 119 0 8 68 5 38 119 WABASHA Dual 43 119 22 71 255 12 40 52 0 55 159 22 71 307

Non Dual 33 33 0 0 0 0 33 33 Total 43 119 22 104 288 12 40 52 0 55 159 22 104 340 WADENA Dual 40 38 37 126 241 2 30 32 0 57 247 37 126 467

Non Dual 107 107 0 1 0 0 107 108 Total 40 38 37 233 348 2 30 32 0 58 247 37 233 575 WASECA Dual 53 136 47 63 299 0 53 136 47 63 299

Non Dual 2 53 55 0 2 0 0 53 55 Total 55 136 47 116 354 0 55 136 47 116 354 WASHINGTON Dual 62 291 39 273 665 0 341 763 39 581 1,724

Non Dual 16 242 258 0 41 0 0 464 505 Total 78 291 39 515 923 0 382 763 39 1,045 2,229 WATONWAN Dual 6 46 51 103 0 16 88 0 51 155

Non Dual 1 26 27 0 2 0 0 26 28 Total 7 46 77 130 0 18 88 0 77 183 WILKIN Dual 20 20 0 11 97 0 24 132

Non Dual 7 7 0 0 0 0 16 16 Total 27 27 0 11 97 0 40 148





MSC+ MSHO SNBC Int


SNBC Int


SNBC Int


SNBC Int

SNBC Non Int Total

WINONA Dual 34 93 218 345 0 148 353 0 218 719 Non Dual 1 126 127 0 1 0 0 126 127

Total 35 93 344 472 0 149 353 0 344 846 WRIGHT Dual 24 118 21 129 292 0 155 577 21 301 1,054

Non Dual 7 94 101 0 21 0 0 204 225 Total 31 118 21 223 393 0 176 577 21 505 1,279 YELLOW Dual 5 23 36 64 0 13 105 0 36 154 MEDICINA Non Dual 1 32 33 0 2 0 0 32 34 Total 6 23 68 97 0 15 105 0 68 188

Health Plan Total Dual 787 1,915 200 1,173 4,075 867 1,759 581 1,307 4,514 0 2,993 11,771 1,295 12,828 28,887 0 13,548 38,000 2,076 25,885 79,509 Non Dual 21 0 0 740 761 36 0 0 927 963 0 1,362 0 0 12,814 14,176 0 2,754 0 0 23,945 26,699

Health Plan Total 808 1,915 200 1,913 4,836 903 1,759 581 2,234 5,477 0 4,355 11,771 1,295 25,642 43,063 0 16,302 38,000 2,076 49,830 106,208


October 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 10 33 72 5 23

NF/ICF-DD 3 29 1 17 BI-NF Waiver CADI Waiver 1 5 1 DD Waiver 2 6 1 Elderly Waiver 7 45 2 22

AITKIN Total 21 109 84 7 64 ANOKA Comm Well 50 47 97 99 63 104 212 652

NF/ICF-DD 10 34 2 14 15 80 27 BI-NB Waiver 1 BI-NF Waiver 1 2 8 CAC Waiver 2 CADI Waiver 3 11 1 7 10 7 25 311 DD Waiver 2 1 11 4 149 Elderly Waiver 36 126 34 97 60 217

ANOKA Total 102 219 134 217 84 188 538 1,150 BECKER Comm Well 32 23 66 16 45

NF/ICF-DD 18 49 4 10 48 BI-NF Waiver CADI Waiver 2 4 16 2 DD Waiver 1 1 3 Elderly Waiver 20 82 11 59

BECKER Total 73 159 89 37 154 BELTRAMI Comm Well

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

BELTRAMI Total BENTON Comm Well 22 16 10 7 116 6 28

NF/ICF-DD 6 67 1 3 2 3 75 BI-NF Waiver 1 CADI Waiver 1 2 24 4 DD Waiver 7 1 13 1 1 Elderly Waiver 8 81 2 11 4 54

BENTON Total 36 172 17 21 155 14 162 BIG STONE Comm Well

NF/ICF-DD CADI Waiver DD Waiver Elderly Waiver

BIG STONE Total

Comm/Non-NHC: Community resident w/no waiver 26 of 58 Institutional - SNF/ICF-DD Comm/NHC - Community resident with elderly waiver services 10/4/2017 CAC,CADI, RC/DD, TBI - HCB Waiver Services


Waiver Status


Hennepin Health


MSC+ MSHO MSC+ MSHO SNBC SNBC MSC+ MSHO MHM MSC+ MSHO SNBC BLUE EARTH Comm Well 25 4 4

NF/ICF-DD 23 3 5 BI-NB Waiver BI-NF Waiver CAC Waiver CADI Waiver 6 DD Waiver 6 1 1 Elderly Waiver 30 2 12

BLUE EARTH Total 90 10 22 BROWN Comm Well

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

BROWN Total CARLTON Comm Well 12 19 79 11 37

NF/ICF-DD 10 25 12 39 BI-NB Waiver BI-NF Waiver 1 CADI Waiver 1 2 27 1 2 DD Waiver 3 9 1 2 Elderly Waiver 15 74 15 87

CARLTON Total 38 123 116 40 167 CARVER Comm Well 14 12 12 7 13 11 17 90

NF/ICF-DD 9 22 6 8 5 10 5 BI-NF Waiver 1 CADI Waiver 1 5 1 5 48 DD Waiver 1 2 1 25 Elderly Waiver 19 40 4 27 13 55

CARVER Total 42 75 22 43 19 32 88 168 CASS Comm Well 38 36 101 14 29

NF/ICF-DD 12 8 1 3 6 BI-NB Waiver BI-NF Waiver 1 1 CADI Waiver 1 3 9 1 DD Waiver 1 4 9 2 Elderly Waiver 14 33 3 21

CASS Total 66 84 121 23 57



Waiver Status


Hennepin Health


MSC+ MSHO MSC+ MSHO SNBC SNBC MSC+ MSHO MHM MSC+ MSHO SNBC CHIPPEWA Comm Well 9 26

NF/ICF-DD 4 85 CADI Waiver DD Waiver 1 4 Elderly Waiver 8 55

CHIPPEWA Total 22 170 CHISAGO Comm Well 10 8 6 6 60 6 18

NF/ICF-DD 7 7 5 4 3 2 28 BI-NB Waiver 1 BI-NF Waiver 1 CADI Waiver 3 1 20 2 3 DD Waiver 1 1 19 1 1 Elderly Waiver 14 36 5 10 10 38

CHISAGO Total 32 55 16 21 103 22 88 CLAY Comm Well 28 67 139 11 66

NF/ICF-DD 10 65 2 7 38 BI-NF Waiver 1 CAC Waiver 1 CADI Waiver 1 5 29 1 15 DD Waiver 1 2 12 4 Elderly Waiver 22 127 15 87

CLAY Total 62 266 184 34 210 CLEARWATER Comm Well


CLEARWATER Total COOK Comm Well 2 16 8

NF/ICF-DD 2 10 CADI Waiver 1 DD Waiver 1 Elderly Waiver 9

COOK Total 4 35 10 COTTONWOOD Comm Well 11 7

NF/ICF-DD 5 21 BI-NF Waiver CADI Waiver DD Waiver Elderly Waiver 5 16

COTTONWOOD Total 21 44



Waiver Status


Hennepin Health


MSC+ MSHO MSC+ MSHO SNBC SNBC MSC+ MSHO MHM MSC+ MSHO SNBC CROW WING Comm Well 46 71 204 14 53

NF/ICF-DD 9 35 3 6 28 BI-NB Waiver BI-NF Waiver CAC Waiver CADI Waiver 2 1 28 2 7 DD Waiver 2 4 12 1 3 Elderly Waiver 18 102 12 124

CROW WING Total 77 213 247 35 215 DAKOTA Comm Well 84 76 108 110 74 72 176 703

NF/ICF-DD 18 51 11 35 21 103 16 BI-NB Waiver 2 1 1 4 BI-NF Waiver 2 1 1 24 CAC Waiver 6 CADI Waiver 9 8 4 1 39 19 40 463 DD Waiver 5 1 2 1 6 4 6 175 Elderly Waiver 90 139 29 118 72 260

DAKOTA Total 210 275 155 265 119 189 587 1,391 DODGE Comm Well


DODGE Total DOUGLAS Comm Well


DOUGLAS Total FARIBAULT Comm Well 10 22 1 5

NF/ICF-DD 12 25 2 2 CADI Waiver 2 DD Waiver 3 Elderly Waiver 6 28

FARIBAULT Total 31 77 3 7 FILLMORE Comm Well 19 23 2 1

NF/ICF-DD 32 68 3 5 BI-NF Waiver CADI Waiver DD Waiver 3 2 Elderly Waiver 14 64 1 2

FILLMORE Total 68 157 6 8



Waiver Status


Hennepin Health


MSC+ MSHO MSC+ MSHO SNBC SNBC MSC+ MSHO MHM MSC+ MSHO SNBC FREEBORN Comm Well

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

FREEBORN Total GOODHUE Comm Well

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

GOODHUE Total GRANT Comm Well

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

GRANT Total HENNEPIN Comm Well 485 391 323 1,433 893 1,169 4,060

NF/ICF-DD 147 176 11 48 252 694 217 BI-NB Waiver 3 5 BI-NF Waiver 2 2 5 1 7 43 CAC Waiver 1 1 7 CADI Waiver 22 16 64 401 97 170 1,377 DD Waiver 16 5 17 113 20 58 472 Elderly Waiver 146 466 617 1,974

HENNEPIN Total 816 1,056 418 2,004 1,880 4,072 6,181 HOUSTON Comm Well 4 15 5

NF/ICF-DD 5 28 1 7 CADI Waiver DD Waiver 3 2 Elderly Waiver 3 31 6

HOUSTON Total 12 77 1 20 HUBBARD Comm Well


HUBBARD Total



Waiver Status


Hennepin Health


MSC+ MSHO MSC+ MSHO SNBC SNBC MSC+ MSHO MHM MSC+ MSHO SNBC ISANTI Comm Well 9 6 5 25

NF/ICF-DD 8 15 7 49 BI-NF Waiver 1 CADI Waiver 1 DD Waiver Elderly Waiver 6 20 6 39

ISANTI Total 23 41 19 114 ITASCA Comm Well 111 139

NF/ICF-DD 36 103 BI-NB Waiver BI-NF Waiver CADI Waiver 5 5 DD Waiver 1 9 Elderly Waiver 60 207

ITASCA Total 213 463 JACKSON Comm Well 3 8

NF/ICF-DD 3 24 CADI Waiver DD Waiver Elderly Waiver 5 26

JACKSON Total 11 58 KANABEC Comm Well


KANABEC Total KANDIYOHI Comm Well 65 42 64

NF/ICF-DD 11 135 1 BI-NF Waiver 1 1 CADI Waiver 10 5 8 DD Waiver 20 5 8 Elderly Waiver 12 86

KANDIYOHI Total 119 273 82 KITTSON Comm Well 6 11 7

NF/ICF-DD 8 27 1 2 CADI Waiver 1 DD Waiver 3 Elderly Waiver 4 12

KITTSON Total 21 50 9 2



Waiver Status


Hennepin Health


MSC+ MSHO MSC+ MSHO SNBC SNBC MSC+ MSHO MHM MSC+ MSHO SNBC KOOCHICHING Comm Well 13 15 58 13 51

NF/ICF-DD 4 20 2 2 36 CADI Waiver 7 1 DD Waiver 10 6 Elderly Waiver 3 15 8 15

KOOCHICHING Total 20 50 77 23 109 LAC QUI PARLE Comm Well 5 8 4

NF/ICF-DD 3 52 1 2 BI-NF Waiver CADI Waiver 1 DD Waiver 1 Elderly Waiver 4 32

LAC QUI PARLE Total 13 93 1 6 LAKE Comm Well 11 4 26 3 8

NF/ICF-DD 7 7 1 4 BI-NF Waiver 1 CADI Waiver 7 1 DD Waiver 1 6 Elderly Waiver 16 20 2 5

LAKE Total 34 32 40 7 17 LAKE OF THE WOODS Comm Well 11 3

NF/ICF-DD 13 5 1 CADI Waiver 1 DD Waiver Elderly Waiver 6 4

LAKE OF THE WOODS Total 30 13 1 LE SUEUR Comm Well 5 9 1

NF/ICF-DD 1 25 2 1 CADI Waiver DD Waiver 1 1 Elderly Waiver 7 51 5

LE SUEUR Total 13 86 3 7 LINCOLN Comm Well 7 10

NF/ICF-DD 11 33 CADI Waiver DD Waiver 4 Elderly Waiver 4 12

LINCOLN Total 22 59 LYON Comm Well 20 29

NF/ICF-DD 7 62 CAC Waiver CADI Waiver 3 DD Waiver 2 8 Elderly Waiver 12 93

LYON Total 41 195



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 4 7 13 1 6

BI-NF Waiver 3 10 3 2 CAC Waiver 1 CADI Waiver 1 1 1 DD Waiver 1 2 Elderly Waiver 3 16 1 6

MAHNOMEN Total 11 34 14 6 17 MARSHALL Comm Well 6 15 5 1

NF/ICF-DD 1 17 1 CADI Waiver 2 DD Waiver 4 1 Elderly Waiver 1 22 1

MARSHALL Total 8 58 8 3 MARTIN Comm Well 15 33

NF/ICF-DD 3 36 BI-NF Waiver CAC Waiver CADI Waiver 3 DD Waiver 3 2 Elderly Waiver 3 50

MARTIN Total 24 124 MEEKER Comm Well


MEEKER Total MILLE LACS Comm Well 11 18 54 6 57

NF/ICF-DD 6 40 5 61 BI-NB Waiver BI-NF Waiver 1 CAC Waiver 1 CADI Waiver 12 DD Waiver 6 1 4 Elderly Waiver 3 45 3 40

MILLE LACS Total 20 103 74 15 162



Waiver Status


Hennepin Health


MSC+ MSHO MSC+ MSHO SNBC SNBC MSC+ MSHO MHM MSC+ MSHO SNBC MORRISON Comm Well 10 31 4 24

NF/ICF-DD 4 19 3 41 BI-NB Waiver BI-NF Waiver CAC Waiver CADI Waiver DD Waiver 1 4 Elderly Waiver 3 57 6 63

MORRISON Total 17 108 13 132 MOWER Comm Well 41 18 8 3

NF/ICF-DD 24 14 4 BI-NF Waiver CAC Waiver CADI Waiver DD Waiver 4 2 2 Elderly Waiver 62 58 4 10

MOWER Total 131 92 16 15 MURRAY Comm Well 3 15

NF/ICF-DD 6 32 CADI Waiver DD Waiver 3 Elderly Waiver 1 27

MURRAY Total 10 77 NICOLLET Comm Well 27 19 2

NF/ICF-DD 7 17 2 BI-NF Waiver CAC Waiver 1 CADI Waiver 1 DD Waiver 1 2 1 Elderly Waiver 11 69

NICOLLET Total 47 108 5 NOBLES Comm Well 33 55

NF/ICF-DD 7 30 CADI Waiver 1 DD Waiver 1 7 Elderly Waiver 5 50

NOBLES Total 46 143 NORMAN Comm Well 3 9 16 2 7

NF/ICF-DD 1 19 1 1 30 CADI Waiver 2 DD Waiver 1 1 Elderly Waiver 3 18 1 9

NORMAN Total 7 47 20 4 46



Waiver Status


Hennepin Health


MSC+ MSHO MSC+ MSHO SNBC SNBC MSC+ MSHO MHM MSC+ MSHO SNBC OLMSTED Comm Well 107 123 12 20

NF/ICF-DD 48 60 6 5 BI-NF Waiver CAC Waiver CADI Waiver 1 1 1 DD Waiver 2 7 Elderly Waiver 91 124 7 8

OLMSTED Total 249 315 26 33 OTTER TAIL Comm Well 40 64 130 10 50

NF/ICF-DD 16 151 3 7 71 BI-NB Waiver 1 BI-NF Waiver 2 CAC Waiver CADI Waiver 4 47 1 7 DD Waiver 3 8 21 5 5 Elderly Waiver 21 166 11 82

OTTER TAIL Total 80 393 204 34 215 PENNINGTON Comm Well 8 28 11 2 8

NF/ICF-DD 2 42 2 CADI Waiver 1 1 DD Waiver 2 1 1 1 1 Elderly Waiver 4 52 4

PENNINGTON Total 16 124 13 3 15 PINE Comm Well 22 27 69 9 30

NF/ICF-DD 4 2 1 2 11 BI-NF Waiver CADI Waiver 1 14 1 DD Waiver 1 4 3 5 Elderly Waiver 9 52 10 30

PINE Total 36 82 88 25 76 PIPESTONE Comm Well


PIPESTONE Total POLK Comm Well 26 45 102 18 18

NF/ICF-DD 19 107 1 11 24 BI-NB Waiver BI-NF Waiver 1 CADI Waiver 1 5 31 1 2 DD Waiver 2 1 20 2 Elderly Waiver 31 91 8 32

POLK Total 79 249 155 40 76



Waiver Status


Hennepin Health


MSC+ MSHO MSC+ MSHO SNBC SNBC MSC+ MSHO MHM MSC+ MSHO SNBC POPE Comm Well


POPE Total RAMSEY Comm Well 318 134 365 382 311 252 292 2,346

NF/ICF-DD 91 69 104 168 7 83 144 97 BI-NB Waiver 2 BI-NF Waiver 1 2 1 1 19 CAC Waiver 1 CADI Waiver 18 10 28 27 34 39 50 676 DD Waiver 13 4 14 6 12 23 23 222 Elderly Waiver 269 229 119 472 258 451

RAMSEY Total 710 446 632 1,055 365 656 960 3,363 RED LAKE Comm Well 2 10 7 1

NF/ICF-DD 2 1 CADI Waiver DD Waiver 1 Elderly Waiver 1 20 1

RED LAKE Total 3 33 8 2 REDWOOD Comm Well 12 12

NF/ICF-DD 9 33 CADI Waiver 2 1 DD Waiver 3 8 Elderly Waiver 8 22

REDWOOD Total 34 76 RENVILLE Comm Well


RENVILLE Total RICE Comm Well 34 22 14 19 93

NF/ICF-DD 15 36 6 26 6 BI-NF Waiver 1 CADI Waiver 6 3 1 2 34 DD Waiver 11 4 3 3 24 Elderly Waiver 48 109 14 32

RICE Total 114 174 38 82 158



Waiver Status


Hennepin Health


MSC+ MSHO MSC+ MSHO SNBC SNBC MSC+ MSHO MHM MSC+ MSHO SNBC ROCK Comm Well 2 12

NF/ICF-DD 8 23 BI-NB Waiver BI-NF Waiver CADI Waiver 1 DD Waiver 1 Elderly Waiver 5 21

ROCK Total 15 58 ROSEAU Comm Well 7 17 16 4

NF/ICF-DD 10 64 2 1 1 CADI Waiver 1 DD Waiver 1 2 1 Elderly Waiver 4 48 5

ROSEAU Total 22 131 20 1 10 ST LOUIS Comm Well 56 45 565 104 245

NF/ICF-DD 93 95 9 81 202 BI-NB Waiver 19 1 BI-NF Waiver 1 18 2 1 CAC Waiver 2 CADI Waiver 4 4 184 9 25 DD Waiver 6 4 114 3 24 Elderly Waiver 93 219 96 468

ST LOUIS Total 253 367 911 296 965 SCOTT Comm Well 31 36 46 52 21 36 85 127

NF/ICF-DD 14 41 6 12 11 58 27 BI-NF Waiver 1 CAC Waiver 1 CADI Waiver 3 9 4 5 69 DD Waiver 1 6 1 1 34 Elderly Waiver 30 60 4 41 42 123

SCOTT Total 75 138 59 105 36 94 272 259 SHERBURNE Comm Well 12 18 8 11 24 12 38 111

NF/ICF-DD 8 41 2 10 3 56 15 BI-NB Waiver 1 BI-NF Waiver 6 CADI Waiver 2 6 2 57 DD Waiver 1 1 1 2 5 34 Elderly Waiver 5 53 4 4 8 86

SHERBURNE Total 26 115 15 25 32 23 187 224 SIBLEY Comm Well


SIBLEY Total



Waiver Status


Hennepin Health


MSC+ MSHO MSC+ MSHO SNBC SNBC MSC+ MSHO MHM MSC+ MSHO SNBC STEARNS Comm Well 70 48 44 24 301 21 122

NF/ICF-DD 24 75 5 8 2 10 43 BI-NB Waiver BI-NF Waiver 1 CAC Waiver CADI Waiver 1 2 4 4 55 2 8 DD Waiver 3 4 5 54 7 Elderly Waiver 35 115 21 31 15 87

STEARNS Total 133 244 79 67 413 48 267 STEELE Comm Well

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

STEELE Total STEVENS Comm Well


STEVENS Total SWIFT Comm Well 11 26

NF/ICF-DD 9 31 BI-NF Waiver 1 CADI Waiver 1 1 DD Waiver 1 Elderly Waiver 6 50

SWIFT Total 28 109 TODD Comm Well 13 2 29

NF/ICF-DD 34 26 BI-NF Waiver CAC Waiver CADI Waiver 1 DD Waiver 1 2 Elderly Waiver 1 25 2 35

TODD Total 1 73 5 92



Waiver Status


Hennepin Health


MSC+ MSHO MSC+ MSHO SNBC SNBC MSC+ MSHO MHM MSC+ MSHO SNBC TRAVERSE Comm Well


TRAVERSE Total WABASHA Comm Well


WABASHA Total WADENA Comm Well 3 14 4 29

NF/ICF-DD 5 35 3 37 BI-NF Waiver CADI Waiver 1 2 3 DD Waiver 2 Elderly Waiver 21 36

WADENA Total 9 72 7 107 WASECA Comm Well


WASECA Total WASHINGTON Comm Well 32 33 81 58 55 35 50 274

NF/ICF-DD 20 17 27 26 3 19 34 1 BI-NB Waiver BI-NF Waiver 1 1 2 CAC Waiver 1 CADI Waiver 4 3 1 2 13 6 8 99 DD Waiver 2 1 1 1 12 1 3 70 Elderly Waiver 26 58 27 76 20 102

WASHINGTON Total 85 112 137 163 83 82 197 447 WATONWAN Comm Well 4 10 2 1

NF/ICF-DD 3 16 1 4 CADI Waiver DD Waiver Elderly Waiver 11 1

WATONWAN Total 7 37 4 5



Waiver Status


Hennepin Health


MSC+ MSHO MSC+ MSHO SNBC SNBC MSC+ MSHO MHM MSC+ MSHO SNBC WILKIN Comm Well 1 17 9 2 8

NF/ICF-DD 2 21 2 13 CADI Waiver 3 DD Waiver 1 4 Elderly Waiver 4 27 7

WILKIN Total 7 65 13 4 32 WINONA Comm Well 40 42 2 2

NF/ICF-DD 25 84 2 CAC Waiver CADI Waiver 2 10 1 DD Waiver 5 6 Elderly Waiver 39 111 3

WINONA Total 111 253 3 7 WRIGHT Comm Well 22 44 12 11 12 19 51 137

NF/ICF-DD 14 57 3 2 1 8 70 4 BI-NB Waiver 1 2 BI-NF Waiver 2 CAC Waiver 1 CADI Waiver 1 3 1 4 2 6 86 DD Waiver 1 2 6 30 Elderly Waiver 33 107 13 15 17 86

WRIGHT Total 70 212 29 28 20 46 219 262 YELLOW MEDICINE Comm Well 4 14

NF/ICF-DD 2 36 CADI Waiver DD Waiver Elderly Waiver 3 32

YELLOW MEDICINE Total 9 82 0 Plan Total Comm Well 1,598 1,736 1,274 1,158 3,130 1,433 111 139 0 1,769 3,178 8,657

NF/ICF-DD 771 2,430 319 466 61 48 36 103 0 625 2,244 416 BI-NB Waiver 2 0 1 0 21 3 0 0 0 2 1 15 BI-NF Waiver 11 10 3 3 31 5 0 0 0 12 12 107 CAC Waiver 1 0 0 0 5 1 0 0 0 0 1 19 CADI Waiver 79 110 66 58 711 401 5 5 0 202 394 3,228 DD Waiver 116 134 40 13 393 113 1 9 0 77 194 1,243 Elderly Waiver 1,269 3,694 408 1,368 0 0 60 207 0 1,378 4,888 0

Plan Total 3,847 8,114 2,111 3,066 4,352 2,004 213 463 0 4,065 10,912 13,685



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 2 20 85 0 17 76 157 250

NF/ICF-DD 2 10 1 0 5 56 2 63 BI-NF Waiver 2 0 0 0 2 2 CADI Waiver 1 16 0 1 2 21 24 DD Waiver 1 12 0 0 4 18 22 Elderly Waiver 13 0 9 80 0 89

AITKIN Total 4 45 116 0 32 218 200 450 ANOKA Comm Well 97 233 856 0 348 591 1,571 2,510

NF/ICF-DD 6 59 20 0 33 187 47 267 BI-NB Waiver 0 0 0 1 1 BI-NF Waiver 1 16 0 3 1 24 28 CAC Waiver 2 0 0 0 4 4 CADI Waiver 11 22 291 0 22 65 612 699 DD Waiver 4 169 0 2 9 329 340 Elderly Waiver 64 264 0 194 704 0 898

ANOKA Total 178 583 1,354 0 602 1,557 2,588 4,747 BECKER Comm Well 2 7 146 0 50 75 212 337

NF/ICF-DD 5 3 5 0 33 100 9 142 BI-NF Waiver 1 0 0 0 1 1 CADI Waiver 48 0 2 6 64 72 DD Waiver 1 1 19 0 2 2 22 26 Elderly Waiver 2 0 31 143 0 174

BECKER Total 8 13 219 0 118 326 308 752 BELTRAMI Comm Well 147 33 398 0 147 33 398 578

NF/ICF-DD 41 41 8 0 41 41 8 90 BI-NB Waiver 1 0 0 0 1 1 CADI Waiver 2 1 51 0 2 1 51 54 DD Waiver 5 3 24 0 5 3 24 32 Elderly Waiver 113 75 0 113 75 0 188

BELTRAMI Total 308 153 482 0 308 153 482 943 BENTON Comm Well 11 25 188 0 49 76 304 429

NF/ICF-DD 4 23 3 0 14 168 5 187 BI-NF Waiver 3 0 1 0 3 4 CADI Waiver 1 3 43 0 3 8 67 78 DD Waiver 20 0 2 8 33 43 Elderly Waiver 4 12 0 18 158 0 176

BENTON Total 20 63 257 0 87 418 412 917 BIG STONE Comm Well 8 23 34 0 8 23 34 65

NF/ICF-DD 9 37 8 0 9 37 8 54 CADI Waiver 1 17 0 1 0 17 18 DD Waiver 2 1 0 0 2 1 3 Elderly Waiver 5 33 0 5 33 0 38

BIG STONE Total 23 95 60 0 23 95 60 178



Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC Total BLUE EARTH Comm Well 18 158 392 0 47 162 392 601

NF/ICF-DD 7 81 14 0 33 86 14 133 BI-NB Waiver 1 0 0 0 1 1 BI-NF Waiver 1 6 0 1 0 6 7 CAC Waiver 1 0 0 0 1 1 CADI Waiver 4 14 68 0 10 14 68 92 DD Waiver 2 25 51 0 9 26 51 86 Elderly Waiver 19 175 0 51 187 0 238

BLUE EARTH Total 51 453 533 0 151 475 533 1,159 BROWN Comm Well 28 36 138 0 28 36 138 202

NF/ICF-DD 33 77 5 0 33 77 5 115 BI-NF Waiver 3 0 0 0 3 3 CAC Waiver 1 0 0 0 1 1 CADI Waiver 13 42 0 0 13 42 55 DD Waiver 2 6 49 0 2 6 49 57 Elderly Waiver 11 91 0 11 91 0 102

BROWN Total 74 223 238 0 74 223 238 535 CARLTON Comm Well 8 14 184 0 31 70 263 364

NF/ICF-DD 3 18 6 0 25 82 6 113 BI-NB Waiver 1 2 0 1 0 2 3 BI-NF Waiver 1 0 0 0 2 2 CADI Waiver 3 40 0 2 7 67 76 DD Waiver 1 31 0 1 6 40 47 Elderly Waiver 9 40 0 39 201 0 240

CARLTON Total 21 76 264 0 99 366 380 845 CARVER Comm Well 8 20 115 0 45 56 218 319

NF/ICF-DD 8 24 13 0 28 64 18 110 BI-NF Waiver 0 0 1 0 1 CADI Waiver 4 4 36 0 5 10 89 104 DD Waiver 1 19 0 2 2 45 49 Elderly Waiver 7 40 0 43 162 0 205

CARVER Total 27 89 183 0 123 295 370 788 CASS Comm Well 7 27 139 0 59 92 240 391

NF/ICF-DD 2 2 1 0 17 16 2 35 BI-NB Waiver 3 0 0 0 3 3 BI-NF Waiver 1 0 1 0 2 3 CADI Waiver 1 23 0 2 4 32 38 DD Waiver 1 1 9 0 4 5 18 27 Elderly Waiver 7 11 0 24 65 0 89

CASS Total 18 41 176 0 107 182 297 586



Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC Total CHIPPEWA Comm Well 4 7 59 0 13 33 59 105

NF/ICF-DD 1 6 5 0 5 91 5 101 CADI Waiver 11 0 0 0 11 11 DD Waiver 1 3 9 0 2 7 9 18 Elderly Waiver 7 0 8 62 0 70

CHIPPEWA Total 6 23 84 0 28 193 84 305 CHISAGO Comm Well 4 24 163 0 26 56 223 305

NF/ICF-DD 1 23 7 0 15 62 10 87 BI-NB Waiver 3 0 1 0 3 4 BI-NF Waiver 0 0 0 1 1 CADI Waiver 3 76 0 5 7 96 108 DD Waiver 2 61 0 2 4 80 86 Elderly Waiver 6 32 0 35 116 0 151

CHISAGO Total 14 81 310 0 84 245 413 742 CLAY Comm Well 3 8 381 0 42 141 520 703

NF/ICF-DD 4 6 0 17 107 8 132 BI-NF Waiver 4 0 0 0 5 5 CAC Waiver 0 0 0 1 1 CADI Waiver 2 2 130 0 4 22 159 185 DD Waiver 64 0 1 6 76 83 Elderly Waiver 3 5 0 40 219 0 259

CLAY Total 8 19 585 0 104 495 769 1,368 CLEARWATER Comm Well 20 36 81 0 20 36 81 137

NF/ICF-DD 21 27 8 0 21 27 8 56 CADI Waiver 7 0 0 0 7 7 DD Waiver 1 4 0 1 0 4 5 Elderly Waiver 16 35 0 16 35 0 51

CLEARWATER Total 58 98 100 0 58 98 100 256 COOK Comm Well 8 6 0 2 24 14 40

NF/ICF-DD 1 0 2 10 1 13 CADI Waiver 3 0 0 0 4 4 DD Waiver 2 0 0 0 3 3 Elderly Waiver 4 0 0 13 0 13

COOK Total 12 12 0 4 47 22 73 COTTONWOOD Comm Well 6 21 78 0 17 28 78 123

NF/ICF-DD 2 45 2 0 7 66 2 75 BI-NF Waiver 3 0 0 0 3 3 CADI Waiver 8 0 0 0 8 8 DD Waiver 1 3 13 0 1 3 13 17 Elderly Waiver 4 32 0 9 48 0 57

COTTONWOOD Total 13 101 104 0 34 145 104 283



Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC Total CROW WING Comm Well 15 53 240 0 75 177 444 696

NF/ICF-DD 2 22 4 0 17 85 7 109 BI-NB Waiver 0 0 0 0 0 BI-NF Waiver 1 0 0 0 1 1 CAC Waiver 0 0 0 0 0 CADI Waiver 2 3 25 0 6 11 53 70 DD Waiver 1 24 0 3 8 36 47 Elderly Waiver 5 79 0 35 305 0 340

CROW WING Total 24 158 294 0 136 586 541 1,263 DAKOTA Comm Well 65 192 684 0 329 554 1,461 2,344

NF/ICF-DD 12 69 7 0 62 258 23 343 BI-NB Waiver 2 0 3 1 6 10 BI-NF Waiver 1 1 13 0 4 2 37 43 CAC Waiver 3 0 0 0 9 9 CADI Waiver 14 30 351 0 46 79 853 978 DD Waiver 3 8 156 0 14 16 337 367 Elderly Waiver 38 263 0 229 780 0 1,009

DAKOTA Total 133 563 1,216 0 687 1,690 2,726 5,103 DODGE Comm Well 14 20 67 4 3 0 18 23 67 108

NF/ICF-DD 9 16 2 3 8 0 12 24 2 38 CADI Waiver 2 22 0 2 0 22 24 DD Waiver 5 27 0 0 5 27 32 Elderly Waiver 5 49 2 13 0 7 62 0 69

DODGE Total 30 90 118 9 24 0 39 114 118 271 DOUGLAS Comm Well 29 79 296 0 29 79 296 404

NF/ICF-DD 16 108 14 0 16 108 14 138 BI-NF Waiver 2 0 0 0 2 2 CAC Waiver 1 0 0 0 1 1 CADI Waiver 2 8 73 0 2 8 73 83 DD Waiver 3 8 31 0 3 8 31 42 Elderly Waiver 14 159 0 14 159 0 173

DOUGLAS Total 64 362 417 0 64 362 417 843 FARIBAULT Comm Well 3 20 100 0 14 47 100 161

NF/ICF-DD 4 6 1 0 18 33 1 52 CADI Waiver 2 1 14 0 2 3 14 19 DD Waiver 1 1 18 0 4 1 18 23 Elderly Waiver 1 25 0 7 53 0 60

FARIBAULT Total 11 53 133 0 45 137 133 315 FILLMORE Comm Well 8 17 68 0 29 41 68 138

NF/ICF-DD 8 23 6 0 43 96 6 145 BI-NF Waiver 1 0 0 0 1 1 CADI Waiver 2 18 0 0 2 18 20 DD Waiver 2 5 0 3 4 5 12 Elderly Waiver 3 31 0 18 97 0 115

FILLMORE Total 19 75 98 0 93 240 98 431



Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC Total FREEBORN Comm Well 68 49 227 3 12 0 71 61 227 359

NF/ICF-DD 58 58 6 1 8 0 59 66 6 131 BI-NB Waiver 1 0 0 0 1 1 CAC Waiver 1 0 0 0 1 1 CADI Waiver 5 2 51 0 5 2 51 58 DD Waiver 6 7 49 0 6 7 49 62 Elderly Waiver 45 58 2 10 0 47 68 0 115

FREEBORN Total 182 174 335 6 30 0 188 204 335 727 GOODHUE Comm Well 34 84 187 0 34 84 187 305

NF/ICF-DD 36 138 26 0 36 138 26 200 BI-NF Waiver 0 0 0 0 0 CADI Waiver 3 8 91 0 3 8 91 102 DD Waiver 15 98 0 0 15 98 113 Elderly Waiver 32 120 0 32 120 0 152

GOODHUE Total 105 365 402 0 105 365 402 872 GRANT Comm Well 7 9 30 0 7 9 30 46

NF/ICF-DD 1 13 0 1 13 0 14 BI-NB Waiver 1 0 0 0 1 1 CADI Waiver 1 7 0 1 0 7 8 DD Waiver 1 5 4 0 1 5 4 10 Elderly Waiver 4 23 0 4 23 0 27

GRANT Total 14 50 42 0 14 50 42 106 HENNEPIN Comm Well 692 1,036 3,770 0 2,070 2,596 9,586 14,252

NF/ICF-DD 177 490 149 0 576 1,360 425 2,361 BI-NB Waiver 2 4 0 0 2 12 14 BI-NF Waiver 3 1 42 0 4 10 92 106 CAC Waiver 5 0 0 0 14 14 CADI Waiver 117 157 1,285 0 236 343 3,127 3,706 DD Waiver 7 25 326 0 43 88 928 1,059 Elderly Waiver 720 2,202 0 1,483 4,642 0 6,125

HENNEPIN Total 1,716 3,913 5,581 0 4,412 9,041 14,184 27,637 HOUSTON Comm Well 8 15 65 0 12 35 65 112


HOUSTON Total 11 68 86 0 24 165 86 275 HUBBARD Comm Well 74 34 168 0 74 34 168 276

NF/ICF-DD 12 11 3 0 12 11 3 26 CADI Waiver 2 10 0 2 0 10 12 DD Waiver 1 2 6 0 1 2 6 9 Elderly Waiver 44 20 0 44 20 0 64

HUBBARD Total 133 67 187 0 133 67 187 387



Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC Total ISANTI Comm Well 12 22 210 0 26 53 210 289

NF/ICF-DD 4 30 5 0 19 94 5 118 BI-NF Waiver 1 1 0 0 2 1 3 CADI Waiver 2 2 74 0 3 2 74 79 DD Waiver 1 27 0 0 1 27 28 Elderly Waiver 3 36 0 15 95 0 110

ISANTI Total 21 92 317 0 63 247 317 627 ITASCA Comm Well 388 0 111 139 388 638

NF/ICF-DD 6 0 36 103 6 145 BI-NB Waiver 1 0 0 0 1 1 BI-NF Waiver 6 0 0 0 6 6 CADI Waiver 73 0 5 5 73 83 DD Waiver 18 0 1 9 18 28 Elderly Waiver 0 60 207 0 267

ITASCA Total 492 0 213 463 492 1,168 JACKSON Comm Well 2 8 31 0 5 16 31 52

NF/ICF-DD 1 5 0 4 29 0 33 CADI Waiver 1 2 7 0 1 2 7 10 DD Waiver 3 0 0 0 3 3 Elderly Waiver 1 14 0 6 40 0 46

JACKSON Total 5 29 41 0 16 87 41 144 KANABEC Comm Well 41 33 127 0 41 33 127 201

NF/ICF-DD 7 29 1 0 7 29 1 37 BI-NF Waiver 0 0 0 0 0 CADI Waiver 2 29 0 0 2 29 31 DD Waiver 2 1 11 0 2 1 11 14 Elderly Waiver 7 61 0 7 61 0 68

KANABEC Total 57 126 168 0 57 126 168 351 KANDIYOHI Comm Well 14 31 185 0 79 73 249 401

NF/ICF-DD 2 19 2 0 13 154 3 170 BI-NF Waiver 1 1 0 1 1 2 4 CADI Waiver 4 1 23 0 14 6 31 51 DD Waiver 3 5 22 0 23 10 30 63 Elderly Waiver 5 10 0 17 96 0 113

KANDIYOHI Total 28 67 233 0 147 340 315 802 KITTSON Comm Well 6 9 0 6 17 16 39

NF/ICF-DD 1 6 2 0 9 35 3 47 CADI Waiver 0 0 0 1 1 DD Waiver 2 0 3 0 2 5 Elderly Waiver 1 6 0 5 18 0 23

KITTSON Total 2 18 13 0 23 70 22 115



Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC Total KOOCHICHING Comm Well 9 14 73 0 35 80 131 246

NF/ICF-DD 1 3 1 0 7 59 3 69 CADI Waiver 11 0 0 1 18 19 DD Waiver 1 1 7 0 1 7 17 25 Elderly Waiver 1 0 11 31 0 42

KOOCHICHING Total 11 19 92 0 54 178 169 401 LAC QUI PARLE Comm Well 3 22 0 5 15 22 42

NF/ICF-DD 3 7 0 7 61 0 68 BI-NF Waiver 1 0 0 0 1 1 CADI Waiver 7 0 0 1 7 8 DD Waiver 7 0 1 0 7 8 Elderly Waiver 3 0 4 35 0 39

LAC QUI PARLE Total 3 13 37 0 17 112 37 166 LAKE Comm Well 5 11 31 0 19 23 57 99

NF/ICF-DD 5 2 2 0 13 13 2 28 BI-NF Waiver 0 0 0 1 1 CADI Waiver 1 3 0 2 0 10 12 DD Waiver 1 0 0 1 7 8 Elderly Waiver 2 4 0 20 29 0 49

LAKE Total 13 17 37 0 54 66 77 197 LAKE OF THE WOODS Comm Well 2 3 10 0 13 6 10 29

NF/ICF-DD 1 0 13 7 0 20 CADI Waiver 0 0 1 0 1 DD Waiver 1 0 0 0 1 1 Elderly Waiver 1 0 6 5 0 11

LAKE OF THE WOODS Total 2 5 11 0 32 19 11 62 LE SUEUR Comm Well 4 22 86 0 9 32 86 127

NF/ICF-DD 2 3 3 0 5 29 3 37 CADI Waiver 1 2 25 0 1 2 25 28 DD Waiver 2 13 0 1 3 13 17 Elderly Waiver 4 34 0 11 90 0 101

LE SUEUR Total 11 63 127 0 27 156 127 310 LINCOLN Comm Well 5 17 0 7 15 17 39

NF/ICF-DD 4 6 1 0 15 39 1 55 CADI Waiver 4 0 0 0 4 4 DD Waiver 3 0 0 4 3 7 Elderly Waiver 1 7 0 5 19 0 24

LINCOLN Total 5 18 25 0 27 77 25 129 LYON Comm Well 11 21 123 0 31 50 123 204

NF/ICF-DD 3 10 3 0 10 72 3 85 CAC Waiver 1 0 0 0 1 1 CADI Waiver 1 40 0 1 3 40 44 DD Waiver 1 1 12 0 3 9 12 24 Elderly Waiver 5 13 0 17 106 0 123

LYON Total 21 45 179 0 62 240 179 481



Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC Total MCLEOD Comm Well 18 50 157 0 18 50 157 225

NF/ICF-DD 9 124 7 0 9 124 7 140 BI-NF Waiver 1 0 0 0 1 1 CAC Waiver 1 0 0 0 1 1 CADI Waiver 9 2 57 0 9 2 57 68 DD Waiver 1 7 33 0 1 7 33 41 Elderly Waiver 26 109 0 26 109 0 135

MCLEOD Total 63 292 256 0 63 292 256 611 MAHNOMEN Total Comm Well 1 35 0 6 13 48 67

BI-NF Waiver 0 6 12 0 18 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 4 22 0 26

MAHNOMEN Total 2 1 43 0 19 52 57 128 MARSHALL Comm Well 2 6 31 0 8 22 36 66


MARSHALL Total 2 17 43 0 10 78 51 139 MARTIN Comm Well 2 20 132 0 17 53 132 202

NF/ICF-DD 3 28 19 0 6 64 19 89 BI-NF Waiver 1 0 0 0 1 1 CAC Waiver 0 0 0 0 0 CADI Waiver 1 2 41 0 1 5 41 47 DD Waiver 1 8 77 0 4 10 77 91 Elderly Waiver 2 51 0 5 101 0 106

MARTIN Total 9 109 270 0 33 233 270 536 MEEKER Comm Well 17 47 97 0 17 47 97 161

NF/ICF-DD 8 72 1 0 8 72 1 81 CADI Waiver 1 1 26 0 1 1 26 28 DD Waiver 3 5 10 0 3 5 10 18 Elderly Waiver 7 124 0 7 124 0 131

MEEKER Total 36 249 134 0 36 249 134 419 MILLE LACS Comm Well 5 23 147 0 22 98 201 321

NF/ICF-DD 2 16 2 0 13 117 2 132 BI-NB Waiver 0 0 0 0 0 BI-NF Waiver 1 1 0 0 1 2 3 CAC Waiver 0 0 0 1 1 CADI Waiver 3 3 35 0 3 3 47 53 DD Waiver 1 11 0 1 5 17 23 Elderly Waiver 25 0 6 110 0 116

MILLE LACS Total 10 69 196 0 45 334 270 649



Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC Total MORRISON Comm Well 52 25 260 1 16 0 67 96 260 423

NF/ICF-DD 11 6 2 2 5 0 20 71 2 93 BI-NB Waiver 1 0 0 0 1 1 BI-NF Waiver 0 0 0 0 0 CAC Waiver 0 0 0 0 0 CADI Waiver 1 40 0 1 0 40 41 DD Waiver 2 12 0 2 5 12 19 Elderly Waiver 27 20 1 12 0 37 152 0 189

MORRISON Total 93 51 315 4 33 0 127 324 315 766 MOWER Comm Well 25 57 290 0 74 78 290 442

NF/ICF-DD 11 16 7 0 39 30 7 76 BI-NF Waiver 1 0 0 0 1 1 CAC Waiver 1 0 0 0 1 1 CADI Waiver 5 3 45 0 5 3 45 53 DD Waiver 10 42 0 4 14 42 60 Elderly Waiver 26 74 0 92 142 0 234

MOWER Total 67 160 386 0 214 267 386 867 MURRAY Comm Well 3 5 27 0 6 20 27 53

NF/ICF-DD 1 4 0 6 33 4 43 CADI Waiver 8 0 0 0 8 8 DD Waiver 1 1 0 0 4 1 5 Elderly Waiver 4 0 1 31 0 32

MURRAY Total 3 11 40 0 13 88 40 141 NICOLLET Comm Well 8 20 113 0 35 41 113 189

NF/ICF-DD 2 9 1 0 9 28 1 38 BI-NF Waiver 1 0 0 0 1 1 CAC Waiver 0 1 0 0 1 CADI Waiver 2 5 38 0 2 6 38 46 DD Waiver 4 14 0 1 7 14 22 Elderly Waiver 3 55 0 14 124 0 138

NICOLLET Total 15 93 167 0 62 206 167 435 NOBLES Comm Well 14 31 111 0 47 86 111 244


NOBLES Total 17 52 143 0 63 195 143 401 NORMAN Comm Well 1 1 28 0 6 17 44 67


NORMAN Total 3 4 41 0 14 97 61 172



Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC Total OLMSTED Comm Well 125 265 902 0 244 408 902 1,554

NF/ICF-DD 21 54 23 0 75 119 23 217 BI-NF Waiver 1 0 0 0 1 1 CAC Waiver 1 1 0 0 1 1 2 CADI Waiver 8 13 160 0 10 14 160 184 DD Waiver 4 8 113 0 6 15 113 134 Elderly Waiver 57 152 0 155 284 0 439

OLMSTED Total 215 493 1,200 0 490 841 1,200 2,531 OTTER TAIL Comm Well 13 23 153 0 63 137 283 483

NF/ICF-DD 3 9 3 0 26 231 6 263 BI-NB Waiver 1 0 0 0 2 2 BI-NF Waiver 2 0 0 0 4 4 CAC Waiver 0 0 0 0 0 CADI Waiver 2 2 59 0 3 13 106 122 DD Waiver 1 24 0 8 14 45 67 Elderly Waiver 2 17 0 34 265 0 299

OTTER TAIL Total 20 52 242 0 134 660 446 1,240 PENNINGTON Comm Well 2 16 69 0 12 52 80 144

NF/ICF-DD 10 3 0 2 54 3 59 CADI Waiver 10 0 0 1 11 12 DD Waiver 1 18 0 3 3 19 25 Elderly Waiver 1 13 0 5 69 0 74

PENNINGTON Total 3 40 100 0 22 179 113 314 PINE Comm Well 10 20 216 0 41 77 285 403

NF/ICF-DD 11 2 0 6 24 3 33 BI-NF Waiver 1 0 0 0 1 1 CADI Waiver 1 21 0 3 0 35 38 DD Waiver 2 11 0 3 8 15 26 Elderly Waiver 6 34 0 25 116 0 141

PINE Total 17 67 251 0 78 225 339 642 PIPESTONE Comm Well 20 25 57 0 20 25 57 102

NF/ICF-DD 5 64 1 0 5 64 1 70 CADI Waiver 10 0 0 0 10 10 DD Waiver 1 7 0 1 0 7 8 Elderly Waiver 7 33 0 7 33 0 40

PIPESTONE Total 33 122 75 0 33 122 75 230 POLK Comm Well 7 10 138 0 51 73 240 364

NF/ICF-DD 2 36 4 0 32 167 5 204 BI-NB Waiver 1 0 0 0 1 1 BI-NF Waiver 1 0 0 0 2 2 CADI Waiver 1 3 47 0 3 10 78 91 DD Waiver 1 18 0 4 2 38 44 Elderly Waiver 5 38 0 44 161 0 205

POLK Total 15 88 209 0 134 413 364 911



Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC Total POPE Comm Well 1 37 82 0 1 37 82 120

NF/ICF-DD 2 54 1 0 2 54 1 57 BI-NF Waiver 2 0 0 0 2 2 CAC Waiver 1 0 0 0 1 1 CADI Waiver 22 0 0 0 22 22 DD Waiver 5 16 0 0 5 16 21 Elderly Waiver 3 69 0 3 69 0 72

POPE Total 6 165 124 0 6 165 124 295 RAMSEY Comm Well 521 643 3,428 0 1,456 1,451 6,085 8,992

NF/ICF-DD 69 195 84 0 347 576 188 1,111 BI-NB Waiver 1 5 0 0 1 7 8 BI-NF Waiver 2 34 0 4 2 54 60 CAC Waiver 2 0 0 0 3 3 CADI Waiver 62 80 796 0 147 167 1,506 1,820 DD Waiver 13 12 232 0 63 45 466 574 Elderly Waiver 318 891 0 964 2,043 0 3,007

RAMSEY Total 983 1,824 4,581 0 2,981 4,285 8,309 15,575 RED LAKE Comm Well 5 13 0 3 15 20 38


RED LAKE Total 9 23 0 5 42 31 78 REDWOOD Comm Well 7 20 74 0 19 32 74 125


REDWOOD Total 17 54 95 0 51 130 95 276 RENVILLE Comm Well 16 27 96 0 16 27 96 139

NF/ICF-DD 19 54 11 0 19 54 11 84 BI-NF Waiver 2 0 0 0 2 2 CADI Waiver 2 1 6 0 2 1 6 9 DD Waiver 2 7 11 0 2 7 11 20 Elderly Waiver 7 23 0 7 23 0 30

RENVILLE Total 46 112 126 0 46 112 126 284 RICE Comm Well 19 22 128 0 67 63 221 351

NF/ICF-DD 9 23 4 0 30 85 10 125 BI-NF Waiver 0 0 0 1 1 CADI Waiver 1 49 0 7 6 83 96 DD Waiver 4 2 28 0 18 9 52 79 Elderly Waiver 20 64 0 82 205 0 287

RICE Total 52 112 209 0 204 368 367 939



Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC Total ROCK Comm Well 2 6 36 0 4 18 36 58

NF/ICF-DD 1 7 4 0 9 30 4 43 BI-NB Waiver 0 0 0 0 0 BI-NF Waiver 1 0 0 0 1 1 CADI Waiver 21 0 0 1 21 22 DD Waiver 1 9 0 0 2 9 11 Elderly Waiver 2 10 0 7 31 0 38

ROCK Total 5 24 71 0 20 82 71 173 ROSEAU Comm Well 2 9 35 0 9 30 51 90

NF/ICF-DD 2 18 1 0 13 83 3 99 CADI Waiver 4 0 0 0 5 5 DD Waiver 2 0 1 2 3 6 Elderly Waiver 13 0 4 66 0 70

ROSEAU Total 4 40 42 0 27 181 62 270 ST LOUIS Comm Well 57 150 1,837 0 217 440 2,402 3,059

NF/ICF-DD 37 107 68 0 211 404 77 692 BI-NB Waiver 2 19 0 3 0 38 41 BI-NF Waiver 2 47 0 5 1 65 71 CAC Waiver 0 0 0 2 2 CADI Waiver 10 15 416 0 23 44 600 667 DD Waiver 1 23 196 0 10 51 310 371 Elderly Waiver 44 232 0 233 919 0 1,152

ST LOUIS Total 153 527 2,583 0 702 1,859 3,494 6,055 SCOTT Comm Well 12 40 170 0 125 213 318 656

NF/ICF-DD 4 10 12 0 35 121 39 195 BI-NF Waiver 2 0 0 0 3 3 CAC Waiver 1 0 0 0 2 2 CADI Waiver 3 3 58 0 10 8 136 154 DD Waiver 25 0 1 2 65 68 Elderly Waiver 11 38 0 87 262 0 349

SCOTT Total 30 91 268 0 258 606 563 1,427 SHERBURNE Comm Well 8 25 151 0 40 92 286 418

NF/ICF-DD 3 20 4 0 16 127 19 162 BI-NB Waiver 0 0 0 1 1 BI-NF Waiver 7 0 0 0 13 13 CADI Waiver 2 57 0 0 6 120 126 DD Waiver 42 0 2 6 78 86 Elderly Waiver 3 36 0 20 179 0 199

SHERBURNE Total 14 83 261 0 78 410 517 1,005 SIBLEY Comm Well 18 35 47 0 18 35 47 100

NF/ICF-DD 2 45 10 0 2 45 10 57 BI-NF Waiver 0 0 0 0 0 CADI Waiver 2 16 0 0 2 16 18 DD Waiver 1 9 0 0 1 9 10 Elderly Waiver 7 60 0 7 60 0 67

SIBLEY Total 27 143 82 0 27 143 82 252



Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC Total STEARNS Comm Well 50 44 689 0 185 238 990 1,413

NF/ICF-DD 6 25 8 0 45 151 10 206 BI-NB Waiver 1 0 0 0 1 1 BI-NF Waiver 3 0 0 0 4 4 CAC Waiver 1 0 0 0 1 1 CADI Waiver 2 6 144 0 9 20 199 228 DD Waiver 1 36 0 8 12 90 110 Elderly Waiver 43 74 0 114 307 0 421

STEARNS Total 101 150 882 0 361 728 1,295 2,384 STEELE Comm Well 61 45 219 0 61 45 219 325

NF/ICF-DD 15 36 9 0 15 36 9 60 BI-NB Waiver 1 0 0 0 1 1 BI-NF Waiver 3 0 0 0 3 3 CAC Waiver 1 0 0 0 1 1 CADI Waiver 1 5 82 0 1 5 82 88 DD Waiver 4 7 57 0 4 7 57 68 Elderly Waiver 58 141 0 58 141 0 199

STEELE Total 139 234 372 0 139 234 372 745 STEVENS Comm Well 5 9 35 0 5 9 35 49

NF/ICF-DD 7 36 2 0 7 36 2 45 BI-NF Waiver 1 0 0 0 1 1 CADI Waiver 3 12 0 0 3 12 15 DD Waiver 1 4 17 0 1 4 17 22 Elderly Waiver 3 30 0 3 30 0 33

STEVENS Total 16 82 67 0 16 82 67 165 SWIFT Comm Well 1 3 51 0 12 29 51 92

NF/ICF-DD 6 3 0 9 37 3 49 BI-NF Waiver 0 1 0 0 1 CADI Waiver 3 0 1 1 3 5 DD Waiver 1 11 0 1 1 11 13 Elderly Waiver 3 0 6 53 0 59

SWIFT Total 2 12 68 0 30 121 68 219 TODD Comm Well 33 30 166 17 0 35 89 166 290

NF/ICF-DD 1 7 1 1 13 0 2 80 1 83 BI-NF Waiver 1 0 0 0 1 1 CAC Waiver 1 0 0 0 1 1 CADI Waiver 1 2 41 0 2 2 41 45 DD Waiver 2 16 1 0 2 4 16 22 Elderly Waiver 21 21 1 15 0 25 96 0 121

TODD Total 58 60 226 2 46 0 66 271 226 563



Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC Total TRAVERSE Comm Well 5 17 31 0 5 17 31 53

NF/ICF-DD 3 38 3 0 3 38 3 44 BI-NF Waiver 0 0 0 0 0 CADI Waiver 1 5 0 0 1 5 6 DD Waiver 4 0 0 0 4 4 Elderly Waiver 12 0 0 12 0 12

TRAVERSE Total 8 68 43 0 8 68 43 119 WABASHA Comm Well 14 27 66 2 13 0 16 40 66 122

NF/ICF-DD 18 42 2 4 11 0 22 53 2 77 CADI Waiver 2 30 0 0 2 30 32 DD Waiver 2 7 28 3 0 2 10 28 40 Elderly Waiver 9 41 6 13 0 15 54 0 69

WABASHA Total 43 119 126 12 40 0 55 159 126 340 WADENA Comm Well 20 16 181 13 0 27 72 181 280

NF/ICF-DD 11 9 6 2 11 0 21 92 6 119 BI-NF Waiver 2 0 0 0 2 2 CADI Waiver 1 1 65 0 2 6 65 73 DD Waiver 16 1 0 0 3 16 19 Elderly Waiver 8 12 5 0 8 74 0 82

WADENA Total 40 38 270 2 30 0 58 247 270 575 WASECA Comm Well 18 28 99 0 18 28 99 145

NF/ICF-DD 13 40 0 13 40 0 53 BI-NF Waiver 1 0 0 0 1 1 CAC Waiver 0 0 0 0 0 CADI Waiver 1 4 30 0 1 4 30 35 DD Waiver 2 8 33 0 2 8 33 43 Elderly Waiver 21 56 0 21 56 0 77

WASECA Total 55 136 163 0 55 136 163 354 WASHINGTON Comm Well 42 115 369 0 190 256 698 1,144

NF/ICF-DD 7 39 9 0 73 116 13 202 BI-NB Waiver 1 0 0 0 1 1 BI-NF Waiver 1 0 2 0 3 5 CAC Waiver 2 0 0 0 3 3 CADI Waiver 6 6 101 0 17 19 213 249 DD Waiver 2 2 71 0 6 7 153 166 Elderly Waiver 21 129 0 94 365 0 459

WASHINGTON Total 78 291 554 0 382 763 1,084 2,229 WATONWAN Comm Well 4 13 59 0 10 24 59 93

NF/ICF-DD 3 19 2 0 7 39 2 48 CADI Waiver 7 0 0 0 7 7 DD Waiver 9 0 0 0 9 9 Elderly Waiver 14 0 1 25 0 26

WATONWAN Total 7 46 77 0 18 88 77 183



Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC Total WILKIN Comm Well 20 0 3 25 29 57

NF/ICF-DD 1 0 4 34 1 39 CADI Waiver 5 0 0 0 8 8 DD Waiver 1 0 0 4 2 6 Elderly Waiver 0 4 34 0 38

WILKIN Total 27 0 11 97 40 148 WINONA Comm Well 18 24 240 0 60 68 240 368

NF/ICF-DD 8 22 7 0 33 108 7 148 CAC Waiver 1 0 0 0 1 1 CADI Waiver 4 1 80 0 7 11 80 98 DD Waiver 1 2 16 0 6 8 16 30 Elderly Waiver 4 44 0 43 158 0 201

WINONA Total 35 93 344 0 149 353 344 846 WRIGHT Comm Well 16 27 146 0 69 133 295 497

NF/ICF-DD 9 40 7 0 34 169 12 215 BI-NB Waiver 0 0 0 3 3 BI-NF Waiver 1 0 0 0 3 3 CAC Waiver 3 0 0 0 4 4 CADI Waiver 1 58 0 4 10 148 162 DD Waiver 3 29 0 0 10 61 71 Elderly Waiver 6 47 0 69 255 0 324

WRIGHT Total 31 118 244 0 176 577 526 1,279 YELLOW MEDICINE Comm Well 6 6 44 0 10 20 44 74

NF/ICF-DD 6 2 0 2 42 2 46 CADI Waiver 2 19 0 0 2 19 21 DD Waiver 3 3 0 0 3 3 6 Elderly Waiver 6 0 3 38 0 41

YELLOW MEDICINE Total 0 6 23 68 0 15 105 68 188 Plan Total Comm Well 367 426 1,562 401 428 1,784 0 2,013 3,774 18,786 0 7,533 10,839 35,352 53,724

NF/ICF-DD 153 679 67 214 503 70 0 496 1,839 576 0 2,614 8,264 1,238 12,116 BI-NB Waiver 0 0 2 0 0 3 0 3 3 44 0 8 4 88 100 BI-NF Waiver 0 0 8 0 0 10 0 7 8 208 0 33 33 369 435 CAC Waiver 0 0 3 0 0 4 0 0 1 24 0 1 2 56 59 CADI Waiver 20 17 303 15 41 539 0 281 400 5,094 0 668 1,025 10,276 11,969 DD Waiver 19 48 168 22 57 405 0 50 183 2,205 0 325 638 4,527 5,490 Elderly Waiver 249 745 0 251 730 0 0 1,505 5,563 0 0 5,120 17,195 0 22,315

Plan Total 808 1,915 2,113 903 1,759 2,815 0 4,355 11,771 26,937 0 16,302 38,000 51,906 106,208


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 57,131 57,254 57,234 58,383 64,495 64,086 64,240 63,486 63,270 63,864 MA Adults 21 - 64 Expansion (AX) 60,690 62,554 64,232 66,404 74,222 74,544 75,091 74,764 74,497 74,236 MA Aged - Institutionalized over 64 3,227 3,192 3,140 3,152 3,138 3,151 3,204 3,208 3,220 3,203 MA Aged - Community over 64 8,551 8,565 8,587 8,645 8,658 8,698 8,759 8,786 8,798 8,759 MA Children 162,170 163,174 163,814 167,258 185,628 184,858 185,166 183,355 183,001 184,686 MA Pregnant Women All Ages 4,959 5,069 5,095 5,274 5,693 5,544 5,419 5,224 5,190 4,910 MnCare Childless Adults 8,603 9,923 11,125 11,553 14,417 14,783 14,899 14,992 14,939 14,684 MnCare Children 1,122 1,411 1,600 1,717 2,028 2,224 2,301 2,405 2,497 2,491 MnCare Parents 8,454 10,321 11,757 12,531 14,241 14,823 14,927 15,018 15,379 14,941 Total 314,907 321,463 326,584 334,917 372,520 372,711 374,006 371,238 370,791 371,774 0 0 HealthPartners MA Adults 21 - 64 14,903 14,848 14,725 14,837 22,529 22,541 22,959 22,906 22,937 23,568 MA Adults 21 - 64 Expansion (AX) 18,418 18,698 18,894 19,426 28,598 30,026 30,933 31,249 31,677 32,073 MA Aged - Institutionalized over 64 814 808 808 804 808 811 819 813 809 781 MA Aged - Community over 64 4,305 4,314 4,315 4,371 4,397 4,399 4,445 4,460 4,447 4,392 MA Children 41,655 41,525 41,477 42,131 68,570 68,238 69,317 69,516 69,559 71,809 MA Disabled - Basic Care 3,500 3,583 3,668 3,769 3,866 3,984 4,148 4,263 4,348 4,351 MA Pregnant Women All Ages 1,243 1,262 1,255 1,298 1,915 2,027 2,112 2,207 2,315 2,295 MnCare Childless Adults 5,745 6,785 7,312 7,548 11,197 11,606 11,820 11,892 11,929 11,753 MnCare Children 616 711 785 816 1,139 1,234 1,270 1,365 1,414 1,416 MnCare Parents 4,134 4,942 5,464 5,743 8,200 8,700 8,950 9,145 9,500 9,276 Total 95,333 97,476 98,703 100,743 151,219 153,566 156,773 157,816 158,935 161,714 0 0 Hennepin Health MA Adults 21 - 64 293 313 326 348 2,065 1,730 1,626 1,530 1,502 1,516 MA Adults 21 - 64 Expansion (AX) 9,031 9,442 9,856 10,033 21,916 20,726 20,071 19,526 19,202 19,115 MA Aged - Institutionalized over 64 MA Aged - Community over 64 MA Children 504 543 603 686 7,258 6,298 5,853 5,581 5,421 5,499 MA Disabled - Basic Care* 2,220 2,201 2,179 2,175 2,184 2,145 2,120 2,090 2,062 2,004 MA Pregnant Women All Ages 57 57 60 66 168 160 144 149 148 138 MnCare Childless Adults 181 224 265 292 1,196 1,330 1,337 1,333 1,341 1,353 MnCare Children 7 9 11 13 76 98 108 129 145 136 MnCare Parents 43 56 73 88 674 753 760 738 746 746 Total 12,336 12,845 13,373 13,701 35,537 33,240 32,019 31,076 30,567 30,507 0 0

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


Itasca Medical Care MA Adults 21 - 64 1,559 1,513 1,471 1,466 1,455 1,425 1,449 1,466 1,492 1,516 MA Adults 21 - 64 Expansion (AX) 1,788 1,810 1,864 1,906 1,909 1,917 1,929 1,927 1,932 1,943 MA Aged - Institutionalized over 64 136 139 140 135 139 141 142 137 141 139 MA Aged - Community over 64 549 547 550 546 540 544 551 546 542 537 MA Children 3,900 3,864 3,769 3,782 3,788 3,805 3,873 3,898 3,928 3,973 MA Pregnant Women All Ages 85 98 102 104 109 110 106 105 110 104 MnCare Childless Adults 219 248 271 258 258 269 276 281 277 279 MnCare Children 33 32 37 40 37 44 52 53 56 56 MnCare Parents 221 260 301 311 312 317 322 329 333 339 Total 8,490 8,511 8,505 8,548 8,547 8,572 8,700 8,742 8,811 8,886 0 0 Medica MA Adults 21 - 64 49,585 49,350 48,974 49,524 MA Adults 21 - 64 Expansion (AX) 58,273 59,484 60,935 62,250 MA Aged - Institutionalized over 64 2,942 2,926 2,885 2,923 2,907 2,922 2,918 2,893 2,878 2,869 MA Aged - Community over 64 12,303 12,346 12,378 12,399 12,386 12,344 12,366 12,377 12,352 12,104 MA Children 155,028 154,955 154,180 155,913 MA Disabled - Basic Care 14,637 14,648 14,677 14,757 14,727 14,630 14,553 14,385 14,170 13,685 MA Pregnant Women All Ages 5,201 5,246 5,245 5,242 MnCare Childless Adults 15,675 18,942 20,942 21,247 MnCare Children 1,460 1,787 2,002 2,135 MnCare Parents 10,633 13,124 14,978 15,649 Total 325,737 332,808 337,196 342,039 30,020 29,896 29,837 29,655 29,400 28,658 0 0 PrimeWest Health MA Adults 21 - 64 6,447 6,455 6,468 6,553 6,535 6,524 6,588 6,547 6,627 6,720 MA Adults 21 - 64 Expansion (AX) 6,267 6,456 6,607 6,745 6,818 6,923 7,005 7,043 7,094 7,112 MA Aged - Institutionalized over 64 841 840 839 843 841 846 857 844 847 834 MA Aged - Community over 64 1,934 1,948 1,936 1,934 1,930 1,928 1,925 1,929 1,910 1,888 MA Children 19,007 19,066 19,147 19,328 19,384 19,368 19,661 19,650 19,808 20,046 MA Disabled - Basic Care 2,138 2,134 2,163 2,159 2,161 2,153 2,154 2,158 2,163 2,114 MA Pregnant Women All Ages 592 575 575 571 556 564 544 546 552 526 MnCare Childless Adults 663 762 835 872 1,408 1,458 1,469 1,481 1,469 1,448 MnCare Children 135 149 162 171 228 234 244 248 261 264 MnCare Parents 954 1,105 1,250 1,308 1,480 1,521 1,554 1,584 1,623 1,582 Total 38,978 39,490 39,982 40,484 41,341 41,519 42,001 42,030 42,354 42,534 0 0



South Country Health Alliance MA Adults 21 - 64 5,469 5,400 5,302 5,289 6,288 6,340 6,490 6,442 6,477 6,601 MA Adults 21 - 64 Expansion (AX) 4,915 4,878 4,870 4,981 6,740 6,908 6,963 6,961 6,972 6,962 MA Aged - Institutionalized over 64 696 704 719 716 718 727 723 721 724 718 MA Aged - Community over 64 1,910 1,908 1,896 1,900 1,896 1,919 1,922 1,925 1,943 1,941 MA Children 15,170 15,008 14,798 14,931 17,919 18,190 18,597 18,522 18,651 18,882 MA Disabled - Basic Care 2,805 2,813 2,813 2,824 2,824 2,839 2,837 2,852 2,857 2,815 MA Pregnant Women All Ages 355 348 361 362 445 462 465 453 455 449 MnCare Childless Adults 949 1,101 1,196 1,246 1,595 1,608 1,615 1,624 1,621 1,618 MnCare Children 155 182 185 190 245 267 289 296 295 297 MnCare Parents 912 1,092 1,186 1,243 1,571 1,628 1,640 1,672 1,704 1,627 Total 33,336 33,434 33,326 33,682 40,241 40,888 41,541 41,468 41,699 41,910 0 0 UCare Minnesota MA Adults 21 - 64 2,198 2,168 2,125 2,147 32,425 33,801 35,280 35,738 36,284 36,986 MA Adults 21 - 64 Expansion (AX) 2,165 2,144 2,111 2,092 32,922 35,268 37,128 38,116 39,207 40,068 MA Aged - Institutionalized over 64 2,380 2,345 2,327 2,357 2,333 2,322 2,328 2,344 2,348 2,335 MA Aged - Community over 64 13,486 13,511 13,530 13,592 13,654 13,737 13,867 13,882 13,955 13,787 MA Children 6,553 6,539 6,430 6,469 99,883 105,349 110,755 112,972 115,182 117,625 MA Disabled - Basic Care 26,905 26,865 26,890 26,941 27,038 27,119 27,278 27,406 27,425 26,936 MA Pregnant Women All Ages 162 170 159 165 3,384 3,654 3,764 3,744 3,815 3,723 MnCare Childless Adults 413 458 491 509 12,335 12,614 12,880 13,146 13,272 13,186 MnCare Children 43 50 51 53 1,454 1,545 1,626 1,742 1,787 1,780 MnCare Parents 402 446 489 520 10,408 10,871 11,083 11,448 11,836 11,670 Total 54,707 54,696 54,603 54,845 235,836 246,280 255,989 260,538 265,111 268,096 0 0 Statewide MA Adults 21 - 64 137,585 137,301 136,625 138,547 135,792 136,447 138,632 138,115 138,589 140,771 0 0 MA Adults 21 - 64 Expansion (AX) 161,547 165,466 169,369 173,837 173,125 176,312 179,120 179,586 180,581 181,509 0 0 MA Aged - Institutionalized over 64 11,036 10,954 10,858 10,930 10,884 10,920 10,991 10,960 10,967 10,879 0 0 MA Aged - Community over 64 43,038 43,139 43,192 43,387 43,461 43,569 43,835 43,905 43,947 43,408 0 0 MA Children 403,987 404,674 404,218 410,498 402,430 406,106 413,222 413,494 415,550 422,520 0 0 MA Disabled - Basic Care 52,205 52,244 52,390 52,625 52,800 52,870 53,090 53,154 53,025 51,905 0 0 MA Pregnant Women All Ages 12,654 12,825 12,852 13,082 12,270 12,521 12,554 12,428 12,585 12,145 0 0 MnCare Childless Adults 32,448 38,443 42,437 43,525 42,406 43,668 44,296 44,749 44,848 44,321 0 0 MnCare Children 3,571 4,331 4,833 5,135 5,207 5,646 5,890 6,238 6,455 6,440 0 0 MnCare Parents 25,753 31,346 35,498 37,393 36,886 38,613 39,236 39,934 41,121 40,181 0 0 Total 883,824 900,723 912,272 928,959 915,261 926,672 940,866 942,563 947,668 954,079 0 0 * December Enrollment for SNBC paid as MHP


county elderly snp...polk 060 290 33 4,316 1,138 131 13 164 68 pope 061 175 13 1,168 322 ramsey 062...

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