michigan medicaid mental health and substance abuse ..._aug_2002_39058_7.pdf2002-08 ma capitation...

Michigan Medicaid

Mental Health and Substance Abuse Capitation Summary

August 2002

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

This entire report is based on the initial values for the month shown above. Subsequent month's data will include counts retroactively associated with this month, but these reports are a summary of the initial values and are not updated as additional data becomes available.(See the Trends section for year-to-date patterns including all reported data available as of the month shown above.)

Retroactively eligible clients are paid for through an adjustment in the capitation rate paid for current eligibles. Therefore, while additional enrollees are expected for this month, the revenue figures will not change.

Summary of the Michigan Medicaid capitation data. Including

services and by county.

8/2/02 7:20 PM

Section Worksheet Page Section Worksheet Page

SUMMARY 3 REFERENCEMental Health Capitation Capitation Base Rates 51

by Provider MH by Provider 4 Intensity Factorsby County MH by County 6 Mental Health 52

Substance Abuse Capitation Developmental Disabilities 57by Provider SA by Provider 9 Substance Abuse 59by County SA by County 10

TRENDS 61POPULATION SummaryDisabled/Aged/Blind - Population by Age Group Populaiton and Revenue Data 62

by Provider DAB Pop by Provider 13 Populaiton and Revenue Charts 63by County DAB Pop by County 15 Program Code

TANF - Population by Age Group Population Data by Program Code 64by Provider TANF Pop by Provider 18 Revenue Data by Program Code 66by County TANF Pop by County 20 Trend Charts by Program Code 68

Developmental Disabilities - Population by Age Group Age Groupby Provider DD Pop by Provider 23 Population and Revenue Data by Age Group 74by County DD Pop by County 25 Population and Revenue Charts by Age Group 76

Substance Abuse - Population by Age Groupby Provider SA Pop by Provider 28by County SA Pop by County 29

REVENUEDisabled/Aged/Blind - Revenue by Age Group

by Provider DAB Rev by Provider 32by County DAB Rev by County 34

TANF - Revenue by Age Groupby Provider TANF Rev by Provider 37by County TANF Rev by County 39

Developmental Disabilities - Revenue by Age Groupby Provider DD Rev by Provider 42by County DD Rev by County 44

Substance Abuse - Revenue by Age Groupby Provider SA Rev by Provider 47by County SA Rev by County 48

8/2/02 7:20 PM

2002-08Funding Group Total Capitation 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Check Values

1 DAB Capitation 28,079,302.15$ $ 2,807,004.05 $ 2,243,884.06 $ 7,959,669.59 $ 7,865,922.67 $ 5,568,778.72 $ 1,634,043.06 -

2 TANF Capitation 4,876,505.45$ $ 3,219,984.33 $ 472,717.53 $ 867,066.88 $ 273,510.62 $ 43,087.43 $ 138.66 -

3 Combined DAB and TANF Capitation 32,955,807.60$ $ 6,026,988.38 $ 2,716,601.59 $ 8,826,736.47 $ 8,139,433.29 $ 5,611,866.15 $ 1,634,181.72 -

DD Capitation 70,153,853.44$ $ 744,230.22 $ 3,549,814.31 $ 21,378,065.48 $ 23,973,722.46 $ 15,745,676.96 $ 4,762,344.01 -

4 Total MH Capitation 103,109,661.04$ $ 6,771,218.60 $ 6,266,415.90 $ 30,204,801.95 $ 32,113,155.75 $ 21,357,543.11 $ 6,396,525.73 -

5 SA Capitation 2,222,439.20$ 100,772.00$ 138,784.29$ 866,228.96$ 854,891.49$ 249,252.18$ 12,510.28$ -

6 Total MA Capitation 105,332,100.24$ 6,871,990.60$ 6,405,200.19$ 31,071,030.91$ 32,968,047.24$ 21,606,795.29$ 6,409,036.01$ -

Funding Group Total Population 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+

1 DAB Population 357,942 64,614 31,222 48,230 52,995 67,725 93,156 -

2 TANF Population 755,559 565,925 75,244 85,555 24,000 4,747 88 -

3 Combined DAB and TANF Population 1,113,501 630,539 106,466 133,785 76,995 72,472 93,244 4 - 5 DD Population 243,116 33,535 20,528 47,760 52,528 67,225 21,540 -

6 Total Current MA Population* 1,113,501 630,539 106,466 133,785 76,995 72,472 93,244

Medicaid Capitation Summary

* Population figures do not include Retroactive Eligibles

2-Aug-2002 19:18

Medicaid Revenue

$-

$5

$10

$15

$20

$25

$30

0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+

Mill

ions

DAB Capitation

TANF Capitation

DD Capitation

SA Capitation

Medicaid Population

-

100

200

300

400

500

600

0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+

Thou

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DAB Population

TANF Population

DD Population

8/2/02 7:20 PM

DD Cap

Provider ID Agent ID Provider Name DAB Eligibles

TANF Eligibles DD Eligibles Total Eligibles SubTotal DAB

Cap SubTotal TANF

Cap SubTotal MH/DD

Cap SubTotal MHCap SubTotal DDCap

1 1709690 00GA Allegan County CMH 1,008 6,696 1,663 9,367 29,635$ 60,170$ 169,265$ $259,070.34 $724,732.722 1712283 00GB Antrim-Kalkaska CMH 566 3,202 891 4,659 16,598$ 18,921$ 87,739$ $123,257.14 $431,984.433 1706830 00GC AuSable Valley CMH 989 5,758 1,873 8,620 20,263$ 61,113$ 139,711$ $221,086.35 $375,019.884 1705260 00GD Barry County CMH 478 3,251 788 4,517 8,688$ 14,248$ 48,109$ $71,045.25 $113,958.615 1705322 00GE Bay-Arenac CMH 1,438 10,450 3,317 15,205 40,125$ 86,856$ 342,933$ $469,914.64 $1,277,373.446 1716175 00GF Berrien Mental Health 2,433 16,402 5,210 24,045 62,881$ 85,778$ 433,591$ $582,249.49 $1,208,033.097 1708001 00BJ CEI CMH 4,638 28,704 8,560 41,902 138,265$ 144,893$ 768,127$ $1,051,284.73 $1,878,042.588 4344340 00GG Central Michigan CMH 3,008 20,155 6,473 29,636 74,131$ 114,957$ 517,645$ $706,732.70 $3,027,336.349 1707962 00GI Copper County CMH 1,070 4,265 1,388 6,723 32,169$ 26,532$ 166,696$ $225,397.49 $590,967.3110 3119549 00GJ Detroit-Wayne County CMH 32,544 238,203 83,062 353,809 1,173,794$ 1,461,673$ 9,121,935$ $11,757,402.26 $14,128,149.4711 1705233 0028 Genesee County Health Dept 4,693 48,864 14,500 68,057 109,019$ 121,706$ 958,670$ $1,189,395.09 $3,662,591.8712 1708119 00GL Gogebic County CMH 451 1,508 491 2,450 15,304$ 26,673$ 68,324$ $110,300.98 $255,612.1713 1715955 00GN Gratiot County CMH 601 3,063 1,055 4,719 13,383$ 30,228$ 92,265$ $135,875.25 $493,636.1014 1705251 00GM Great Lakes CMH 987 5,218 1,498 7,703 55,244$ 44,947$ 275,653$ $375,844.30 $537,227.3115 1715919 00GO Hiawatha Behavioral Health Authority 886 4,720 1,329 6,935 40,469$ 33,151$ 221,026$ $294,645.83 $493,005.0816 1708128 00GP Huron Behavioral Health 525 2,844 858 4,227 16,024$ 17,830$ 97,814$ $131,669.19 $323,812.3017 1715928 00GQ Ionia County CMH 555 4,137 1,143 5,835 16,276$ 27,025$ 106,518$ $149,819.08 $469,198.9518 3402136 00GR Kalamazoo County CMH 2,518 16,257 5,404 24,179 98,759$ 111,312$ 671,431$ $881,502.03 $1,857,874.1819 1705430 00GS Kent County CMH 5,997 43,103 12,754 61,854 194,833$ 251,341$ 1,284,359$ $1,730,532.62 $2,920,414.3720 1705242 00GT Lapeer County CMH 595 4,524 1,087 6,206 16,677$ 30,187$ 110,295$ $157,158.46 $563,609.9121 1705270 00GU Lenawee County CMH 954 6,275 1,930 9,159 29,617$ 42,869$ 198,805$ $271,290.57 $694,177.7922 1712229 00GV Lifeways CMH 2,407 15,495 4,988 22,890 74,759$ 106,384$ 495,419$ $676,562.47 $1,214,916.3123 1707167 00GW Livingston County CMH 669 3,481 998 5,148 31,379$ 59,031$ 153,978$ $244,388.32 $558,784.0524 3396315 00GX Macomb County CA 6,694 33,255 10,585 50,534 177,133$ 218,886$ 1,048,244$ $1,444,263.13 $5,388,414.6925 1705304 00GY Manistee-Benzie CMH 557 3,278 1,012 4,847 14,977$ 25,617$ 100,036$ $140,630.07 $773,404.0926 1710547 00HX Monroe County CMH 1,035 7,256 2,310 10,601 31,252$ 59,914$ 241,772$ $332,937.99 $1,105,642.4227 1712461 00GZ Montcalm Center Behavl. Hlt 655 4,882 1,541 7,078 9,086$ 21,592$ 70,407$ $101,084.75 $190,144.9028 1712452 00HA Muskegon County CMH 2,516 18,210 6,118 26,844 61,566$ 114,403$ 484,433$ $660,401.44 $1,291,085.6229 1708066 00HB Newaygo County CMH 665 4,423 1,356 6,444 15,154$ 44,541$ 102,752$ $162,446.41 $261,746.7930 1707158 00HC North Central CMH 1,304 8,649 2,535 12,488 35,206$ 56,302$ 240,371$ $331,879.14 $638,126.3631 1708100 00HE Northeast Michigan CMH 1,083 5,442 1,984 8,509 22,029$ 34,817$ 145,651$ $202,497.53 $1,072,477.58

MA Capitation by Provider ID 2-Aug-2002 19:182002-08

Mental Health Capitation Eligible PopulationMA Capitation DMB Report: 55a2 - Summary recordcode02 for CMHA Provider ID

8/2/02 7:20 PM

DD Cap


TANF Eligibles DD Eligibles Total Eligibles SubTotal DAB

Cap SubTotal TANF

Cap SubTotal MH/DD

Cap SubTotal MHCap SubTotal DDCap

MA Capitation by Provider ID 2-Aug-2002 19:182002-08

Mental Health Capitation Eligible PopulationMA Capitation DMB Report: 55a2 - Summary recordcode02 for CMHA Provider ID

32 1707185 00HF Northern Michigan CMH 1,398 8,428 2,099 11,925 39,131$ 43,450$ 212,352$ $294,932.88 $803,531.5033 3140186 00HG Northpointe CMH 1,305 4,705 1,403 7,413 41,069$ 42,158$ 175,959$ $259,186.33 $539,611.3834 1705289 0058 Oakland County CMHA 9,768 40,366 14,844 64,978 259,562$ 203,990$ 1,495,872$ $1,959,424.64 $8,332,364.7535 1712425 00HI Ottawa County CMH 1,453 9,638 2,101 13,192 51,846$ 81,158$ 282,054$ $415,057.64 $1,336,298.0436 1724945 00HJ Pathways CMH 1,790 8,418 2,738 12,946 80,287$ 130,481$ 450,116$ $660,883.24 $1,429,566.2137 1712372 00HL Pines Behavioral Health CMH 576 3,210 954 4,740 17,696$ 26,795$ 96,542$ $141,032.16 $424,155.6138 1712541 00HQ Saginaw County CMH 2,593 22,949 7,805 33,347 62,091$ 92,686$ 594,481$ $749,257.28 $1,309,673.1239 1706849 00HM Sanilac County CMH 565 3,783 997 5,345 13,403$ 16,900$ 80,398$ $110,701.14 $974,874.1540 1712407 00HN Shiawassee County CMH 714 5,170 1,450 7,334 19,337$ 33,044$ 139,645$ $192,026.54 $468,129.4641 1708164 00HO St. Clair County CMH 1,685 11,074 3,074 15,833 56,168$ 193,341$ 322,980$ $572,488.59 $1,603,093.7442 1708146 00HP St. Joseph County CMH 861 5,661 1,349 7,871 29,510$ 38,025$ 138,914$ $206,448.65 $420,888.3743 2920843 00HR Summit Pointe CMH 1,835 12,344 4,432 18,611 44,197$ 109,468$ 352,605$ $506,269.24 $609,360.9544 1707130 00HS Tuscola County CMH 655 4,773 1,278 6,706 20,677$ 35,900$ 125,986$ $182,563.05 $604,705.9045 1705298 00HT Van Buren County CMH 1,273 9,223 2,294 12,790 43,496$ 71,893$ 256,200$ $371,588.56 $405,211.3046 1707176 00HU Washtenaw County CMH 2,142 11,372 4,229 17,743 89,010$ 133,272$ 573,118$ $795,400.36 $1,584,014.2347 3220732 00HV West Michigan CMH 1,001 7,977 2,195 11,173 21,511$ 51,983$ 161,313$ $234,806.52 $452,323.8848 1706114 00HW Woodlands Behavioral Healthcare 693 4,498 1,173 6,364 14,392$ 18,064$ 78,720$ $111,175.74 $334,550.1449

50

State Subtotals 114,826 755,559 243,116 1,113,501 3,578,076$ 4,876,505$ 24,501,226$ $32,955,807.60 $70,153,853.44

870,385 28,079,302 State Total $103,109,661.04

8/2/02 7:20 PM

DD Cap

Provider ID Agent ID Provider Name Co ID County Name MH Eligibles TANF

Eligibles DD Eligibles Total Eligibles

SubTotal DAB Cap

SubTotal TANF Cap

SubTotal MH/DD Cap SubTotal MHCap SubTotal DDCap

1 1708100 00HE Northeast Michigan CMH 01 Alcona 153 904 302 1,359 $3,101.58 $5,799.51 $20,294.45 $29,195.54 $153,473.342 1724945 00HJ Pathways CMH 02 Alger 154 632 207 993 $5,562.91 $9,890.48 $33,031.32 $48,484.71 $109,353.663 1709690 00GA Allegan County CMH 03 Allegan 1,008 6,696 1,663 9,367 $29,635.49 $60,169.72 $169,265.13 $259,070.34 $724,732.724 1708100 00HE Northeast Michigan CMH 04 Alpena 479 2,773 1,028 4,280 $9,896.17 $17,823.03 $79,018.50 $106,737.70 $574,603.975 1712283 00GB Antrim-Kalkaska CMH 05 Antrim 312 1,598 423 2,333 $9,193.15 $9,299.74 $42,813.87 $61,306.76 $210,233.836 1705322 00GE Bay-Arenac CMH 06 Arenac 293 1,848 523 2,664 $8,291.50 $15,480.75 $51,956.83 $75,729.08 $197,574.877 1707962 00GI Copper County CMH 07 Baraga 163 713 191 1,067 $5,265.34 $4,361.98 $22,171.92 $31,799.24 $81,746.988 1705260 00GD Barry County CMH 08 Barry 478 3,251 788 4,517 $8,688.25 $14,247.95 $48,109.05 $71,045.25 $113,958.619 1705322 00GE Bay-Arenac CMH 09 Bay 1,145 8,602 2,794 12,541 $31,833.91 $71,375.54 $290,976.11 $394,185.56 $1,079,798.5710 1705304 00GY Manistee-Benzie CMH 10 Benzie 191 1,093 333 1,617 $4,951.65 $8,295.40 $31,460.86 $44,707.91 $248,724.8511 1716175 00GF Berrien Mental Health 11 Berrien 2,433 16,402 5,210 24,045 $62,881.24 $85,777.57 $433,590.68 $582,249.49 $1,208,033.0912 1712372 00HL Pines Behavioral Health CMH 12 Branch 576 3,210 954 4,740 $17,695.54 $26,795.02 $96,541.60 $141,032.16 $424,155.6113 2920843 00HR Summit Pointe CMH 13 Calhoun 1,835 12,344 4,432 18,611 $44,196.50 $109,467.63 $352,605.11 $506,269.24 $609,360.9514 1706114 00HW Woodlands Behavioral Healthcare 14 Cass 693 4,498 1,173 6,364 $14,391.77 $18,063.97 $78,720.00 $111,175.74 $334,550.1415 1707185 00HF Northern Michigan CMH 15 Charlevoix 311 1,785 478 2,574 $8,544.51 $9,053.33 $46,642.13 $64,239.97 $176,885.0616 1707185 00HF Northern Michigan CMH 16 Cheboygan 437 2,543 645 3,625 $12,553.90 $13,288.61 $66,585.40 $92,427.91 $251,496.0017 1715919 00GO Hiawatha Behavioral Health Authority 17 Chippewa 500 3,083 837 4,420 $24,505.35 $21,763.24 $138,629.20 $184,897.79 $309,405.6218 4344340 00GG Central Michigan CMH 18 Clare 408 3,542 1,209 5,159 $9,888.77 $20,387.69 $99,017.03 $129,293.49 $583,680.6519 1708001 00BJ CEI CMH 19 Clinton 418 2,570 697 3,685 $11,654.81 $12,766.18 $64,619.73 $89,040.72 $156,659.4120 1707158 00HC North Central CMH 20 Crawford 169 1,356 397 1,922 $4,406.24 $8,798.03 $36,740.19 $49,944.46 $97,946.9521 1724945 00HJ Pathways CMH 21 Delta 636 3,095 927 4,658 $28,150.87 $47,634.61 $151,486.20 $227,271.68 $480,425.2922 3140186 00HG Northpointe CMH 22 Dickinson 468 1,934 545 2,947 $14,678.50 $17,311.65 $71,545.65 $103,535.80 $216,081.2523 1708001 00BJ CEI CMH 23 Eaton 781 4,995 1,307 7,083 $20,240.95 $24,968.96 $118,374.20 $163,584.11 $284,047.3024 1707185 00HF Northern Michigan CMH 24 Emmet 429 1,982 529 2,940 $10,400.35 $10,013.14 $52,918.53 $73,332.02 $202,881.5625 1705233 0028 Genesee County Health Dept 25 Genesee 4,693 48,864 14,500 68,057 $109,018.87 $121,706.45 $958,669.77 $1,189,395.09 $3,662,591.8726 4344340 00GG Central Michigan CMH 26 Gladwin 384 2,490 785 3,659 $8,468.53 $14,040.21 $63,425.77 $85,934.51 $378,007.8327 1708119 00GL Gogebic County CMH 27 Gogebic 451 1,508 491 2,450 $15,303.73 $26,672.96 $68,324.29 $110,300.98 $255,612.1728 1705251 00GM Great Lakes CMH 28 Grand Traverse 814 4,175 1,282 6,271 $45,536.61 $35,707.71 $237,450.40 $318,694.72 $463,819.1529 1715955 00GN Gratiot County CMH 29 Gratiot 601 3,063 1,055 4,719 $13,382.68 $30,227.58 $92,264.99 $135,875.25 $493,636.1030 1712229 00GV Lifeways CMH 30 Hillsdale 567 3,173 1,104 4,844 $17,173.03 $22,054.05 $108,298.54 $147,525.62 $267,766.8331 1707962 00GI Copper County CMH 31 Houghton 668 2,804 909 4,381 $20,103.37 $17,494.17 $110,854.93 $148,452.47 $389,397.88

MA Capitation by Provider ID by County 2-Aug-2002 19:182002-08

Mental Health Capitation Eligible PopulationMA Capitation DMB Report: 55b2 - qSummary recordcode02 for CMHA Provider ID by County

8/2/02 7:20 PM

DD Cap



SubTotal DAB Cap

SubTotal TANF Cap




32 1708128 00GP Huron Behavioral Health 32 Huron 525 2,844 858 4,227 $16,024.29 $17,830.45 $97,814.45 $131,669.19 $323,812.3033 1708001 00BJ CEI CMH 33 Ingham 3,439 21,139 6,556 31,134 $106,369.13 $107,157.60 $585,133.17 $798,659.90 $1,437,335.8734 1715928 00GQ Ionia County CMH 34 Ionia 555 4,137 1,143 5,835 $16,276.16 $27,025.19 $106,517.73 $149,819.08 $469,198.9535 1706830 00GC AuSable Valley CMH 35 Iosco 422 2,614 767 3,803 $8,739.52 $27,617.68 $57,948.66 $94,305.86 $153,331.3136 3140186 00HG Northpointe CMH 36 Iron 424 991 365 1,780 $12,004.08 $8,958.10 $44,575.75 $65,537.93 $137,518.4837 4344340 00GG Central Michigan CMH 37 Isabella 533 3,699 1,243 5,475 $13,555.48 $21,071.13 $98,581.31 $133,207.92 $567,878.3038 1712229 00GV Lifeways CMH 38 Jackson 1,840 12,322 3,884 18,046 $57,586.25 $84,330.08 $387,120.52 $529,036.85 $947,149.4839 3402136 00GR Kalamazoo County CMH 39 Kalamazoo 2,518 16,257 5,404 24,179 $98,758.99 $111,312.36 $671,430.68 $881,502.03 $1,857,874.1840 1712283 00GB Antrim-Kalkaska CMH 40 Kalkaska 254 1,604 468 2,326 $7,404.47 $9,620.97 $44,924.94 $61,950.38 $221,750.6041 1705430 00GS Kent County CMH 41 Kent 5,997 43,103 12,754 61,854 $194,833.23 $251,340.77 $1,284,358.62 $1,730,532.62 $2,920,414.3742 1707962 00GI Copper County CMH 42 Keweenaw 60 173 57 290 $1,725.87 $1,072.23 $6,235.73 $9,033.83 $22,203.3243 3220732 00HV West Michigan CMH 43 Lake 266 1,307 661 2,234 $5,795.06 $8,499.43 $49,452.37 $63,746.86 $140,583.2844 1705242 00GT Lapeer County CMH 44 Lapeer 595 4,524 1,087 6,206 $16,677.01 $30,186.87 $110,294.58 $157,158.46 $563,609.9145 1705251 00GM Great Lakes CMH 45 Leelanau 173 1,043 216 1,432 $9,707.46 $9,239.50 $38,202.62 $57,149.58 $73,408.1646 1705270 00GU Lenawee County CMH 46 Lenawee 954 6,275 1,930 9,159 $29,616.65 $42,869.37 $198,804.55 $271,290.57 $694,177.7947 1707167 00GW Livingston County CMH 47 Livingston 669 3,481 998 5,148 $31,378.53 $59,031.31 $153,978.48 $244,388.32 $558,784.0548 1724945 00HJ Pathways CMH 48 Luce 163 768 310 1,241 $7,577.52 $12,053.18 $45,336.53 $64,967.23 $148,763.4449 1715919 00GO Hiawatha Behavioral Health Authority 49 Mackinac 157 750 203 1,110 $6,284.83 $5,180.78 $34,497.00 $45,962.61 $76,434.2250 3396315 00GX Macomb County CA 50 Macomb 6,694 33,255 10,585 50,534 $177,132.88 $218,886.32 $1,048,243.93 $1,444,263.13 $5,388,414.6951 1705304 00GY Manistee-Benzie CMH 51 Manistee 366 2,185 679 3,230 $10,025.02 $17,322.04 $68,575.10 $95,922.16 $524,679.2452 1724945 00HJ Pathways CMH 52 Marquette 837 3,923 1,294 6,054 $38,995.39 $60,902.57 $220,261.66 $320,159.62 $691,023.8253 3220732 00HV West Michigan CMH 53 Mason 416 2,517 695 3,628 $8,637.77 $16,117.95 $51,276.30 $76,032.02 $141,713.6154 4344340 00GG Central Michigan CMH 54 Mecosta 503 3,462 1,020 4,985 $12,699.17 $19,953.68 $79,067.70 $111,720.55 $459,934.7355 3140186 00HG Northpointe CMH 55 Menominee 413 1,780 493 2,686 $14,386.44 $15,888.64 $59,837.52 $90,112.60 $186,011.6556 4344340 00GG Central Michigan CMH 56 Midland 880 4,682 1,472 7,034 $21,939.16 $26,590.13 $120,678.69 $169,207.98 $699,206.1157 1707158 00HC North Central CMH 57 Missaukee 45 45 $1,759.95 $1,759.9558 1710547 00HX Monroe County CMH 58 Monroe 1,035 7,256 2,310 10,601 $31,251.89 $59,913.86 $241,772.24 $332,937.99 $1,105,642.4259 1712461 00GZ Montcalm Center Behavl. Hlt 59 Montcalm 655 4,882 1,541 7,078 $9,086.01 $21,592.03 $70,406.71 $101,084.75 $190,144.9060 1708100 00HE Northeast Michigan CMH 60 Montmorency 195 932 320 1,447 $3,859.88 $6,034.75 $21,502.93 $31,397.56 $160,862.1961 1712452 00HA Muskegon County CMH 61 Muskegon 2,516 18,210 6,118 26,844 $61,565.95 $114,402.95 $484,432.54 $660,401.44 $1,291,085.6262 1708066 00HB Newaygo County CMH 62 Newaygo 665 4,423 1,356 6,444 $15,153.98 $44,540.59 $102,751.84 $162,446.41 $261,746.79

8/2/02 7:20 PM

DD Cap



SubTotal DAB Cap

SubTotal TANF Cap




63 1705289 0058 Oakland County CMHA 63 Oakland 9,768 40,366 14,844 64,978 $259,562.01 $203,990.19 $1,495,872.44 $1,959,424.64 $8,332,364.7564 3220732 00HV West Michigan CMH 64 Oceana 319 4,153 839 5,311 $7,078.21 $27,365.30 $60,584.13 $95,027.64 $170,026.9965 1706830 00GC AuSable Valley CMH 65 Ogemaw 400 2,283 791 3,474 $7,996.40 $24,248.36 $58,494.26 $90,739.02 $159,469.4566 1707962 00GI Copper County CMH 66 Ontonagon 179 575 231 985 $5,074.26 $3,603.96 $27,433.73 $36,111.95 $97,619.1367 4344340 00GG Central Michigan CMH 67 Osceola 300 2,280 744 3,324 $7,580.07 $12,914.00 $56,874.18 $77,368.25 $338,628.7268 1706830 00GC AuSable Valley CMH 68 Oscoda 167 861 315 1,343 $3,526.90 $9,246.77 $23,267.80 $36,041.47 $62,219.1269 1707185 00HF Northern Michigan CMH 69 Otsego 221 2,118 447 2,786 $7,632.47 $11,094.86 $46,205.65 $64,932.98 $172,268.8870 1712425 00HI Ottawa County CMH 70 Ottawa 1,453 9,638 2,101 13,192 $51,845.73 $81,157.63 $282,054.28 $415,057.64 $1,336,298.0471 1708100 00HE Northeast Michigan CMH 71 Presque Isle 256 833 334 1,423 $5,171.37 $5,160.18 $24,835.18 $35,166.73 $183,538.0872 1707158 00HC North Central CMH 72 Roscommon 402 2,645 879 3,926 $10,340.82 $17,571.95 $84,249.35 $112,162.12 $222,797.0073 1712541 00HQ Saginaw County CMH 73 Saginaw 2,593 22,949 7,805 33,347 $62,090.71 $92,685.95 $594,480.62 $749,257.28 $1,309,673.1274 1708164 00HO St. Clair County CMH 74 St. Clair 1,685 11,074 3,074 15,833 $56,167.89 $193,340.72 $322,979.98 $572,488.59 $1,603,093.7475 1708146 00HP St. Joseph County CMH 75 St. Joseph 861 5,661 1,349 7,871 $29,509.93 $38,024.83 $138,913.89 $206,448.65 $420,888.3776 1706849 00HM Sanilac County CMH 76 Sanilac 565 3,783 997 5,345 $13,403.31 $16,899.78 $80,398.05 $110,701.14 $974,874.1577 1715919 00GO Hiawatha Behavioral Health Authority 77 Schoolcraft 229 887 289 1,405 $9,678.50 $6,207.35 $47,899.58 $63,785.43 $107,165.2478 1712407 00HN Shiawassee County CMH 78 Shiawassee 714 5,170 1,450 7,334 $19,337.26 $33,044.14 $139,645.14 $192,026.54 $468,129.4679 1707130 00HS Tuscola County CMH 79 Tuscola 655 4,773 1,278 6,706 $20,677.21 $35,899.55 $125,986.29 $182,563.05 $604,705.9080 1705298 00HT Van Buren County CMH 80 Van Buren 1,273 9,223 2,294 12,790 $43,495.57 $71,892.71 $256,200.28 $371,588.56 $405,211.3081 1707176 00HU Washtenaw County CMH 81 Washtenaw 2,142 11,372 4,229 17,743 $89,010.08 $133,272.20 $573,118.08 $795,400.36 $1,584,014.2382 3119549 00GJ Detroit-Wayne County CMH 82 Wayne 32,544 238,203 83,062 353,809 $1,173,794.28 $1,461,673.42 $9,121,934.56 $11,757,402.26 $14,128,149.4783 1707158 00HC North Central CMH 83 Wexford 688 4,648 1,259 6,595 $18,698.74 $29,932.23 $119,381.64 $168,012.61 $317,382.4184

85

114,826 755,559 243,116 1,113,501 32,955,807.60$ 70,153,853.44$ Check Values - - - - -$ -$

8/2/02 7:20 PM


TANF Eligibles DD Eligibles Total Eligibles SubTotal SA Cap

1 3119549 00XO Detroit Health Department 21,884 166,670 57,827 246,381 $636,681.022 1724945 00HY Eastern U.P. Substance Abuse 3,089 14,918 4,560 22,567 $31,892.903 1705233 00HZ Genesee County Health Dept 4,693 48,864 14,500 68,057 $133,307.034 3402136 00GR Kalamazoo County CMH 4,433 28,379 8,495 41,307 $78,320.325 1712452 00IB Lakeshore CA 9,376 64,667 18,559 92,602 $142,618.676 3396315 00GX Macomb County CA 6,694 33,255 10,585 50,534 $114,464.017 1708001 00IC Mid-South CA 11,149 71,051 22,415 104,615 $149,222.078 1705430 00ID Mink Substance Abuse Coordinating Agency 7,872 56,545 16,794 81,211 $138,840.429 4344340 00IE Northern Michigan CA 11,186 69,955 21,083 102,224 $141,890.2910 1705289 00IF Oakland County Health Div 9,768 40,366 14,844 64,978 $141,755.8311 1712541 00IG Saginaw County Health Dept 3,738 31,551 10,599 45,888 $131,609.9612 1710547 00IH Southeast MI Community Alliance 11,695 78,789 27,545 118,029 $258,079.1513 1708164 00II St. Clair County Health Dept. CA 4,025 26,998 7,294 38,317 $50,236.3614 1707176 00HU Washtenaw County CMH 2,811 14,853 5,227 22,891 $47,056.9915 1707962 00IL Western U.P. SAS 2,413 8,698 2,789 13,900 $26,464.1816

114,826 755,559 243,116 1,113,501 2,222,439.20$ Check Value 870,385 - -$

SA Capitation by Provider ID 2-Aug-2002 19:182002-08

Eligible PopulationMA Capitation DMB Report: 55c2 - qSummary recordcode02 for CA Provider ID

8/2/02 7:20 PM

Provider ID Agent ID Provider Name Co ID County Name DAB

EligiblesTANF

Eligibles DD Eligibles Total Eligibles SubTotal SA Cap

1 4344340 00IE Northern Michigan CA 01 Alcona 153 904 302 1,359 $1,871.942 1724945 00HY Eastern U.P. Substance Abuse 02 Alger 154 632 207 993 $1,437.113 1712452 00IB Lakeshore CA 03 Allegan 1,008 6,696 1,663 9,367 $12,748.534 4344340 00IE Northern Michigan CA 04 Alpena 479 2,773 1,028 4,280 $6,856.045 4344340 00IE Northern Michigan CA 05 Antrim 312 1,598 423 2,333 $2,594.426 4344340 00IE Northern Michigan CA 06 Arenac 293 1,848 523 2,664 $3,705.717 1707962 00IL Western U.P. SAS 07 Baraga 163 713 191 1,067 $1,735.918 3402136 00GR Kalamazoo County CMH 08 Barry 478 3,251 788 4,517 $8,124.509 1712541 00IG Saginaw County Health Dept 09 Bay 1,145 8,602 2,794 12,541 $36,430.2110 4344340 00IE Northern Michigan CA 10 Benzie 191 1,093 333 1,617 $1,856.2411 1712452 00IB Lakeshore CA 11 Berrien 2,433 16,402 5,210 24,045 $37,814.8412 3402136 00GR Kalamazoo County CMH 12 Branch 576 3,210 954 4,740 $8,796.9013 1708001 00IC Mid-South CA 13 Calhoun 1,835 12,344 4,432 18,611 $27,886.2214 1712452 00IB Lakeshore CA 14 Cass 693 4,498 1,173 6,364 $9,846.7715 4344340 00IE Northern Michigan CA 15 Charlevoix 311 1,785 478 2,574 $2,889.3316 4344340 00IE Northern Michigan CA 16 Cheboygan 437 2,543 645 3,625 $4,679.3417 1724945 00HY Eastern U.P. Substance Abuse 17 Chippewa 500 3,083 837 4,420 $6,200.3318 4344340 00IE Northern Michigan CA 18 Clare 408 3,542 1,209 5,159 $8,258.8319 1708001 00IC Mid-South CA 19 Clinton 418 2,570 697 3,685 $4,961.5820 4344340 00IE Northern Michigan CA 20 Crawford 169 1,356 397 1,922 $2,743.8521 1724945 00HY Eastern U.P. Substance Abuse 21 Delta 636 3,095 927 4,658 $6,497.2822 1707962 00IL Western U.P. SAS 22 Dickinson 468 1,934 545 2,947 $5,820.7923 1708001 00IC Mid-South CA 23 Eaton 781 4,995 1,307 7,083 $9,287.6424 4344340 00IE Northern Michigan CA 24 Emmet 429 1,982 529 2,940 $3,285.2225 1705233 00HZ Genesee County Health Dept 25 Genesee 4,693 48,864 14,500 68,057 $133,307.0326 4344340 00IE Northern Michigan CA 26 Gladwin 384 2,490 785 3,659 $5,152.4827 1707962 00IL Western U.P. SAS 27 Gogebic 451 1,508 491 2,450 $4,775.7928 4344340 00IE Northern Michigan CA 28 Grand Traverse 814 4,175 1,282 6,271 $7,945.0129 1708001 00IC Mid-South CA 29 Gratiot 601 3,063 1,055 4,719 $6,644.9630 1708001 00IC Mid-South CA 30 Hillsdale 567 3,173 1,104 4,844 $6,923.3331 1707962 00IL Western U.P. SAS 31 Houghton 668 2,804 909 4,381 $8,374.26

SA Capitation by Provider ID by County 2-Aug-2002 19:182002-08

Eligible PopulationMA Capitation DMB Report: 55d2 - qSummary recordcode02 for CA Provider ID by County

8/2/02 7:20 PM


EligiblesTANF




32 1708164 00II St. Clair County Health Dept. CA 32 Huron 525 2,844 858 4,227 $5,460.2233 1708001 00IC Mid-South CA 33 Ingham 3,439 21,139 6,556 31,134 $45,580.7534 1705430 00ID Mink Substance Abuse Coordinating Agency 34 Ionia 555 4,137 1,143 5,835 $9,938.5035 4344340 00IE Northern Michigan CA 35 Iosco 422 2,614 767 3,803 $5,430.3136 1707962 00IL Western U.P. SAS 36 Iron 424 991 365 1,780 $3,331.6237 4344340 00IE Northern Michigan CA 37 Isabella 533 3,699 1,243 5,475 $8,001.1438 1708001 00IC Mid-South CA 38 Jackson 1,840 12,322 3,884 18,046 $24,711.9539 3402136 00GR Kalamazoo County CMH 39 Kalamazoo 2,518 16,257 5,404 24,179 $47,720.1940 4344340 00IE Northern Michigan CA 40 Kalkaska 254 1,604 468 2,326 $2,850.4341 1705430 00ID Mink Substance Abuse Coordinating Agency 41 Kent 5,997 43,103 12,754 61,854 $104,943.4742 1707962 00IL Western U.P. SAS 42 Keweenaw 60 173 57 290 $462.8443 4344340 00IE Northern Michigan CA 43 Lake 266 1,307 661 2,234 $3,819.8544 1708164 00II St. Clair County Health Dept. CA 44 Lapeer 595 4,524 1,087 6,206 $7,618.2945 4344340 00IE Northern Michigan CA 45 Leelanau 173 1,043 216 1,432 $1,711.1146 1708001 00IC Mid-South CA 46 Lenawee 954 6,275 1,930 9,159 $12,960.1047 1707176 00HU Washtenaw County CMH 47 Livingston 669 3,481 998 5,148 $9,619.5448 1724945 00HY Eastern U.P. Substance Abuse 48 Luce 163 768 310 1,241 $1,846.4749 1724945 00HY Eastern U.P. Substance Abuse 49 Mackinac 157 750 203 1,110 $1,437.7150 3396315 00GX Macomb County CA 50 Macomb 6,694 33,255 10,585 50,534 $114,464.0151 4344340 00IE Northern Michigan CA 51 Manistee 366 2,185 679 3,230 $4,529.5752 1724945 00HY Eastern U.P. Substance Abuse 52 Marquette 837 3,923 1,294 6,054 $9,167.9153 4344340 00IE Northern Michigan CA 53 Mason 416 2,517 695 3,628 $4,655.6054 4344340 00IE Northern Michigan CA 54 Mecosta 503 3,462 1,020 4,985 $7,097.8855 1724945 00HY Eastern U.P. Substance Abuse 55 Menominee 413 1,780 493 2,686 $3,398.2356 4344340 00IE Northern Michigan CA 56 Midland 880 4,682 1,472 7,034 $9,972.5257 4344340 00IE Northern Michigan CA 57 Missaukee 45 45 $20.7058 1710547 00IH Southeast MI Community Alliance 58 Monroe 1,035 7,256 2,310 10,601 $22,564.4859 1705430 00ID Mink Substance Abuse Coordinating Agency 59 Montcalm 655 4,882 1,541 7,078 $12,257.5660 4344340 00IE Northern Michigan CA 60 Montmorency 195 932 320 1,447 $2,013.5561 1712452 00IB Lakeshore CA 61 Muskegon 2,516 18,210 6,118 26,844 $45,518.4062 1705430 00ID Mink Substance Abuse Coordinating Agency 62 Newaygo 665 4,423 1,356 6,444 $11,700.89

8/2/02 7:20 PM


EligiblesTANF




63 1705289 00IF Oakland County Health Div 63 Oakland 9,768 40,366 14,844 64,978 $141,755.8364 4344340 00IE Northern Michigan CA 64 Oceana 319 4,153 839 5,311 $7,119.6165 4344340 00IE Northern Michigan CA 65 Ogemaw 400 2,283 791 3,474 $5,290.0866 1707962 00IL Western U.P. SAS 66 Ontonagon 179 575 231 985 $1,962.9767 4344340 00IE Northern Michigan CA 67 Osceola 300 2,280 744 3,324 $4,633.4968 4344340 00IE Northern Michigan CA 68 Oscoda 167 861 315 1,343 $2,152.0569 4344340 00IE Northern Michigan CA 69 Otsego 221 2,118 447 2,786 $3,605.3370 1712452 00IB Lakeshore CA 70 Ottawa 1,453 9,638 2,101 13,192 $17,077.4971 4344340 00IE Northern Michigan CA 71 Presque Isle 256 833 334 1,423 $1,951.1472 4344340 00IE Northern Michigan CA 72 Roscommon 402 2,645 879 3,926 $6,265.1173 1712541 00IG Saginaw County Health Dept 73 Saginaw 2,593 22,949 7,805 33,347 $95,179.7574 1708164 00II St. Clair County Health Dept. CA 74 St. Clair 1,685 11,074 3,074 15,833 $21,775.0675 3402136 00GR Kalamazoo County CMH 75 St. Joseph 861 5,661 1,349 7,871 $13,678.7376 1708164 00II St. Clair County Health Dept. CA 76 Sanilac 565 3,783 997 5,345 $6,750.7477 1724945 00HY Eastern U.P. Substance Abuse 77 Schoolcraft 229 887 289 1,405 $1,907.8678 1708001 00IC Mid-South CA 78 Shiawassee 714 5,170 1,450 7,334 $10,265.5479 1708164 00II St. Clair County Health Dept. CA 79 Tuscola 655 4,773 1,278 6,706 $8,632.0580 1712452 00IB Lakeshore CA 80 Van Buren 1,273 9,223 2,294 12,790 $19,612.6481 1707176 00HU Washtenaw County CMH 81 Washtenaw 2,142 11,372 4,229 17,743 $37,437.4582 1710547 00IH Southeast MI Community Alliance 82 Wayne 10,660 71,533 25,235 107,428 $235,514.6783 3119549 00XO Detroit Health Department 82 Wayne 21,884 166,670 57,827 246,381 $636,681.0284 4344340 00IE Northern Michigan CA 83 Wexford 688 4,648 1,259 6,595 $8,932.4185

114,826 755,559 243,116 1,113,501 2,222,439.20$ Check Value - -$

8/2/02 7:20 PM

Provider ID Agent ID Provider Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

1 1709690 00GA Allegan County CMH 444 246 339 327 508 807 2,671 2 1712283 00GB Antrim-Kalkaska CMH 241 116 148 192 305 455 1,457 3 1706830 00GC AuSable Valley CMH 330 238 320 503 614 857 2,862 4 1705260 00GD Barry County CMH 170 150 144 190 234 378 1,266 5 1705322 00GE Bay-Arenac CMH 538 447 706 801 936 1,327 4,755 6 1716175 00GF Berrien Mental Health 1,558 632 956 1,088 1,419 1,990 7,643 7 1708001 00BJ CEI CMH 2,848 1,342 1,788 1,926 2,217 3,077 13,198 8 4344340 00GG Central Michigan CMH 1,527 918 1,361 1,427 1,917 2,331 9,481 9 1707962 00GI Copper County CMH 184 185 222 283 499 1,085 2,458 10 3119549 00GJ Detroit-Wayne County CMH 23,610 8,972 15,369 17,835 23,508 26,312 115,606 11 1705233 0028 Genesee County Health Dept 4,232 1,858 3,123 3,197 3,426 3,357 19,193 12 1708119 00GL Gogebic County CMH 86 70 92 121 137 436 942 13 1715955 00GN Gratiot County CMH 209 131 213 229 307 567 1,656 14 1705251 00GM Great Lakes CMH 461 209 321 325 428 741 2,485 15 1715919 00GO Hiawatha Behavioral Health Authority 320 162 266 310 429 728 2,215 16 1708128 00GP Huron Behavioral Health 116 128 149 188 293 509 1,383 17 1715928 00GQ Ionia County CMH 284 184 255 234 331 410 1,698 18 3402136 00GR Kalamazoo County CMH 1,483 715 1,125 1,203 1,479 1,917 7,922 19 1705430 00GS Kent County CMH 3,940 2,083 2,682 2,548 2,973 4,525 18,751 20 1705242 00GT Lapeer County CMH 221 140 245 227 309 540 1,682 21 1705270 00GU Lenawee County CMH 514 248 440 388 564 730 2,884 22 1712229 00GV Lifeways CMH 1,554 673 1,031 1,021 1,345 1,771 7,395 23 1707167 00GW Livingston County CMH 301 203 237 225 246 455 1,667 24 3396315 00GX Macomb County CA 2,277 1,344 2,101 2,352 3,153 6,052 17,279 25 1705304 00GY Manistee-Benzie CMH 187 119 173 223 365 502 1,569 26 1710547 00HX Monroe County CMH 534 315 511 515 597 873 3,345 27 1712461 00GZ Montcalm Center Behavl. Hlt 386 206 310 332 433 529 2,196 28 1712452 00HA Muskegon County CMH 1,513 776 1,312 1,435 1,687 1,911 8,634 29 1708066 00HB Newaygo County CMH 315 190 243 346 406 521 2,021 30 1707158 00HC North Central CMH 541 321 485 641 794 1,057 3,839 31 1708100 00HE Northeast Michigan CMH 315 274 378 467 641 992 3,067

MA DAB Population by Provider ID by Age Group2002-08

2-Aug-2002 19:18

Eligible Population by Age GroupMA Capitation DMB Report: 56a2 - qSummary recordcode02 by CMHA - Pop - DAB

8/2/02 7:20 PM

32 1707185 00HF Northern Michigan CMH 491 301 426 451 667 1,161 3,497 33 3140186 00HG Northpointe CMH 260 213 243 305 464 1,223 2,708 34 1705289 0058 Oakland County CMHA 3,384 1,820 3,071 3,197 4,225 8,915 24,612 35 1712425 00HI Ottawa County CMH 610 362 482 456 535 1,109 3,554 36 1724945 00HJ Pathways CMH 501 432 537 616 878 1,564 4,528 37 1712372 00HL Pines Behavioral Health CMH 274 131 206 199 276 444 1,530 38 1712541 00HQ Saginaw County CMH 1,977 1,094 1,681 1,663 1,809 2,174 10,398 39 1706849 00HM Sanilac County CMH 184 151 166 228 337 496 1,562 40 1712407 00HN Shiawassee County CMH 329 236 323 330 364 582 2,164 41 1708164 00HO St. Clair County CMH 942 447 641 705 901 1,123 4,759 42 1708146 00HP St. Joseph County CMH 417 234 282 294 397 586 2,210 43 2920843 00HR Summit Pointe CMH 1,108 577 913 989 1,194 1,486 6,267 44 1707130 00HS Tuscola County CMH 376 217 255 261 358 466 1,933 45 1705298 00HT Van Buren County CMH 580 330 418 473 717 1,049 3,567 46 1707176 00HU Washtenaw County CMH 1,131 617 905 983 1,072 1,663 6,371 47 3220732 00HV West Michigan CMH 453 290 403 485 692 873 3,196 48 1706114 00HW Woodlands Behavioral Healthcare 358 175 233 261 339 500 1,866 49

50

State Subtotals 64,614 31,222 48,230 52,995 67,725 93,156 357,942

Check Values -

8/2/02 7:20 PM

Provider ID Agent ID Provider Name Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

1 1708100 00HE Northeast Michigan CMH 01 Alcona 45 31 42 64 115 158 455 2 1724945 00HJ Pathways CMH 02 Alger 21 17 42 42 73 166 361 3 1709690 00GA Allegan County CMH 03 Allegan 444 246 339 327 508 807 2,671 4 1708100 00HE Northeast Michigan CMH 04 Alpena 145 145 226 260 297 434 1,507 5 1712283 00GB Antrim-Kalkaska CMH 05 Antrim 121 67 71 104 131 241 735 6 1705322 00GE Bay-Arenac CMH 06 Arenac 88 76 90 130 163 269 816 7 1707962 00GI Copper County CMH 07 Baraga 34 20 29 37 74 160 354 8 1705260 00GD Barry County CMH 08 Barry 170 150 144 190 234 378 1,266 9 1705322 00GE Bay-Arenac CMH 09 Bay 450 371 616 671 773 1,058 3,939 10 1705304 00GY Manistee-Benzie CMH 10 Benzie 74 29 53 69 117 182 524 11 1716175 00GF Berrien Mental Health 11 Berrien 1,558 632 956 1,088 1,419 1,990 7,643 12 1712372 00HL Pines Behavioral Health CMH 12 Branch 274 131 206 199 276 444 1,530 13 2920843 00HR Summit Pointe CMH 13 Calhoun 1,108 577 913 989 1,194 1,486 6,267 14 1706114 00HW Woodlands Behavioral Healthcare 14 Cass 358 175 233 261 339 500 1,866 15 1707185 00HF Northern Michigan CMH 15 Charlevoix 115 66 94 84 167 263 789 16 1707185 00HF Northern Michigan CMH 16 Cheboygan 171 81 140 143 204 343 1,082 17 1715919 00GO Hiawatha Behavioral Health Authority 17 Chippewa 228 110 155 208 256 380 1,337 18 4344340 00GG Central Michigan CMH 18 Clare 197 139 240 311 372 358 1,617 19 1708001 00BJ CEI CMH 19 Clinton 241 106 163 164 158 283 1,115 20 1707158 00HC North Central CMH 20 Crawford 86 46 65 109 110 150 566 21 1724945 00HJ Pathways CMH 21 Delta 179 150 173 215 290 556 1,563 22 3140186 00HG Northpointe CMH 22 Dickinson 100 83 102 140 153 435 1,013 23 1708001 00BJ CEI CMH 23 Eaton 399 182 299 274 338 596 2,088 24 1707185 00HF Northern Michigan CMH 24 Emmet 89 80 98 114 178 399 958 25 1705233 0028 Genesee County Health Dept 25 Genesee 4,232 1,858 3,123 3,197 3,426 3,357 19,193 26 4344340 00GG Central Michigan CMH 26 Gladwin 135 92 157 181 269 335 1,169 27 1708119 00GL Gogebic County CMH 27 Gogebic 86 70 92 121 137 436 942 28 1705251 00GM Great Lakes CMH 28 Grand Traverse 384 170 275 284 372 611 2,096 29 1715955 00GN Gratiot County CMH 29 Gratiot 209 131 213 229 307 567 1,656 30 1712229 00GV Lifeways CMH 30 Hillsdale 291 170 227 206 324 453 1,671 31 1707962 00GI Copper County CMH 31 Houghton 108 128 149 189 328 675 1,577

2002-08MA DAB Population by Provider ID by County by Age Group 2-Aug-2002 19:18

Eligible Population by Age GroupMA Capitation DMB Report: 56b2 - qSummary recordcode02 by CMHA by County - Pop - DAB

8/2/02 7:20 PM




32 1708128 00GP Huron Behavioral Health 32 Huron 116 128 149 188 293 509 1,383 33 1708001 00BJ CEI CMH 33 Ingham 2,208 1,054 1,326 1,488 1,721 2,198 9,995 34 1715928 00GQ Ionia County CMH 34 Ionia 284 184 255 234 331 410 1,698 35 1706830 00GC AuSable Valley CMH 35 Iosco 150 90 156 189 250 354 1,189 36 3140186 00HG Northpointe CMH 36 Iron 66 44 58 69 143 409 789 37 4344340 00GG Central Michigan CMH 37 Isabella 304 191 295 237 331 418 1,776 38 1712229 00GV Lifeways CMH 38 Jackson 1,263 503 804 815 1,021 1,318 5,724 39 3402136 00GR Kalamazoo County CMH 39 Kalamazoo 1,483 715 1,125 1,203 1,479 1,917 7,922 40 1712283 00GB Antrim-Kalkaska CMH 40 Kalkaska 120 49 77 88 174 214 722 41 1705430 00GS Kent County CMH 41 Kent 3,940 2,083 2,682 2,548 2,973 4,525 18,751 42 1707962 00GI Copper County CMH 42 Keweenaw 12 5 8 8 24 60 117 43 3220732 00HV West Michigan CMH 43 Lake 118 77 112 169 213 238 927 44 1705242 00GT Lapeer County CMH 44 Lapeer 221 140 245 227 309 540 1,682 45 1705251 00GM Great Lakes CMH 45 Leelanau 77 39 46 41 56 130 389 46 1705270 00GU Lenawee County CMH 46 Lenawee 514 248 440 388 564 730 2,884 47 1707167 00GW Livingston County CMH 47 Livingston 301 203 237 225 246 455 1,667 48 1724945 00HJ Pathways CMH 48 Luce 67 38 45 61 100 162 473 49 1715919 00GO Hiawatha Behavioral Health Authority 49 Mackinac 47 13 42 52 66 140 360 50 3396315 00GX Macomb County CA 50 Macomb 2,277 1,344 2,101 2,352 3,153 6,052 17,279 51 1705304 00GY Manistee-Benzie CMH 51 Manistee 113 90 120 154 248 320 1,045 52 1724945 00HJ Pathways CMH 52 Marquette 234 227 277 298 415 680 2,131 53 3220732 00HV West Michigan CMH 53 Mason 173 112 150 132 199 345 1,111 54 4344340 00GG Central Michigan CMH 54 Mecosta 263 169 196 223 281 391 1,523 55 3140186 00HG Northpointe CMH 55 Menominee 94 86 83 96 168 379 906 56 4344340 00GG Central Michigan CMH 56 Midland 461 224 330 325 438 574 2,352 57 1707158 00HC North Central CMH 57 Missaukee 45 45 58 1710547 00HX Monroe County CMH 58 Monroe 534 315 511 515 597 873 3,345 59 1712461 00GZ Montcalm Center Behavl. Hlt 59 Montcalm 386 206 310 332 433 529 2,196 60 1708100 00HE Northeast Michigan CMH 60 Montmorency 65 41 42 66 121 180 515 61 1712452 00HA Muskegon County CMH 61 Muskegon 1,513 776 1,312 1,435 1,687 1,911 8,634 62 1708066 00HB Newaygo County CMH 62 Newaygo 315 190 243 346 406 521 2,021

8/2/02 7:20 PM




63 1705289 0058 Oakland County CMHA 63 Oakland 3,384 1,820 3,071 3,197 4,225 8,915 24,612 64 3220732 00HV West Michigan CMH 64 Oceana 162 101 141 184 280 290 1,158 65 1706830 00GC AuSable Valley CMH 65 Ogemaw 125 108 115 224 263 356 1,191 66 1707962 00GI Copper County CMH 66 Ontonagon 30 32 36 49 73 190 410 67 4344340 00GG Central Michigan CMH 67 Osceola 167 103 143 150 226 255 1,044 68 1706830 00GC AuSable Valley CMH 68 Oscoda 55 40 49 90 101 147 482 69 1707185 00HF Northern Michigan CMH 69 Otsego 116 74 94 110 118 156 668 70 1712425 00HI Ottawa County CMH 70 Ottawa 610 362 482 456 535 1,109 3,554 71 1708100 00HE Northeast Michigan CMH 71 Presque Isle 60 57 68 77 108 220 590 72 1707158 00HC North Central CMH 72 Roscommon 157 100 179 216 282 347 1,281 73 1712541 00HQ Saginaw County CMH 73 Saginaw 1,977 1,094 1,681 1,663 1,809 2,174 10,398 74 1708164 00HO St. Clair County CMH 74 St. Clair 942 447 641 705 901 1,123 4,759 75 1708146 00HP St. Joseph County CMH 75 St. Joseph 417 234 282 294 397 586 2,210 76 1706849 00HM Sanilac County CMH 76 Sanilac 184 151 166 228 337 496 1,562 77 1715919 00GO Hiawatha Behavioral Health Authority 77 Schoolcraft 45 39 69 50 107 208 518 78 1712407 00HN Shiawassee County CMH 78 Shiawassee 329 236 323 330 364 582 2,164 79 1707130 00HS Tuscola County CMH 79 Tuscola 376 217 255 261 358 466 1,933 80 1705298 00HT Van Buren County CMH 80 Van Buren 580 330 418 473 717 1,049 3,567 81 1707176 00HU Washtenaw County CMH 81 Washtenaw 1,131 617 905 983 1,072 1,663 6,371 82 3119549 00GJ Detroit-Wayne County CMH 82 Wayne 23,610 8,972 15,369 17,835 23,508 26,312 115,606 83 1707158 00HC North Central CMH 83 Wexford 253 175 241 316 402 560 1,947 84

85

64,614 31,222 48,230 52,995 67,725 93,156 357,942 Check Values -

8/2/02 7:20 PM


1 1709690 00GA Allegan County CMH 5,134 684 680 161 37 6,696 2 1712283 00GB Antrim-Kalkaska CMH 2,524 315 271 77 15 3,202 3 1706830 00GC AuSable Valley CMH 4,208 612 665 242 31 5,758 4 1705260 00GD Barry County CMH 2,414 356 365 104 12 3,251 5 1705322 00GE Bay-Arenac CMH 7,734 1,122 1,191 346 57 10,450 6 1716175 00GF Berrien Mental Health 11,935 1,891 1,981 487 107 1 16,402 7 1708001 00BJ CEI CMH 21,126 3,110 3,446 822 196 4 28,704 8 4344340 00GG Central Michigan CMH 14,645 2,264 2,510 625 111 20,155 9 1707962 00GI Copper County CMH 3,287 400 425 128 25 4,265 10 3119549 00GJ Detroit-Wayne County CMH 180,804 21,063 26,794 7,783 1,708 51 238,203 11 1705233 0028 Genesee County Health Dept 35,450 5,083 6,435 1,648 246 2 48,864 12 1708119 00GL Gogebic County CMH 1,152 140 156 50 10 1,508 13 1715955 00GN Gratiot County CMH 2,316 329 324 77 17 3,063 14 1705251 00GM Great Lakes CMH 4,048 518 485 142 25 5,218 15 1715919 00GO Hiawatha Behavioral Health Authority 3,553 509 498 141 19 4,720 16 1708128 00GP Huron Behavioral Health 2,189 277 257 112 9 2,844 17 1715928 00GQ Ionia County CMH 3,063 492 456 104 21 1 4,137 18 3402136 00GR Kalamazoo County CMH 12,018 1,818 1,888 468 64 1 16,257 19 1705430 00GS Kent County CMH 32,245 4,660 4,846 1,137 211 4 43,103 20 1705242 00GT Lapeer County CMH 3,469 439 464 130 22 4,524 21 1705270 00GU Lenawee County CMH 4,699 667 710 170 29 6,275 22 1712229 00GV Lifeways CMH 11,784 1,645 1,584 408 74 15,495 23 1707167 00GW Livingston County CMH 2,665 343 337 118 18 3,481 24 3396315 00GX Macomb County CA 24,768 3,015 3,752 1,379 337 4 33,255 25 1705304 00GY Manistee-Benzie CMH 2,454 376 320 106 22 3,278 26 1710547 00HX Monroe County CMH 5,474 761 772 213 36 7,256 27 1712461 00GZ Montcalm Center Behavl. Hlt 3,732 514 495 130 11 4,882 28 1712452 00HA Muskegon County CMH 13,466 2,176 2,001 507 59 1 18,210 29 1708066 00HB Newaygo County CMH 3,314 457 469 153 30 4,423 30 1707158 00HC North Central CMH 6,324 937 1,037 313 38 8,649 31 1708100 00HE Northeast Michigan CMH 4,008 571 598 230 35 5,442

MA TANF Population by Provider ID by Age Group2002-08

2-Aug-2002 19:18

Eligible Population by Age GroupMA Capitation DMB Report: 56c2 - qSummary recordcode02 by CMHA - Pop - TANF

8/2/02 7:20 PM

32 1707185 00HF Northern Michigan CMH 6,487 825 843 237 36 8,428 33 3140186 00HG Northpointe CMH 3,495 521 500 164 25 4,705 34 1705289 0058 Oakland County CMHA 30,815 3,533 4,258 1,375 376 9 40,366 35 1712425 00HI Ottawa County CMH 7,552 976 830 241 39 9,638 36 1724945 00HJ Pathways CMH 6,191 929 983 267 48 8,418 37 1712372 00HL Pines Behavioral Health CMH 2,410 324 363 100 13 3,210 38 1712541 00HQ Saginaw County CMH 16,992 2,447 2,724 682 103 1 22,949 39 1706849 00HM Sanilac County CMH 2,837 421 371 126 28 3,783 40 1712407 00HN Shiawassee County CMH 3,861 564 588 140 17 5,170 41 1708164 00HO St. Clair County CMH 8,146 1,188 1,293 370 77 11,074 42 1708146 00HP St. Joseph County CMH 4,237 615 646 139 23 1 5,661 43 2920843 00HR Summit Pointe CMH 9,278 1,371 1,332 313 50 12,344 44 1707130 00HS Tuscola County CMH 3,602 487 500 165 18 1 4,773 45 1705298 00HT Van Buren County CMH 6,490 1,019 1,230 383 96 5 9,223 46 1707176 00HU Washtenaw County CMH 8,512 1,161 1,310 326 62 1 11,372 47 3220732 00HV West Michigan CMH 5,779 833 979 313 72 1 7,977 48 1706114 00HW Woodlands Behavioral Healthcare 3,239 486 593 148 32 4,498 49

50

State Subtotals 565,925 75,244 85,555 24,000 4,747 88 755,559

Check Values -

8/2/02 7:20 PM


1 1708100 00HE Northeast Michigan CMH 01 Alcona 676 79 107 37 5 904 2 1724945 00HJ Pathways CMH 02 Alger 461 67 72 29 3 632 3 1709690 00GA Allegan County CMH 03 Allegan 5,134 684 680 161 37 6,696 4 1708100 00HE Northeast Michigan CMH 04 Alpena 2,016 300 322 117 18 2,773 5 1712283 00GB Antrim-Kalkaska CMH 05 Antrim 1,290 158 114 29 7 1,598 6 1705322 00GE Bay-Arenac CMH 06 Arenac 1,372 175 193 88 20 1,848 7 1707962 00GI Copper County CMH 07 Baraga 554 78 63 13 5 713 8 1705260 00GD Barry County CMH 08 Barry 2,414 356 365 104 12 3,251 9 1705322 00GE Bay-Arenac CMH 09 Bay 6,362 947 998 258 37 8,602 10 1705304 00GY Manistee-Benzie CMH 10 Benzie 869 116 77 26 5 1,093 11 1716175 00GF Berrien Mental Health 11 Berrien 11,935 1,891 1,981 487 107 1 16,402 12 1712372 00HL Pines Behavioral Health CMH 12 Branch 2,410 324 363 100 13 3,210 13 2920843 00HR Summit Pointe CMH 13 Calhoun 9,278 1,371 1,332 313 50 12,344 14 1706114 00HW Woodlands Behavioral Healthcare 14 Cass 3,239 486 593 148 32 4,498 15 1707185 00HF Northern Michigan CMH 15 Charlevoix 1,433 151 145 45 11 1,785 16 1707185 00HF Northern Michigan CMH 16 Cheboygan 1,924 233 291 80 15 2,543 17 1715919 00GO Hiawatha Behavioral Health Authority 17 Chippewa 2,286 345 353 86 13 3,083 18 4344340 00GG Central Michigan CMH 18 Clare 2,576 348 479 125 14 3,542 19 1708001 00BJ CEI CMH 19 Clinton 1,950 277 268 62 13 2,570 20 1707158 00HC North Central CMH 20 Crawford 1,000 143 157 47 9 1,356 21 1724945 00HJ Pathways CMH 21 Delta 2,325 323 329 102 16 3,095 22 3140186 00HG Northpointe CMH 22 Dickinson 1,448 204 208 65 9 1,934 23 1708001 00BJ CEI CMH 23 Eaton 3,739 546 547 129 34 4,995 24 1707185 00HF Northern Michigan CMH 24 Emmet 1,574 200 164 42 2 1,982 25 1705233 0028 Genesee County Health Dept 25 Genesee 35,450 5,083 6,435 1,648 246 2 48,864 26 4344340 00GG Central Michigan CMH 26 Gladwin 1,876 251 258 86 19 2,490 27 1708119 00GL Gogebic County CMH 27 Gogebic 1,152 140 156 50 10 1,508 28 1705251 00GM Great Lakes CMH 28 Grand Traverse 3,268 427 359 105 16 4,175 29 1715955 00GN Gratiot County CMH 29 Gratiot 2,316 329 324 77 17 3,063 30 1712229 00GV Lifeways CMH 30 Hillsdale 2,348 349 362 92 22 3,173 31 1707962 00GI Copper County CMH 31 Houghton 2,159 252 292 84 17 2,804

Eligible Population by Age Group

2002-08MA TANF Population by Provider ID by County by Age Group 2-Aug-2002 19:18

MA Capitation DMB Report: 56d2 - qSummary recordcode02 by CMHA by County - Pop - TANF

8/2/02 7:20 PM





32 1708128 00GP Huron Behavioral Health 32 Huron 2,189 277 257 112 9 2,844 33 1708001 00BJ CEI CMH 33 Ingham 15,437 2,287 2,631 631 149 4 21,139 34 1715928 00GQ Ionia County CMH 34 Ionia 3,063 492 456 104 21 1 4,137 35 1706830 00GC AuSable Valley CMH 35 Iosco 1,934 268 292 104 16 2,614 36 3140186 00HG Northpointe CMH 36 Iron 734 100 107 43 7 991 37 4344340 00GG Central Michigan CMH 37 Isabella 2,617 506 445 116 15 3,699 38 1712229 00GV Lifeways CMH 38 Jackson 9,436 1,296 1,222 316 52 12,322 39 3402136 00GR Kalamazoo County CMH 39 Kalamazoo 12,018 1,818 1,888 468 64 1 16,257 40 1712283 00GB Antrim-Kalkaska CMH 40 Kalkaska 1,234 157 157 48 8 1,604 41 1705430 00GS Kent County CMH 41 Kent 32,245 4,660 4,846 1,137 211 4 43,103 42 1707962 00GI Copper County CMH 42 Keweenaw 133 17 17 4 2 173 43 3220732 00HV West Michigan CMH 43 Lake 962 123 164 47 11 1,307 44 1705242 00GT Lapeer County CMH 44 Lapeer 3,469 439 464 130 22 4,524 45 1705251 00GM Great Lakes CMH 45 Leelanau 780 91 126 37 9 1,043 46 1705270 00GU Lenawee County CMH 46 Lenawee 4,699 667 710 170 29 6,275 47 1707167 00GW Livingston County CMH 47 Livingston 2,665 343 337 118 18 3,481 48 1724945 00HJ Pathways CMH 48 Luce 556 78 108 21 5 768 49 1715919 00GO Hiawatha Behavioral Health Authority 49 Mackinac 590 72 60 24 4 750 50 3396315 00GX Macomb County CA 50 Macomb 24,768 3,015 3,752 1,379 337 4 33,255 51 1705304 00GY Manistee-Benzie CMH 51 Manistee 1,585 260 243 80 17 2,185 52 1724945 00HJ Pathways CMH 52 Marquette 2,849 461 474 115 24 3,923 53 3220732 00HV West Michigan CMH 53 Mason 1,886 262 279 80 10 2,517 54 4344340 00GG Central Michigan CMH 54 Mecosta 2,448 404 494 98 18 3,462 55 3140186 00HG Northpointe CMH 55 Menominee 1,313 217 185 56 9 1,780 56 4344340 00GG Central Michigan CMH 56 Midland 3,452 498 565 137 30 4,682 57 1710547 00HX Monroe County CMH 58 Monroe 5,474 761 772 213 36 7,256 58 1712461 00GZ Montcalm Center Behavl. Hlt 59 Montcalm 3,732 514 495 130 11 4,882 59 1708100 00HE Northeast Michigan CMH 60 Montmorency 666 105 102 50 9 932 60 1712452 00HA Muskegon County CMH 61 Muskegon 13,466 2,176 2,001 507 59 1 18,210 61 1708066 00HB Newaygo County CMH 62 Newaygo 3,314 457 469 153 30 4,423 62 1705289 0058 Oakland County CMHA 63 Oakland 30,815 3,533 4,258 1,375 376 9 40,366

8/2/02 7:20 PM





63 3220732 00HV West Michigan CMH 64 Oceana 2,931 448 536 186 51 1 4,153 64 1706830 00GC AuSable Valley CMH 65 Ogemaw 1,652 257 278 87 9 2,283 65 1707962 00GI Copper County CMH 66 Ontonagon 441 53 53 27 1 575 66 4344340 00GG Central Michigan CMH 67 Osceola 1,676 257 269 63 15 2,280 67 1706830 00GC AuSable Valley CMH 68 Oscoda 622 87 95 51 6 861 68 1707185 00HF Northern Michigan CMH 69 Otsego 1,556 241 243 70 8 2,118 69 1712425 00HI Ottawa County CMH 70 Ottawa 7,552 976 830 241 39 9,638 70 1708100 00HE Northeast Michigan CMH 71 Presque Isle 650 87 67 26 3 833 71 1707158 00HC North Central CMH 72 Roscommon 1,890 258 351 132 14 2,645 72 1712541 00HQ Saginaw County CMH 73 Saginaw 16,992 2,447 2,724 682 103 1 22,949 73 1708164 00HO St. Clair County CMH 74 St. Clair 8,146 1,188 1,293 370 77 11,074 74 1708146 00HP St. Joseph County CMH 75 St. Joseph 4,237 615 646 139 23 1 5,661 75 1706849 00HM Sanilac County CMH 76 Sanilac 2,837 421 371 126 28 3,783 76 1715919 00GO Hiawatha Behavioral Health Authority 77 Schoolcraft 677 92 85 31 2 887 77 1712407 00HN Shiawassee County CMH 78 Shiawassee 3,861 564 588 140 17 5,170 78 1707130 00HS Tuscola County CMH 79 Tuscola 3,602 487 500 165 18 1 4,773 79 1705298 00HT Van Buren County CMH 80 Van Buren 6,490 1,019 1,230 383 96 5 9,223 80 1707176 00HU Washtenaw County CMH 81 Washtenaw 8,512 1,161 1,310 326 62 1 11,372 81 3119549 00GJ Detroit-Wayne County CMH 82 Wayne 180,804 21,063 26,794 7,783 1,708 51 238,203 82 1707158 00HC North Central CMH 83 Wexford 3,434 536 529 134 15 4,648 83

84

85

565,925 75,244 85,555 24,000 4,747 88 755,559 Check Values -

8/2/02 7:20 PM


1 1709690 00GA Allegan County CMH 203 160 339 323 501 137 1,663 2 1712283 00GB Antrim-Kalkaska CMH 103 76 146 187 303 76 891 3 1706830 00GC AuSable Valley CMH 173 135 316 497 611 141 1,873 4 1705260 00GD Barry County CMH 80 91 141 188 232 56 788 5 1705322 00GE Bay-Arenac CMH 349 271 700 798 932 267 3,317 6 1716175 00GF Berrien Mental Health 886 439 941 1,083 1,405 456 5,210 7 1708001 00BJ CEI CMH 1,247 854 1,767 1,893 2,184 615 8,560 8 4344340 00GG Central Michigan CMH 751 561 1,350 1,413 1,904 494 6,473 9 1707962 00GI Copper County CMH 103 105 218 282 497 183 1,388 10 3119549 00GJ Detroit-Wayne County CMH 12,543 6,198 15,237 17,677 23,341 8,066 83,062 11 1705233 0028 Genesee County Health Dept 2,538 1,269 3,095 3,162 3,395 1,041 14,500 12 1708119 00GL Gogebic County CMH 48 31 92 120 136 64 491 13 1715955 00GN Gratiot County CMH 135 86 210 228 304 92 1,055 14 1705251 00GM Great Lakes CMH 198 120 312 321 426 121 1,498 15 1715919 00GO Hiawatha Behavioral Health Authority 126 81 265 308 428 121 1,329 16 1708128 00GP Huron Behavioral Health 65 67 148 187 293 98 858 17 1715928 00GQ Ionia County CMH 127 114 254 231 330 87 1,143 18 3402136 00GR Kalamazoo County CMH 733 461 1,106 1,194 1,472 438 5,404 19 1705430 00GS Kent County CMH 2,224 1,408 2,659 2,528 2,948 987 12,754 20 1705242 00GT Lapeer County CMH 102 88 241 227 308 121 1,087 21 1705270 00GU Lenawee County CMH 257 165 433 383 559 133 1,930 22 1712229 00GV Lifeways CMH 766 469 1,027 1,013 1,330 383 4,988 23 1707167 00GW Livingston County CMH 100 140 231 221 245 61 998 24 3396315 00GX Macomb County CA 1,081 840 2,082 2,331 3,130 1,121 10,585 25 1705304 00GY Manistee-Benzie CMH 94 73 172 221 361 91 1,012 26 1710547 00HX Monroe County CMH 319 213 505 509 593 171 2,310 27 1712461 00GZ Montcalm Center Behavl. Hlt 238 129 308 330 429 107 1,541 28 1712452 00HA Muskegon County CMH 829 490 1,298 1,424 1,671 406 6,118 29 1708066 00HB Newaygo County CMH 150 106 243 345 403 109 1,356 30 1707158 00HC North Central CMH 249 192 479 637 788 190 2,535 31 1708100 00HE Northeast Michigan CMH 177 139 375 464 636 193 1,984


MA DD Population by Provider ID by Age Group2002-08

2-Aug-2002 19:18

MA Capitation DMB Report: 56e2 - qSummary recordcode02 by CMHA - Pop - DD

8/2/02 7:20 PM

32 1707185 00HF Northern Michigan CMH 222 180 421 445 661 170 2,099 33 3140186 00HG Northpointe CMH 143 103 239 305 461 152 1,403 34 1705289 0058 Oakland County CMHA 1,489 1,224 3,037 3,173 4,203 1,718 14,844 35 1712425 00HI Ottawa County CMH 235 264 481 454 532 135 2,101 36 1724945 00HJ Pathways CMH 242 238 529 612 874 243 2,738 37 1712372 00HL Pines Behavioral Health CMH 114 77 203 197 275 88 954 38 1712541 00HQ Saginaw County CMH 1,305 775 1,673 1,656 1,795 601 7,805 39 1706849 00HM Sanilac County CMH 103 79 161 228 336 90 997 40 1712407 00HN Shiawassee County CMH 192 157 321 328 359 93 1,450 41 1708164 00HO St. Clair County CMH 362 282 635 695 895 205 3,074 42 1708146 00HP St. Joseph County CMH 130 129 278 289 396 127 1,349 43 2920843 00HR Summit Pointe CMH 606 403 909 980 1,181 353 4,432 44 1707130 00HS Tuscola County CMH 187 137 253 259 358 84 1,278 45 1705298 00HT Van Buren County CMH 289 195 410 471 716 213 2,294 46 1707176 00HU Washtenaw County CMH 515 421 889 974 1,062 368 4,229 47 3220732 00HV West Michigan CMH 253 188 399 480 689 186 2,195 48 1706114 00HW Woodlands Behavioral Healthcare 154 105 232 257 337 88 1,173 49

50

State Subtotals 33,535 20,528 47,760 52,528 67,225 21,540 243,116

Check Values -

8/2/02 7:20 PM


1 1708100 00HE Northeast Michigan CMH 01 Alcona 32 10 41 64 114 41 302 2 1724945 00HJ Pathways CMH 02 Alger 15 6 42 42 72 30 207 3 1709690 00GA Allegan County CMH 03 Allegan 203 160 339 323 501 137 1,663 4 1708100 00HE Northeast Michigan CMH 04 Alpena 88 85 224 258 293 80 1,028 5 1712283 00GB Antrim-Kalkaska CMH 05 Antrim 46 45 70 101 129 32 423 6 1705322 00GE Bay-Arenac CMH 06 Arenac 54 34 89 130 162 54 523 7 1707962 00GI Copper County CMH 07 Baraga 8 12 27 37 74 33 191 8 1705260 00GD Barry County CMH 08 Barry 80 91 141 188 232 56 788 9 1705322 00GE Bay-Arenac CMH 09 Bay 295 237 611 668 770 213 2,794 10 1705304 00GY Manistee-Benzie CMH 10 Benzie 31 24 52 68 116 42 333 11 1716175 00GF Berrien Mental Health 11 Berrien 886 439 941 1,083 1,405 456 5,210 12 1712372 00HL Pines Behavioral Health CMH 12 Branch 114 77 203 197 275 88 954 13 2920843 00HR Summit Pointe CMH 13 Calhoun 606 403 909 980 1,181 353 4,432 14 1706114 00HW Woodlands Behavioral Healthcare 14 Cass 154 105 232 257 337 88 1,173 15 1707185 00HF Northern Michigan CMH 15 Charlevoix 51 41 94 83 165 44 478 16 1707185 00HF Northern Michigan CMH 16 Cheboygan 67 48 139 140 202 49 645 17 1715919 00GO Hiawatha Behavioral Health Authority 17 Chippewa 83 60 154 208 256 76 837 18 4344340 00GG Central Michigan CMH 18 Clare 129 76 239 309 370 86 1,209 19 1708001 00BJ CEI CMH 19 Clinton 104 71 161 162 157 42 697 20 1707158 00HC North Central CMH 20 Crawford 48 33 65 108 108 35 397 21 1724945 00HJ Pathways CMH 21 Delta 85 90 170 212 289 81 927 22 3140186 00HG Northpointe CMH 22 Dickinson 62 45 100 140 151 47 545 23 1708001 00BJ CEI CMH 23 Eaton 215 123 295 269 332 73 1,307 24 1707185 00HF Northern Michigan CMH 24 Emmet 47 45 98 113 178 48 529 25 1705233 0028 Genesee County Health Dept 25 Genesee 2,538 1,269 3,095 3,162 3,395 1,041 14,500 26 4344340 00GG Central Michigan CMH 26 Gladwin 62 55 156 179 269 64 785 27 1708119 00GL Gogebic County CMH 27 Gogebic 48 31 92 120 136 64 491 28 1705251 00GM Great Lakes CMH 28 Grand Traverse 161 101 267 281 370 102 1,282 29 1715955 00GN Gratiot County CMH 29 Gratiot 135 86 210 228 304 92 1,055 30 1712229 00GV Lifeways CMH 30 Hillsdale 150 111 226 204 319 94 1,104 31 1707962 00GI Copper County CMH 31 Houghton 69 70 148 188 326 108 909


2002-08MA DD Population by Provider ID by County by Age Group 2-Aug-2002 19:18

MA Capitation DMB Report: 56f2 - qSummary recordcode02 by CMHA by County - Pop - DD

8/2/02 7:20 PM





32 1708128 00GP Huron Behavioral Health 32 Huron 65 67 148 187 293 98 858 33 1708001 00BJ CEI CMH 33 Ingham 928 660 1,311 1,462 1,695 500 6,556 34 1715928 00GQ Ionia County CMH 34 Ionia 127 114 254 231 330 87 1,143 35 1706830 00GC AuSable Valley CMH 35 Iosco 80 49 154 185 249 50 767 36 3140186 00HG Northpointe CMH 36 Iron 34 20 58 69 143 41 365 37 4344340 00GG Central Michigan CMH 37 Isabella 172 122 290 234 331 94 1,243 38 1712229 00GV Lifeways CMH 38 Jackson 616 358 801 809 1,011 289 3,884 39 3402136 00GR Kalamazoo County CMH 39 Kalamazoo 733 461 1,106 1,194 1,472 438 5,404 40 1712283 00GB Antrim-Kalkaska CMH 40 Kalkaska 57 31 76 86 174 44 468 41 1705430 00GS Kent County CMH 41 Kent 2,224 1,408 2,659 2,528 2,948 987 12,754 42 1707962 00GI Copper County CMH 42 Keweenaw 7 1 8 8 24 9 57 43 3220732 00HV West Michigan CMH 43 Lake 65 48 112 167 211 58 661 44 1705242 00GT Lapeer County CMH 44 Lapeer 102 88 241 227 308 121 1,087 45 1705251 00GM Great Lakes CMH 45 Leelanau 37 19 45 40 56 19 216 46 1705270 00GU Lenawee County CMH 46 Lenawee 257 165 433 383 559 133 1,930 47 1707167 00GW Livingston County CMH 47 Livingston 100 140 231 221 245 61 998 48 1724945 00HJ Pathways CMH 48 Luce 39 20 44 61 99 47 310 49 1715919 00GO Hiawatha Behavioral Health Authority 49 Mackinac 21 8 42 50 66 16 203 50 3396315 00GX Macomb County CA 50 Macomb 1,081 840 2,082 2,331 3,130 1,121 10,585 51 1705304 00GY Manistee-Benzie CMH 51 Manistee 63 49 120 153 245 49 679 52 1724945 00HJ Pathways CMH 52 Marquette 103 122 273 297 414 85 1,294 53 3220732 00HV West Michigan CMH 53 Mason 83 80 147 131 199 55 695 54 4344340 00GG Central Michigan CMH 54 Mecosta 149 92 193 223 279 84 1,020 55 3140186 00HG Northpointe CMH 55 Menominee 47 38 81 96 167 64 493 56 4344340 00GG Central Michigan CMH 56 Midland 155 151 329 321 429 87 1,472 57 1710547 00HX Monroe County CMH 58 Monroe 319 213 505 509 593 171 2,310 58 1712461 00GZ Montcalm Center Behavl. Hlt 59 Montcalm 238 129 308 330 429 107 1,541 59 1708100 00HE Northeast Michigan CMH 60 Montmorency 33 19 42 66 121 39 320 60 1712452 00HA Muskegon County CMH 61 Muskegon 829 490 1,298 1,424 1,671 406 6,118 61 1708066 00HB Newaygo County CMH 62 Newaygo 150 106 243 345 403 109 1,356 62 1705289 0058 Oakland County CMHA 63 Oakland 1,489 1,224 3,037 3,173 4,203 1,718 14,844

8/2/02 7:20 PM





63 3220732 00HV West Michigan CMH 64 Oceana 105 60 140 182 279 73 839 64 1706830 00GC AuSable Valley CMH 65 Ogemaw 53 74 113 223 261 67 791 65 1707962 00GI Copper County CMH 66 Ontonagon 19 22 35 49 73 33 231 66 4344340 00GG Central Michigan CMH 67 Osceola 84 65 143 147 226 79 744 67 1706830 00GC AuSable Valley CMH 68 Oscoda 40 12 49 89 101 24 315 68 1707185 00HF Northern Michigan CMH 69 Otsego 57 46 90 109 116 29 447 69 1712425 00HI Ottawa County CMH 70 Ottawa 235 264 481 454 532 135 2,101 70 1708100 00HE Northeast Michigan CMH 71 Presque Isle 24 25 68 76 108 33 334 71 1707158 00HC North Central CMH 72 Roscommon 85 62 177 216 278 61 879 72 1712541 00HQ Saginaw County CMH 73 Saginaw 1,305 775 1,673 1,656 1,795 601 7,805 73 1708164 00HO St. Clair County CMH 74 St. Clair 362 282 635 695 895 205 3,074 74 1708146 00HP St. Joseph County CMH 75 St. Joseph 130 129 278 289 396 127 1,349 75 1706849 00HM Sanilac County CMH 76 Sanilac 103 79 161 228 336 90 997 76 1715919 00GO Hiawatha Behavioral Health Authority 77 Schoolcraft 22 13 69 50 106 29 289 77 1712407 00HN Shiawassee County CMH 78 Shiawassee 192 157 321 328 359 93 1,450 78 1707130 00HS Tuscola County CMH 79 Tuscola 187 137 253 259 358 84 1,278 79 1705298 00HT Van Buren County CMH 80 Van Buren 289 195 410 471 716 213 2,294 80 1707176 00HU Washtenaw County CMH 81 Washtenaw 515 421 889 974 1,062 368 4,229 81 3119549 00GJ Detroit-Wayne County CMH 82 Wayne 12,543 6,198 15,237 17,677 23,341 8,066 83,062 82 1707158 00HC North Central CMH 83 Wexford 116 97 237 313 402 94 1,259 83

84

85

33,535 20,528 47,760 52,528 67,225 21,540 243,116 Check Values -

8/2/02 7:20 PM

Provider ID Agent ID CA_ProviderName 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

1 3119549 00XO Detroit Health Department 143,579 20,624 29,327 17,719 17,597 17,535 246,381 2 1724945 00HY Eastern U.P. Substance Abuse 11,972 2,335 2,552 1,486 1,551 2,671 22,567 3 1705233 00HZ Genesee County Health Dept 39,682 6,941 9,558 4,845 3,672 3,359 68,057 4 3402136 00GR Kalamazoo County CMH 23,423 4,343 5,019 2,697 2,498 3,327 41,307 5 1712452 00IB Lakeshore CA 52,879 9,753 11,055 5,967 5,575 7,373 92,602 6 3396315 00GX Macomb County CA 27,045 4,359 5,853 3,731 3,490 6,056 50,534 7 1708001 00IC Mid-South CA 59,626 10,893 12,692 6,813 6,374 8,217 104,615 8 1705430 00ID Mink Substance Abuse Coordinating Agency 47,279 8,786 9,756 4,984 4,416 5,990 81,211 9 4344340 00IE Northern Michigan CA 56,483 10,288 12,006 7,217 6,991 9,239 102,224 10 1705289 00IF Oakland County Health Div 34,199 5,353 7,329 4,572 4,601 8,924 64,978 11 1712541 00IG Saginaw County Health Dept 25,781 4,859 6,019 3,274 2,722 3,233 45,888 12 1710547 00IH Southeast MI Community Alliance 66,843 10,487 14,119 8,627 8,252 9,701 118,029 13 1708164 00II St. Clair County Health Dept. CA 22,082 3,895 4,341 2,512 2,352 3,135 38,317 14 1707176 00HU Washtenaw County CMH 12,609 2,324 2,789 1,652 1,398 2,119 22,891 15 1707962 00IL Western U.P. SAS 7,057 1,226 1,370 899 983 2,365 13,900 16

State Subtotals 630,539 106,466 133,785 76,995 72,472 93,244 1,113,501

Check Values -

MA SA Population by Provider ID by Age Group 2-Aug-2002 19:182002-08

Eligible Population by Age GroupMA Capitation DMB Report: 56g2 - qSummary recordcode02 by CA - Pop

8/2/02 7:20 PM

Provider ID Agent ID CA_ProviderName Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

1 4344340 00ie Northern Michigan CA 01 Alcona 721 110 149 101 120 158 1,359 2 1724945 00hy Eastern U.P. Substance Abuse 02 Alger 482 84 114 71 76 166 993 3 1712452 00ib Lakeshore CA 03 Allegan 5,578 930 1,019 488 545 807 9,367 4 4344340 00ie Northern Michigan CA 04 Alpena 2,161 445 548 377 315 434 4,280 5 4344340 00ie Northern Michigan CA 05 Antrim 1,411 225 185 133 138 241 2,333 6 4344340 00ie Northern Michigan CA 06 Arenac 1,460 251 283 218 183 269 2,664 7 1707962 00il Western U.P. SAS 07 Baraga 588 98 92 50 79 160 1,067 8 3402136 00gr Kalamazoo County CMH 08 Barry 2,584 506 509 294 246 378 4,517 9 1712541 00ig Saginaw County Health Dept 09 Bay 6,812 1,318 1,614 929 810 1,058 12,541 10 4344340 00ie Northern Michigan CA 10 Benzie 943 145 130 95 122 182 1,617 11 1712452 00ib Lakeshore CA 11 Berrien 13,493 2,523 2,937 1,575 1,526 1,991 24,045 12 3402136 00gr Kalamazoo County CMH 12 Branch 2,684 455 569 299 289 444 4,740 13 1708001 00ic Mid-South CA 13 Calhoun 10,386 1,948 2,245 1,302 1,244 1,486 18,611 14 1712452 00ib Lakeshore CA 14 Cass 3,597 661 826 409 371 500 6,364 15 4344340 00ie Northern Michigan CA 15 Charlevoix 1,548 217 239 129 178 263 2,574 16 4344340 00ie Northern Michigan CA 16 Cheboygan 2,095 314 431 223 219 343 3,625 17 1724945 00hy Eastern U.P. Substance Abuse 17 Chippewa 2,514 455 508 294 269 380 4,420 18 4344340 00ie Northern Michigan CA 18 Clare 2,773 487 719 436 386 358 5,159 19 1708001 00ic Mid-South CA 19 Clinton 2,191 383 431 226 171 283 3,685 20 4344340 00ie Northern Michigan CA 20 Crawford 1,086 189 222 156 119 150 1,922 21 1724945 00hy Eastern U.P. Substance Abuse 21 Delta 2,504 473 502 317 306 556 4,658 22 1707962 00il Western U.P. SAS 22 Dickinson 1,548 287 310 205 162 435 2,947 23 1708001 00ic Mid-South CA 23 Eaton 4,138 728 846 403 372 596 7,083 24 4344340 00ie Northern Michigan CA 24 Emmet 1,663 280 262 156 180 399 2,940 25 1705233 00hz Genesee County Health Dept 25 Genesee 39,682 6,941 9,558 4,845 3,672 3,359 68,057 26 4344340 00ie Northern Michigan CA 26 Gladwin 2,011 343 415 267 288 335 3,659 27 1707962 00il Western U.P. SAS 27 Gogebic 1,238 210 248 171 147 436 2,450 28 4344340 00ie Northern Michigan CA 28 Grand Traverse 3,652 597 634 389 388 611 6,271 29 1708001 00ic Mid-South CA 29 Gratiot 2,525 460 537 306 324 567 4,719 30 1708001 00ic Mid-South CA 30 Hillsdale 2,639 519 589 298 346 453 4,844 31 1707962 00il Western U.P. SAS 31 Houghton 2,267 380 441 273 345 675 4,381

MA SA Population by Provider ID by County by Age Group 2-Aug-2002 19:182002-08

Eligible Population by Age GroupMA Capitation DMB Report: 56h2 - qSummary recordcode02 by CA by County - Pop - SA

8/2/02 7:20 PM




32 1708164 00ii St. Clair County Health Dept. CA 32 Huron 2,305 405 406 300 302 509 4,227 33 1708001 00ic Mid-South CA 33 Ingham 17,645 3,341 3,957 2,119 1,870 2,202 31,134 34 1705430 00id Mink Substance Abuse Coordinating Agency 34 Ionia 3,347 676 711 338 352 411 5,835 35 4344340 00ie Northern Michigan CA 35 Iosco 2,084 358 448 293 266 354 3,803 36 1707962 00il Western U.P. SAS 36 Iron 800 144 165 112 150 409 1,780 37 4344340 00ie Northern Michigan CA 37 Isabella 2,921 697 740 353 346 418 5,475 38 1708001 00ic Mid-South CA 38 Jackson 10,699 1,799 2,026 1,131 1,073 1,318 18,046 39 3402136 00gr Kalamazoo County CMH 39 Kalamazoo 13,501 2,533 3,013 1,671 1,543 1,918 24,179 40 4344340 00ie Northern Michigan CA 40 Kalkaska 1,354 206 234 136 182 214 2,326 41 1705430 00id Mink Substance Abuse Coordinating Agency 41 Kent 36,185 6,743 7,528 3,685 3,184 4,529 61,854 42 1707962 00il Western U.P. SAS 42 Keweenaw 145 22 25 12 26 60 290 43 4344340 00ie Northern Michigan CA 43 Lake 1,080 200 276 216 224 238 2,234 44 1708164 00ii St. Clair County Health Dept. CA 44 Lapeer 3,690 579 709 357 331 540 6,206 45 4344340 00ie Northern Michigan CA 45 Leelanau 857 130 172 78 65 130 1,432 46 1708001 00ic Mid-South CA 46 Lenawee 5,213 915 1,150 558 593 730 9,159 47 1707176 00hu Washtenaw County CMH 47 Livingston 2,966 546 574 343 264 455 5,148 48 1724945 00hy Eastern U.P. Substance Abuse 48 Luce 623 116 153 82 105 162 1,241 49 1724945 00hy Eastern U.P. Substance Abuse 49 Mackinac 637 85 102 76 70 140 1,110 50 3396315 00gx Macomb County CA 50 Macomb 27,045 4,359 5,853 3,731 3,490 6,056 50,534 51 4344340 00ie Northern Michigan CA 51 Manistee 1,698 350 363 234 265 320 3,230 52 1724945 00hy Eastern U.P. Substance Abuse 52 Marquette 3,083 688 751 413 439 680 6,054 53 4344340 00ie Northern Michigan CA 53 Mason 2,059 374 429 212 209 345 3,628 54 4344340 00ie Northern Michigan CA 54 Mecosta 2,711 573 690 321 299 391 4,985 55 1724945 00hy Eastern U.P. Substance Abuse 55 Menominee 1,407 303 268 152 177 379 2,686 56 4344340 00ie Northern Michigan CA 56 Midland 3,913 722 895 462 468 574 7,034 57 4344340 00ie Northern Michigan CA 57 Missaukee 45 45 58 1710547 00ih Southeast MI Community Alliance 58 Monroe 6,008 1,076 1,283 728 633 873 10,601 59 1705430 00id Mink Substance Abuse Coordinating Agency 59 Montcalm 4,118 720 805 462 444 529 7,078 60 4344340 00ie Northern Michigan CA 60 Montmorency 731 146 144 116 130 180 1,447 61 1712452 00ib Lakeshore CA 61 Muskegon 14,979 2,952 3,313 1,942 1,746 1,912 26,844 62 1705430 00id Mink Substance Abuse Coordinating Agency 62 Newaygo 3,629 647 712 499 436 521 6,444

8/2/02 7:20 PM




63 1705289 00if Oakland County Health Div 63 Oakland 34,199 5,353 7,329 4,572 4,601 8,924 64,978 64 4344340 00ie Northern Michigan CA 64 Oceana 3,093 549 677 370 331 291 5,311 65 4344340 00ie Northern Michigan CA 65 Ogemaw 1,777 365 393 311 272 356 3,474 66 1707962 00il Western U.P. SAS 66 Ontonagon 471 85 89 76 74 190 985 67 4344340 00ie Northern Michigan CA 67 Osceola 1,843 360 412 213 241 255 3,324 68 4344340 00ie Northern Michigan CA 68 Oscoda 677 127 144 141 107 147 1,343 69 4344340 00ie Northern Michigan CA 69 Otsego 1,672 315 337 180 126 156 2,786 70 1712452 00ib Lakeshore CA 70 Ottawa 8,162 1,338 1,312 697 574 1,109 13,192 71 4344340 00ie Northern Michigan CA 71 Presque Isle 710 144 135 103 111 220 1,423 72 4344340 00ie Northern Michigan CA 72 Roscommon 2,047 358 530 348 296 347 3,926 73 1712541 00ig Saginaw County Health Dept 73 Saginaw 18,969 3,541 4,405 2,345 1,912 2,175 33,347 74 1708164 00ii St. Clair County Health Dept. CA 74 St. Clair 9,088 1,635 1,934 1,075 978 1,123 15,833 75 3402136 00gr Kalamazoo County CMH 75 St. Joseph 4,654 849 928 433 420 587 7,871 76 1708164 00ii St. Clair County Health Dept. CA 76 Sanilac 3,021 572 537 354 365 496 5,345 77 1724945 00hy Eastern U.P. Substance Abuse 77 Schoolcraft 722 131 154 81 109 208 1,405 78 1708001 00ic Mid-South CA 78 Shiawassee 4,190 800 911 470 381 582 7,334 79 1708164 00ii St. Clair County Health Dept. CA 79 Tuscola 3,978 704 755 426 376 467 6,706 80 1712452 00ib Lakeshore CA 80 Van Buren 7,070 1,349 1,648 856 813 1,054 12,790 81 1707176 00hu Washtenaw County CMH 81 Washtenaw 9,643 1,778 2,215 1,309 1,134 1,664 17,743 82 1710547 00ih Southeast MI Community Alliance 82 Wayne 60,835 9,411 12,836 7,899 7,619 8,828 107,428 83 3119549 00xo Detroit Health Department 82 Wayne 143,579 20,624 29,327 17,719 17,597 17,535 246,381 84 4344340 00ie Northern Michigan CA 83 Wexford 3,687 711 770 450 417 560 6,595 85

630,539 106,466 133,785 76,995 72,472 93,244 1,113,501 Check Values -

8/2/02 7:20 PM


1 1709690 00GA Allegan County CMH $19,407.24 $17,906.34 $56,636.73 $49,010.76 $41,889.68 $14,049.87 $198,900.622 1712283 00GB Antrim-Kalkaska CMH $10,413.61 $8,346.20 $24,440.72 $28,444.80 $24,860.55 $7,830.55 $104,336.433 1706830 00GC AuSable Valley CMH $10,203.60 $12,254.62 $37,814.40 $53,328.06 $35,814.62 $10,558.24 $159,973.544 1705260 00GD Barry County CMH $4,362.20 $6,409.50 $14,120.64 $16,716.20 $11,325.60 $3,863.16 $56,797.305 1705322 00GE Bay-Arenac CMH $22,843.48 $31,607.37 $114,576.74 $116,617.59 $74,973.60 $22,439.57 $383,058.356 1716175 00GF Berrien Mental Health $57,443.46 $38,804.80 $134,729.08 $137,555.84 $98,705.64 $29,233.10 $496,471.927 1708001 00BJ CEI CMH $107,882.24 $84,653.36 $258,848.76 $250,148.88 $158,426.82 $46,431.93 $906,391.998 4344340 00GG Central Michigan CMH $51,062.88 $51,123.42 $173,963.02 $163,634.09 $120,943.53 $31,048.92 $591,775.869 1707962 00GI Copper County CMH $9,930.48 $16,627.80 $45,796.38 $52,374.81 $50,808.18 $23,327.50 $198,865.1510 3119549 00GJ Detroit-Wayne County CMH $1,139,654.70 $721,259.08 $2,835,734.19 $2,952,227.55 $2,140,873.56 $505,979.76 $10,295,728.8411 1705233 0028 Genesee County Health Dept $118,834.56 $86,880.08 $335,160.36 $307,807.16 $181,475.22 $37,531.26 $1,067,688.6412 1708119 00GL Gogebic County CMH $5,132.48 $6,957.30 $20,987.04 $24,762.65 $15,424.83 $10,363.72 $83,628.0213 1715955 00GN Gratiot County CMH $7,797.79 $8,140.34 $30,375.93 $29,298.26 $21,609.73 $8,425.62 $105,647.6714 1705251 00GM Great Lakes CMH $35,865.80 $27,080.13 $95,458.98 $86,706.75 $62,821.84 $22,963.59 $330,897.0915 1715919 00GO Hiawatha Behavioral Health Authority $22,201.60 $18,719.10 $70,540.54 $73,755.20 $56,156.10 $20,121.92 $261,494.4616 1708128 00GP Huron Behavioral Health $5,744.32 $10,556.16 $28,201.23 $31,922.40 $27,372.06 $10,042.57 $113,838.7417 1715928 00GQ Ionia County CMH $11,053.28 $11,925.04 $37,931.25 $31,227.30 $24,302.02 $6,355.00 $122,793.8918 3402136 00GR Kalamazoo County CMH $77,946.48 $62,591.10 $226,023.75 $216,828.72 $146,657.64 $40,141.98 $770,189.6719 1705430 00GS Kent County CMH $172,375.00 $151,767.38 $448,510.86 $382,276.44 $245,391.42 $78,870.75 $1,479,191.8520 1705242 00GT Lapeer County CMH $9,456.59 $9,977.80 $40,074.65 $33,309.98 $24,945.57 $9,207.00 $126,971.5921 1705270 00GU Lenawee County CMH $22,179.10 $17,818.80 $72,560.40 $57,404.60 $45,909.60 $12,548.70 $228,421.2022 1712229 00GV Lifeways CMH $66,324.72 $47,836.84 $168,187.03 $149,423.35 $108,299.40 $30,107.00 $570,178.3423 1707167 00GW Livingston County CMH $18,836.58 $21,156.66 $56,690.40 $48,285.00 $29,045.22 $11,343.15 $185,357.0124 3396315 00GX Macomb County CA $96,317.10 $94,671.36 $339,668.67 $341,134.08 $251,609.40 $101,976.20 $1,225,376.8125 1705304 00GY Manistee-Benzie CMH $7,966.20 $8,443.05 $28,171.32 $32,578.07 $29,335.05 $8,518.94 $115,012.6326 1710547 00HX Monroe County CMH $23,319.78 $22,909.95 $85,296.12 $77,121.25 $49,186.83 $15,190.20 $273,024.1327 1712461 00GZ Montcalm Center Behavl. Hlt $7,519.28 $6,684.70 $23,085.70 $22,180.92 $15,917.08 $4,105.04 $79,492.7228 1712452 00HA Muskegon County CMH $49,505.36 $42,292.00 $164,104.96 $161,021.35 $104,155.38 $24,919.44 $545,998.4929 1708066 00HB Newaygo County CMH $9,982.35 $10,028.20 $29,437.02 $37,603.28 $24,274.74 $6,580.23 $117,905.8230 1707158 00HC North Central CMH $21,158.51 $20,906.73 $72,497.80 $85,964.51 $58,581.32 $16,468.06 $275,576.9331 1708100 00HE Northeast Michigan CMH $9,742.95 $14,111.00 $44,683.38 $49,525.35 $37,395.94 $12,221.44 $167,680.06

Age Group

MA DAB Revenue by Provider ID by Age Group2002-08

2-Aug-2002 19:18

MA Capitation DMB Report: 57a2 - qSummary recordcode02 by CMHA - Rev - DAB

8/2/02 7:20 PM

32 1707185 00HF Northern Michigan CMH $20,970.61 $21,410.13 $69,548.76 $66,057.97 $53,746.86 $19,748.61 $251,482.9433 3140186 00HG Northpointe CMH $14,279.20 $19,478.85 $51,005.70 $57,434.55 $48,070.40 $26,759.24 $217,027.9434 1705289 0058 Oakland County CMHA $146,188.80 $130,930.80 $507,052.81 $473,539.64 $344,295.25 $153,427.15 $1,755,434.4535 1712425 00HI Ottawa County CMH $33,556.10 $33,162.82 $101,345.32 $86,015.28 $55,522.30 $24,298.19 $333,900.0136 1724945 00HJ Pathways CMH $34,669.20 $49,783.68 $142,036.50 $146,170.64 $114,622.90 $43,119.48 $530,402.4037 1712372 00HL Pines Behavioral Health CMH $11,771.04 $9,370.43 $33,821.08 $29,310.71 $22,367.04 $7,596.84 $114,237.1438 1712541 00HQ Saginaw County CMH $64,252.50 $59,207.28 $208,780.20 $185,308.09 $110,891.70 $28,131.56 $656,571.3339 1706849 00HM Sanilac County CMH $6,427.12 $8,785.18 $22,164.32 $27,312.12 $22,208.30 $6,904.32 $93,801.3640 1712407 00HN Shiawassee County CMH $13,054.72 $15,594.88 $48,986.18 $44,899.80 $27,245.40 $9,201.42 $158,982.4041 1708164 00HO St. Clair County CMH $41,042.94 $32,438.79 $106,758.55 $105,341.10 $74,071.21 $19,495.28 $379,147.8742 1708146 00HP St. Joseph County CMH $18,122.82 $16,936.92 $46,848.66 $43,817.76 $32,554.00 $10,143.66 $168,423.8243 2920843 00HR Summit Pointe CMH $37,273.12 $32,329.31 $117,402.67 $114,100.93 $75,783.18 $19,912.40 $396,801.6144 1707130 00HS Tuscola County CMH $15,901.04 $15,283.31 $41,218.20 $37,847.61 $28,561.24 $7,852.10 $146,663.5045 1705298 00HT Van Buren County CMH $28,402.60 $26,911.50 $78,241.24 $79,430.89 $66,243.63 $20,465.99 $299,695.8546 1707176 00HU Washtenaw County CMH $64,150.32 $58,281.82 $196,204.00 $191,193.50 $114,714.72 $37,583.80 $662,128.1647 3220732 00HV West Michigan CMH $14,296.68 $15,242.40 $48,617.92 $52,491.55 $41,201.68 $10,973.61 $182,823.8448 1706114 00HW Woodlands Behavioral Healthcare $10,181.52 $8,289.75 $25,329.43 $25,455.33 $18,190.74 $5,665.00 $93,111.7749

50

State Subtotals $2,807,004.05 $2,243,884.06 $7,959,669.59 $7,865,922.67 $5,568,778.72 $1,634,043.06 $28,079,302.15

Check Values -$

8/2/02 7:20 PM


1 1708100 00HE Northeast Michigan CMH 01 Alcona $1,391.85 $1,596.50 $4,964.82 $6,787.20 $6,709.10 $1,946.56 $23,396.032 1724945 00HJ Pathways CMH 02 Alger $1,453.20 $1,959.08 $11,109.00 $9,966.18 $9,530.15 $4,576.62 $38,594.233 1709690 00GA Allegan County CMH 03 Allegan $19,407.24 $17,906.34 $56,636.73 $49,010.76 $41,889.68 $14,049.87 $198,900.624 1708100 00HE Northeast Michigan CMH 04 Alpena $4,484.85 $7,467.50 $26,715.46 $27,573.00 $17,326.98 $5,346.88 $88,914.675 1712283 00GB Antrim-Kalkaska CMH 05 Antrim $5,228.41 $4,820.65 $11,724.94 $15,407.60 $10,677.81 $4,147.61 $52,007.026 1705322 00GE Bay-Arenac CMH 06 Arenac $3,736.48 $5,373.96 $14,606.10 $18,926.70 $13,056.30 $4,548.79 $60,248.337 1707962 00GI Copper County CMH 07 Baraga $1,834.98 $1,797.60 $5,982.41 $6,847.59 $7,534.68 $3,440.00 $27,437.268 1705260 00GD Barry County CMH 08 Barry $4,362.20 $6,409.50 $14,120.64 $16,716.20 $11,325.60 $3,863.16 $56,797.309 1705322 00GE Bay-Arenac CMH 09 Bay $19,107.00 $26,233.41 $99,970.64 $97,690.89 $61,917.30 $17,890.78 $322,810.0210 1705304 00GY Manistee-Benzie CMH 10 Benzie $3,152.40 $2,057.55 $8,630.52 $10,080.21 $9,403.29 $3,088.54 $36,412.5111 1716175 00GF Berrien Mental Health 11 Berrien $57,443.46 $38,804.80 $134,729.08 $137,555.84 $98,705.64 $29,233.10 $496,471.9212 1712372 00HL Pines Behavioral Health CMH 12 Branch $11,771.04 $9,370.43 $33,821.08 $29,310.71 $22,367.04 $7,596.84 $114,237.1413 2920843 00HR Summit Pointe CMH 13 Calhoun $37,273.12 $32,329.31 $117,402.67 $114,100.93 $75,783.18 $19,912.40 $396,801.6114 1706114 00HW Woodlands Behavioral Healthcare 14 Cass $10,181.52 $8,289.75 $25,329.43 $25,455.33 $18,190.74 $5,665.00 $93,111.7715 1707185 00HF Northern Michigan CMH 15 Charlevoix $4,911.65 $4,694.58 $15,346.44 $12,303.48 $13,456.86 $4,473.63 $55,186.6416 1707185 00HF Northern Michigan CMH 16 Cheboygan $7,303.41 $5,761.53 $22,856.40 $20,945.21 $16,438.32 $5,834.43 $79,139.3017 1715919 00GO Hiawatha Behavioral Health Authority 17 Chippewa $15,818.64 $12,710.50 $41,104.45 $49,487.36 $33,510.40 $10,503.20 $163,134.5518 4344340 00GG Central Michigan CMH 18 Clare $6,587.68 $7,740.91 $30,676.80 $35,662.37 $23,469.48 $4,768.56 $108,905.8019 1708001 00BJ CEI CMH 19 Clinton $9,129.08 $6,686.48 $23,597.51 $21,300.32 $11,290.68 $4,270.47 $76,274.5420 1707158 00HC North Central CMH 20 Crawford $3,363.46 $2,995.98 $9,716.20 $14,617.99 $8,115.80 $2,337.00 $41,146.4321 1724945 00HJ Pathways CMH 21 Delta $12,386.80 $17,286.00 $45,758.50 $51,017.35 $37,859.50 $15,328.92 $179,637.0722 3140186 00HG Northpointe CMH 22 Dickinson $5,492.00 $7,590.35 $21,409.80 $26,363.40 $15,850.80 $9,517.80 $86,224.1523 1708001 00BJ CEI CMH 23 Eaton $15,114.12 $11,480.56 $43,286.23 $35,587.12 $24,153.48 $8,993.64 $138,615.1524 1707185 00HF Northern Michigan CMH 24 Emmet $3,801.19 $5,690.40 $15,999.48 $16,697.58 $14,343.24 $6,786.99 $63,318.8825 1705233 0028 Genesee County Health Dept 25 Genesee $118,834.56 $86,880.08 $335,160.36 $307,807.16 $181,475.22 $37,531.26 $1,067,688.6426 4344340 00GG Central Michigan CMH 26 Gladwin $4,514.40 $5,123.48 $20,067.74 $20,755.27 $16,971.21 $4,462.20 $71,894.3027 1708119 00GL Gogebic County CMH 27 Gogebic $5,132.48 $6,957.30 $20,987.04 $24,762.65 $15,424.83 $10,363.72 $83,628.0228 1705251 00GM Great Lakes CMH 28 Grand Traverse $29,875.20 $22,026.90 $81,779.50 $75,768.36 $54,602.16 $18,934.89 $282,987.0129 1715955 00GN Gratiot County CMH 29 Gratiot $7,797.79 $8,140.34 $30,375.93 $29,298.26 $21,609.73 $8,425.62 $105,647.6730 1712229 00GV Lifeways CMH 30 Hillsdale $12,419.88 $12,083.60 $37,030.51 $30,148.10 $26,088.48 $7,701.00 $125,471.5731 1707962 00GI Copper County CMH 31 Houghton $5,828.76 $11,504.64 $30,737.21 $34,978.23 $33,396.96 $14,512.50 $130,958.30

MA DAB Revenue by Provider ID by County by Age Group 2-Aug-2002 19:182002-08

Age GroupMA Capitation DMB Report: 57b2 - qSummary recordcode02 by CMHA by County - Rev - DAB

8/2/02 7:20 PM




32 1708128 00GP Huron Behavioral Health 32 Huron $5,744.32 $10,556.16 $28,201.23 $31,922.40 $27,372.06 $10,042.57 $113,838.7433 1708001 00BJ CEI CMH 33 Ingham $83,639.04 $66,486.32 $191,965.02 $193,261.44 $122,982.66 $33,167.82 $691,502.3034 1715928 00GQ Ionia County CMH 34 Ionia $11,053.28 $11,925.04 $37,931.25 $31,227.30 $24,302.02 $6,355.00 $122,793.8935 1706830 00GC AuSable Valley CMH 35 Iosco $4,638.00 $4,634.10 $18,434.52 $20,037.78 $14,582.50 $4,361.28 $66,688.1836 3140186 00HG Northpointe CMH 36 Iron $3,624.72 $4,023.80 $12,174.20 $12,993.39 $14,814.80 $8,948.92 $56,579.8337 4344340 00GG Central Michigan CMH 37 Isabella $10,165.76 $10,636.79 $37,706.90 $27,176.79 $20,882.79 $5,567.76 $112,136.7938 1712229 00GV Lifeways CMH 38 Jackson $53,904.84 $35,753.24 $131,156.52 $119,275.25 $82,210.92 $22,406.00 $444,706.7739 3402136 00GR Kalamazoo County CMH 39 Kalamazoo $77,946.48 $62,591.10 $226,023.75 $216,828.72 $146,657.64 $40,141.98 $770,189.6740 1712283 00GB Antrim-Kalkaska CMH 40 Kalkaska $5,185.20 $3,525.55 $12,715.78 $13,037.20 $14,182.74 $3,682.94 $52,329.4141 1705430 00GS Kent County CMH 41 Kent $172,375.00 $151,767.38 $448,510.86 $382,276.44 $245,391.42 $78,870.75 $1,479,191.8542 1707962 00GI Copper County CMH 42 Keweenaw $647.64 $449.40 $1,650.32 $1,480.56 $2,443.68 $1,290.00 $7,961.6043 3220732 00HV West Michigan CMH 43 Lake $3,724.08 $4,047.12 $13,511.68 $18,290.87 $12,682.02 $2,991.66 $55,247.4344 1705242 00GT Lapeer County CMH 44 Lapeer $9,456.59 $9,977.80 $40,074.65 $33,309.98 $24,945.57 $9,207.00 $126,971.5945 1705251 00GM Great Lakes CMH 45 Leelanau $5,990.60 $5,053.23 $13,679.48 $10,938.39 $8,219.68 $4,028.70 $47,910.0846 1705270 00GU Lenawee County CMH 46 Lenawee $22,179.10 $17,818.80 $72,560.40 $57,404.60 $45,909.60 $12,548.70 $228,421.2047 1707167 00GW Livingston County CMH 47 Livingston $18,836.58 $21,156.66 $56,690.40 $48,285.00 $29,045.22 $11,343.15 $185,357.0148 1724945 00HJ Pathways CMH 48 Luce $4,636.40 $4,379.12 $11,902.50 $14,474.69 $13,055.00 $4,466.34 $52,914.0549 1715919 00GO Hiawatha Behavioral Health Authority 49 Mackinac $3,260.86 $1,502.15 $11,137.98 $12,371.84 $8,639.40 $3,869.60 $40,781.8350 3396315 00GX Macomb County CA 50 Macomb $96,317.10 $94,671.36 $339,668.67 $341,134.08 $251,609.40 $101,976.20 $1,225,376.8151 1705304 00GY Manistee-Benzie CMH 51 Manistee $4,813.80 $6,385.50 $19,540.80 $22,497.86 $19,931.76 $5,430.40 $78,600.1252 1724945 00HJ Pathways CMH 52 Marquette $16,192.80 $26,159.48 $73,266.50 $70,712.42 $54,178.25 $18,747.60 $259,257.0553 3220732 00HV West Michigan CMH 53 Mason $5,459.88 $5,886.72 $18,096.00 $14,286.36 $11,848.46 $4,336.65 $59,914.0754 4344340 00GG Central Michigan CMH 54 Mecosta $8,794.72 $9,411.61 $25,052.72 $25,571.41 $17,728.29 $5,208.12 $91,766.8755 3140186 00HG Northpointe CMH 55 Menominee $5,162.48 $7,864.70 $17,421.70 $18,077.76 $17,404.80 $8,292.52 $74,223.9656 4344340 00GG Central Michigan CMH 56 Midland $15,415.84 $12,474.56 $42,180.60 $37,267.75 $27,633.42 $7,645.68 $142,617.8557 1707158 00HC North Central CMH 57 Missaukee $1,759.95 $1,759.9558 1710547 00HX Monroe County CMH 58 Monroe $23,319.78 $22,909.95 $85,296.12 $77,121.25 $49,186.83 $15,190.20 $273,024.1359 1712461 00GZ Montcalm Center Behavl. Hlt 59 Montcalm $7,519.28 $6,684.70 $23,085.70 $22,180.92 $15,917.08 $4,105.04 $79,492.7260 1708100 00HE Northeast Michigan CMH 60 Montmorency $2,010.45 $2,111.50 $4,964.82 $6,999.30 $7,059.14 $2,217.60 $25,362.8161 1712452 00HA Muskegon County CMH 61 Muskegon $49,505.36 $42,292.00 $164,104.96 $161,021.35 $104,155.38 $24,919.44 $545,998.4962 1708066 00HB Newaygo County CMH 62 Newaygo $9,982.35 $10,028.20 $29,437.02 $37,603.28 $24,274.74 $6,580.23 $117,905.82

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63 1705289 0058 Oakland County CMHA 63 Oakland $146,188.80 $130,930.80 $507,052.81 $473,539.64 $344,295.25 $153,427.15 $1,755,434.4564 3220732 00HV West Michigan CMH 64 Oceana $5,112.72 $5,308.56 $17,010.24 $19,914.32 $16,671.20 $3,645.30 $67,662.3465 1706830 00GC AuSable Valley CMH 65 Ogemaw $3,865.00 $5,560.92 $13,589.55 $23,748.48 $15,340.79 $4,385.92 $66,490.6666 1707962 00GI Copper County CMH 66 Ontonagon $1,619.10 $2,876.16 $7,426.44 $9,068.43 $7,432.86 $4,085.00 $32,507.9967 4344340 00GG Central Michigan CMH 67 Osceola $5,584.48 $5,736.07 $18,278.26 $17,200.50 $14,258.34 $3,396.60 $64,454.2568 1706830 00GC AuSable Valley CMH 68 Oscoda $1,700.60 $2,059.60 $5,790.33 $9,541.80 $5,891.33 $1,811.04 $26,794.7069 1707185 00HF Northern Michigan CMH 69 Otsego $4,954.36 $5,263.62 $15,346.44 $16,111.70 $9,508.44 $2,653.56 $53,838.1270 1712425 00HI Ottawa County CMH 70 Ottawa $33,556.10 $33,162.82 $101,345.32 $86,015.28 $55,522.30 $24,298.19 $333,900.0171 1708100 00HE Northeast Michigan CMH 71 Presque Isle $1,855.80 $2,935.50 $8,038.28 $8,165.85 $6,300.72 $2,710.40 $30,006.5572 1707158 00HC North Central CMH 72 Roscommon $6,140.27 $6,513.00 $26,756.92 $28,967.76 $20,805.96 $5,406.26 $94,590.1773 1712541 00HQ Saginaw County CMH 73 Saginaw $64,252.50 $59,207.28 $208,780.20 $185,308.09 $110,891.70 $28,131.56 $656,571.3374 1708164 00HO St. Clair County CMH 74 St. Clair $41,042.94 $32,438.79 $106,758.55 $105,341.10 $74,071.21 $19,495.28 $379,147.8775 1708146 00HP St. Joseph County CMH 75 St. Joseph $18,122.82 $16,936.92 $46,848.66 $43,817.76 $32,554.00 $10,143.66 $168,423.8276 1706849 00HM Sanilac County CMH 76 Sanilac $6,427.12 $8,785.18 $22,164.32 $27,312.12 $22,208.30 $6,904.32 $93,801.3677 1715919 00GO Hiawatha Behavioral Health Authority 77 Schoolcraft $3,122.10 $4,506.45 $18,298.11 $11,896.00 $14,006.30 $5,749.12 $57,578.0878 1712407 00HN Shiawassee County CMH 78 Shiawassee $13,054.72 $15,594.88 $48,986.18 $44,899.80 $27,245.40 $9,201.42 $158,982.4079 1707130 00HS Tuscola County CMH 79 Tuscola $15,901.04 $15,283.31 $41,218.20 $37,847.61 $28,561.24 $7,852.10 $146,663.5080 1705298 00HT Van Buren County CMH 80 Van Buren $28,402.60 $26,911.50 $78,241.24 $79,430.89 $66,243.63 $20,465.99 $299,695.8581 1707176 00HU Washtenaw County CMH 81 Washtenaw $64,150.32 $58,281.82 $196,204.00 $191,193.50 $114,714.72 $37,583.80 $662,128.1682 3119549 00GJ Detroit-Wayne County CMH 82 Wayne $1,139,654.70 $721,259.08 $2,835,734.19 $2,952,227.55 $2,140,873.56 $505,979.76 $10,295,728.8483 1707158 00HC North Central CMH 83 Wexford $9,894.83 $11,397.75 $36,024.68 $42,378.76 $29,659.56 $8,724.80 $138,080.3884

85

$2,807,004.05 $2,243,884.06 $7,959,669.59 $7,865,922.67 $5,568,778.72 $1,634,043.06 $28,079,302.15Check Values -

8/2/02 7:20 PM


1 1709690 00GA Allegan County CMH $41,226.02 $6,046.56 $9,826.00 $2,595.32 $475.82 $60,169.722 1712283 00GB Antrim-Kalkaska CMH $13,503.40 $1,852.20 $2,609.73 $826.98 $128.40 $18,920.713 1706830 00GC AuSable Valley CMH $38,881.92 $6,224.04 $11,058.95 $4,489.10 $458.80 $61,112.814 1705260 00GD Barry County CMH $9,318.04 $1,513.00 $2,536.75 $806.00 $74.16 $14,247.955 1705322 00GE Bay-Arenac CMH $56,458.20 $9,009.66 $15,649.74 $5,072.36 $666.33 $86,856.296 1716175 00GF Berrien Mental Health $54,662.30 $9,530.64 $16,323.44 $4,475.53 $784.31 $1.35 $85,777.577 1708001 00BJ CEI CMH $93,588.18 $15,145.70 $27,464.62 $7,299.36 $1,389.64 $5.24 $144,892.748 4344340 00GG Central Michigan CMH $72,932.10 $12,406.72 $22,489.60 $6,243.75 $884.67 $114,956.849 1707962 00GI Copper County CMH $18,209.98 $2,440.00 $4,237.25 $1,423.36 $221.75 $26,532.3410 3119549 00GJ Detroit-Wayne County CMH $976,341.60 $125,324.85 $260,705.62 $84,445.55 $14,774.20 $81.60 $1,461,673.4211 1705233 0028 Genesee County Health Dept $76,572.00 $12,097.54 $25,032.15 $7,152.32 $851.16 $1.28 $121,706.4512 1708119 00GL Gogebic County CMH $18,040.32 $2,412.20 $4,397.64 $1,572.00 $250.80 $26,672.9613 1715955 00GN Gratiot County CMH $20,334.48 $3,178.14 $5,119.20 $1,356.74 $239.02 $30,227.5814 1705251 00GM Great Lakes CMH $31,291.04 $4,403.00 $6,741.50 $2,202.42 $309.25 $44,947.2115 1715919 00GO Hiawatha Behavioral Health Authority $22,135.19 $3,486.65 $5,577.60 $1,762.50 $189.43 $33,151.3716 1708128 00GP Huron Behavioral Health $12,214.62 $1,700.78 $2,580.28 $1,254.40 $80.37 $17,830.4517 1715928 00GQ Ionia County CMH $17,734.77 $3,134.04 $4,751.52 $1,208.48 $194.67 $1.71 $27,025.1918 3402136 00GR Kalamazoo County CMH $72,468.54 $12,071.52 $20,484.80 $5,667.48 $618.24 $1.78 $111,312.3619 1705430 00GS Kent County CMH $166,384.20 $26,468.80 $44,970.88 $11,767.95 $1,742.86 $6.08 $251,340.7720 1705242 00GT Lapeer County CMH $20,605.86 $2,866.67 $4,955.52 $1,549.60 $209.22 $30,186.8721 1705270 00GU Lenawee County CMH $28,381.96 $4,428.88 $7,717.70 $2,060.40 $280.43 $42,869.3722 1712229 00GV Lifeways CMH $72,118.08 $11,070.85 $17,455.68 $5,014.32 $725.20 $106,384.1323 1707167 00GW Livingston County CMH $40,188.20 $5,690.37 $9,146.18 $3,571.86 $434.70 $59,031.3124 3396315 00GX Macomb County CA $142,168.32 $19,024.65 $38,720.64 $15,872.29 $3,093.66 $6.76 $218,886.3225 1705304 00GY Manistee-Benzie CMH $17,030.76 $2,868.88 $3,996.80 $1,476.58 $244.42 $25,617.4426 1710547 00HX Monroe County CMH $40,069.68 $6,126.05 $10,167.24 $3,128.97 $421.92 $59,913.8627 1712461 00GZ Montcalm Center Behavl. Hlt $14,741.40 $2,230.76 $3,519.45 $1,030.90 $69.52 $21,592.0328 1712452 00HA Muskegon County CMH $74,870.96 $13,317.12 $20,030.01 $5,658.12 $525.10 $1.64 $114,402.9529 1708066 00HB Newaygo County CMH $29,428.32 $4,464.89 $7,494.62 $2,726.46 $426.30 $44,540.5930 1707158 00HC North Central CMH $35,920.32 $5,856.25 $10,608.51 $3,571.33 $345.80 $56,302.2131 1708100 00HE Northeast Michigan CMH $22,404.72 $3,511.65 $6,009.90 $2,578.30 $312.90 $34,817.47

MA TANF Revenue by Provider ID by Age Group 2-Aug-2002 19:182002-08

Age GroupMA Capitation DMB Report: 57d2 - qSummary recordcode02 by CMHA - Rev - TANF

8/2/02 7:20 PM

32 1707185 00HF Northern Michigan CMH $29,840.20 $4,174.50 $6,980.04 $2,189.88 $265.32 $43,449.9433 3140186 00HG Northpointe CMH $27,610.50 $4,527.49 $7,105.00 $2,599.40 $316.00 $42,158.3934 1705289 0058 Oakland County CMHA $137,434.90 $17,347.03 $34,191.74 $12,320.00 $2,684.64 $11.88 $203,990.1935 1712425 00HI Ottawa County CMH $57,470.72 $8,169.12 $11,362.70 $3,680.07 $475.02 $81,157.6336 1724945 00HJ Pathways CMH $84,197.60 $13,897.84 $24,054.01 $7,286.43 $1,044.96 $130,480.8437 1712372 00HL Pines Behavioral Health CMH $17,737.60 $2,621.16 $4,806.12 $1,477.00 $153.14 $26,795.0238 1712541 00HQ Saginaw County CMH $60,321.60 $9,543.30 $17,379.12 $4,855.84 $585.04 $1.05 $92,685.9539 1706849 00HM Sanilac County CMH $11,234.52 $1,835.56 $2,648.94 $1,002.96 $177.80 $16,899.7840 1712407 00HN Shiawassee County CMH $21,814.65 $3,508.08 $5,979.96 $1,587.60 $153.85 $33,044.1441 1708164 00HO St. Clair County CMH $124,552.34 $19,982.16 $35,570.43 $11,351.60 $1,884.19 $193,340.7242 1708146 00HP St. Joseph County CMH $25,210.15 $4,022.10 $6,912.20 $1,659.66 $218.96 $1.76 $38,024.8343 2920843 00HR Summit Pointe CMH $73,110.64 $11,886.57 $18,887.76 $4,951.66 $631.00 $109,467.6344 1707130 00HS Tuscola County CMH $23,953.30 $3,564.84 $5,985.00 $2,202.75 $191.70 $1.96 $35,899.5545 1705298 00HT Van Buren County CMH $43,418.10 $7,499.84 $14,796.90 $5,139.86 $1,028.16 $9.85 $71,892.7146 1707176 00HU Washtenaw County CMH $87,928.96 $13,200.57 $24,352.90 $6,761.24 $1,025.48 $3.05 $133,272.2047 3220732 00HV West Michigan CMH $32,651.35 $5,172.93 $9,956.43 $3,549.42 $650.88 $1.67 $51,982.6848 1706114 00HW Woodlands Behavioral Healthcare $11,271.72 $1,861.38 $3,718.11 $1,034.52 $178.24 $18,063.9749

50

State Subtotals $3,219,984.33 $472,717.53 $867,066.88 $273,510.62 $43,087.43 $138.66 $4,876,505.45

Check Values -

8/2/02 7:20 PM


1 1708100 00HE Northeast Michigan CMH 01 Alcona $3,778.84 $485.85 $1,075.35 $414.77 $44.70 $5,799.512 1724945 00HJ Pathways CMH 02 Alger $6,269.60 $1,002.32 $1,761.84 $791.41 $65.31 $9,890.483 1709690 00GA Allegan County CMH 03 Allegan $41,226.02 $6,046.56 $9,826.00 $2,595.32 $475.82 $60,169.724 1708100 00HE Northeast Michigan CMH 04 Alpena $11,269.44 $1,845.00 $3,236.10 $1,311.57 $160.92 $17,823.035 1712283 00GB Antrim-Kalkaska CMH 05 Antrim $6,901.50 $929.04 $1,097.82 $311.46 $59.92 $9,299.746 1705322 00GE Bay-Arenac CMH 06 Arenac $10,015.60 $1,405.25 $2,536.02 $1,290.08 $233.80 $15,480.757 1707962 00GI Copper County CMH 07 Baraga $3,069.16 $475.80 $628.11 $144.56 $44.35 $4,361.988 1705260 00GD Barry County CMH 08 Barry $9,318.04 $1,513.00 $2,536.75 $806.00 $74.16 $14,247.959 1705322 00GE Bay-Arenac CMH 09 Bay $46,442.60 $7,604.41 $13,113.72 $3,782.28 $432.53 $71,375.5410 1705304 00GY Manistee-Benzie CMH 10 Benzie $6,030.86 $885.08 $961.73 $362.18 $55.55 $8,295.4011 1716175 00GF Berrien Mental Health 11 Berrien $54,662.30 $9,530.64 $16,323.44 $4,475.53 $784.31 $1.35 $85,777.5712 1712372 00HL Pines Behavioral Health CMH 12 Branch $17,737.60 $2,621.16 $4,806.12 $1,477.00 $153.14 $26,795.0213 2920843 00HR Summit Pointe CMH 13 Calhoun $73,110.64 $11,886.57 $18,887.76 $4,951.66 $631.00 $109,467.6314 1706114 00HW Woodlands Behavioral Healthcare 14 Cass $11,271.72 $1,861.38 $3,718.11 $1,034.52 $178.24 $18,063.9715 1707185 00HF Northern Michigan CMH 15 Charlevoix $6,591.80 $764.06 $1,200.60 $415.80 $81.07 $9,053.3316 1707185 00HF Northern Michigan CMH 16 Cheboygan $8,850.40 $1,178.98 $2,409.48 $739.20 $110.55 $13,288.6117 1715919 00GO Hiawatha Behavioral Health Authority 17 Chippewa $14,241.78 $2,363.25 $3,953.60 $1,075.00 $129.61 $21,763.2418 4344340 00GG Central Michigan CMH 18 Clare $12,828.48 $1,907.04 $4,291.84 $1,248.75 $111.58 $20,387.6919 1708001 00BJ CEI CMH 19 Clinton $8,638.50 $1,348.99 $2,135.96 $550.56 $92.17 $12,766.1820 1707158 00HC North Central CMH 20 Crawford $5,680.00 $893.75 $1,606.11 $536.27 $81.90 $8,798.0321 1724945 00HJ Pathways CMH 21 Delta $31,620.00 $4,832.08 $8,050.63 $2,783.58 $348.32 $47,634.6122 3140186 00HG Northpointe CMH 22 Dickinson $11,439.20 $1,772.76 $2,955.68 $1,030.25 $113.76 $17,311.6523 1708001 00BJ CEI CMH 23 Eaton $16,563.77 $2,659.02 $4,359.59 $1,145.52 $241.06 $24,968.9624 1707185 00HF Northern Michigan CMH 24 Emmet $7,240.40 $1,012.00 $1,357.92 $388.08 $14.74 $10,013.1425 1705233 0028 Genesee County Health Dept 25 Genesee $76,572.00 $12,097.54 $25,032.15 $7,152.32 $851.16 $1.28 $121,706.4526 4344340 00GG Central Michigan CMH 26 Gladwin $9,342.48 $1,375.48 $2,311.68 $859.14 $151.43 $14,040.2127 1708119 00GL Gogebic County CMH 27 Gogebic $18,040.32 $2,412.20 $4,397.64 $1,572.00 $250.80 $26,672.9628 1705251 00GM Great Lakes CMH 28 Grand Traverse $25,261.64 $3,629.50 $4,990.10 $1,628.55 $197.92 $35,707.7129 1715955 00GN Gratiot County CMH 29 Gratiot $20,334.48 $3,178.14 $5,119.20 $1,356.74 $239.02 $30,227.5830 1712229 00GV Lifeways CMH 30 Hillsdale $14,369.76 $2,348.77 $3,989.24 $1,130.68 $215.60 $22,054.0531 1707962 00GI Copper County CMH 31 Houghton $11,960.86 $1,537.20 $2,911.24 $934.08 $150.79 $17,494.17

MA TANF Revenue by Provider ID by County by Age Group 2-Aug-2002 19:182002-08

Age GroupMA Capitation DMB Report: 57d2 - qSummary recordcode02 by CMHA by County - Pop - TANF

8/2/02 7:20 PM




32 1708128 00GP Huron Behavioral Health 32 Huron $12,214.62 $1,700.78 $2,580.28 $1,254.40 $80.37 $17,830.4533 1708001 00BJ CEI CMH 33 Ingham $68,385.91 $11,137.69 $20,969.07 $5,603.28 $1,056.41 $5.24 $107,157.6034 1715928 00GQ Ionia County CMH 34 Ionia $17,734.77 $3,134.04 $4,751.52 $1,208.48 $194.67 $1.71 $27,025.1935 1706830 00GC AuSable Valley CMH 35 Iosco $17,870.16 $2,725.56 $4,855.96 $1,929.20 $236.80 $27,617.6836 3140186 00HG Northpointe CMH 36 Iron $5,798.60 $869.00 $1,520.47 $681.55 $88.48 $8,958.1037 4344340 00GG Central Michigan CMH 37 Isabella $13,032.66 $2,772.88 $3,987.20 $1,158.84 $119.55 $21,071.1338 1712229 00GV Lifeways CMH 38 Jackson $57,748.32 $8,722.08 $13,466.44 $3,883.64 $509.60 $84,330.0839 3402136 00GR Kalamazoo County CMH 39 Kalamazoo $72,468.54 $12,071.52 $20,484.80 $5,667.48 $618.24 $1.78 $111,312.3640 1712283 00GB Antrim-Kalkaska CMH 40 Kalkaska $6,601.90 $923.16 $1,511.91 $515.52 $68.48 $9,620.9741 1705430 00GS Kent County CMH 41 Kent $166,384.20 $26,468.80 $44,970.88 $11,767.95 $1,742.86 $6.08 $251,340.7742 1707962 00GI Copper County CMH 42 Keweenaw $736.82 $103.70 $169.49 $44.48 $17.74 $1,072.2343 3220732 00HV West Michigan CMH 43 Lake $5,435.30 $763.83 $1,667.88 $532.98 $99.44 $8,499.4344 1705242 00GT Lapeer County CMH 44 Lapeer $20,605.86 $2,866.67 $4,955.52 $1,549.60 $209.22 $30,186.8745 1705251 00GM Great Lakes CMH 45 Leelanau $6,029.40 $773.50 $1,751.40 $573.87 $111.33 $9,239.5046 1705270 00GU Lenawee County CMH 46 Lenawee $28,381.96 $4,428.88 $7,717.70 $2,060.40 $280.43 $42,869.3747 1707167 00GW Livingston County CMH 47 Livingston $40,188.20 $5,690.37 $9,146.18 $3,571.86 $434.70 $59,031.3148 1724945 00HJ Pathways CMH 48 Luce $7,561.60 $1,166.88 $2,642.76 $573.09 $108.85 $12,053.1849 1715919 00GO Hiawatha Behavioral Health Authority 49 Mackinac $3,675.70 $493.20 $672.00 $300.00 $39.88 $5,180.7850 3396315 00GX Macomb County CA 50 Macomb $142,168.32 $19,024.65 $38,720.64 $15,872.29 $3,093.66 $6.76 $218,886.3251 1705304 00GY Manistee-Benzie CMH 51 Manistee $10,999.90 $1,983.80 $3,035.07 $1,114.40 $188.87 $17,322.0452 1724945 00HJ Pathways CMH 52 Marquette $38,746.40 $6,896.56 $11,598.78 $3,138.35 $522.48 $60,902.5753 3220732 00HV West Michigan CMH 53 Mason $10,655.90 $1,627.02 $2,837.43 $907.20 $90.40 $16,117.9554 4344340 00GG Central Michigan CMH 54 Mecosta $12,191.04 $2,213.92 $4,426.24 $979.02 $143.46 $19,953.6855 3140186 00HG Northpointe CMH 55 Menominee $10,372.70 $1,885.73 $2,628.85 $887.60 $113.76 $15,888.6456 4344340 00GG Central Michigan CMH 56 Midland $17,190.96 $2,729.04 $5,062.40 $1,368.63 $239.10 $26,590.1357 1710547 00HX Monroe County CMH 58 Monroe $40,069.68 $6,126.05 $10,167.24 $3,128.97 $421.92 $59,913.8658 1712461 00GZ Montcalm Center Behavl. Hlt 59 Montcalm $14,741.40 $2,230.76 $3,519.45 $1,030.90 $69.52 $21,592.0359 1708100 00HE Northeast Michigan CMH 60 Montmorency $3,722.94 $645.75 $1,025.10 $560.50 $80.46 $6,034.7560 1712452 00HA Muskegon County CMH 61 Muskegon $74,870.96 $13,317.12 $20,030.01 $5,658.12 $525.10 $1.64 $114,402.9561 1708066 00HB Newaygo County CMH 62 Newaygo $29,428.32 $4,464.89 $7,494.62 $2,726.46 $426.30 $44,540.5962 1705289 0058 Oakland County CMHA 63 Oakland $137,434.90 $17,347.03 $34,191.74 $12,320.00 $2,684.64 $11.88 $203,990.19

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63 3220732 00HV West Michigan CMH 64 Oceana $16,560.15 $2,782.08 $5,451.12 $2,109.24 $461.04 $1.67 $27,365.3064 1706830 00GC AuSable Valley CMH 65 Ogemaw $15,264.48 $2,613.69 $4,623.14 $1,613.85 $133.20 $24,248.3665 1707962 00GI Copper County CMH 66 Ontonagon $2,443.14 $323.30 $528.41 $300.24 $8.87 $3,603.9666 4344340 00GG Central Michigan CMH 67 Osceola $8,346.48 $1,408.36 $2,410.24 $629.37 $119.55 $12,914.0067 1706830 00GC AuSable Valley CMH 68 Oscoda $5,747.28 $884.79 $1,579.85 $946.05 $88.80 $9,246.7768 1707185 00HF Northern Michigan CMH 69 Otsego $7,157.60 $1,219.46 $2,012.04 $646.80 $58.96 $11,094.8669 1712425 00HI Ottawa County CMH 70 Ottawa $57,470.72 $8,169.12 $11,362.70 $3,680.07 $475.02 $81,157.6370 1708100 00HE Northeast Michigan CMH 71 Presque Isle $3,633.50 $535.05 $673.35 $291.46 $26.82 $5,160.1871 1707158 00HC North Central CMH 72 Roscommon $10,735.20 $1,612.50 $3,590.73 $1,506.12 $127.40 $17,571.9572 1712541 00HQ Saginaw County CMH 73 Saginaw $60,321.60 $9,543.30 $17,379.12 $4,855.84 $585.04 $1.05 $92,685.9573 1708164 00HO St. Clair County CMH 74 St. Clair $124,552.34 $19,982.16 $35,570.43 $11,351.60 $1,884.19 $193,340.7274 1708146 00HP St. Joseph County CMH 75 St. Joseph $25,210.15 $4,022.10 $6,912.20 $1,659.66 $218.96 $1.76 $38,024.8375 1706849 00HM Sanilac County CMH 76 Sanilac $11,234.52 $1,835.56 $2,648.94 $1,002.96 $177.80 $16,899.7876 1715919 00GO Hiawatha Behavioral Health Authority 77 Schoolcraft $4,217.71 $630.20 $952.00 $387.50 $19.94 $6,207.3577 1712407 00HN Shiawassee County CMH 78 Shiawassee $21,814.65 $3,508.08 $5,979.96 $1,587.60 $153.85 $33,044.1478 1707130 00HS Tuscola County CMH 79 Tuscola $23,953.30 $3,564.84 $5,985.00 $2,202.75 $191.70 $1.96 $35,899.5579 1705298 00HT Van Buren County CMH 80 Van Buren $43,418.10 $7,499.84 $14,796.90 $5,139.86 $1,028.16 $9.85 $71,892.7180 1707176 00HU Washtenaw County CMH 81 Washtenaw $87,928.96 $13,200.57 $24,352.90 $6,761.24 $1,025.48 $3.05 $133,272.2081 3119549 00GJ Detroit-Wayne County CMH 82 Wayne $976,341.60 $125,324.85 $260,705.62 $84,445.55 $14,774.20 $81.60 $1,461,673.4282 1707158 00HC North Central CMH 83 Wexford $19,505.12 $3,350.00 $5,411.67 $1,528.94 $136.50 $29,932.2383 $0.0084 $0.0085

$3,219,984.33 $472,717.53 $867,066.88 $273,510.62 $43,087.43 $138.66 $4,876,505.45Check Values -

8/2/02 7:20 PM


1 1709690 00GA Allegan County CMH $7,366.87 $41,708.80 $229,099.59 $224,349.34 $176,547.39 $45,660.73 $724,732.722 1712283 00GB Antrim-Kalkaska CMH $4,203.43 $22,274.84 $110,936.64 $146,037.65 $120,051.63 $28,480.24 $431,984.433 1706830 00GC AuSable Valley CMH $2,729.94 $15,300.90 $92,850.28 $150,089.03 $93,617.42 $20,432.31 $375,019.884 1705260 00GD Barry County CMH $937.60 $7,659.47 $30,769.02 $42,166.52 $26,399.28 $6,026.72 $113,958.615 1705322 00GE Bay-Arenac CMH $10,588.66 $59,053.61 $395,451.00 $463,342.74 $274,548.56 $74,388.87 $1,277,373.446 1716175 00GF Berrien Mental Health $17,799.74 $63,360.87 $352,103.38 $416,489.31 $274,129.55 $84,150.24 $1,208,033.097 1708001 00BJ CEI CMH $22,657.99 $111,447.00 $597,811.44 $658,233.96 $385,279.44 $102,612.75 $1,878,042.588 4344340 00GG Central Michigan CMH $28,425.35 $152,507.85 $951,453.00 $1,023,520.68 $699,720.00 $171,709.46 $3,027,336.349 1707962 00GI Copper County CMH $3,619.42 $26,497.80 $142,626.50 $189,625.26 $169,551.55 $59,046.78 $590,967.3110 3119549 00GJ Detroit-Wayne County CMH $180,870.06 $641,926.86 $4,091,134.50 $4,878,144.92 $3,267,973.41 $1,068,099.72 $14,128,149.4711 1705233 0028 Genesee County Health Dept $53,932.50 $193,725.54 $1,224,908.15 $1,286,206.74 $700,626.15 $203,192.79 $3,662,591.8712 1708119 00GL Gogebic County CMH $1,982.40 $9,196.77 $70,758.12 $94,857.60 $54,541.44 $24,275.84 $255,612.1713 1715955 00GN Gratiot County CMH $5,197.50 $23,779.00 $150,532.20 $167,974.44 $113,629.12 $32,523.84 $493,636.1014 1705251 00GM Great Lakes CMH $5,825.16 $25,357.20 $170,922.96 $180,739.05 $121,691.16 $32,691.78 $537,227.3115 1715919 00GO Hiawatha Behavioral Health Authority $3,696.84 $17,069.13 $144,774.80 $172,938.92 $121,924.36 $32,601.03 $493,005.0816 1708128 00GP Huron Behavioral Health $1,980.55 $14,664.96 $83,982.60 $109,062.14 $86,695.77 $27,426.28 $323,812.3017 1715928 00GQ Ionia County CMH $4,226.56 $27,248.28 $157,393.64 $147,116.97 $106,626.30 $26,587.20 $469,198.9518 3402136 00GR Kalamazoo County CMH $20,692.59 $93,486.19 $581,457.38 $645,154.02 $403,519.36 $113,564.64 $1,857,874.1819 1705430 00GS Kent County CMH $43,901.76 $199,668.48 $977,554.76 $955,204.80 $565,131.60 $178,952.97 $2,920,414.3720 1705242 00GT Lapeer County CMH $4,206.48 $26,063.84 $185,051.85 $179,146.13 $123,320.12 $45,821.49 $563,609.9121 1705270 00GU Lenawee County CMH $7,596.92 $35,031.15 $238,336.19 $216,670.76 $160,438.59 $36,104.18 $694,177.7922 1712229 00GV Lifeways CMH $15,756.62 $69,275.99 $393,279.38 $398,696.54 $265,574.40 $72,333.38 $1,214,916.3123 1707167 00GW Livingston County CMH $4,443.00 $44,681.00 $191,129.40 $187,936.19 $105,702.80 $24,891.66 $558,784.0524 3396315 00GX Macomb County CA $44,407.48 $247,825.20 $1,592,480.16 $1,832,469.03 $1,248,369.20 $422,863.62 $5,388,414.6925 1705304 00GY Manistee-Benzie CMH $5,866.54 $32,725.17 $199,898.40 $263,982.29 $218,773.22 $52,158.47 $773,404.0926 1710547 00HX Monroe County CMH $12,453.76 $59,723.07 $367,099.65 $380,284.08 $224,776.65 $61,305.21 $1,105,642.4227 1712461 00GZ Montcalm Center Behavl. Hlt $2,463.30 $9,593.73 $59,385.48 $65,396.10 $43,131.66 $10,174.63 $190,144.9028 1712452 00HA Muskegon County CMH $14,134.45 $60,005.40 $412,089.04 $464,651.20 $276,634.05 $63,571.48 $1,291,085.6229 1708066 00HB Newaygo County CMH $2,316.00 $11,755.40 $69,862.50 $101,944.05 $60,413.73 $15,455.11 $261,746.7930 1707158 00HC North Central CMH $4,945.14 $27,384.96 $177,119.83 $242,091.85 $151,934.28 $34,650.30 $638,126.3631 1708100 00HE Northeast Michigan CMH $7,596.84 $42,853.70 $299,722.50 $381,162.08 $265,065.72 $76,076.74 $1,072,477.58

MA DD Revenue by Provider ID by Age Group 2-Aug-2002 19:182002-08

Age GroupMA Capitation DMB Report: 57e2 - qSummary recordcode02 by CMHA - Rev - DD

8/2/02 7:20 PM

32 1707185 00HF Northern Michigan CMH $6,899.76 $40,186.80 $243,683.22 $264,730.50 $199,503.02 $48,528.20 $803,531.5033 3140186 00HG Northpointe CMH $4,527.38 $23,424.26 $140,912.01 $184,820.85 $141,729.84 $44,197.04 $539,611.3834 1705289 0058 Oakland County CMHA $67,377.25 $397,800.00 $2,558,915.46 $2,747,786.27 $1,846,588.05 $713,897.72 $8,332,364.7535 1712425 00HI Ottawa County CMH $11,994.40 $96,779.76 $457,137.59 $443,467.20 $263,643.24 $63,275.85 $1,336,298.0436 1724945 00HJ Pathways CMH $10,105.92 $71,388.10 $411,360.98 $489,128.76 $354,389.52 $93,192.93 $1,429,566.2137 1712372 00HL Pines Behavioral Health CMH $4,134.78 $20,056.96 $137,087.93 $136,731.79 $96,835.75 $29,308.40 $424,155.6138 1712541 00HQ Saginaw County CMH $18,439.65 $78,670.25 $440,300.14 $447,931.44 $246,327.85 $78,003.79 $1,309,673.1239 1706849 00HM Sanilac County CMH $8,284.29 $45,637.51 $241,124.87 $350,955.84 $262,395.84 $66,475.80 $974,874.1540 1712407 00HN Shiawassee County CMH $5,016.96 $29,467.33 $156,198.60 $164,039.36 $91,089.07 $22,318.14 $468,129.4641 1708164 00HO St. Clair County CMH $15,236.58 $85,257.06 $497,706.65 $559,864.20 $365,786.50 $79,242.75 $1,603,093.7442 1708146 00HP St. Joseph County CMH $3,261.70 $23,247.09 $129,878.82 $138,769.13 $96,469.56 $29,262.07 $420,888.3743 2920843 00HR Summit Pointe CMH $6,853.86 $32,727.63 $191,389.95 $212,072.00 $129,661.99 $36,655.52 $609,360.9544 1707130 00HS Tuscola County CMH $7,494.96 $39,442.30 $188,834.14 $198,684.08 $139,330.02 $30,920.40 $604,705.9045 1705298 00HT Van Buren County CMH $4,297.43 $20,829.90 $113,541.30 $134,060.73 $103,390.40 $29,091.54 $405,211.3046 1707176 00HU Washtenaw County CMH $15,563.30 $91,365.42 $500,178.07 $563,225.24 $311,569.56 $102,112.64 $1,584,014.2347 3220732 00HV West Michigan CMH $4,298.47 $22,947.28 $126,255.57 $156,110.40 $113,685.00 $29,027.16 $452,323.8848 1706114 00HW Woodlands Behavioral Healthcare $3,622.08 $17,734.50 $101,585.84 $115,660.28 $76,943.84 $19,003.60 $334,550.1449

50

State Subtotals $744,230.22 $3,549,814.31 $21,378,065.48 $23,973,722.46 $15,745,676.96 $4,762,344.01 $70,153,853.44

Check Values -

8/2/02 7:20 PM


1 1708100 00HE Northeast Michigan CMH 01 Alcona $1,373.44 $3,083.00 $32,769.66 $52,574.08 $47,511.78 $16,161.38 $153,473.342 1724945 00HJ Pathways CMH 02 Alger $626.40 $1,799.70 $32,660.04 $33,567.66 $29,194.56 $11,505.30 $109,353.663 1709690 00GA Allegan County CMH 03 Allegan $7,366.87 $41,708.80 $229,099.59 $224,349.34 $176,547.39 $45,660.73 $724,732.724 1708100 00HE Northeast Michigan CMH 04 Alpena $3,776.96 $26,205.50 $179,034.24 $211,939.26 $122,113.61 $31,534.40 $574,603.975 1712283 00GB Antrim-Kalkaska CMH 05 Antrim $1,877.26 $13,189.05 $53,188.80 $78,875.95 $51,111.09 $11,991.68 $210,233.836 1705322 00GE Bay-Arenac CMH 06 Arenac $1,638.36 $7,408.94 $50,278.77 $75,481.90 $47,721.96 $15,044.94 $197,574.877 1707962 00GI Copper County CMH 07 Baraga $281.12 $3,028.32 $17,664.75 $24,879.91 $25,245.10 $10,647.78 $81,746.988 1705260 00GD Barry County CMH 08 Barry $937.60 $7,659.47 $30,769.02 $42,166.52 $26,399.28 $6,026.72 $113,958.619 1705322 00GE Bay-Arenac CMH 09 Bay $8,950.30 $51,644.67 $345,172.23 $387,860.84 $226,826.60 $59,343.93 $1,079,798.5710 1705304 00GY Manistee-Benzie CMH 10 Benzie $1,934.71 $10,758.96 $60,434.40 $81,225.32 $70,298.32 $24,073.14 $248,724.8511 1716175 00GF Berrien Mental Health 11 Berrien $17,799.74 $63,360.87 $352,103.38 $416,489.31 $274,129.55 $84,150.24 $1,208,033.0912 1712372 00HL Pines Behavioral Health CMH 12 Branch $4,134.78 $20,056.96 $137,087.93 $136,731.79 $96,835.75 $29,308.40 $424,155.6113 2920843 00HR Summit Pointe CMH 13 Calhoun $6,853.86 $32,727.63 $191,389.95 $212,072.00 $129,661.99 $36,655.52 $609,360.9514 1706114 00HW Woodlands Behavioral Healthcare 14 Cass $3,622.08 $17,734.50 $101,585.84 $115,660.28 $76,943.84 $19,003.60 $334,550.1415 1707185 00HF Northern Michigan CMH 15 Charlevoix $1,585.08 $9,153.66 $54,409.08 $49,376.70 $49,800.30 $12,560.24 $176,885.0616 1707185 00HF Northern Michigan CMH 16 Cheboygan $2,082.36 $10,716.48 $80,455.98 $83,286.00 $60,967.64 $13,987.54 $251,496.0017 1715919 00GO Hiawatha Behavioral Health Authority 17 Chippewa $2,435.22 $12,643.80 $84,133.28 $116,789.92 $72,926.72 $20,476.68 $309,405.6218 4344340 00GG Central Michigan CMH 18 Clare $4,882.65 $20,660.60 $168,442.42 $223,827.24 $135,975.00 $29,892.74 $583,680.6519 1708001 00BJ CEI CMH 19 Clinton $1,889.68 $9,265.50 $54,469.52 $56,330.64 $27,696.37 $7,007.70 $156,659.4120 1707158 00HC North Central CMH 20 Crawford $953.28 $4,706.79 $24,035.05 $41,045.40 $20,823.48 $6,382.95 $97,946.9521 1724945 00HJ Pathways CMH 21 Delta $3,549.60 $26,995.50 $132,195.40 $169,436.76 $117,183.72 $31,064.31 $480,425.2922 3140186 00HG Northpointe CMH 22 Dickinson $1,962.92 $10,233.90 $58,959.00 $84,835.80 $46,423.44 $13,666.19 $216,081.2523 1708001 00BJ CEI CMH 23 Eaton $3,906.55 $16,051.50 $99,804.40 $93,536.68 $58,568.12 $12,180.05 $284,047.3024 1707185 00HF Northern Michigan CMH 24 Emmet $1,460.76 $10,046.70 $56,724.36 $67,223.70 $53,723.96 $13,702.08 $202,881.5625 1705233 0028 Genesee County Health Dept 25 Genesee $53,932.50 $193,725.54 $1,224,908.15 $1,286,206.74 $700,626.15 $203,192.79 $3,662,591.8726 4344340 00GG Central Michigan CMH 26 Gladwin $2,346.70 $14,951.75 $109,945.68 $129,660.44 $98,857.50 $22,245.76 $378,007.8327 1708119 00GL Gogebic County CMH 27 Gogebic $1,982.40 $9,196.77 $70,758.12 $94,857.60 $54,541.44 $24,275.84 $255,612.1728 1705251 00GM Great Lakes CMH 28 Grand Traverse $4,736.62 $21,342.31 $146,270.61 $158,217.05 $105,694.20 $27,558.36 $463,819.1529 1715955 00GN Gratiot County CMH 29 Gratiot $5,197.50 $23,779.00 $150,532.20 $167,974.44 $113,629.12 $32,523.84 $493,636.1030 1712229 00GV Lifeways CMH 30 Hillsdale $3,085.50 $16,395.81 $86,544.44 $80,290.32 $63,697.92 $17,752.84 $267,766.8331 1707962 00GI Copper County CMH 31 Houghton $2,424.66 $17,665.20 $96,829.00 $126,416.84 $111,214.90 $34,847.28 $389,397.88

MA DD Revenue by Provider ID by County by Age Group 2-Aug-2002 19:182002-08

Age GroupMA Capitation DMB Report: 57f2 - qSummary recordcode02 by CA by County - Rev - DD

8/2/02 7:20 PM




32 1708128 00GP Huron Behavioral Health 32 Huron $1,980.55 $14,664.96 $83,982.60 $109,062.14 $86,695.77 $27,426.28 $323,812.3033 1708001 00BJ CEI CMH 33 Ingham $16,861.76 $86,130.00 $443,537.52 $508,366.64 $299,014.95 $83,425.00 $1,437,335.8734 1715928 00GQ Ionia County CMH 34 Ionia $4,226.56 $27,248.28 $157,393.64 $147,116.97 $106,626.30 $26,587.20 $469,198.9535 1706830 00GC AuSable Valley CMH 35 Iosco $1,262.40 $5,553.66 $45,249.82 $55,868.15 $38,151.78 $7,245.50 $153,331.3136 3140186 00HG Northpointe CMH 36 Iron $1,076.44 $4,548.40 $34,196.22 $41,811.93 $43,963.92 $11,921.57 $137,518.4837 4344340 00GG Central Michigan CMH 37 Isabella $6,510.20 $33,165.70 $204,386.20 $169,500.24 $121,642.50 $32,673.46 $567,878.3038 1712229 00GV Lifeways CMH 38 Jackson $12,671.12 $52,880.18 $306,734.94 $318,406.22 $201,876.48 $54,580.54 $947,149.4839 3402136 00GR Kalamazoo County CMH 39 Kalamazoo $20,692.59 $93,486.19 $581,457.38 $645,154.02 $403,519.36 $113,564.64 $1,857,874.1840 1712283 00GB Antrim-Kalkaska CMH 40 Kalkaska $2,326.17 $9,085.79 $57,747.84 $67,161.70 $68,940.54 $16,488.56 $221,750.6041 1705430 00GS Kent County CMH 41 Kent $43,901.76 $199,668.48 $977,554.76 $955,204.80 $565,131.60 $178,952.97 $2,920,414.3742 1707962 00GI Copper County CMH 42 Keweenaw $245.98 $252.36 $5,234.00 $5,379.44 $8,187.60 $2,903.94 $22,203.3243 3220732 00HV West Michigan CMH 43 Lake $1,104.35 $5,858.88 $35,440.16 $54,313.41 $34,815.00 $9,051.48 $140,583.2844 1705242 00GT Lapeer County CMH 44 Lapeer $4,206.48 $26,063.84 $185,051.85 $179,146.13 $123,320.12 $45,821.49 $563,609.9145 1705251 00GM Great Lakes CMH 45 Leelanau $1,088.54 $4,014.89 $24,652.35 $22,522.00 $15,996.96 $5,133.42 $73,408.1646 1705270 00GU Lenawee County CMH 46 Lenawee $7,596.92 $35,031.15 $238,336.19 $216,670.76 $160,438.59 $36,104.18 $694,177.7947 1707167 00GW Livingston County CMH 47 Livingston $4,443.00 $44,681.00 $191,129.40 $187,936.19 $105,702.80 $24,891.66 $558,784.0548 1724945 00HJ Pathways CMH 48 Luce $1,628.64 $5,999.00 $34,215.28 $48,753.03 $40,142.52 $18,024.97 $148,763.4449 1715919 00GO Hiawatha Behavioral Health Authority 49 Mackinac $616.14 $1,685.84 $22,945.44 $28,074.50 $18,801.42 $4,310.88 $76,434.2250 3396315 00GX Macomb County CA 50 Macomb $44,407.48 $247,825.20 $1,592,480.16 $1,832,469.03 $1,248,369.20 $422,863.62 $5,388,414.6951 1705304 00GY Manistee-Benzie CMH 51 Manistee $3,931.83 $21,966.21 $139,464.00 $182,756.97 $148,474.90 $28,085.33 $524,679.2452 1724945 00HJ Pathways CMH 52 Marquette $4,301.28 $36,593.90 $212,290.26 $237,371.31 $167,868.72 $32,598.35 $691,023.8253 3220732 00HV West Michigan CMH 53 Mason $1,410.17 $9,764.80 $46,515.21 $42,605.13 $32,835.00 $8,583.30 $141,713.6154 4344340 00GG Central Michigan CMH 54 Mecosta $5,639.65 $25,010.20 $136,022.54 $161,532.28 $102,532.50 $29,197.56 $459,934.7355 3140186 00HG Northpointe CMH 55 Menominee $1,488.02 $8,641.96 $47,756.79 $58,173.12 $51,342.48 $18,609.28 $186,011.6556 4344340 00GG Central Michigan CMH 56 Midland $5,866.75 $41,049.35 $231,872.62 $232,519.56 $157,657.50 $30,240.33 $699,206.1157 1710547 00HX Monroe County CMH 58 Monroe $12,453.76 $59,723.07 $367,099.65 $380,284.08 $224,776.65 $61,305.21 $1,105,642.4258 1712461 00GZ Montcalm Center Behavl. Hlt 59 Montcalm $2,463.30 $9,593.73 $59,385.48 $65,396.10 $43,131.66 $10,174.63 $190,144.9059 1708100 00HE Northeast Michigan CMH 60 Montmorency $1,416.36 $5,857.70 $33,568.92 $54,217.02 $50,429.17 $15,373.02 $160,862.1960 1712452 00HA Muskegon County CMH 61 Muskegon $14,134.45 $60,005.40 $412,089.04 $464,651.20 $276,634.05 $63,571.48 $1,291,085.6261 1708066 00HB Newaygo County CMH 62 Newaygo $2,316.00 $11,755.40 $69,862.50 $101,944.05 $60,413.73 $15,455.11 $261,746.7962 1705289 0058 Oakland County CMHA 63 Oakland $67,377.25 $397,800.00 $2,558,915.46 $2,747,786.27 $1,846,588.05 $713,897.72 $8,332,364.75

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63 3220732 00HV West Michigan CMH 64 Oceana $1,783.95 $7,323.60 $44,300.20 $59,191.86 $46,035.00 $11,392.38 $170,026.9964 1706830 00GC AuSable Valley CMH 65 Ogemaw $836.34 $8,387.16 $33,202.79 $67,343.77 $39,990.42 $9,708.97 $159,469.4565 1707962 00GI Copper County CMH 66 Ontonagon $667.66 $5,551.92 $22,898.75 $32,949.07 $24,903.95 $10,647.78 $97,619.1366 4344340 00GG Central Michigan CMH 67 Osceola $3,179.40 $17,670.25 $100,783.54 $106,480.92 $83,055.00 $27,459.61 $338,628.7267 1706830 00GC AuSable Valley CMH 68 Oscoda $631.20 $1,360.08 $14,397.67 $26,877.11 $15,475.22 $3,477.84 $62,219.1268 1707185 00HF Northern Michigan CMH 69 Otsego $1,771.56 $10,269.96 $52,093.80 $64,844.10 $35,011.12 $8,278.34 $172,268.8869 1712425 00HI Ottawa County CMH 70 Ottawa $11,994.40 $96,779.76 $457,137.59 $443,467.20 $263,643.24 $63,275.85 $1,336,298.0470 1708100 00HE Northeast Michigan CMH 71 Presque Isle $1,030.08 $7,707.50 $54,349.68 $62,431.72 $45,011.16 $13,007.94 $183,538.0871 1707158 00HC North Central CMH 72 Roscommon $1,688.10 $8,843.06 $65,449.29 $82,090.80 $53,601.18 $11,124.57 $222,797.0072 1712541 00HQ Saginaw County CMH 73 Saginaw $18,439.65 $78,670.25 $440,300.14 $447,931.44 $246,327.85 $78,003.79 $1,309,673.1273 1708164 00HO St. Clair County CMH 74 St. Clair $15,236.58 $85,257.06 $497,706.65 $559,864.20 $365,786.50 $79,242.75 $1,603,093.7474 1708146 00HP St. Joseph County CMH 75 St. Joseph $3,261.70 $23,247.09 $129,878.82 $138,769.13 $96,469.56 $29,262.07 $420,888.3775 1706849 00HM Sanilac County CMH 76 Sanilac $8,284.29 $45,637.51 $241,124.87 $350,955.84 $262,395.84 $66,475.80 $974,874.1576 1715919 00GO Hiawatha Behavioral Health Authority 77 Schoolcraft $645.48 $2,739.49 $37,696.08 $28,074.50 $30,196.22 $7,813.47 $107,165.2477 1712407 00HN Shiawassee County CMH 78 Shiawassee $5,016.96 $29,467.33 $156,198.60 $164,039.36 $91,089.07 $22,318.14 $468,129.4678 1707130 00HS Tuscola County CMH 79 Tuscola $7,494.96 $39,442.30 $188,834.14 $198,684.08 $139,330.02 $30,920.40 $604,705.9079 1705298 00HT Van Buren County CMH 80 Van Buren $4,297.43 $20,829.90 $113,541.30 $134,060.73 $103,390.40 $29,091.54 $405,211.3080 1707176 00HU Washtenaw County CMH 81 Washtenaw $15,563.30 $91,365.42 $500,178.07 $563,225.24 $311,569.56 $102,112.64 $1,584,014.2381 3119549 00GJ Detroit-Wayne County CMH 82 Wayne $180,870.06 $641,926.86 $4,091,134.50 $4,878,144.92 $3,267,973.41 $1,068,099.72 $14,128,149.4782 1707158 00HC North Central CMH 83 Wexford $2,303.76 $13,835.11 $87,635.49 $118,955.65 $77,509.62 $17,142.78 $317,382.4183 $0.0084 $0.0085

$744,230.22 $3,549,814.31 $21,378,065.48 $23,973,722.46 $15,745,676.96 $4,762,344.01 $70,153,853.44Check Values -

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Provider ID Agent ID CA_ProviderName 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

1 3119549 00xo Detroit Health Department $28,961.91 $33,180.72 $230,113.81 $258,194.57 $82,905.58 $3,324.43 $636,681.022 1724945 00hy Eastern U.P. Substance Abuse $1,416.03 $2,463.70 $12,944.08 $11,432.46 $3,396.24 $240.39 $31,892.903 1705233 00hz Genesee County Health Dept $5,925.36 $8,271.45 $56,030.31 $50,393.99 $12,215.94 $469.98 $133,307.034 3402136 00gr Kalamazoo County CMH $3,935.88 $6,034.18 $33,823.86 $27,129.73 $7,030.92 $365.75 $78,320.325 1712452 00ib Lakeshore CA $6,711.19 $10,261.01 $58,040.40 $52,035.36 $14,760.45 $810.26 $142,618.676 3396315 00gx Macomb County CA $4,950.36 $7,008.15 $45,093.28 $44,330.23 $12,234.71 $847.28 $114,464.017 1708001 00ic Mid-South CA $7,526.12 $10,780.68 $61,557.16 $53,728.41 $14,890.53 $739.17 $149,222.078 1705430 00id Mink Substance Abuse Coordinating Agency $7,564.69 $11,201.36 $59,947.20 $47,362.08 $12,106.74 $658.35 $138,840.429 4344340 00ie Northern Michigan CA $6,279.56 $10,039.64 $56,874.47 $53,006.87 $14,950.71 $739.04 $141,890.2910 1705289 00if Oakland County Health Div $6,235.80 $8,452.36 $56,024.74 $53,899.22 $15,895.61 $1,248.10 $141,755.8311 1712541 00ig Saginaw County Health Dept $4,635.10 $8,218.96 $51,384.14 $52,466.82 $14,226.22 $678.72 $131,609.9612 1710547 00ih Southeast MI Community Alliance $10,937.64 $13,974.67 $95,471.04 $104,310.80 $31,834.92 $1,550.08 $258,079.1513 1708164 00ii St. Clair County Health Dept. CA $2,483.77 $3,724.95 $20,081.88 $18,462.56 $5,201.14 $282.06 $50,236.3614 1707176 00hu Washtenaw County CMH $1,953.84 $3,205.36 $18,367.07 $18,448.44 $4,785.76 $296.52 $47,056.9915 1707962 00il Western U.P. SAS $1,254.75 $1,967.10 $10,475.52 $9,689.95 $2,816.71 $260.15 $26,464.1816 $0.00

State Subtotals $100,772.00 $138,784.29 $866,228.96 $854,891.49 $249,252.18 $12,510.28 $2,222,439.20

Check Values -

MA SA Revenue by Provider ID by Age Group 2-Aug-2002 19:182002-08

Age GroupMA Capitation DMB Report: 57g2 - qSummary recordcode02 by CMHA - Rev - SA

8/2/02 7:20 PM


1 4344340 00ie Northern Michigan CA 01 Alcona $74.78 $107.64 $684.46 $735.07 $257.35 $12.64 $1,871.942 1724945 00hy Eastern U.P. Substance Abuse 02 Alger $51.15 $83.63 $583.26 $537.56 $166.57 $14.94 $1,437.113 1712452 00ib Lakeshore CA 03 Allegan $663.80 $984.78 $5,326.67 $4,242.34 $1,442.17 $88.77 $12,748.534 4344340 00ie Northern Michigan CA 04 Alpena $227.98 $449.95 $2,688.30 $2,781.35 $673.74 $34.72 $6,856.045 4344340 00ie Northern Michigan CA 05 Antrim $158.86 $222.83 $894.89 $1,003.07 $295.49 $19.28 $2,594.426 4344340 00ie Northern Michigan CA 06 Arenac $150.24 $249.51 $1,324.46 $1,572.10 $387.88 $21.52 $3,705.717 1707962 00il Western U.P. SAS 07 Baraga $103.50 $151.34 $700.55 $536.11 $226.81 $17.60 $1,735.918 3402136 00gr Kalamazoo County CMH 08 Barry $391.68 $708.46 $3,350.24 $2,940.26 $692.28 $41.58 $8,124.509 1712541 00ig Saginaw County Health Dept 09 Bay $1,021.96 $2,150.51 $13,779.38 $15,006.17 $4,250.01 $222.18 $36,430.2110 4344340 00ie Northern Michigan CA 10 Benzie $103.56 $133.11 $636.27 $707.07 $261.67 $14.56 $1,856.2411 1712452 00ib Lakeshore CA 11 Berrien $1,842.86 $2,631.64 $15,267.36 $13,819.20 $4,034.88 $218.90 $37,814.8412 3402136 00gr Kalamazoo County CMH 12 Branch $453.60 $633.91 $3,850.52 $2,996.61 $813.42 $48.84 $8,796.9013 1708001 00ic Mid-South CA 13 Calhoun $1,296.24 $1,931.23 $11,158.81 $10,441.98 $2,924.22 $133.74 $27,886.2214 1712452 00ib Lakeshore CA 14 Cass $463.18 $700.11 $4,148.53 $3,504.62 $975.33 $55.00 $9,846.7715 4344340 00ie Northern Michigan CA 15 Charlevoix $167.54 $215.93 $1,161.54 $942.87 $380.41 $21.04 $2,889.3316 4344340 00ie Northern Michigan CA 16 Cheboygan $232.58 $301.72 $2,024.12 $1,625.99 $467.49 $27.44 $4,679.3417 1724945 00hy Eastern U.P. Substance Abuse 17 Chippewa $310.62 $465.00 $2,532.20 $2,269.24 $589.07 $34.20 $6,200.3318 4344340 00ie Northern Michigan CA 18 Clare $296.70 $477.85 $3,392.08 $3,234.98 $828.58 $28.64 $8,258.8319 1708001 00ic Mid-South CA 19 Clinton $276.50 $372.63 $2,100.91 $1,788.58 $397.49 $25.47 $4,961.5820 4344340 00ie Northern Michigan CA 20 Crawford $119.56 $179.57 $1,025.59 $1,153.42 $253.71 $12.00 $2,743.8521 1724945 00hy Eastern U.P. Substance Abuse 21 Delta $291.59 $507.28 $2,543.54 $2,434.99 $669.84 $50.04 $6,497.2822 1707962 00il Western U.P. SAS 22 Dickinson $277.20 $456.89 $2,364.96 $2,209.40 $464.49 $47.85 $5,820.7923 1708001 00ic Mid-South CA 23 Eaton $498.62 $689.78 $4,053.23 $3,131.83 $860.54 $53.64 $9,287.6424 4344340 00ie Northern Michigan CA 24 Emmet $166.86 $274.80 $1,261.26 $1,162.32 $388.06 $31.92 $3,285.2225 1705233 00hz Genesee County Health Dept 25 Genesee $5,925.36 $8,271.45 $56,030.31 $50,393.99 $12,215.94 $469.98 $133,307.0326 4344340 00ie Northern Michigan CA 26 Gladwin $212.18 $332.19 $2,002.03 $1,964.23 $615.05 $26.80 $5,152.4827 1707962 00il Western U.P. SAS 27 Gogebic $224.40 $339.50 $1,902.68 $1,838.87 $422.38 $47.96 $4,775.7928 4344340 00ie Northern Michigan CA 28 Grand Traverse $438.08 $585.49 $3,142.53 $2,897.87 $832.16 $48.88 $7,945.0129 1708001 00ic Mid-South CA 29 Gratiot $289.78 $451.05 $2,651.01 $2,443.38 $758.71 $51.03 $6,644.9630 1708001 00ic Mid-South CA 30 Hillsdale $333.34 $529.99 $2,885.39 $2,326.42 $807.42 $40.77 $6,923.3331 1707962 00il Western U.P. SAS 31 Houghton $388.65 $615.08 $3,368.36 $2,939.79 $988.13 $74.25 $8,374.26


Age GroupMA Capitation DMB Report: 56h2 - qSummary recordcode02 by CA by County - Pop - SA

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32 1708164 00ii St. Clair County Health Dept. CA 32 Huron $229.64 $400.40 $1,915.90 $2,194.28 $674.19 $45.81 $5,460.2233 1708001 00ic Mid-South CA 33 Ingham $2,338.96 $3,373.41 $18,713.82 $16,614.91 $4,341.83 $197.82 $45,580.7534 1705430 00id Mink Substance Abuse Coordinating Agency 34 Ionia $504.49 $842.20 $4,370.85 $3,210.48 $965.38 $45.10 $9,938.5035 4344340 00ie Northern Michigan CA 35 Iosco $223.72 $342.26 $2,129.00 $2,138.37 $568.64 $28.32 $5,430.3136 1707962 00il Western U.P. SAS 36 Iron $149.70 $230.56 $1,262.59 $1,214.35 $429.43 $44.99 $3,331.6237 4344340 00ie Northern Michigan CA 37 Isabella $349.20 $678.03 $3,605.85 $2,592.81 $741.81 $33.44 $8,001.1438 1708001 00ic Mid-South CA 38 Jackson $1,386.38 $1,755.14 $10,003.08 $8,932.95 $2,515.78 $118.62 $24,711.9539 3402136 00gr Kalamazoo County CMH 39 Kalamazoo $2,331.96 $3,517.43 $20,469.46 $16,846.89 $4,343.58 $210.87 $47,720.1940 4344340 00ie Northern Michigan CA 40 Kalkaska $153.92 $194.88 $1,101.31 $993.04 $390.16 $17.12 $2,850.4341 1705430 00id Mink Substance Abuse Coordinating Agency 41 Kent $5,871.55 $8,633.59 $46,223.32 $34,994.64 $8,722.62 $497.75 $104,943.4742 1707962 00il Western U.P. SAS 42 Keweenaw $27.15 $34.26 $190.49 $129.52 $74.82 $6.60 $462.8443 4344340 00ie Northern Michigan CA 43 Lake $131.24 $210.98 $1,349.60 $1,629.22 $479.77 $19.04 $3,819.8544 1708164 00ii St. Clair County Health Dept. CA 44 Lapeer $381.39 $535.88 $3,301.06 $2,619.59 $731.77 $48.60 $7,618.2945 4344340 00ie Northern Michigan CA 45 Leelanau $97.82 $128.96 $784.18 $552.68 $137.07 $10.40 $1,711.1146 1708001 00ic Mid-South CA 46 Lenawee $632.92 $885.25 $5,622.80 $4,363.26 $1,390.17 $65.70 $12,960.1047 1707176 00hu Washtenaw County CMH 47 Livingston $435.94 $770.35 $3,792.47 $3,658.22 $898.86 $63.70 $9,619.5448 1724945 00hy Eastern U.P. Substance Abuse 48 Luce $80.86 $125.22 $759.15 $636.71 $229.95 $14.58 $1,846.4749 1724945 00hy Eastern U.P. Substance Abuse 49 Mackinac $74.72 $81.81 $531.06 $584.36 $153.16 $12.60 $1,437.7150 3396315 00gx Macomb County CA 50 Macomb $4,950.36 $7,008.15 $45,093.28 $44,330.23 $12,234.71 $847.28 $114,464.0151 4344340 00ie Northern Michigan CA 51 Manistee $178.78 $336.10 $1,709.76 $1,713.22 $566.11 $25.60 $4,529.5752 1724945 00hy Eastern U.P. Substance Abuse 52 Marquette $364.05 $743.77 $3,843.01 $3,195.12 $960.76 $61.20 $9,167.9153 4344340 00ie Northern Michigan CA 53 Mason $230.46 $370.86 $2,040.18 $1,538.76 $447.74 $27.60 $4,655.6054 4344340 00ie Northern Michigan CA 54 Mecosta $316.82 $566.27 $3,173.24 $2,371.09 $639.18 $31.28 $7,097.8855 1724945 00hy Eastern U.P. Substance Abuse 55 Menominee $161.41 $318.20 $1,338.44 $1,158.56 $387.51 $34.11 $3,398.2356 4344340 00ie Northern Michigan CA 56 Midland $488.22 $721.70 $4,297.10 $3,419.80 $999.78 $45.92 $9,972.5257 4344340 00ie Northern Michigan CA 57 Missaukee $20.70 $20.7058 1710547 00ih Southeast MI Community Alliance 58 Monroe $891.82 $1,425.46 $8,811.72 $8,836.10 $2,459.70 $139.68 $22,564.4859 1705430 00id Mink Substance Abuse Coordinating Agency 59 Montcalm $638.26 $906.44 $5,013.85 $4,416.00 $1,224.82 $58.19 $12,257.5660 4344340 00ie Northern Michigan CA 60 Montmorency $83.18 $142.76 $664.86 $830.88 $277.47 $14.40 $2,013.5561 1712452 00ib Lakeshore CA 61 Muskegon $1,939.69 $3,120.40 $18,168.04 $17,403.86 $4,676.20 $210.21 $45,518.4062 1705430 00id Mink Substance Abuse Coordinating Agency 62 Newaygo $550.39 $819.13 $4,339.18 $4,740.96 $1,193.92 $57.31 $11,700.89

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63 1705289 00if Oakland County Health Div 63 Oakland $6,235.80 $8,452.36 $56,024.74 $53,899.22 $15,895.61 $1,248.10 $141,755.8364 4344340 00ie Northern Michigan CA 64 Oceana $309.00 $497.47 $2,990.83 $2,603.02 $696.09 $23.20 $7,119.6165 4344340 00ie Northern Michigan CA 65 Ogemaw $189.66 $360.97 $1,815.41 $2,311.37 $584.19 $28.48 $5,290.0866 1707962 00il Western U.P. SAS 66 Ontonagon $84.15 $139.47 $685.89 $821.91 $210.65 $20.90 $1,962.9767 4344340 00ie Northern Michigan CA 67 Osceola $210.90 $353.42 $1,956.81 $1,576.95 $515.01 $20.40 $4,633.4968 4344340 00ie Northern Michigan CA 68 Oscoda $75.06 $127.39 $681.59 $1,027.35 $228.90 $11.76 $2,152.0569 4344340 00ie Northern Michigan CA 69 Otsego $177.84 $297.31 $1,545.70 $1,302.80 $269.20 $12.48 $3,605.3370 1712452 00ib Lakeshore CA 70 Ottawa $951.86 $1,425.94 $7,042.66 $6,016.16 $1,518.88 $121.99 $17,077.4971 4344340 00ie Northern Michigan CA 71 Presque Isle $79.60 $153.06 $691.72 $770.51 $238.65 $17.60 $1,951.1472 4344340 00ie Northern Michigan CA 72 Roscommon $223.42 $349.66 $2,505.41 $2,524.68 $634.18 $27.76 $6,265.1173 1712541 00ig Saginaw County Health Dept 73 Saginaw $3,613.14 $6,068.45 $37,604.76 $37,460.65 $9,976.21 $456.54 $95,179.7574 1708164 00ii St. Clair County Health Dept. CA 74 St. Clair $1,094.42 $1,557.15 $8,924.30 $7,943.05 $2,155.07 $101.07 $21,775.0675 3402136 00gr Kalamazoo County CMH 75 St. Joseph $758.64 $1,174.38 $6,153.64 $4,345.97 $1,181.64 $64.46 $13,678.7376 1708164 00ii St. Clair County Health Dept. CA 76 Sanilac $313.44 $540.19 $2,442.72 $2,605.02 $804.73 $44.64 $6,750.7477 1724945 00hy Eastern U.P. Substance Abuse 77 Schoolcraft $81.63 $138.79 $813.42 $615.92 $239.38 $18.72 $1,907.8678 1708001 00ic Mid-South CA 78 Shiawassee $473.38 $792.20 $4,368.11 $3,685.10 $894.37 $52.38 $10,265.5479 1708164 00ii St. Clair County Health Dept. CA 79 Tuscola $464.88 $691.33 $3,497.90 $3,100.62 $835.38 $41.94 $8,632.0580 1712452 00ib Lakeshore CA 80 Van Buren $849.80 $1,398.14 $8,087.14 $7,049.18 $2,112.99 $115.39 $19,612.6481 1707176 00hu Washtenaw County CMH 81 Washtenaw $1,517.90 $2,435.01 $14,574.60 $14,790.22 $3,886.90 $232.82 $37,437.4582 1710547 00ih Southeast MI Community Alliance 82 Wayne $10,045.82 $12,549.21 $86,659.32 $95,474.70 $29,375.22 $1,410.40 $235,514.6783 3119549 00xo Detroit Health Department 82 Wayne $28,961.91 $33,180.72 $230,113.81 $258,194.57 $82,905.58 $3,324.43 $636,681.0284 4344340 00ie Northern Michigan CA 83 Wexford $391.10 $676.97 $3,594.39 $3,329.98 $895.17 $44.80 $8,932.4185

$100,772.00 $138,784.29 $866,228.96 $854,891.49 $249,252.18 $12,510.28 $2,222,439.20Check Values -

8/2/02 7:20 PM

Code Group Code Group 2 Age Group Statewide Base

Cap RateCode Group Code Group 2 Age Group Statewide Base

Cap RateCode Group Code Group 2 Age Group Statewide Base

Cap Rate

MH DAB - E&P only 0 - 17 $ 42.40 DD DAB - E&P only 0 - 17 $ 22.52 SA DAB - E&P only 0 - 17 $ 0.75 MH DAB - E&P only 18 - 25 $ 70.61 DD DAB - E&P only 18 - 25 $ 161.75 SA DAB - E&P only 18 - 25 $ 2.48 MH DAB - E&P only 26 - 39 $ 162.06 DD DAB - E&P only 26 - 39 $ 419.34 SA DAB - E&P only 26 - 39 $ 10.39 MH DAB - E&P only 40 - 49 $ 145.39 DD DAB - E&P only 40 - 49 $ 430.99 SA DAB - E&P only 40 - 49 $ 13.07 MH DAB - E&P only 50 - 64 $ 79.99 DD DAB - E&P only 50 - 64 $ 218.66 SA DAB - E&P only 50 - 64 $ 3.55 MH DAB - E&P only 65+ $ 16.89 DD DAB - E&P only 65+ $ 206.81 SA DAB - E&P only 65+ $ 0.14 MH DAB - Other 0 - 17 $ 42.40 SA DAB - Other 0 - 17 $ 0.75 MH DAB - Other 18 - 25 $ 70.61 SA DAB - Other 18 - 25 $ 2.48 MH DAB - Other 26 - 39 $ 162.06 SA DAB - Other 26 - 39 $ 10.39 MH DAB - Other 40 - 49 $ 145.39 SA DAB - Other 40 - 49 $ 13.07 MH DAB - Other 50 - 64 $ 79.99 SA DAB - Other 50 - 64 $ 3.55 MH DAB - Other 65+ $ 16.89 SA DAB - Other 65+ $ 0.14 MH TANF 0 - 17 $ 5.59 SA TANF 0 - 17 $ 0.09 MH TANF 18 - 25 $ 6.15 SA TANF 18 - 25 $ 0.84 MH TANF 26 - 39 $ 10.06 SA TANF 26 - 39 $ 4.27 MH TANF 40 - 49 $ 11.22 SA TANF 40 - 49 $ 6.70 MH TANF 50 - 64 $ 8.95 SA TANF 50 - 64 $ 1.95 MH TANF 65+ $ 1.65 SA TANF 65+ $ -

MA Capitation Statewide Base Rates 2-Aug-2002 19:182002-08

8/2/02 7:20 PM

MA Capitation Intensity Factors2002-08

Provider ID Provider Name Code Group Code Group 2Effective Payment

MonthIntensity Factor

1709690 Allegan County CMH MH DAB - Other 200112 1.030900 1709690 Allegan County CMH MH DAB - E&P only 200112 1.030900 1709690 Allegan County CMH MH TANF 200112 1.436600 1712283 Antrim-Kalkaska CMH MH DAB - Other 200112 1.019000 1712283 Antrim-Kalkaska CMH MH DAB - E&P only 200112 1.019000 1712283 Antrim-Kalkaska CMH MH TANF 200112 0.956800 1706830 AuSable Valley CMH MH DAB - Other 200112 0.729200 1706830 AuSable Valley CMH MH DAB - E&P only 200112 0.729200 1706830 AuSable Valley CMH MH TANF 200112 1.653500 1705260 Barry County CMH MH DAB - Other 200112 0.605100 1705260 Barry County CMH MH DAB - E&P only 200112 0.605100 1705260 Barry County CMH MH TANF 200112 0.691000 1705322 Bay-Arenac CMH MH DAB - Other 200112 1.001400 1705322 Bay-Arenac CMH MH DAB - Other 200112 1.001400 1705322 Bay-Arenac CMH MH DAB - E&P only 200112 1.001400 1705322 Bay-Arenac CMH MH DAB - E&P only 200112 1.001400 1705322 Bay-Arenac CMH MH TANF 200112 1.306500 1705322 Bay-Arenac CMH MH TANF 200112 1.306500 1716175 Berrien County CMH MH DAB - Other 200112 0.869600 1716175 Berrien County CMH MH DAB - E&P only 200112 0.869600 1716175 Berrien County CMH MH TANF 200112 0.818900 4344340 Central Michigan CMH MH DAB - Other 200112 0.785500 4344340 Central Michigan CMH MH DAB - E&P only 200112 0.785500 4344340 Central Michigan CMH MH TANF 200112 0.824800 1708001 Clinton-Eaton-Ingham CMH MH DAB - Other 200112 0.893300 1708001 Clinton-Eaton-Ingham CMH MH DAB - E&P only 200112 0.893300 1708001 Clinton-Eaton-Ingham CMH MH TANF 200112 0.791800 1707962 Copper County CMH MH DAB - Other 200112 1.272900 1707962 Copper County CMH MH DAB - E&P only 200112 1.272900 1707962 Copper County CMH MH TANF 200112 0.991500 3119549 Detroit-Wayne CMH MH DAB - Other 200112 1.138500 3119549 Detroit-Wayne CMH MH DAB - Other 200112 1.138500 3119549 Detroit-Wayne CMH MH DAB - E&P only 200112 1.138500

2-Aug-2002 19:18Statewide Base Rate X Intensity Factor = Local Capitation Rate

8/2/02 7:20 PM





3119549 Detroit-Wayne CMH MH DAB - E&P only 200112 1.138500 3119549 Detroit-Wayne CMH MH TANF 200112 0.966900 3119549 Detroit-Wayne CMH MH TANF 200112 0.966900 1705233 Genesee County CMH MH DAB - Other 200112 0.662200 1705233 Genesee County CMH MH DAB - E&P only 200112 0.662200 1705233 Genesee County CMH MH TANF 200112 0.386600 1708119 Gogebic County CMH MH DAB - Other 200112 1.407600 1708119 Gogebic County CMH MH DAB - E&P only 200112 1.407600 1708119 Gogebic County CMH MH TANF 200112 2.802200 1715955 Gratiot County CMH MH DAB - Other 200112 0.880000 1715955 Gratiot County CMH MH DAB - E&P only 200112 0.880000 1715955 Gratiot County CMH MH TANF 200112 1.570400 1705251 Great Lakes CMH MH DAB - Other 200112 1.835000 1705251 Great Lakes CMH MH DAB - E&P only 200112 1.835000 1705251 Great Lakes CMH MH TANF 200112 1.382200 1715919 Hiawatha MH DAB - Other 200112 1.636400 1715919 Hiawatha MH DAB - E&P only 200112 1.636400 1715919 Hiawatha MH TANF 200112 1.113800 1708128 Huron Behavioral Health MH DAB - Other 200112 1.167900 1708128 Huron Behavioral Health MH DAB - E&P only 200112 1.167900 1708128 Huron Behavioral Health MH TANF 200112 0.998300 1715928 Ionia County CMH MH DAB - Other 200112 0.917900 1715928 Ionia County CMH MH DAB - E&P only 200112 0.917900 1715928 Ionia County CMH MH TANF 200112 1.035800 3402136 Kalamazoo County CMH MH DAB - Other 200112 1.239700 3402136 Kalamazoo County CMH MH DAB - E&P only 200112 1.239700 3402136 Kalamazoo County CMH MH TANF 200112 1.078900 1705430 Kent County CMH MH DAB - Other 200112 1.031900 1705430 Kent County CMH MH DAB - E&P only 200112 1.031900 1705430 Kent County CMH MH TANF 200112 0.922900 1705242 Lapeer County CMH MH DAB - Other 200112 1.009300 1705242 Lapeer County CMH MH DAB - E&P only 200112 1.009300 1705242 Lapeer County CMH MH TANF 200112 1.062100

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1705270 Lenawee County CMH MH DAB - Other 200112 1.017600 1705270 Lenawee County CMH MH DAB - E&P only 200112 1.017600 1705270 Lenawee County CMH MH TANF 200112 1.080400 1712229 Lifeways MH DAB - Other 200112 1.006600 1712229 Lifeways MH DAB - E&P only 200112 1.006600 1712229 Lifeways MH TANF 200112 1.095000 1707167 Livingston County CMH MH DAB - Other 200112 1.476000 1707167 Livingston County CMH MH DAB - E&P only 200112 1.476000 1707167 Livingston County CMH MH TANF 200112 2.698300 3396315 Macomb County CMH MH DAB - Other 200112 0.997600 3396315 Macomb County CMH MH DAB - E&P only 200112 0.997600 3396315 Macomb County CMH MH TANF 200112 1.026200 1705304 Manistee-Benzie CMH MH DAB - Other 200112 1.004800 1705304 Manistee-Benzie CMH MH DAB - E&P only 200112 1.004800 1705304 Manistee-Benzie CMH MH TANF 200112 1.241400 1712318 Midland-Gladwin CMH MH DAB - Other 200112 0.794300 1712318 Midland-Gladwin CMH MH DAB - E&P only 200112 0.794300 1712318 Midland-Gladwin CMH MH TANF 200112 1.015500 1710547 Monroe County CMH MH DAB - Other 200112 1.030000 1710547 Monroe County CMH MH DAB - E&P only 200112 1.030000 1710547 Monroe County CMH MH TANF 200112 1.309400 1712461 Montcalm Center MH DAB - Other 200112 0.459500 1712461 Montcalm Center MH DAB - E&P only 200112 0.459500 1712461 Montcalm Center MH TANF 200112 0.706500 1712452 Muskegon County CMH MH DAB - Other 200112 0.771800 1712452 Muskegon County CMH MH DAB - E&P only 200112 0.771800 1712452 Muskegon County CMH MH TANF 200112 0.994600 1708066 Newaygo County CMH MH DAB - Other 200112 0.747500 1708066 Newaygo County CMH MH DAB - E&P only 200112 0.747500 1708066 Newaygo County CMH MH TANF 200112 1.588000 1707158 North Central CMH MH DAB - Other 200112 0.922400 1707158 North Central CMH MH DAB - E&P only 200112 0.922400 1707158 North Central CMH MH TANF 200112 1.016700

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1708100 Northeast CMH MH DAB - Other 200112 0.729400 1708100 Northeast CMH MH DAB - E&P only 200112 0.729400 1708100 Northeast CMH MH TANF 200112 0.999200 1707185 Northern Michigan CMH MH DAB - Other 200112 1.007400 1707185 Northern Michigan CMH MH DAB - E&P only 200112 1.007400 1707185 Northern Michigan CMH MH TANF 200112 0.823100 3140186 Northpointe Behavioral Health MH DAB - Other 200112 1.295200 3140186 Northpointe Behavioral Health MH DAB - Other 200112 1.295200 3140186 Northpointe Behavioral Health MH DAB - E&P only 200112 1.295200 3140186 Northpointe Behavioral Health MH DAB - E&P only 200112 1.295200 3140186 Northpointe Behavioral Health MH TANF 200112 1.412700 3140186 Northpointe Behavioral Health MH TANF 200112 1.412700 1705289 Oakland County CMH MH DAB - Other 200112 1.018800 1705289 Oakland County CMH MH DAB - E&P only 200112 1.018800 1705289 Oakland County CMH MH TANF 200112 0.798200 1712425 Ottawa County CMH MH DAB - Other 200112 1.297400 1712425 Ottawa County CMH MH DAB - E&P only 200112 1.297400 1712425 Ottawa County CMH MH TANF 200112 1.361100 1724945 Pathways MH DAB - Other 200112 1.632100 1724945 Pathways MH DAB - E&P only 200112 1.632100 1724945 Pathways MH TANF 200112 2.432200 1712372 Pines Behavioral Health MH DAB - Other 200112 1.013100 1712372 Pines Behavioral Health MH DAB - E&P only 200112 1.013100 1712372 Pines Behavioral Health MH TANF 200112 1.316000 1712541 Saginaw County CMH MH DAB - Other 200112 0.766400 1712541 Saginaw County CMH MH DAB - E&P only 200112 0.766400 1712541 Saginaw County CMH MH TANF 200112 0.634200 1706849 Sanilac County CMH MH DAB - Other 200112 0.823900 1706849 Sanilac County CMH MH DAB - E&P only 200112 0.823900 1706849 Sanilac County CMH MH TANF 200112 0.709300 1712407 Shiawassee County CMH MH DAB - Other 200112 0.935800 1712407 Shiawassee County CMH MH DAB - E&P only 200112 0.935800 1712407 Shiawassee County CMH MH TANF 200112 1.011000

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1708164 St. Clair County CMH MH DAB - Other 200112 1.027700 1708164 St. Clair County CMH MH DAB - E&P only 200112 1.027700 1708164 St. Clair County CMH MH TANF 200112 2.734500 1708146 St. Joseph County CMH MH DAB - Other 200112 1.025100 1708146 St. Joseph County CMH MH DAB - E&P only 200112 1.025100 1708146 St. Joseph County CMH MH TANF 200112 1.064100 2920843 Summit Pointe MH DAB - Other 200112 0.793500 2920843 Summit Pointe MH DAB - E&P only 200112 0.793500 2920843 Summit Pointe MH TANF 200112 1.410000 1707130 Tuscola County CMH MH DAB - Other 200112 0.997400 1707130 Tuscola County CMH MH DAB - E&P only 200112 0.997400 1707130 Tuscola County CMH MH TANF 200112 1.189800 1705298 Van Buren County CMH MH DAB - Other 200112 1.155000 1705298 Van Buren County CMH MH DAB - E&P only 200112 1.155000 1705298 Van Buren County CMH MH TANF 200112 1.196200 1707176 Wastenaw County CMH MH DAB - Other 200112 1.337800 1707176 Wastenaw County CMH MH DAB - E&P only 200112 1.337800 1707176 Wastenaw County CMH MH TANF 200112 1.848200 3220732 Western Michigan CMH MH DAB - Other 200112 0.744400 3220732 Western Michigan CMH MH DAB - E&P only 200112 0.744400 3220732 Western Michigan CMH MH TANF 200112 1.010500 1706114 Woodland Behavioral Health MH DAB - Other 200112 0.670800 1706114 Woodland Behavioral Health MH DAB - E&P only 200112 0.670800 1706114 Woodland Behavioral Health MH TANF 200112 0.622800

8/2/02 7:20 PM





1709690 Allegan County CMH DD DD 200112 1.611600 1712283 Antrim-Kalkaska CMH DD DD 200112 1.812000 1706830 AuSable Valley CMH DD DD 200112 0.700700 1705260 Barry County CMH DD DD 200112 0.491700 1705322 Bay-Arenac CMH DD DD 200112 1.347200 1705322 Bay-Arenac CMH DD DD 200112 1.347200 1716175 Berrien County CMH DD DD 200112 0.885600 4344340 Central Michigan CMH DD DD 200112 1.922000 1708001 Clinton-Eaton-Ingham CMH DD DD 200112 0.806800 1707962 Copper County CMH DD DD 200112 1.552000 3119549 Detroit-Wayne CMH DD DD 200112 0.737800 3119549 Detroit-Wayne CMH DD DD 200207 0.640300 1705233 Genesee County CMH DD DD 200112 0.905300 1708119 Gogebic County CMH DD DD 200112 1.834100 1715955 Gratiot County CMH DD DD 200112 1.709400 1705251 Great Lakes CMH DD DD 200112 1.287000 1715919 Hiawatha DD DD 200112 1.315800 1708128 Huron Behavioral Health DD DD 200112 1.353200 1715928 Ionia County CMH DD DD 200112 1.477700 3402136 Kalamazoo County CMH DD DD 200112 1.231800 1705430 Kent County CMH DD DD 200112 0.868400 1705242 Lapeer County CMH DD DD 200112 1.811100 1705270 Lenawee County CMH DD DD 200112 1.312600 1712229 Lifeways DD DD 200112 0.913200 1707167 Livingston County CMH DD DD 200112 2.005600 3396315 Macomb County CMH DD DD 200207 1.824000 1705304 Manistee-Benzie CMH DD DD 200112 2.717000 1712318 Midland-Gladwin CMH DD DD 200112 1.239700 1710547 Monroe County CMH DD DD 200112 1.703300 1712461 Montcalm Center DD DD 200112 0.459800 1712452 Muskegon County CMH DD DD 200112 0.781000 1708066 Newaygo County CMH DD DD 200112 0.685600

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1707158 North Central CMH DD DD 200112 0.890200 1708100 Northeast CMH DD DD 200112 1.857900 1707185 Northern Michigan CMH DD DD 200112 1.380300 3140186 Northpointe Behavioral Health DD DD 200112 1.423100 3140186 Northpointe Behavioral Health DD DD 200112 1.423100 1705289 Oakland County CMH DD DD 200207 2.009300 1712425 Ottawa County CMH DD DD 200112 2.266400 1724945 Pathways DD DD 200112 1.843100 1712372 Pines Behavioral Health DD DD 200112 1.591500 1712541 Saginaw County CMH DD DD 200112 0.612900 1706849 Sanilac County CMH DD DD 200112 3.479000 1712407 Shiawassee County CMH DD DD 200112 1.160400 1708164 St. Clair County CMH DD DD 200112 1.869100 1708146 St. Joseph County CMH DD DD 200112 1.161100 2920843 Summit Pointe DD DD 200112 0.502100 1707130 Tuscola County CMH DD DD 200112 1.779900 1705298 Van Buren County CMH DD DD 200112 0.642800 1707176 Wastenaw County CMH DD DD 200112 1.361800 3220732 Western Michigan CMH DD DD 200112 0.747600 1706114 Woodland Behavioral Health DD DD 200112 1.024900

8/2/02 7:20 PM





1724945 Eastern U.P. SAS SA DAB - Other 200112 0.618600 1724945 Eastern U.P. SAS SA DAB - E&P only 200112 0.618600 1724945 Eastern U.P. SAS SA TANF 200112 1.018600 1705233 Genesee Co. Health Dept. SA DAB - Other 200112 0.969200 1705233 Genesee Co. Health Dept. SA DAB - E&P only 200112 0.969200 1705233 Genesee Co. Health Dept. SA TANF 200112 0.895600 3402136 Kalamazoo Co. Human Services Department SA DAB - Other 200112 0.795300 3402136 Kalamazoo Co. Human Services Department SA DAB - E&P only 200112 0.795300 3402136 Kalamazoo Co. Human Services Department SA TANF 200112 1.386400 1712452 Lakeshore Coordinating Council SA DAB - Other 200112 0.763600 1712452 Lakeshore Coordinating Council SA DAB - E&P only 200112 0.763600 1712452 Lakeshore Coordinating Council SA TANF 200112 0.908100 3396315 Macomb County SA DAB - Other 200112 1.008900 3396315 Macomb County SA DAB - E&P only 200112 1.008900 3396315 Macomb County SA TANF 200112 1.440600 1708001 Mid-South SA Com. SA DAB - Other 200112 0.671200 1708001 Mid-South SA Com. SA DAB - E&P only 200112 0.671200 1708001 Mid-South SA Com. SA TANF 200112 0.843700 1705430 Mink Substance Abuse Coordinating Agency SA DAB - Other 200112 0.780100 1705430 Mink Substance Abuse Coordinating Agency SA DAB - E&P only 200112 0.780100 1705430 Mink Substance Abuse Coordinating Agency SA TANF 200112 1.182500 1715937 Northern Michigan SA Services Inc. SA DAB - Other 200112 0.607100 1715937 Northern Michigan SA Services Inc. SA DAB - E&P only 200112 0.607100 1715937 Northern Michigan SA Services Inc. SA TANF 200112 0.918600 1705289 Oakland County Health Division SA DAB - Other 200112 0.995500 1705289 Oakland County Health Division SA DAB - E&P only 200112 0.995500 1705289 Oakland County Health Division SA TANF 200112 1.335900 1712541 Saginaw County Health Department SA DAB - Other 200112 1.524600 1712541 Saginaw County Health Department SA DAB - E&P only 200112 1.524600 1712541 Saginaw County Health Department SA TANF 200112 0.944400 3119549 Southeast Michigan Community Alliance SA DAB - Other 200112 1.132300 3119549 Southeast Michigan Community Alliance SA DAB - Other 200112 1.132300

8/2/02 7:20 PM





3119549 Southeast Michigan Community Alliance SA DAB - E&P only 200112 1.132300 3119549 Southeast Michigan Community Alliance SA DAB - E&P only 200112 1.132300 3119549 Southeast Michigan Community Alliance SA TANF 200112 0.851000 3119549 Southeast Michigan Community Alliance SA TANF 200112 0.851000 1708164 St. Clair Sounty Health Department SA DAB - Other 200112 0.632900 1708164 St. Clair Sounty Health Department SA DAB - E&P only 200112 0.632900 1708164 St. Clair Sounty Health Department SA TANF 200112 0.852600 1707176 Washtenaw County CMHC SA DAB - Other 200112 0.991300 1707176 Washtenaw County CMHC SA DAB - E&P only 200112 0.991300 1707176 Washtenaw County CMHC SA TANF 200112 0.938500 1707962 Western U.P. SAS Coordinating Agency SA DAB - Other 200112 0.800800 1707962 Western U.P. SAS Coordinating Agency SA DAB - E&P only 200112 0.800800 1707962 Western U.P. SAS Coordinating Agency SA TANF 200112 1.707500

8/2/02 7:20 PM

This supplemental section is based on the cummulative values as of the date shown above. This includes the initial values reported and all subsequent adjustments associated with each month. This data in this supplement will be updated as additional data becomes available.

Retroactively eligible clients are paid for through an adjustment in the capitation rate paid for current eligibles. Therefore, while additional enrollees are expected for this month, the revenue figures will not change.

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

Mental Health and Substance Abuse Capitation Trends

August 2002

Summary of the Michigan Medicaid capitation data. Including

services and by county.

8/2/02 7:20 PM

Month MH Enrollees MH Revenue E & P Enrollees E & P Revenue SA Revenue Month MH Enrollees MH Revenue E & P Enrollees E & P Revenue SA Revenue

1 199810 1,143,027 31,457,640$ 253,537 63,836,491$ 2,030,786$ 200104 1,122,985 31,546,096$ 246,180 67,403,470$ 2,072,321$ 2 199811 1,136,621 31,412,671$ 253,796 63,926,440$ 2,019,892$ 200105 1,135,090 31,602,622$ 246,619 67,470,254$ 2,079,018$ 3 199812 1,130,963 31,400,114$ 253,915 64,021,059$ 2,015,525$ 200106 999,267 27,611,557$ 216,411 58,921,191$ 1,822,352$ 4 199901 1,143,500 31,586,896$ 255,024 64,355,526$ 2,028,833$ 200107 1,139,278 31,753,266$ 246,631 67,677,165$ 2,104,406$ 5 199902 1,142,177 31,590,082$ 255,325 64,463,586$ 2,024,699$ 200108 1,148,753 31,816,007$ 247,083 67,790,791$ 2,112,778$ 6 199903 1,146,202 31,627,119$ 255,637 64,572,198$ 2,024,368$ 200109 1,150,086 31,935,412$ 247,005 67,981,734$ 2,126,153$ 7 199904 1,134,415 31,491,008$ 255,376 64,608,307$ 2,002,284$ 200110 1,168,744 32,048,534$ 247,825 68,135,932$ 2,138,970$ 8 199905 1,131,982 31,474,523$ 255,482 64,681,483$ 1,995,247$ 200111 1,170,412 32,053,740$ 247,685 68,100,980$ 2,140,373$ 9 199906 1,134,041 31,483,233$ 255,388 64,681,797$ 1,994,356$ 200112 1,174,307 32,264,480$ 247,827 68,423,354$ 2,158,326$ 10 199907 1,133,597 31,487,304$ 255,769 64,775,170$ 1,989,914$ 200201 1,204,191 32,472,191$ 248,670 68,563,180$ 2,183,057$ 11 199908 1,134,670 31,545,081$ 256,429 65,075,538$ 1,990,223$ 200202 1,191,250 32,396,232$ 248,341 68,534,567$ 2,176,456$ 12 199909 1,136,073 31,564,037$ 256,596 65,098,508$ 1,988,575$ 200203 1,194,649 32,520,468$ 248,644 69,262,287$ 2,188,020$ 13 199910 1,130,711 31,537,589$ 256,699 65,211,136$ 1,982,225$ 200204 1,188,206 32,696,604$ 248,247 69,545,377$ 2,203,270$ 14 199911 1,124,354 31,511,846$ 256,117 66,502,525$ 1,974,053$ 200205 1,185,384 32,789,188$ 247,957 69,741,541$ 2,210,462$ 15 199912 1,123,450 31,535,241$ 256,437 66,570,164$ 1,974,780$ 200206 1,178,371 32,885,436$ 247,446 69,960,427$ 2,215,763$ 16 200001 1,121,380 31,505,700$ 256,224 66,575,875$ 1,971,584$ 200207 1,155,393 33,019,359$ 245,893 70,187,221$ 2,226,860$ 17 200002 1,126,814 31,555,924$ 256,263 66,691,219$ 1,979,177$ 200208 1,113,501 32,955,808$ 243,116 70,153,853$ 2,222,439$ 18 200003 1,126,507 31,544,593$ 256,335 66,733,995$ 1,977,427$ 200209 - -$ - -$ -$ 19 200004 1,125,588 31,513,201$ 256,272 66,712,536$ 1,975,328$ 200210 - -$ - -$ -$ 20 200005 1,125,238 31,488,133$ 256,127 66,730,038$ 1,971,428$ 200211 - -$ - -$ -$ 21 200006 1,131,792 31,561,560$ 256,577 66,834,058$ 1,979,396$ 200212 - -$ - -$ -$ 22 200007 1,128,973 31,512,885$ 256,530 66,803,600$ 1,975,806$ 200301 - -$ - -$ -$ 23 200008 1,139,085 31,601,747$ 257,075 66,905,273$ 1,985,148$ 200302 - -$ - -$ -$ 24 200009 1,142,230 31,600,134$ 257,078 66,904,456$ 1,986,311$ 200303 - -$ - -$ -$ 25 200010 1,147,292 31,637,579$ 257,753 67,001,676$ 1,988,693$ 200304 - -$ - -$ -$ 26 200011 1,153,619 31,601,515$ 257,927 66,924,682$ 1,986,184$ 200305 - -$ - -$ -$ 27 200012 1,147,906 31,393,323$ 257,618 66,626,337$ 1,965,555$ 200306 - -$ - -$ -$ 28 200101 1,128,227 30,512,041$ 253,573 65,526,062$ 1,852,003$ 200307 - -$ - -$ -$ 29 200102 1,127,130 30,136,135$ 253,114 64,970,766$ 1,824,858$ 200308 - -$ - -$ -$ 30 200103 1,109,821 29,409,309$ 252,145 64,001,783$ 1,764,149$ 200309 - -$ - -$ -$

2-Aug-2002 19:18MA Trends - Population and Revenue - Summary2002-08

8/2/02 7:20 PM

MA Trends - Populaton and Renenue - Summary Charts 2-Aug-2002 19:182002-08

Medicaid Enrolled Population

-

100

200

300

400

500

600

700

800

900

1,000

1,100

1,200

1,300

1998

10

1999

01

1999

04

1999

07

1999

10

2000

01

2000

04

2000

07

2000

10

2001

01

2001

04

2001

07

2001

10

2002

01

2002

04

2002

07

2002

10

2003

01

2003

04

2003

07

Thou

sand

sM

edic

aid

Enro

llees

MH Enrollees E & P Enrollees

Medicaid Revenue

$0

$5

$10

$15

$20

$25

$30

$35

$40

$45

$50

$55

$60

$65

$70

$75

1998

10

1999

01

1999

04

1999

07

1999

10

2000

01

2000

04

2000

07

2000

10

2001

01

2001

04

2001

07

2001

10

2002

01

2002

04

2002

07

2002

10

2003

01

2003

04

2003

07

Millio

nsM

edic

aid

Rev

enue

MH Revenue E & P Revenue SA Revenue

8/2/02 7:20 PM

Month A B C E I J L M N O P Q R

1 199810 22,070 1,730 302,130 192,228 250 470 230,969 62,048 226,898 301 61,309 42,620 4 2 199811 22,046 1,731 291,371 193,275 242 478 234,932 62,222 227,291 295 60,521 42,213 4 3 199812 21,858 1,713 281,357 192,186 269 495 237,474 62,723 228,452 311 61,729 42,394 2 4 199901 21,849 1,704 283,705 192,447 308 525 245,178 63,630 228,683 305 62,577 42,587 2 5 199902 21,853 1,724 277,887 193,736 315 538 250,903 63,418 227,544 282 61,589 42,387 1 6 199903 21,751 1,721 274,974 193,700 296 563 258,791 63,755 226,246 274 61,937 42,193 1 7 199904 21,686 1,711 262,041 193,781 268 592 262,749 63,485 224,607 267 61,595 41,632 1 8 199905 21,654 1,711 256,582 194,235 276 592 267,836 63,298 222,748 266 61,247 41,537 9 199906 21,604 1,715 250,283 194,230 285 658 273,758 63,544 224,961 269 61,158 41,576 10 199907 21,527 1,703 243,347 193,839 350 766 278,537 64,020 225,547 282 61,930 41,749 11 199908 21,621 1,702 240,961 194,639 378 856 283,167 64,180 223,504 274 61,790 41,598 12 199909 21,573 1,697 237,416 194,235 387 996 287,538 64,650 223,243 271 62,361 41,706 13 199910 21,593 1,697 228,783 193,940 356 1,015 289,185 65,028 224,439 259 62,759 41,656 1 14 199911 21,508 1,689 223,727 193,310 308 1,047 290,218 64,742 223,227 251 62,807 41,519 1 15 199912 21,289 1,662 221,624 191,560 319 1,083 290,741 64,898 223,333 270 64,877 41,793 1 16 200001 21,191 1,662 215,273 191,009 293 1,080 292,673 65,225 225,616 278 65,215 41,864 1 17 200002 21,095 1,658 215,441 191,297 274 1,096 296,348 65,242 227,176 283 64,966 41,937 1 18 200003 20,935 1,650 209,872 190,826 249 1,006 298,877 65,016 230,090 273 65,509 42,203 1 19 200004 20,852 1,646 206,880 190,928 232 979 300,704 64,782 230,788 259 65,344 42,193 1 20 200005 20,948 1,641 201,313 191,644 232 947 303,565 64,631 233,137 265 64,483 42,431 1 21 200006 20,880 1,638 197,484 191,160 261 959 307,182 65,089 238,606 269 65,417 42,846 1 22 200007 20,841 1,633 192,215 191,508 273 933 308,635 65,089 239,657 266 65,022 42,900 1 23 200008 20,822 1,626 191,745 191,609 293 941 316,081 65,493 241,464 274 65,466 43,270 1 24 200009 20,734 1,612 188,909 190,542 290 1,010 321,345 65,702 241,723 291 66,536 43,536 25 200010 20,747 1,621 188,337 191,284 305 985 327,325 65,726 240,647 280 66,469 43,566 26 200011 20,672 1,621 187,443 190,893 317 916 334,156 65,798 240,885 271 67,034 43,612 1 27 200012 20,628 1,607 184,488 190,581 265 864 336,815 65,421 236,478 268 67,037 43,454 28 200101 20,601 1,601 190,612 190,363 300 753 347,370 64,460 207,835 238 63,210 40,884 29 200102 20,796 1,614 189,898 191,946 273 708 349,335 63,633 206,605 236 61,168 40,916 2 30 200103 20,683 1,595 183,575 191,326 252 587 346,692 62,795 200,176 241 60,819 41,080

Program Code

MA Trends - Population - Program Code 2-Aug-2002 19:182002-08

MA Capitation DMB Report: 71a2 - Pop - Program Code by PaymentMonth

8/2/02 7:20 PM

31 200104 20,653 1,596 191,810 192,128 77 108 356,443 56,077 208,256 225 54,052 41,560 32 200105 20,529 1,577 191,317 191,443 85 122 362,870 56,518 213,428 234 55,176 41,791 33 200106 17,879 1,389 160,954 167,377 83 117 325,301 49,652 190,239 205 49,034 37,037 34 200107 20,346 1,574 184,279 191,733 86 126 368,973 55,865 219,247 241 54,898 41,910 35 200108 20,278 1,564 185,692 191,663 110 122 373,453 56,256 221,943 272 55,420 41,980 36 200109 20,278 1,570 187,015 192,643 106 124 373,625 55,503 222,710 284 54,362 41,866 37 200110 20,257 1,572 191,898 192,724 76 128 379,936 56,239 228,511 312 55,101 41,990 38 200111 20,218 1,561 191,774 192,107 73 119 380,474 56,331 229,739 339 55,578 42,099 39 200112 19,997 1,552 197,135 191,079 75 110 381,336 56,201 227,355 372 56,748 42,347 40 200201 20,128 1,557 207,243 191,608 64 109 392,414 56,783 233,938 390 57,062 42,895 41 200202 20,035 1,549 202,714 191,596 57 103 386,699 55,836 232,481 405 56,745 43,030 42 200203 19,896 1,540 202,231 191,324 46 84 386,556 55,909 235,882 418 57,320 43,443 43 200204 19,753 1,543 198,560 191,568 39 63 381,986 55,269 238,762 430 56,679 43,554 44 200205 19,670 1,534 194,248 190,768 41 50 377,954 55,183 244,656 461 57,189 43,630 45 200206 19,588 1,525 186,239 190,709 40 49 373,450 54,638 251,340 479 56,737 43,577 46 200207 19,510 1,519 176,471 190,569 40 29 362,666 53,362 252,578 484 55,324 42,841 47 200208 19,367 1,510 164,020 189,037 26 27 346,745 52,026 244,741 475 54,079 41,448 48 20020949 20021050 20021151 20021252 20030153 20030254 20030355 20030456 20030557 20030658 20030759 20030860 200309

8/2/02 7:20 PM

Month A B C E I J L M N O P Q R

1 199810 341,589$ 170,454$ 1,678,825$ 62,970,184$ 1,476$ 3,059$ 1,236,864$ 941,433$ 1,458,066$ 31,085$ 24,401,893$ 2,059,181$ 22$ 2 199811 341,220$ 170,414$ 1,617,106$ 63,304,999$ 1,469$ 3,067$ 1,256,736$ 943,873$ 1,456,847$ 30,435$ 24,176,195$ 2,036,728$ 22$ 3 199812 338,152$ 169,325$ 1,562,245$ 62,852,466$ 1,659$ 3,149$ 1,268,807$ 951,474$ 1,465,617$ 31,889$ 24,734,267$ 2,042,111$ 11$ 4 199901 337,921$ 168,222$ 1,577,822$ 62,942,982$ 1,898$ 3,344$ 1,310,332$ 965,134$ 1,469,038$ 31,137$ 25,078,166$ 2,056,416$ 11$ 5 199902 337,903$ 169,902$ 1,544,439$ 63,432,514$ 1,937$ 3,440$ 1,341,066$ 961,358$ 1,462,275$ 29,259$ 24,724,126$ 2,045,441$ 7$ 6 199903 336,312$ 169,500$ 1,527,652$ 63,437,679$ 1,848$ 3,568$ 1,383,622$ 966,378$ 1,456,764$ 28,635$ 24,854,114$ 2,033,239$ 7$ 7 199904 335,399$ 168,424$ 1,453,327$ 63,562,994$ 1,686$ 3,719$ 1,402,147$ 962,878$ 1,441,217$ 27,745$ 24,740,891$ 1,998,881$ 7$ 8 199905 334,993$ 168,579$ 1,420,719$ 63,718,880$ 1,707$ 3,736$ 1,428,769$ 959,930$ 1,431,105$ 27,565$ 24,667,511$ 1,992,513$ 9 199906 334,139$ 169,360$ 1,383,853$ 63,785,623$ 1,758$ 4,198$ 1,458,918$ 963,821$ 1,445,797$ 28,226$ 24,595,863$ 1,993,473$ 10 199907 332,537$ 168,687$ 1,344,145$ 63,725,092$ 2,223$ 4,794$ 1,481,970$ 970,344$ 1,448,569$ 28,668$ 24,755,188$ 2,000,255$ 11 199908 333,890$ 168,487$ 1,329,562$ 64,028,176$ 2,347$ 5,403$ 1,506,256$ 972,380$ 1,436,355$ 28,022$ 24,818,779$ 1,990,963$ 12 199909 333,006$ 167,883$ 1,307,676$ 63,946,355$ 2,424$ 6,311$ 1,529,247$ 979,454$ 1,436,158$ 28,238$ 24,933,493$ 1,992,299$ 13 199910 333,166$ 168,034$ 1,257,116$ 63,953,087$ 2,170$ 6,497$ 1,538,093$ 985,376$ 1,442,991$ 26,983$ 25,049,158$ 1,986,050$ 4$ 14 199911 332,341$ 167,321$ 1,229,088$ 64,852,089$ 1,864$ 6,763$ 1,545,399$ 983,095$ 1,434,366$ 25,770$ 25,456,088$ 1,980,182$ 4$ 15 199912 328,543$ 164,774$ 1,218,473$ 64,229,125$ 1,973$ 6,986$ 1,547,708$ 985,931$ 1,433,808$ 27,335$ 26,167,393$ 1,993,351$ 4$ 16 200001 326,971$ 164,351$ 1,182,717$ 64,037,604$ 1,783$ 6,967$ 1,558,432$ 990,285$ 1,449,105$ 27,796$ 26,340,077$ 1,995,484$ 4$ 17 200002 325,137$ 163,352$ 1,184,526$ 64,228,421$ 1,644$ 7,056$ 1,578,911$ 990,556$ 1,460,638$ 28,105$ 26,281,709$ 1,997,082$ 4$ 18 200003 322,665$ 163,104$ 1,152,718$ 64,133,077$ 1,523$ 6,513$ 1,590,519$ 986,578$ 1,478,937$ 26,925$ 26,407,907$ 2,008,118$ 4$ 19 200004 321,272$ 163,445$ 1,135,328$ 64,182,689$ 1,441$ 6,401$ 1,600,614$ 982,666$ 1,482,884$ 25,793$ 26,318,219$ 2,004,982$ 4$ 20 200005 322,666$ 162,945$ 1,102,323$ 64,428,937$ 1,453$ 6,177$ 1,614,681$ 980,033$ 1,496,949$ 25,592$ 26,063,333$ 2,013,077$ 4$ 21 200006 321,338$ 162,779$ 1,079,626$ 64,306,569$ 1,659$ 6,246$ 1,634,110$ 986,761$ 1,532,707$ 26,559$ 26,307,603$ 2,029,658$ 4$ 22 200007 320,603$ 161,952$ 1,047,253$ 64,396,264$ 1,730$ 6,099$ 1,640,664$ 986,569$ 1,542,154$ 26,486$ 26,157,801$ 2,028,904$ 4$ 23 200008 320,141$ 160,712$ 1,043,921$ 64,417,781$ 1,853$ 6,122$ 1,678,913$ 992,428$ 1,557,702$ 27,715$ 26,253,709$ 2,046,018$ 4$ 24 200009 318,726$ 159,125$ 1,028,013$ 64,018,026$ 1,824$ 6,549$ 1,703,974$ 995,144$ 1,560,943$ 29,312$ 26,625,412$ 2,057,542$ 25 200010 318,821$ 159,842$ 1,024,346$ 64,246,575$ 1,918$ 6,430$ 1,726,964$ 994,774$ 1,556,397$ 27,802$ 26,516,957$ 2,058,427$ 26 200011 317,515$ 159,640$ 1,018,621$ 64,143,163$ 2,013$ 5,938$ 1,741,584$ 994,264$ 1,556,822$ 27,070$ 26,502,748$ 2,056,810$ 10$ 27 200012 316,551$ 157,407$ 1,000,986$ 63,798,180$ 1,677$ 5,580$ 1,725,383$ 985,991$ 1,523,937$ 27,048$ 26,435,496$ 2,041,423$ 28 200101 315,809$ 156,520$ 1,032,847$ 63,929,249$ 1,881$ 4,840$ 1,742,425$ 960,701$ 1,262,226$ 23,998$ 24,711,406$ 1,896,199$ 29 200102 318,427$ 157,328$ 1,008,806$ 64,236,521$ 1,636$ 4,452$ 1,688,561$ 934,118$ 1,227,081$ 23,365$ 23,643,052$ 1,863,553$ 2$ 30 200103 315,542$ 155,407$ 934,693$ 63,772,104$ 1,465$ 3,512$ 1,582,335$ 900,138$ 1,134,412$ 23,138$ 22,786,062$ 1,802,283$

Program Code (Combined MH and DD Revenue)

MA Trends - Revenue - Program Code 2-Aug-2002 19:182002-08

MA Capitation DMB Report: 72a2 - Rev - Program Code by PaymentMonth

8/2/02 7:20 PM

31 200104 361,082$ 169,457$ 1,079,991$ 69,670,665$ 1,848,867$ 905,535$ 1,318,174$ 24,570$ 21,608,017$ 1,963,207$ 32 200105 358,744$ 167,364$ 1,080,473$ 69,411,001$ 1,864,761$ 914,451$ 1,337,499$ 25,349$ 21,945,190$ 1,968,044$ 33 200106 311,684$ 146,696$ 906,750$ 60,523,942$ 440$ 613$ 1,633,663$ 796,710$ 1,210,041$ 21,917$ 19,255,517$ 1,724,774$ 34 200107 355,794$ 166,999$ 1,050,925$ 69,512,521$ 501$ 726$ 1,899,459$ 909,490$ 1,424,280$ 23,609$ 22,110,731$ 1,975,397$ 35 200108 354,836$ 166,381$ 1,051,476$ 69,575,361$ 592$ 737$ 1,908,695$ 914,381$ 1,448,140$ 24,045$ 22,195,395$ 1,966,757$ 36 200109 355,823$ 166,619$ 1,065,669$ 69,954,798$ 637$ 775$ 1,930,448$ 907,408$ 1,465,454$ 23,872$ 22,070,285$ 1,975,358$ 37 200110 355,502$ 166,894$ 1,091,140$ 70,003,549$ 494$ 775$ 1,943,484$ 915,926$ 1,492,969$ 23,433$ 22,215,710$ 1,974,590$ 38 200111 354,304$ 165,262$ 1,090,172$ 69,817,751$ 417$ 818$ 1,946,530$ 917,425$ 1,505,115$ 24,803$ 22,346,861$ 1,985,264$ 39 200112 350,856$ 165,008$ 1,136,828$ 69,356,595$ 526$ 785$ 1,966,048$ 923,475$ 1,509,463$ 33,904$ 23,231,764$ 2,012,582$ 40 200201 353,672$ 166,136$ 1,196,870$ 69,700,260$ 508$ 743$ 2,016,418$ 927,398$ 1,538,561$ 35,705$ 23,072,556$ 2,026,543$ 41 200202 352,004$ 165,870$ 1,180,595$ 69,710,762$ 400$ 726$ 1,990,145$ 911,527$ 1,537,701$ 37,266$ 23,002,722$ 2,041,081$ 42 200203 349,764$ 164,912$ 1,183,973$ 70,071,543$ 280$ 589$ 2,003,045$ 914,698$ 1,557,898$ 37,464$ 23,431,474$ 2,067,115$ 43 200204 347,786$ 166,010$ 1,170,715$ 70,382,004$ 248$ 465$ 2,027,124$ 910,794$ 1,590,598$ 39,962$ 23,507,392$ 2,098,884$ 44 200205 346,011$ 165,147$ 1,141,337$ 70,199,186$ 242$ 363$ 2,043,987$ 912,361$ 1,632,710$ 43,238$ 23,941,665$ 2,104,483$ 45 200206 344,985$ 164,369$ 1,090,545$ 70,308,135$ 235$ 317$ 2,064,978$ 912,358$ 1,683,331$ 46,305$ 24,115,107$ 2,115,200$ 46 200207 344,590$ 163,411$ 1,052,276$ 70,311,844$ 249$ 219$ 2,098,523$ 912,289$ 1,742,994$ 49,629$ 24,405,242$ 2,125,316$ 47 200208 342,818$ 162,150$ 1,010,223$ 70,137,057$ 176$ 203$ 2,100,876$ 910,263$ 1,765,028$ 51,978$ 24,518,023$ 2,110,867$ 48 20020949 20021050 20021151 20021252 20030153 20030254 20030355 20030456 20030557 20030658 20030759 20030860 200309

8/2/02 7:20 PM

MA Trends - Populaton - Program Code Charts2002-08

2-Aug-2002 19:18Please note the variation in Y axis scale.

Population - Program Code "A"

-

5

10

15

20

25

1998

10

1999

01

1999

04

1999

07

1999

10

2000

01

2000

04

2000

07

2000

10

2001

01

2001

04

2001

07

2001

10

2002

01

2002

04

2002

07

2002

10

2003

01

2003

04

2003

07

Thou

sand

sM

edic

aid

Enro

llees

Revenue - Program Code "A"

$-

$50

$100

$150

$200

$250

$300

$350

$400

1998

10

1999

01

1999

04

1999

07

1999

10

2000

01

2000

04

2000

07

2000

10

2001

01

2001

04

2001

07

2001

10

2002

01

2002

04

2002

07

2002

10

2003

01

2003

04

2003

07

Thou

sand

sM

edic

aid

Rev

enue

Population - Program Code "B"

-

0.2

0.4

0.6

0.8

1.0

1.2

1.4

1.6

1.8

2.0

1998

10

1999

01

1999

04

1999

07

1999

10

2000

01

2000

04

2000

07

2000

10

2001

01

2001

04

2001

07

2001

10

2002

01

2002

04

2002

07

2002

10

2003

01

2003

04

2003

07

Thou

sand

sM

edic

aid

Enro

llees

Revenue - Program Code "B"

$-

$20

$40

$60

$80

$100

$120

$140

$160

$180

1998

10

1999

01

1999

04

1999

07

1999

10

2000

01

2000

04

2000

07

2000

10

2001

01

2001

04

2001

07

2001

10

2002

01

2002

04

2002

07

2002

10

2003

01

2003

04

2003

07

Thou

sand

sM

edic

aid

Rev

enue

8/2/02 7:20 PM



Population - Program Code "C

-

50

100

150

200

250

300

350

1998

10

1999

01

1999

04

1999

07

1999

10

2000

01

2000

04

2000

07

2000

10

2001

01

2001

04

2001

07

2001

10

2002

01

2002

04

2002

07

2002

10

2003

01

2003

04

2003

07

Thou

sand

sM

edic

aid

Enro

llees

Population - Program Code "E"

-

50

100

150

200

250

1998

10

1999

01

1999

04

1999

07

1999

10

2000

01

2000

04

2000

07

2000

10

2001

01

2001

04

2001

07

2001

10

2002

01

2002

04

2002

07

2002

10

2003

01

2003

04

2003

07

Thou

sand

sM

edic

aid

Enro

llees

Revenue - Program Code "C"

$-

$200

$400

$600

$800

$1,000

$1,200

$1,400

$1,600

$1,800

1998

10

1999

01

1999

04

1999

07

1999

10

2000

01

2000

04

2000

07

2000

10

2001

01

2001

04

2001

07

2001

10

2002

01

2002

04

2002

07

2002

10

2003

01

2003

04

2003

07

Thou

sand

sM

edic

aid

Rev

enue

Revenue - Program Code "E"

$-

$10,000

$20,000

$30,000

$40,000

$50,000

$60,000

$70,000

$80,000

1998

10

1999

01

1999

04

1999

07

1999

10

2000

01

2000

04

2000

07

2000

10

2001

01

2001

04

2001

07

2001

10

2002

01

2002

04

2002

07

2002

10

2003

01

2003

04

2003

07

Thou

sand

sM

edic

aid

Enro

llees

8/2/02 7:20 PM



Population - Program Code "I"

-

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

4.5

1998

10

1999

01

1999

04

1999

07

1999

10

2000

01

2000

04

2000

07

2000

10

2001

01

2001

04

2001

07

2001

10

2002

01

2002

04

2002

07

2002

10

2003

01

2003

04

2003

07

Hun

dred

sM

edic

aid

Enro

llees

Population - Program Code "J"

-

0.2

0.4

0.6

0.8

1.0

1.2

1998

10

1999

01

1999

04

1999

07

1999

10

2000

01

2000

04

2000

07

2000

10

2001

01

2001

04

2001

07

2001

10

2002

01

2002

04

2002

07

2002

10

2003

01

2003

04

2003

07

Thou

sand

sM

edic

aid

Enro

llees

Revenue - Program Code "I"

$-

$0.5

$1.0

$1.5

$2.0

$2.5

$3.0

1998

10

1999

01

1999

04

1999

07

1999

10

2000

01

2000

04

2000

07

2000

10

2001

01

2001

04

2001

07

2001

10

2002

01

2002

04

2002

07

2002

10

2003

01

2003

04

2003

07

Thou

sand

sM

edic

aid

Rev

enue

Revenue - Program Code "J"

$-

$1

$2

$3

$4

$5

$6

$7

$8

1998

10

1999

01

1999

04

1999

07

1999

10

2000

01

2000

04

2000

07

2000

10

2001

01

2001

04

2001

07

2001

10

2002

01

2002

04

2002

07

2002

10

2003

01

2003

04

2003

07

Thou

sand

sM

edic

aid

Rev

enue

8/2/02 7:20 PM



Population - Program Code "L"

-

50

100

150

200

250

300

350

400

450

1998

10

1999

01

1999

04

1999

07

1999

10

2000

01

2000

04

2000

07

2000

10

2001

01

2001

04

2001

07

2001

10

2002

01

2002

04

2002

07

2002

10

2003

01

2003

04

2003

07

Thou

sand

sM

edic

aid

Enro

llees

Population - Program Code "M"

-

10

20

30

40

50

60

70

1998

10

1999

01

1999

04

1999

07

1999

10

2000

01

2000

04

2000

07

2000

10

2001

01

2001

04

2001

07

2001

10

2002

01

2002

04

2002

07

2002

10

2003

01

2003

04

2003

07

Thou

sand

sM

edic

aid

Enro

llees

Revenue - Program Code "L"

$-

$500

$1,000

$1,500

$2,000

$2,500

1998

10

1999

01

1999

04

1999

07

1999

10

2000

01

2000

04

2000

07

2000

10

2001

01

2001

04

2001

07

2001

10

2002

01

2002

04

2002

07

2002

10

2003

01

2003

04

2003

07

Thou

sand

sM

edic

aid

Rev

enue

Revenue - Program Code "M"

$-

$200

$400

$600

$800

$1,000

$1,200

1998

10

1999

01

1999

04

1999

07

1999

10

2000

01

2000

04

2000

07

2000

10

2001

01

2001

04

2001

07

2001

10

2002

01

2002

04

2002

07

2002

10

2003

01

2003

04

2003

07

Thou

sand

sM

edic

aid

Enro

llees

8/2/02 7:20 PM



Population - Program Code "N"

-

50

100

150

200

250

300

1998

10

1999

01

1999

04

1999

07

1999

10

2000

01

2000

04

2000

07

2000

10

2001

01

2001

04

2001

07

2001

10

2002

01

2002

04

2002

07

2002

10

2003

01

2003

04

2003

07

Thou

sand

sM

edic

aid

Enro

llees

Population - Program Code "O"

-

0.1

0.2

0.3

0.4

0.5

0.6

1998

10

1999

01

1999

04

1999

07

1999

10

2000

01

2000

04

2000

07

2000

10

2001

01

2001

04

2001

07

2001

10

2002

01

2002

04

2002

07

2002

10

2003

01

2003

04

2003

07

Thou

sand

sM

edic

aid

Enro

llees

Revenue - Program Code "N"

$-

$200

$400

$600

$800

$1,000

$1,200

$1,400

$1,600

$1,800

$2,000

1998

10

1999

01

1999

04

1999

07

1999

10

2000

01

2000

04

2000

07

2000

10

2001

01

2001

04

2001

07

2001

10

2002

01

2002

04

2002

07

2002

10

2003

01

2003

04

2003

07

Thou

sand

sM

edic

aid

Rev

enue

Revenue - Program Code "O"

$-

$10

$20

$30

$40

$50

$60

1998

10

1999

01

1999

04

1999

07

1999

10

2000

01

2000

04

2000

07

2000

10

2001

01

2001

04

2001

07

2001

10

2002

01

2002

04

2002

07

2002

10

2003

01

2003

04

2003

07

Thou

sand

sM

edic

aid

Rev

enue

8/2/02 7:20 PM



Population - Program Code "P"

-

10

20

30

40

50

60

70

80

1998

10

1999

01

1999

04

1999

07

1999

10

2000

01

2000

04

2000

07

2000

10

2001

01

2001

04

2001

07

2001

10

2002

01

2002

04

2002

07

2002

10

2003

01

2003

04

2003

07

Thou

sand

sM

edic

aid

Enro

llees

Population - Program Code "Q"

32

34

36

38

40

42

44

46

1998

10

1999

01

1999

04

1999

07

1999

10

2000

01

2000

04

2000

07

2000

10

2001

01

2001

04

2001

07

2001

10

2002

01

2002

04

2002

07

2002

10

2003

01

2003

04

2003

07

Thou

sand

sM

edic

aid

Enro

llees

Revenue - Program Code "P"

$-

$5,000

$10,000

$15,000

$20,000

$25,000

$30,000

1998

10

1999

01

1999

04

1999

07

1999

10

2000

01

2000

04

2000

07

2000

10

2001

01

2001

04

2001

07

2001

10

2002

01

2002

04

2002

07

2002

10

2003

01

2003

04

2003

07

Thou

sand

sM

edic

aid

Rev

enue

Revenue - Program Code "Q"

$-

$500

$1,000

$1,500

$2,000

$2,500

1998

10

1999

01

1999

04

1999

07

1999

10

2000

01

2000

04

2000

07

2000

10

2001

01

2001

04

2001

07

2001

10

2002

01

2002

04

2002

07

2002

10

2003

01

2003

04

2003

07

Thou

sand

sM

edic

aid

Rev

enue

8/2/02 7:20 PM

Month 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+

1 199810 604,263 114,218 167,996 80,522 70,205 105,823 6,411,856$ 6,077,473$ 31,534,813$ 27,678,810$ 17,753,078$ 5,838,100$ 2 199811 601,702 112,728 165,649 80,139 70,354 106,049 6,391,474$ 6,034,461$ 31,464,677$ 27,756,463$ 17,835,076$ 5,856,962$ 3 199812 597,640 111,613 164,237 80,281 70,767 106,425 6,364,679$ 6,009,031$ 31,370,947$ 27,839,343$ 17,965,482$ 5,871,691$ 4 199901 604,884 113,278 165,398 80,971 71,428 107,541 6,397,327$ 6,039,240$ 31,410,892$ 28,036,558$ 18,132,317$ 5,926,089$ 5 199902 605,052 113,071 163,915 80,981 71,769 107,389 6,388,905$ 6,019,045$ 31,355,588$ 28,133,251$ 18,228,714$ 5,928,166$ 6 199903 608,827 113,218 162,982 81,199 72,210 107,766 6,401,776$ 5,976,041$ 31,265,088$ 28,255,800$ 18,340,655$ 5,959,959$ 7 199904 604,815 110,893 159,019 80,228 72,030 107,430 6,366,469$ 5,943,113$ 31,207,175$ 28,273,474$ 18,346,666$ 5,962,418$ 8 199905 605,068 110,131 157,262 80,160 72,214 107,147 6,370,199$ 5,923,527$ 31,138,279$ 28,368,890$ 18,409,548$ 5,945,563$ 9 199906 607,385 109,893 156,401 80,431 72,539 107,392 6,371,243$ 5,892,717$ 30,976,438$ 28,485,620$ 18,476,930$ 5,962,082$ 10 199907 607,934 109,173 155,383 80,328 72,809 107,970 6,371,540$ 5,892,402$ 30,901,385$ 28,552,161$ 18,539,767$ 6,005,219$ 11 199908 609,190 108,763 154,674 80,572 73,142 108,329 6,363,187$ 5,897,997$ 30,948,911$ 28,731,375$ 18,643,980$ 6,035,171$ 12 199909 610,677 108,583 153,848 80,694 73,401 108,870 6,367,500$ 5,883,809$ 30,838,150$ 28,797,870$ 18,711,884$ 6,063,333$ 13 199910 607,749 107,146 152,244 80,650 73,605 109,317 6,343,520$ 5,839,123$ 30,754,583$ 28,946,110$ 18,779,057$ 6,086,331$ 14 199911 604,656 106,276 150,553 80,361 73,636 108,872 6,327,107$ 5,871,114$ 31,126,556$ 29,442,427$ 19,080,648$ 6,166,519$ 15 199912 603,818 106,310 150,064 80,618 73,816 108,824 6,329,550$ 5,872,559$ 31,063,666$ 29,540,172$ 19,129,267$ 6,170,192$ 16 200001 601,946 106,244 149,469 80,603 74,009 109,109 6,303,903$ 5,839,700$ 30,990,929$ 29,573,525$ 19,184,566$ 6,188,952$ 17 200002 604,632 107,346 150,245 81,178 74,365 109,048 6,291,103$ 5,844,863$ 30,976,780$ 29,682,724$ 19,261,444$ 6,190,230$ 18 200003 604,415 107,742 149,676 81,376 74,546 108,752 6,284,671$ 5,831,317$ 30,875,086$ 29,782,568$ 19,300,431$ 6,204,513$ 19 200004 603,910 107,822 149,410 81,409 74,666 108,371 6,277,662$ 5,818,986$ 30,801,646$ 29,796,822$ 19,340,629$ 6,189,993$ 20 200005 603,931 107,777 148,870 81,321 74,986 108,353 6,261,313$ 5,805,374$ 30,722,079$ 29,815,898$ 19,415,906$ 6,197,600$ 21 200006 606,784 108,945 149,745 82,018 75,431 108,869 6,280,222$ 5,813,297$ 30,668,422$ 29,901,775$ 19,498,424$ 6,233,476$ 22 200007 604,596 108,277 149,381 82,073 75,732 108,914 6,257,028$ 5,781,498$ 30,562,720$ 29,919,094$ 19,546,477$ 6,249,668$ 23 200008 610,226 109,740 150,702 82,748 76,251 109,418 6,280,413$ 5,789,033$ 30,489,368$ 30,024,167$ 19,642,280$ 6,281,760$ 24 200009 612,054 110,075 150,985 83,014 76,467 109,635 6,280,828$ 5,769,258$ 30,374,609$ 30,105,409$ 19,671,794$ 6,302,692$ 25 200010 615,607 110,562 151,238 83,347 76,872 109,666 6,285,581$ 5,769,097$ 30,327,371$ 30,205,989$ 19,749,748$ 6,301,468$ 26 200011 620,862 111,253 151,335 83,438 77,029 109,702 6,291,222$ 5,753,956$ 30,213,086$ 30,208,163$ 19,751,635$ 6,308,135$ 27 200012 620,003 109,740 149,065 82,895 76,905 109,298 6,249,326$ 5,696,208$ 29,979,073$ 30,113,742$ 19,680,598$ 6,300,713$ 28 200101 628,138 106,062 135,523 76,950 73,643 107,911 6,187,946$ 5,565,292$ 29,530,620$ 29,535,747$ 18,998,435$ 6,220,063$ 29 200102 628,174 105,948 135,071 77,033 73,677 107,227 6,086,169$ 5,486,542$ 29,168,884$ 29,333,222$ 18,855,951$ 6,176,133$ 30 200103 616,978 104,283 132,501 76,327 73,478 106,254 5,863,125$ 5,350,354$ 28,600,463$ 28,896,308$ 18,583,167$ 6,117,674$

Program Code (Combined MH and DD)74b2 - Rev - Age Group by PaymentMonth

2-Aug-2002 19:18MA Trends - Population and Revenue - Age Group2002-08

MA Capitation DMB Report: 74a2 - Pop - Program Code by PaymentMonth

8/2/02 7:20 PM

31 200104 635,069 108,048 135,178 75,412 70,622 98,656 6,436,522$ 5,865,046$ 30,172,564$ 30,513,269$ 19,700,258$ 6,261,908$ 32 200105 642,982 109,570 136,536 75,987 71,060 98,955 6,450,110$ 5,870,128$ 30,096,727$ 30,586,594$ 19,805,234$ 6,264,084$ 33 200106 565,202 97,247 120,271 67,032 62,795 86,720 5,622,943$ 5,119,602$ 26,243,554$ 26,690,406$ 17,375,305$ 5,480,939$ 34 200107 645,600 110,283 137,208 76,556 71,522 98,109 6,487,285$ 5,907,096$ 30,103,759$ 30,679,225$ 19,972,880$ 6,280,186$ 35 200108 651,461 111,250 138,420 77,161 71,966 98,495 6,497,589$ 5,901,384$ 30,079,967$ 30,789,248$ 20,042,155$ 6,296,454$ 36 200109 652,592 111,715 138,647 77,384 72,072 97,676 6,519,286$ 5,943,979$ 30,092,596$ 30,920,359$ 20,162,701$ 6,278,225$ 37 200110 663,791 114,234 141,161 78,358 72,730 98,470 6,555,810$ 5,962,949$ 30,061,342$ 31,029,369$ 20,275,332$ 6,299,663$ 38 200111 664,564 114,444 141,462 78,539 72,961 98,442 6,551,673$ 5,972,992$ 29,945,322$ 31,039,715$ 20,354,800$ 6,290,218$ 39 200112 667,712 115,070 141,553 78,785 73,159 98,028 6,601,738$ 6,021,664$ 30,042,420$ 31,223,061$ 20,511,881$ 6,287,071$ 40 200201 685,188 120,201 146,091 80,046 73,827 98,838 6,687,812$ 6,089,061$ 30,008,859$ 31,333,354$ 20,609,017$ 6,307,267$ 41 200202 676,913 118,536 144,516 79,694 73,795 97,796 6,651,157$ 6,090,197$ 29,915,393$ 31,341,918$ 20,640,154$ 6,291,979$ 42 200203 678,082 119,377 145,217 80,063 74,083 97,827 6,678,367$ 6,159,776$ 30,114,297$ 31,597,600$ 20,875,219$ 6,357,497$ 43 200204 674,405 118,645 144,401 79,924 73,888 96,943 6,717,257$ 6,230,056$ 30,151,647$ 31,813,068$ 20,996,258$ 6,333,694$ 44 200205 673,005 117,932 143,879 79,846 73,967 96,755 6,733,651$ 6,238,908$ 30,170,797$ 31,935,359$ 21,116,899$ 6,335,114$ 45 200206 669,394 116,583 142,672 79,689 73,901 96,132 6,758,216$ 6,256,586$ 30,222,743$ 32,039,058$ 21,229,697$ 6,339,563$ 46 200207 656,242 112,609 139,680 78,811 73,241 94,810 6,800,503$ 6,283,376$ 30,289,151$ 32,153,423$ 21,286,205$ 6,393,923$ 47 200208 630,539 106,466 133,785 76,995 72,472 93,244 6,771,219$ 6,266,416$ 30,204,802$ 32,113,156$ 21,357,543$ 6,396,526$ 48 20020949 20021050 20021151 20021252 20030153 20030254 20030355 20030456 20030557 20030658 20030759 20030860 200309

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MA Trends - Populaton and Renenue - by Age Group - Charts 2-Aug-2002 19:182002-08

Medicaid Enrolled Population

-

50

100

150

200

250

300

350

400

450

500

550

600

650

700

750

1998

10

1999

01

1999

04

1999

07

1999

10

2000

01

2000

04

2000

07

2000

10

2001

01

2001

04

2001

07

2001

10

2002

01

2002

04

2002

07

2002

10

2003

01

2003

04

2003

07

Thou

sand

sM

edic

aid

Enro

llees

0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+

Medicaid Revenue

$0

$2

$4

$6

$8

$10

$12

$14

$16

$18

$20

$22

$24

$26

$28

$30

$32

$34

1998

10

1999

01

1999

04

1999

07

1999

10

2000

01

2000

04

2000

07

2000

10

2001

01

2001

04

2001

07

2001

10

2002

01

2002

04

2002

07

2002

10

2003

01

2003

04

2003

07

Millio

nsM

edic

aid

Rev

enue

0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+

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