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AMOUNT OF FUNDING PAID TO PIHPs November - 10,2006
AMOUNT OF FUNDING PAID TO PIHPs (FY2007 Appropriation Bill - Public Act 330 of 2006) November 10,2006 Section 418: On or before the tenth of each month, the department shall report to the senate and house of representatives appropriations subcommittee on community health, the senate and house fiscal agencies, and the state budget director on the amount of funding paid to the CMHSPs or specialty prepaid health plans to support the Medicaid managed mental health care program in that month. The information shall include the total paid to each CMHSP or specialty prepaid health plan, per capita rate paid for each eligibility group for each CMHSP or specialty prepaid health plan, and number of cases in each eligibility group for each CMHSP or specialty prepaid health plan, and year-to-date summary of eligibles and expenditures for the Medicaid managed mental health care program. Michigan Department of Community Health Jennifer M. Granholrn, Governor Janet Olszewski, Director Michiga,nMedicaid Mental Health, Substance Abuse a,nd Habilitation Supports Waiver CAPITATION REPORT These are the rates calculated under the rate structure for FY2007. November, 2006 Summary of the Michigan Medicaid capitation data. Including breakdown of covered lives and revenue by agency providing services and by county. For the Mental Health and Substance Abuse programs, only individuals eligible for Medicaid on card cut-off date are capitated. Therefore, while additional Medicaid eligible individuals are expected for this month, the revenue figures forpayment will not change. Payments for individuals enrolled in the Habilitation Supports Waiver may be paid retroactively as reflected on the Summary and HSW-Summary pages. This data does not include any gross adjustments made to the revenue stream. Only revenues paid out through the capitation system are shown. Michigan Medicaid Monthly Capitation Summary I - Introduction I Section Page(s) There are three general types of reports; Reports with "Capitation" in their titles include both individuals eligible for Medicaid on card cut-off and their revenue data. Reports w~th"Population" in their titles include only individuals eligible for Medicaid on card cut-off. Reports with "Revenue" in their titles include only capitated revenue data. Generally, if there is a Population report, there is a Revenue report with the same grouping, sorting, and selection criteria. Generally, each report is first presented at the PlHP level and then at the county level. SUMMARY State Level The first section provides tables and charts of summary totals for the state as a whole. There are also some Age Profile charts showing the relative shares of the population that is male or female. SUMMARY PlHP and County Level Capitation data summarizing population and revenue by PlHP and county. (Mental Health and Substance Abuse) Pooulation data bv oroaram arouo and aender for each PlHP and countv. (Mental Health and Substance Abuse) Revenue data by program group and gender for each PlHP and county. (Mental Health and Substance Abuse) .... SUMMARY - PlHP and County Level Habilitation Supports Waiver Capitation data summarizing population and revenue by PlHP and county. (Habilitation Supports Waiver) Population data by program group and gender for each PlHP and county. (Habilitation Supports Waiver) Revenue data by program group and gender for each PIHP. (Habilitation Supports Waiver) Summary of Payment and Recovery Amounts by PIHP. (Habilitation Supports Waiver) Summary of Net Enrollees and Net Payments by PIHP. (Habilitation Supports Waiver) REFERENCE DATA ( Base Rates, AgelSex Factors, and Geographic Factors) 1 - 4 - 10 11 - 13 - 14-23 24 - 27 28 - 43 - Notes: 44 - 51 52 - 55 56 - 59 60 61 - 64 65 - 75 While some data i s provided at the county level, the actuarial basis for the data i s such that revenue numbers are revenues due the PlHP and not the CMH o r county. The rates are best understood as "on average" o r "in aggregate" values within any given PIHP. The revenues listed b y county are not due that county, nor i s that county limited to that revenue from the PIHP. Revenue distribution within a PIHP i s the responsibility o f the PIHP. Approximately the 20th of each month a snapshot of the individuals eligible for Medicaid is taken. This data is the basis for capitation for the following month. It is a prospective determination. Whatever a person's Medicaid eligibility status is as of that snapshot will be their status for the following month in all published reports, data, and calculations. I If an individual is eligibile for Medicaid on card cut-off, they are capitated for the entire month. No proration of capitation takes place. Mental Health and Subtance Abuse programs share eligibility determination. Anyone eligible for Medicaid in one program has the same classification and coverage perod in the other program. Retroactive payments are made only for beneficiaries enrolled in the Habilitation Supports Waiver program. PlHPs are paid at the rate effective in the current month. Habilitation Supports Waiver enrollees may also have revenue recove~yrecords l a situation arises. I HabilitationSupports Waiver enrollee's capitation is calculatedbased on the rates applicable to their County of Residence. The capitation is paid to their County of FinancialResponsibility. Report Generated: 10/3112006 3:04 PM MDCH Mental Health & Substance Abuse Specialty Sewices and Habilitation Supports Waiver Capitation Report Introduction Page 2 of 75 1 1 I Section - Michigan Medicaid Monthly Capitatic)n Summary Table of Contents I Section ( Page Worksheet I pane 1 - INTRODUCTION CAPITATION Habilitation Supports Waiver (Summaries w i t h Population and Revenue) General notes on use of Me data 2 SUMMARY Two page summary table of all data Summary 4 Five page Year to Date Summary YTDSummary 6 Summaw Charts Summaw Charts 11 Enrollment Age Pmfile Charts Age Profile Charts 12 CAPITATION (Summaries with Population and Revenue) by PlHP TANF hv PlHP MH by PlHP MH TANF hv PlHP - bv ~ointv Habilitation Supports Waiver hv PlHP HSW bv PlHP 44 by County HSW by County 45 HSW-POD 52 HSW-DAB. HSW-TANF 56 POPULATION - Habilitation Supports Waiver and Aoe G r o u ~ bv PlHP bv Pmaram G r o u ~ - REVENUE Habilitation Supports Waiver Habilitation Supports Waiver bv PlHP bv GenderIPmaram GrouoIAae Gmuo Mental Health Ca~itation 14 15 - MH bv Counlv 16 Summary - Habilitation Supports Waiver Habilitation Supports Waiver Summaw of Pavment and Recovew Amounts bv PIHF HSW-Surnmaw Net Enrollees and Pavments Substance Abuse Ca~itation by PlHP . -. 1 Worksheet SA by PlHP 19 TANF bv PlHP SA TANF bv PlHP 20 bv Countv SA bv Countv 21 MHSA-Pop Common to MH and SA 24 --...-.by PlHP by Program Group and Age Group Reference Data Affiliations and Included C o ~ ~ n t i e s Ca~itationBase Rates 60 HSW Net Enrollees 8 Payments 61 Affiliations 65 C ~ Base D Rates Mental Health Capitaiton Base Rates 68 Substance Abuse Capitation Base Rates 69 AaeISex Factors - Mental Health Revenue by PlHP by GenderIPmgram GroupIAge Group bv PlHP bv GenderIPmaram Grou~IAaeG r o u ~ Substance Abuse Revenue by PlHP by GenderlProgram GmupIAge Group bv PlHP bv GenderlProaram Grou~IAaeG r o u ~ Report Generated: 1013112006 3:04 PM MHSP-DAB. MHSP-TANF State Plan MHB3-DAB. MHB3-TANF 1915(b1131 28 32 SASP-DAB, SASP-TANF State Plan 36 SAB3-DAB. SAB3-TANF 1915(bY3) 40 Mental Health AgelSex Factors AgeSex Factors MH 70 Substance Abuse Age Sex Factors AgeSex Factors SA 71 Mental Health Geographic Factors Geographic Factors MH 72 Substance Abuse Geographic Factors Geographic Factors SA 74 Geoaraohic Factors MDCH Mental Health B Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report Table of Contents Page 3 o f 75 Medicaid Capitation Summary November. 2006 Mental Health -State Plan Capitation 3 Combined MHSP and MHB3 Capitation 1$ TANF 1$ DAB I$ I TANF ($ ( DAB 1$ TANF $ I 6 7 DAB I I - Mental Health 1915(b)(3) Capitation 4 5 I Total MH Capitation (State Plan and 1915(b)(3)) $ 1$ 1$ 1 1 ($ 11,076.160.51 ( $ 12,243,897.67 $ 13,622,394.21 $ 7,315.566.1 1 1 $ 4,748,065.11 1 $ 752.1 17.35 1 $ 1.240.763.22 1 $ 480.894.90 1$ 93.724.88 1 $ 0.65 1 43,070,334.861$ 2.284,325.41\$ 4,211,879.541$ 9,509,396.131$ 10,511,925.11~$ 11,695.351.471$ 4,857,457.201 50,166,766.05 1,333,704.82 ( $ 2,660,704.74 1 865,871.58 $ 4,905,817.33 226,019.21 1$ 87,694.78 $ 20,585,556.64 ($ 22,755,822.78 $ 1$ $ 5,613,936.69 $ 889,144.82 $ 101,886,371.84 $ 10,558,966.84 $ 10,006,841.69 $ 1$ 8,649,270.93 1 1 137,027.47 ( $ 9,117.696.87 $ 4,945,030.15 93,237,100.91 1 1,466.782.43 $ 568,589.68 $ $ 23,324,412.46 $ 7.078.012.91 $ 22,052,339.07 1 17.091.13 $ 25,317,745.68 1$ 5,657,791.59 0.65 10,515,248.79 110.816.01 $ 1.30 $ 10,515.250.09 3,045.883.28 25,428,561.69 I - Mental Health HabSupports Waiver Current Payment $ $ 355,968.88 $ 1,890,203.65 $ 9,141,870.18 $ 10,026.917.48 $ 8a Mental Health - HabSupports Waiver- Retro Payments FY 2006-2007 $ 1,447,914.21 $ (1,294.44) $ 48,396.16 $ 132,535.72 $ 396,023.43 $ 759,023.28 $ 113,230.06 8b Mental Health - HabSupports Waiver- Retro Payments FY 2005-2006 $ 15,958.59 $ (14,801.31) $ (16,529.02) $ 11.021.77 $ 3,030.08 $ 70,184.67 $ (36,947.60) 8c Mental Health HabSupports Waiver Total Payments Paid $ 339,873.13 $ 1,922,070.79 $ 7,221,570.40 $ $ 10,856,125.43 $ 3,122,165.74 134,889,101.02 $ 10,898,839.97 $ 11,928,912.48 $ 29,273,909.47 8 9 10 - $ Combined Mental Health Capitation 14 Combined SASP and SAB3 Capitation $ 32,865,336.15 $ 36,284,687.12 $ 13,637,415.83 1,180,704.66 $ 56,355.29 $ 90,791.81 $ 299,861.42 $ 500,816.00 $ 223,087.85 $ 9,792.29 TANF $ 1,192,441.47 $ 95,456.34 $ 101,616.34 $ 589,799.57 $ 376,617.49 $ 28,951.08 $ 0.65 DAB $ 223.583.88 $ 10,636.22 $ 17.148.04 $ 56.710.00 $ 94,848.78 $ 42,179.44 $ 2.061.40 I TANF I$ 237,252.09 I DAB 1$ TANF 1$ 19,284.02 $ 20,260.41 $ 117,217.97 1$ 1.404.288.54 1 $ 66.991.51 1 $ 1 107.939.85 1 $ 356.571.42 1$ 707,017.54 $ 1 $ 1,429,693.56 $ 114,740.36 $ 121,876.75 16 Total SA Capitation (State Plan and 1915(b)(3)) $ 2,833,982.10 181,731.87 $ 229.816.60 $ 17 Total MA Capitation $ 15 Report Generated: 1013112006 3:04 PM 9,540,923.69 $ $ Substance Abuse - 1915(b)(3) Capitation 13 33,002,729.18 DAB - Substance Abuse State Plan Capitation 11 12 31,538,856.38 $ 137,723,083.12 $ 11,080,571.84 $ 12,158,729.08 $ 1,063,588.96 $ $ 30,337,498.43 74.751.37 1 5,737.67 $ 0.65 1$ 11.853.69 265.267.29 $ 34,688.75 $ 1.30 1,047,033.64 $ 299,956.04 $ 11,854.99 451,368.86 $ 33,912,369.79 MDCH Mental Health 8. Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report Summary 1$ 595.664.78 1 $ $ 36,584,643.16 $ 13,649,270.82 Page 4 of 75 Medicaid Capitation Summary November, 2006 18 1 DAB Population 171,365 1 40,665 1 21.573 1 23,700 1 26.393 1 33.783 1 25.251 1 - Female Total HabSupports Enrollees Current (included above) HabSupports Enrollees Retro -- - Retro Payments FY 2006-2007 -- Male ~~ I ~ I --- - - -~ - ~ Female Total HabSupports Enrollees Retro - Retro Payments FY 2006-2007 HabSuDDorts . . Enrollees Retro - Retro Pavments FY 2005-2006 1 I I Total HabSupports Enrollees Retro - Retro Payments FY 2005-2006 Total HabSupports Enrollees 'SP 8 03 Population figures do not include Retroactive Eligibles Report Generated: 10131/2006 3:04 PM Male Female -. .- I I I - ~ 3,025 23 154 654 855 1,010 329 7,321 78 456 1,711 2.098 2.288 690 17 62 -.. 201 10 . .~ --~. I . 1 31 1 96 1 128 1 329 1 (l)1 11 ( 5 1 (3) . ,1 (2). 1 1 (1) (2) 1 2 6 6 (4) (4) 3 2 18 1.745 2.189 2,479 .~ 7,656 (I)] 73 I . 463 14 2 27 89 1 77 173 - 1 ~ -- 10 1 26 12 1 1 16 (4) .. ~ MDCH Mental Health a Substance Abuse Specially Services and Habilitation Supports Waiver Capitation Report Summary (5) (9) 707 Page 5 of 75 - Capitation Summaries Paid To Date By Month by PIHP' I November. 2006 4344340 1 OOGG I CMH for Central Michigan I$ 2,728,790 ( $ 4483587 1 CMHSA Network of West Michiaan 1$ 5.824.937 1.852.314 $ 1 4,643,557 11 $ 2.744.223 1$ 1$ 6.433.998 11 $ 5.862.800 1$ 479.722 1,008,062 $ 5,525,607 1 1$ 4,854.438 1 $ 2.062.189 $ 45.940 $ 478.975 $ 2.587.104 $ $ 8.374.622 $ 183.794 $ 2.038.839 11 $ 4,063,306 1$ $ 2,055,762 $ 45,865 $ 486.281 $ 2.587.908 OOGX Macomb Countv CMH Services $ 8.340.419 $ 182.217 $ 2.186.141 $ 10.708.777 1$ 4,077.330 1$ 65.361 1$ 2.053.882 62.486 $ 2,171,284 11 4476125 OOHF 12 4540048 1 OOHC 1 13 1705289 0058 Oakland County CMH Authority *HSW Payments are reflected by service month. The amounts will be updated as retrolrecovery payments occur for each service month. Report Generated: 10/31/2006 1$ 59.659 1 1$ $ 11.770.517 $ 201.661 $ 1$ Northem Lakes 3:04 PM 1$ 3.036.653 ($ Northern Affiliation 2,326,035 1$ 1$ 687.337 1$ 3,609,845 $ 11 $ 24,562,335 - 6.196.573 I$ $ Lifeways Northcare I$ 1.027.948 OOGV 1 11 $ $ OOHJ I( 6.469.023 79.692 4.868.559 3396315 4.597.566 1 $ $ 6,601,080 1$ 476.882 1 1$ 11 $ 1.046.641 - 1$ 196.658 1 $ 1.790.387 3.746.797 1.601.715 79.504 $ 1$ 1 4.818.743 196,936 $ 1 1$ 1,005.688 $ 31,098,900 62,957 129.340 1 1$ 3.742.414 1712229 1 1 $ Genesee County CMH Services 1724945 1$ Lakeshore Behavioral Health Alliance 0028 OOHA 8 1$ 1 $ 4.802.430 1 $ 62.454 129.339 $ 24,565,211 1712452 7 11 I$ 1705233 6 10 I Detroit Wayne County CMH Agency 3119549 I OOGS OOGJ 5 9 I 11 $ 11 $ 15,582,023 1) $ 1$ 4.559.805 2,333.179 3.783.649 3,063,760 1$ 11,756.401 1 1 63,039 1 $ 60.143 1 $ 65.321 1 202,462 1$ 1.549.490 1 $ 5,376,399 2,025,258 2,083,059 651.482 1 3.313.761 (1 6.564.890 11 30,946,422 - $ 10.597.254 1$ 1$ 1$ 1$ $ 4.479.276 11 11 3.775.385 (( 6,153.884 15,272,624 1 $104,530.677 MDCH Mental Health & Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report YTD-Summary Page 6 of 75 1 - Capitation Summaries Paid To Date By Month b y PIHP' I~overnber,2006 3 4344340 OOGG CMH for Central Michigan 5 $ 4 4483587 OOGS CMHSA Network of West Michigan $ $ 5 3119549 OOGJ Detroit Wayne County CMH Agency $ $ 6 1705233 0028 Genesee County CMH Services 5 7 1712452 OOHA Lakeshore Behavioral Health Alliance $ 8 1712229 OOGV Lifeways $ 9 3396315 OOGX Mawmb County CMH S e ~ c e s 10 1724945 OOHJ Northcare $ - $ $-I 11 12 13 14 15 16 17 18 I State Subtotals $ 'HSW Payments are reflected b y service month. The amounts will be updated as retrolrecovery payments occur for each service month. Report Generated: 10131/2006 3:04 PM - 16 5 - $ - $ - $ - $ - $ - $ - $ $ MDCH Mental Health & Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report YTD-Summary - $ - 5 - $ 5 Page 7 of 75 - Capitation Summaries Paid To Date By Month by PIHP' I November, 2006 'HSW Payments are reflected by service month. The amounts will be updated as retrolrecovery payments occur for each service month. Report Generated: 10/31/2006 304 PM MDCH Mental Health & Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report YTD-Summary Page 8 of 75 - Capitation Summaries Paid To Date By Month by PIHP' I State Subtotals $ 'HSW Payments are reflected by service month. The amounts will be updated as retrolrecoverypayments occur for each service month. Report Generated: 10131/2006 3:04 PM - $ $ - $ - - $ $ MDCH Mental Health & Substance Abuse Specialty Services and Habilitation Supports Waiver Cap~tationReport YTD-Summary U f I Page 9 of 75 - Capitation Summaries Paid To Date By Month by PIHP' I November, 2006 1705322 1708001 OOGE 1 OOBJ I I Access Alliance of Michigan 1$ CMH Affiliation of Mid-Michiaan 10 7,069.822 ($ 1 167,190 $ 1 3,693,401 1$ 256.699 10 3.191.555 I$ 11.701.341 5 ' 3 4344340 OOGG CMH for Central Michigan $ 5,473.012 $ 125.411 $ 3,642,701 4 4483587 OOGS CMHSA Nehvok of West Michigan $ 11,687.737 $ 258,679 $ 956,604 $ 12,903,020 5 3119549 OOGJ Detroit Wayne County CMH Agency $ 49.127.546 $ 2.013.770 $ 10,904,006 $ 62,045,322 6 1705233 0028 Genesee County CMH Services $ 9,621.172 $ 393.593 $ 3.151.205 $ 13.165.970 7 1712452 OOHA Lakeshore Behavioral Health Alliance $ 7.489.211 $ 159.196 $ 2.074.589 $ 9,722,997 8 1712229 1 00GV I Lieways 4.117.950 1$ 1$ 965.256 1 OOGX 1 1$ I$ 1$ 366.011 15 4.224.980 1$ 21.306.032 1$ 4.079.139 1$ I 9.039.081 91.806 Maoomb County CMH Services 16.715.041 1 1$ OOHJ Nolthcare ($ 8.140.636 130.682 00HF I Northern Affiliation I$ 1$ 4.659.214 15 125.525 S 4.254.343 10 $ 6.100.413 $ 119.802 $ 1.338.819 $ 7,559.034 $ 23,526,418 $ 404,123 $ 6,923,607 $ 30.854.647 5.367.693 9 3396315 10 1724945 1 11 4476125 1 12 4540048 OOHC Northern Lakes 13 1705289 0058 Oakland County CMH Authority 14 1712541 OOHQ $ 4.141.831 197.028 $ 1.028.834 $ 4390138 OOHU I Southeast Partnership I$ $ 15 8,580,331 1$ 208.775 1$ 4.837.236 1$ 16 3402136 00GR I 18 8.821.339 18 270.592 1708164 1 OOHO I Southwest Alliance 17 18 2920843 1 1 9,241,124 OOHR Saainaw CountvCMH Authority 1 Thumb Mental Healm Alliance 1$ Venture BehavioralHealth I$ 7,705,341 1$ 8.905.277 1$ $ State Subtotals $ 203,584,133 *HSW Payments are reflected by service month. The amounts will be updated as retrolrecovery payments occur for each service month. Report Generated: 1013112006 3:04 PM 18 3.583.540 I$ 3,048,855 1$ 12.675.471 129,308 $ 248.709 IZ 2.534.358 1Z 11 688.344 5,666,898 $ 64,433.027 $ 273.684.058 1 1 $ 209,251.031 MDCH Mental Health & Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report YTD-Summary Page 10 of 75 - MA Summary Charts November, 2006 I 1 Note: The Y axis scales are not the same for these two charts. Medicaid Revenue Medicaid Population 600 200 0-17 Report Generated: 10131/2006 3:04 PM 18-25 26-39 MDCH Mental Health B Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report Summary Charts 40-49 50-64 65+ Page i f of 75 - - MA Age Profile by Gender Charts Note: The Y axis scales are not the same for the three populations. November, 2006 A g e Profile - Mental Health Population Report Generated: 10/31/2006 3:04 PM -Male Mental Health --- Female Mental Health M e n t a l Health - M and F MDCH Mental Health & Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report Age Profile Charts Page 12 o f 75 MA Age Profile - by Gender - Charts I November. 2006 1 I Note: The Y axis scales are not the same for the three Do~ulations. I - Age Profile DD (EBP) Age Profile a 0 - - - Female E8P Report Generated: 1013112006 3:04 PM -- rppp -- -Male 0 0 N 0 .? -- HSW Enrollees -- - Habilitation Supports Waiver Enrollees S -V - - H MDCH Mental Health 8 Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report Age Profile Charts w 0 V) 0 0 r- (0 0 0 m -- - w EE~~OI~-J Page 13 of 75 - Mental Health Capitation by PlHP I November, 2006 1 Report Generated: 1013112006 3:04 PM Summary by Population by Gender MDCH Mental Health & Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report MH by PlHP Page 14 of 75 Mental Health - TANF Capitation by PlHP I November. 2006 1 Report Generated: 10/31/2006 3:04 PM Summary by Population by Gender MDCH Mental Health & Substance Abuse Specially Services and Habilitation Supports Waiver Capitation Report MH TANF by PlHP Page 15 of 75 - Mental Health Capitation by County I November, 2006 1 Report Generated: 1013112006 3:04 PM Summary by Population by Gender MDCH Mental Health & Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report MH by County Page 16 of 75 - Mental Health Capitation by County I November, 2006 1 Report Generated: 10131/2006 3:04 PM Summary by Population by Gender MDCH Mental Health 8 Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report MH by County Page 17 of 75 - Mental Health Capitation by County I November, 2006 1 Report Generated: 10/31/2006 3:04 PM Summary by Population by Gender MDCH Mental Health 8 Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report MH by County Page I 8 of 75 - Summary by Population by Gender Substance Abuse Capitation by PlHP I November, 2006 1 1 2 1708001 3 4344340 4 1 4483587 5 3119549 6 7 1 OOBJ OOGG 1 OOGS I I CMH Affiliation of Mid-Michigan I CMH for Central Michigan I 9,907 1 12,759 4,809 1 CMHSA Network of West Michiaan OOGJ Detroit Wayne County CMH Agency 1705233 0028 1712452 OOHA 8 1712229 9 lo 9.983 1 1 6,163 1 12.253 1 24,226 1 11.182 1 24.285 1 31,496 11 14,310 11 31.927 1 78,388 1$ 36,464 1$ 78.448 30,197 1$ 15,559 1$ 18 2 9 x 18 392194 $ 3 3 0 1 22,503 11,233 1$ 1$ 23.3161% .~ . 1 19.888 $ 1$ 55,400 10,443 25,721 17.846 1% 222,529 $ 80:557 $ 43,506 $ 20.970 $ 15.605 8 11.457 59.083 52918 64\25. 113230 161795 366L302 Genesee County CMH Services 9,693 11,952 23,611 33,634 78,890 $ 57,371 Lakeshore Behavioral Health Alliance 5.969 8.228 15.994 20.670 50.861 $ 18.855 OOGV Lifeways 3.765 3396315 OOGX Macomb County CMH Services 8,468 4,616 12,626 8.775 22,164 11,497 29,088 72,346 $ 49.145 $ 37,538 $ 23,007 $ 18,858 74,103 1724945 OOHJ Northcare 5.463 7.884 11.733 14.697 39.777 $ 19.035 S 12 704 % 9.192 8 24.389 12.621 15,520 40,272 $ 15,751 $ 10,828 $ 10,737 $ 25,722 $ 74,810 % 6,534 $ 33.775 28,653 $12.024 $8,524 $- 11 4476125 OOHF Northern Affiliation 5.222 6.909 12 4540048 OOHC Northern Lakes 4.699 6.000 11,711 14.364 36.774 $ 14,031 $ 10,191 $ 10,532 $ 25,390 70,594 127,989 .r 11 $ 129.340 $ 196,658 8 79.692 45,940 63,039 13 1705289 0058 Oakland County CMH Authority 11,415 16,340 23,163 30,498 81.416 $ 65,318 $ 47,487 $ 19,062 $ 14 1712541 OOHQ Saginaw County CMH Authority 5,128 6,255 10,373 14,789 36,545 $ 29,435 21,934 $ 9,942 $ 37,257 27,778 $ $ 22,051 $ 12.589 $ 42,128 36,433 $ 13.041 $ 27,839 9,159 $ 17,347 $ 53,553 $ 11.444 $ 30,869 22.689 1$ 18.959 1$ 52.391 11 $ 584.087 1$ 324,349 1$ 1,105,344 $ 2,833.982 1.429.694 $ 2,833,982 15 4390138 OOHU Southeast Partnership 6,817 9.438 17,592 23,563 57,410 $ 16 3402136 OOGR Southwest Alliance 7,273 9,432 18,135 24,111 58,951 $ 17 1708164 OOHO Thumb Mental Health Alliance 4.054 5,147 11,685 14,811 35.697 $ 18 1 I 2920843 1 OOHR I Venture Behavioral Health I Report Generated: 10/31/2006 1 9,579 1 12.552 1 22,705 1 29.475 11 74.311 1$ 30.435 1$ State subtotals1 171,365 1 220,868 1 399,071 ( 536.294 (1 1,327,598 1$ 820,202 1$ 392.233 3:04 PM 935.365 1,404,289 MDCH Mental Health & Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report SA by PlHP 98.567 124,474 1 Page 19 of 75 - Substance Abuse TANF Capitation by PlHP I Novernber,2006 Summary by Population by Gender 1 6 1705233 0028 Genesee County CMH Services 2349 33,423 7 1712452 OOHA Lakeshore Behavioral Health Alliance 15,821 20.491 8 1712229 OOGV Lifeways 8.652 11,387 9 3396315 OOGX Macomb County CMH Services 21,963 28864 lo 1724945 OOHJ Northcare 11,534 14,487 11 4476125 OOHF Northern Affiliation 12,402 15,294 1 4540048 1 OOHC I Northern Lakes 1 1 13 1705289 0058 Oakland County CMH Authority 11.524 22,892 14 1712541 OOHQ Saginaw County CMH Authority 10,302 14,710 is 4390138 OOHU Southeast Partnership 17,420 23.356 16 3402136 OOGR Southwest Alliance 17.963 23,947 17 1708164 OOHO Thumb Mental Health Alliance 11,526 14,661 18 2920843 OOHR Venture Behavioral Health 22.440 29.223 12 14.200 1 1 A;: 1 1 1 ;Cli 1 1' 1 123 219 1 187 $ 110 20,272 $ 6,461 22; 51,252 $ 22,832 26.430 $ 28,141 $ 26.075 1$ 10.413 1 $ 226 1 1 1 57,245 36,664 ;€i; 164 1 $ 20,875 $ 11,348 $ 74,7231r 33,692 $ 1 7 1 1 5 $ 109 $ $ 18.814 $ $ 73,gz0 $ - A~~ $ 24,296 $ 133 $ 10,599 $ 25,624 $ 138 $ 25.303 11 $ 9.060 p88 73 $ $ 25.393 93 $ 98 $ 143 8611 s 33,582 1 p 19 $ $ 395,263 532,384 927.647 Report Generated: 1013112006 3:04 PM 36,460 1 35.9a 30,217 20 State Subtotals gT 45,233 $ 44 $ fil$ 1 $ 83 3.808 3,910 7,718 935,365 $ 321,769 $ 1,103,444 $ 1,425,213 MDCH Mental Health 8 Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report SA TANF by PlHP 2,580 $ 1,901 $ 1,429,694 4.481 $ 1,429,694 Page 20 of 75 - Substance Abuse Capitation by County I November,2006 1 Report Generated: 10131/2006 3:04 PM I Summary by Population Group and Gender MDCH Mental Health & Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report SA by County Page 21 of 75 - Substance Abuse Capitation by County 30 31 1712229 1724945 1 1 00GV 00HJ 1 I 30 1 31 1 HILLSDALE HOUGHTON Report Generated: 10/31/2006 3:04 PM Summary by Population Group and Gender I 846 631 1 1 1,069 873 1 1 2,017 1 2.549 1.416 1 1.738 ~ :;:@: 1 1 2,705 $ 2~2321 $ 1.736 1.233 ($ 1S MDCH Mental Health B Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report SA by County 1 1,696 $ 907 1 $ 4,107~$ 7.457 $ l~'3~~41 Page 22 of 75 - Substance Abuse Capitation by County I November. 2006 1 61 62 1 1712452 1708001 1 00HA 1 61 1 MUSKEGON OOBJ 62 NEWAYGO Summary by Population Group and Gender 1 1 1 1$ 13.649 1$ 10.969 1 $ 7.444 1,013 1,280 2,417 2,994 7,704 $ 3,219 $ 2,219 $ 2,118 81,416 $ 4.153 5.582 9.326 1 12.736 1 31.797 1 $ 23.065 11 $ 55.128 63 1705289 0058 63 OAKLAND 11,415 16.340 23.163 30,498 65,318 $ 47,487 $ 19,062 64 4540048 OOHC 64 OCEANA 554 684 1.874 2.159 5.271 $ 1.741 $ 1.097 $ 1.884 $ 8.150 65 4476125 OOHF 65 OGEMAW 577 722 1.259 1,484 4,042 $ 1,970 $ 1,224 $ 1.470 $ 7,499 66 1724945 OOHJ 66 ONTONAGON 4344340 OOGG 67 OSCEOLA 237 558 249 1.135 311 1.422 956 3.630 $ 67 159 515 528 $ 1.630 $ 388 $ 1.013 $ Report Generated: 1013112006 3:04 PM ) 1 $ MDCH Mental Health & Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report SA by County 1 $ 235 $ 1.102 $ 2.559 $ 1.677 6.303 Page 23 of 75 Mental HealthlSubstance Abuse Population - PlHP by Age Group - DAB - Male I November, 2006 1 Detail bv Gender bv Po~ulationbv Aae Grour, 1 1,196 1 878 ( 1,353 1 944 1 1,051 1 1.227 1.431 ( 1.420 ( 1,826 1708001 3 4344340 OOGG CMH for Central Michigan M DAB 977 693 688 815 4 4483587 OOGS CMHSA Network of West Michigan M DAB 2,761 1,473 1,426 1,321 5 31 19549 OOGJ Detroit Wavne Countv CMH Aaencv M DAB 12.772 5.908 7.170 6 1705233 0028 Genesee County CMH Sewices M DAB 2,692 1,291 7 1712452 OOHA Lakeshore Behavioral Health Alliance M DAB 1,552 842 8 1712229 OOGV Lifeways M DAB 961 9 3396315 OOGX Macomb Countv CMH Services M DAB lo 1724945 OOHJ Northcare M 11 4476125 OOHF Northern Affiliation 12 4540048 OOHC 13 1705289 14 15 16 3402136 17 1708164 I8 2920843 OOBJ I Access Alliance of Michigan 2,464 1705322 1 OOGE I 1 2 I CMH Affiliation of Mid-Michigan M I DAB I 1 1 1 907 1,413 1 1 6.203 9,907 988 648 4,809 8.293 1,637 11~652 1,365 7~173 57 918 1,490 1,636 1.770 814 9,693 888 894 1,068 725 5,969 477 563 595 679 490 3.765 1.800 1.096 1.089 1.229 1.518 1.736 8.468 DAB 822 646 694 874 1,141 1,286 5,463 M DAB 951 626 638 876 1,140 991 5,222 Northern Lakes M DAB 964 613 571 770 980 80 1 4.699 0058 Oakland County CMH Authority M DAB 2,416 1,363 1.530 1,579 1,976 2,551 11,415 1712541 OOHQ Saginaw County CMH Authority M DAB 1.440 664 759 834 886 545 5.128 4390138 OOHU Southeast partners hi^ M DAB 1.627 946 1.016 1.030 1.221 977 6.817 OOGR Southwest Alliance M DAB 1,886 947 981 1,097 1,440 922 7.273 OOHO Thumb Mental Health Alliance M DAB 909 575 565 606 810 589 4,054 OOHR Venture Behavioral Health M DAB 2.475 1.182 1.257 1.473 1.824 1.368 9.579 40.665 21,573 23,700 26,393 33.783 25,251 171,365 I State Subtotals I I I 9,983 Check Values Report Generated: 1013112006 3:04 PM MDCH Mental Health 8 Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report MHSA-Pop Page 24 of 75 - - Mental HealthlSubstance Abuse Population - PlHP by Age Group DAB Female November, 2006 Detail by Gender by Population by Age Group 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 3402136 OOGR Southwest Alliance F DAB 1,334 832 1.177 1,320 2.129 2,640 17 1708164 OOHO Thumb Mental Health Alliance F DAB 642 43 1 544 718 1,204 1,608 5,147 18 2920843 OOHR Venture Behavioral Health F DAB 1.769 1,033 1,426 1,709 2,888 3,727 12,552 28,483 18.783 24,676 30,327 50,792 67,807 220,868 9,432 -- 19 20 I State Subtotals I I I Check Values Report Generated: 10131/2006 3:04 PM MDCH Mental Health & Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report MHSA-Pop Page 25 of 75 - - Mental HealthlSubstance Abuse Population PlHP by Age Group - TANF Male bovember, 200( Detail by Gender by Population by Age Group I 1705322 OOGE Access Alliance of Michigan M TANF 13,656 806 913 416 95 2 1708001 OOBJ CMH Affiliation of Mid-Michigan M TANF 21,060 1,141 1,325 555 143 3 4344340 OOGG CMH for Central Michiaan M TANF 9.345 674 759 331 73 4 4483587 OOGS CMHSA Network of West Michigan M TANF 21,869 987 883 42 4 5 31 19549 OOGJ Detroit Wayne County CMH Agency M TANF 101,614 5,067 3,499 6 1705233 0028 Genesee County CMH Services M TANF 20,491 1,131 1,311 7 1712452 OOHA Lakeshore Behavioral Health Alliance M TANF 14.252 700 a 1712229 OOGV Lifewavs M TANF 7.757 .~ ~ 15,886 2 24,226 120 2 24,285 2.193 842 15 113,230 560 117 1 23,611 41 . 9 - 667 403- 304 I.6- -5 71 31 -. ~ 11 182 15.994 8.775 -,. . - 9 3396315 OOGX Macomb County CMH Services M TANF 19,345 1,000 920 630 262 lo 1724945 OOHJ Northcare M TANF 10,176 609 619 11 4476125 OOHF Northern Affiliation M TANF 10.810 713 672 271 344 58 87 12 4540048 OOHC Northern Lakes M TANF 10,022 631 682 290 85 1 11,711 13 1705289 0058 Oakland County CMH Authority M TANF 20,899 907 712 442 199 4 23,163 14 1712541 OOHQ Saginaw County CMH Authority M TANF 9,091 476 531 220 55 15 4390138 OOHU Southeast Partnership M TANF 15.612 798 740 341 99 16 3402136 OOGR Southwest Alliance M TANF 15.993 847 358 f33 17 1708164 OOHO Thumb Mental Health Alliance M TANF 10,076 583 855 645 322 59 la 2920843 OOHR Venture Behavioral Health M TANF 19,828 1.026 1.150 543 156 2 22.705 351.896 18,515 17,286 8,709 2.629 36 399,071 - 22.164 7 11,733 17.671 - - 10,373 2 17.592 18.135 11.685 19 20 1 State Subtotals I I I Check Values Report Generated: 1013112006 3:04 PM MDCH Mental Health 8 Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report MHSA-Pop Page 26 of 75 - - - Mental HealthlSubstance Abuse Population PlHP by Age Group TANF Female Povember, 200( Detail by Gender by Population by Age Group Check Values Report Generated: 10/31/2006 3:04 PM MDCH Mental Health & Substance Abuse Specially Services and Habilltation Supports Waiver Capitation Report MHSA-Pop Page 27 of 75 - - - - Mental Health Revenue by PlHP by Age Group State Plan DAB Male I November, 2006 1 I Detail I Check Values Report Generated: 1013112006 3:04 PM MDCH Mental Health 8 Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report MHSP-DAB Page 28 of 75 - - - - Mental Health Revenue by PlHP by Age Group State Plan DAB Female Detail November, 2006 Check Values Report Generated: 1013112006 3:04 PM MDCH Mental Health 8 Substance Abuse Specialty Services and Habilitation Supports Wa~verCapitation Report MHSP-DAB Page 29 of 75 - - - - Mental Health Revenue by PlHP by Age Group State Plan TANF Male I November, 2006 1 Detail Check Values Report Generated: 10/31/2006 3:04 PM MDCH Mental Health & Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report MHSP-TANF Page 30 of 75 - - - - Detail Mental Health Revenue by PlHP by Age Group State Plan TANF Female I November. 2006 1 1 2 3 1708001 1 1 4344340 OOGG CMH for Central Michigan F F 4 4483587 OOGS CMHSA Network of West Michigan F TANF $ 123,761 $ s 31 19549 OOGJ Detroit Wayne County CMH Agency F TANF $ 376,621 $ 6 1705233 0028 Genesee County CMH Services F TANF $ 51,063 $ 7 1712452 OOHA Lakeshore Behavioral Health Alliance F TANF $ 61,356 8 1712229 OOGV Lifeways F TANF $ 57,088 OOBJ I CMH Affiliation of Mid-Michigan I I TANF TANF 1$ $ 173,237 69,273 1$ $ 55,602 24,618 1$ $ 94,340 40,043 1$ $ 28,998 13,992 1$ $ 1 4.523 $ 1,669 $ 3,171 $ - $ 356,698 149,595 - $ 245,487 - $ 843,502 $ 117.618 $ 120.713 $ 111,983 $ 60,982 $ 19,029 $ 114,318 $ 239.333 $ 95,159 $ 35,121 $ 11.845 $ $ $ 19,256 $ 30,285 $ 8.468 $ 1,347 $ - $ 18.353 27,273 $ 8,080 $ 1,189 $ - 38,543 18,010 $ 18.072 $ 1,579 $ 1 Check Values Report Generated: 1013112006 3:04 PM MDCH Mental Health & Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report MtiSP-TANF Page 31 of 75 - - - - Detail Mental Health Revenue by PlHP by Age Group 1915(b)(3) DAB Male I November. 20061 $ 773,431 111.161 $ 1,247,268 66,401 i 1705322 OOGE Access Alliance of Michigan M DAB $ 40,628 $ 89.433 $ 185.741 $ 204,514 $ 186.713 $ 2 1708001 OOBJ CMH Affiliation of Mid-Michigan M DAB $ 89.961 $ 148,099 $ 302.556 $ 296,922 $ 298,569 $ 3 4344340 OOGG CMH for Central Michigan M DAB $ 33,374 $ 70,984 $ 136,121 $ 159,471 $ 151,174 $ $ 598.830 4 4483587 OOGS CMHSA Network of West Michigan M DAB $ 107,900 $ 172.606 $ 322.775 $ $ 286,557 $ 114,960 $ 1,300,517 5 31 19549 OOGJ Detroit Wayne County CMH Agency M DAB $ 396,698 $ 550,153 $ 1,289.740 $ 1,475,242 $ 1,620,910 $ 476,742 $ 5.809.485 6 1705233 0028 Genesee County CMH Services M DAB $ 88,271 $ $ 259,942 $ 57.517 $ 1,122,856 1712452 OOHA Lakeshore Behavioral Health Alliance M $ 61.195 $ 201,883 $ 188.598 $ 61.596 $ 815.571 8 1712229 OOGV M 118,131 $ 3396315 M DAB $ 36,603 234,586 456,067 OOGX 105,422 $ 426.315 $ $ 9 Lifeways Macomb County CMH Services DAB DAB 282,951 $ 202,766 $ 307,257 7 126,918 $ 99.533 $ $ 1,816,662 lo rr 1724945 OOHJ DAB $ M DAB $ 38,404 25,268 129,487 $ 56,755 $ 918,854 OOHF Northcare Northern Affiliation M 4476125 M DAB M 295.719 33,308 $ 112,860 $ 49.575 $ 206,048 $ 113,028 $ 395.470 $ $ 90.498 $ 187.796 $ 49,873 $ 98,188 $ 233,891 $ 133.327 $ 238,777 $ $ 38,541 $ 73,474 $ 132,204 $ 176,315 $ 175.479 $ DAB $ 170,400 $ 288.220 $ 624,944 $ 637,853 $ 624,199 $ 441,383 $ $ 135,683 $ 47.706 499,094 665,018 $ 69,006 $ 387.726 $ 2,733,342 12 4540048 OOHC Northern Lakes 13 1705289 0058 Oakland County CMH Authority 14 1712541 OOHQ Saginaw County CMH Authority M DAB $ 38,203 $ 52,815 $ 116,605 $ 126,718 $ 105.266 $ 31,158 $ 470,764 is 4390138 OOHU Southeast Partnership M DAB $ 64.006 $ 111.590 $ 231,496 $ 232,100 $ 215,152 $ 937,175 DAB $ 73,196 $ 110,193 $ 220,499 $ 243,852 $ 250,315 $ 82,830 $ 77.107 $ 975,162 16 3402136 OOGR Southwest Alliance M 17 1708164 OOHO Thumb Mental Health Alliance M DAB $ 55.322 $ 104.932 $ 199.157 $ 211.258 $ 220.806 $ 77.253 $ 868.727 18 2920843 OOHR Venture Behavioral Health M DAB $ 73,508 $ 105.269 $ 216,254 $ 250,616 $ 242,683 $ 87,566 $ 975,896 ($ 1,541,043 1$ 2,500,213 1$ 5,258,292 $ 5,746,453 1$ 5.732.559 1$ 2,206,161 1$ 22,984,720 19 20 I State Subtotals I I / Check Values Report Generated: 1013112006 3:04 PM MDCH Mental Health 8 Substance Abuse Specialty Sewices and Habilitation Supports Waiver Capitation Report MHB3-DAB Page 32 of 75 - - - Mental Health Revenue by PlHP by Age Group 1915(b)(3) DAB - Female I November. 2006 1 Detail Check Values Report Generated: 10/31/2006 3:04 PM MDCH Mental Health B Substance Abuse Specially Services and Habilitation Supports Waiver Capitation Report MHB3-DAB Page 33 of 75 - - - - Mental Health Revenue by PlHP by Age Group 1915(b)(3) TANF Male I November. 2006 1 Detail 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 3402136 OOGR Southwest Alliance M TANF $ 24,629 1,381 $ 1.719 $ 198 $ - $ 28,721 17 1708164 OOHO Thumb Mental Health Alliance M TANF $ 23,376 $ 1.434 $ 1,961 $ 1,079 $ 214 $ $ 28,064 is 2920843 OOHR Venture Behavioral Health M TANF $ 26,966 $ 1,477 $ 2,036 $ 1,064 $ 331 $ - $ 31,874 $ 519,048 $ 29,425 $ 35,073 $ 19,201 $ 6,121 $ - $ 608,869 $ 795 $ 19 20 State Subtotals Check Values Report Generated: 10/31/2006 3:04 PM MDCH Mental Health 8 Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report MHB3-TANF Page 34 of 75 - - - - Mental Health Revenue by PlHP by Age Group 1915(b)(3) TANF Female I November, 20061 Detail Check Valws Report Generated: 10131/2006 3:04 PM MDCH Mental Health & Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report MHB3-TANF Page 35 of 75 - - - Substance Abuse Revenue by PlHP by Age Group -State Plan DAB Male I November. 2006 1 1 1705322 OOGE Access Alliance of Michigan M DAB $ 2 1708001 OOBJ CMH Affiliation of Mid-Michigan M DAB $ 3 4344340 OOGG CMH for Central Michioan M DAB $ 4 4483587 OOGS CMHSA Network of West Michigan M DAB $ 5 31 19549 OOGJ Detroit Wayne County CMH Agency M DAB $ 15,071 6 1705233 0028 Genesee County CMH Services M DAB $ 2,854 7 1712452 OOHA Lakeshore Behavioral Health Alliance M DAB $ B 1712229 OOGV Lifewavs M DAB 9 3396315 OOGX Macomb County CMH Services M Detail 694 $ 1.116 $ 2.793 $ 5.697 $ 2.796 $ 117 $ 13.085 2,430 $ 5.932 $ 9,458 $ 4.747 $ 259 $ 24,457 $ 19,437 $ 59.511 $ 118.590 $ 67,465 $ 2,707 $ 282,781 $ 3.808 $ 11,101 $ 21.006 $ 9,204 $ 277 $ 48.249 931 $ 1,406 $ 3,747 $ 6,490 $ 577 $ 792 $ 2.365 $ 4.302 $ 138 $ 93 $ 15,853 $ 3,140 $ 1.989 $ DAB $ 2,106 $ 3,562 $ 8,941 $ 17,378 $ 8,698 $ 642 $ 41.327 1.195 $ 3,241 3,720 270 567 Northcare M DAB $ 543 $ Northern Affiliation M DAB $ 533 $ 14 1 4390138 15 3402136 16 17 18 19 1712541 1 1708164 2920843 1 00HC 0058 1 OOHQ 1 1 1 1 I OOHU 00GR OOHO OOHR I I I 1 Northern Lakes Oakland County CMH Authority I Saainaw County CMH Authority I M I Southeast Partnership I M I I I I I M I M ) DAB DAB DAB I I Southwest Alliance Thumb Mental Health Alliance Venture Behavioral Health I I I M M M I 1 I I 25,384 1,629 $ OOHJ 1 17,150 268 $ OOHF 4540048 13 1705289 172 $ 5,295 $ $ 5.953 4476125 12 3,521 $ 3.880 $ lo 1724945 11 $ 10,181 $ 1,431 $ 2,232 $ 1,454 $ DAB DAB DAB DAB I$ I $ I$ ($ 1% I$ I$ 1 956 4.471 1,526 1$ 1.972 1.253 1.792 ( 2.034 7.519 554 1,510 I $ 1$ 1$ 1$ $ 7.036 $ 1$ 5.931 5,221 22,548 $ 1$ 2.507 $ 2,250 $ 12,684 ) $ 1$ 5.685 1 $ 977 $ 540 $ 2,851 ( $ 978 2.009 1 7,452 /$ 1 $ 1$ 1$ 1 1 ($ 1$ 10.759 1 $ 4.625 1 $ 1 1 1 5,527 $ fi592I$ 9,651 $ 176971% 4,640 6754 2.418 1 $ 5,405 $ 4.47d $ 10,915 ( $ 2.422 5,472 1 I 1 $ 3.124 $ 2,695 $ 11,421 $ 10.117 $ 16,004 178 $ 144 $ 969 $ 13.249 11,806 54,944 1 1 185 1 $ 24.752 244 1$ 1% 7Rfi IS 23,349 90 ti35 1 $- 1 4$ 274 $ 10.956 25.585 1$ 1$ 1 I I $ 1 1 I 20 State Subtotals $ 36,982 $ 53,326 $ 150,532 $ 289,779 $ 151,729 $ 7,336 $ 689,684 Check Values Report Generated: 1013112006 3:04 PM MDCH Mental Health 8 Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report SASP-DAB Page 36 of 75 - - Substance Abuse Revenue by PlHP by Age Group State Plan - DAB - Female I November. 2006 1 Detail 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Check Values Report Generated. 1013112006 3:04 PM 43,480,636 MDCH Mental Health & Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report SASP-DAB Page 37 of 75 - - - - Substance Abuse Revenue by PlHP by Age Group State Plan TANF Male I November. 2006 1 Detail Check Values Report Generated: 10131/2006 3:04 PM MDCH Mental Health S Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report SASP-TANF Page 38 of 75 - - - Substance Abuse Revenue by PlHP by Age Group State Plan - TANF Female I November. 2006 1 Detail I 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Check Values Report Generated: 10/31/2006 3:04 PM MDCH Mental Health 8 Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report SASP-TANF Page 39 of 75 - - - - Substance Abuse Revenue by PlHP by Age Group 1915(b)(3) DAB Male I November, 2006 ( Detail 16 3402136 OOGR Southwest Alliance M DAB $ 339 $ 474 17 1708164 OOHO Thumb Mental Health Alliance M DAB $ 109 $ 184 $ re 2920843 OOHR Venture Behavioral Health M DAB $ 297 $ 378 $ $ 1,246 $ $ 458 1,018 $ 2,402 $ 1,282 $ 55 $ 848 $ 462 $ 24 $ 2,084 $ 1,040 $ 55 $ 4,850 $ 28,766 2,062 5,798 19 I 1 I I I I State Subtotals I I I I 1$ I I I 6.961 $ 10.065 $ I I I 28,477 $ 54,865 I I I $ 130,518 Check Values Report Generated: 10131/2006 3:04 PM MDCH Mental Health & Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report SAB3-DAB Page 40 of 75 - - - - Substance Abuse Revenue by PlHP by Age Group 1915(b)(3) DAB Female I November. 2006 1 1 1705322 OOGE Access Alliance of Michigan F DAB $ 2 1708001 OOBJ CMH Affiliation of Mid-Michigan F DAB $ 3 4344340 OOGG CMH for Central Michiaan F DAB $ 4 4483587 OOGS CMHSA Network of West Michigan F DAB $ 5 31 19549 OOGJ Detroit Wayne County CMH Agency F DAB $ 6 1705233 0028 Genesee County CMH Services F DAB $ 7 1712452 OOHA Lakeshore Behavioml Health Alliance F DAB 8 1712229 OOGV Lifeways F DAB 9 3396315 OOGX Macornb County CMH Services F DAB lo 11 1724945 4476125 ( F I I F I 12 4540048 OOHC Northern Lakes 13 1705289 0058 Oakland County CMH Authority 14 1712541 OOHQ 15 4390138 OOHU 16 3402136 1 1 1 ( 18 1 2920843 1 1708164 17 I I 00HJ OOHF OOGR 1 1 I Detail $ 185 $ 700 $ 1,025 $ 307 $ 26 $ 2,309 305 $ 1,085 $ 1,543 $ 477 $ 38 $ 3,589 $ 165 $ 525 $ 796 $ 244 $ 17 $ 1.802 144 $ 304 $ 1,290 $ 1,535 $ 414 $ 33 $ 3,720 1.503 $ 2.600 $ 10,374 $ 15,211 $ 5,518 $ 35,389 $ 518 $ 2.169 $ 3.079 $ 856 $ 184 26 $ 284 $ 6.933 $ 87 $ 186 $ 809 5 1,056 $ 319 $ 23 $ 2,480 $ $ 59 201 $ 99 $ 438 $ 572 $ 177 $ 12 $ 1,358 $ 466 $ 1.773 $ 2.547 $ 941 $ 50 $ 5.978 DAB DAB I $ 51 51 569 508 ($ 1$ 906 770 313 $ 254 1 $ 35 25 1$ F DAB $ 50 $ 121 $ 478 $ 733 $ 227 $ 19 $ 1.628 F DAB $ 328 $ 555 $ 2,276 $ 3.197 $ 1,127 $ 66 $ 7,549 Saginaw County CMH Authority F DAB $ 135 $ 264 $ 1,171 $ 1,470 $ 444 $ 15 $ 3,499 Southeast Partnershio F DAB $ 126 $ 314 IF I $ 1.085 $ 1.513 $ 461 $ 29 $ 3.528 DAB I$ 341 1$ 1,848 $ 596 1$ 26 DAB I$ 173 $ DAB I$ Northcare Northern Affiliation Southwest Alliance OOHO I Thumb Mental Health Alliance I F I OOHR I Venture Behavioral Health I F I I State Subtotals I I 1% 1$ 67 141 $ 56 I$ 1 $4 1 58 ($ 154 127 1$ 1$ 1 1,448 $ 112 $ 424 1$ 1 646 1$ 1$ 1 1$ 159 1 $ 269 1$ 1.112 1$ 1.538 1$ 1$ 7,083 1$ 28.233 1$ 39.984 1$ 3,675 1 ($ 520 1 $ 1$ 217 13.413 1$ 1$ 2,028 1.735 4.433 1611 1,473 37 1$ 3.635 1 678 1$ 93,066 1 Check Values Report Generated: 10131/2006 3:04 PM MDCH Mental Health 8, Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report SAB3-DAB Page 41 of 75 - - - - Substance Abuse Revenue by PlHP by Age Group 1915(b)(3) TANF Male Detail November, 2006 1705289 1712541 4390138 34021 36 1708164 2920843 13 14 15 16 17 18 0058 OOHQ OOHU OOGR OOHO OOHR Oakland County CMH Authority M TANF $ Saginaw County CMH Authority M TANF $ Southeast partners hi^ M TANF $ Southwest Alliance M TANF $ Thumb Mental Health Alliance M TANF $ Venture Behavioral Health M TANF $ 836 364 468 640 403 793 $ 13,269 $ $ $ 8 $ $ $ $ 290 148 207 280 169 267 $ 8 $ $ $ $ 826 595 681 1,009 658 1,081 $ 8 $ $ $ $ 977 469 593 802 628 967 $ 8 $ 165 $ 44 $ 64 $ $ 69 $ 43 $ 105 $ 16,379 $ 1.876 $ $ - $ - $ - $ 3,094 1,619 2.014 2.799 1,901 3,212 - I$ 53,585 8 $ $ 19 20 I State Subtotals I I 1 5.076 $ 1 16,985 $ / Check Values Report Generated: 1013112006 3:04 PM MDCH Mental Health B. Substance Abuse Specialty Services and HabilitationSupports Waiver Capitation Report SABbTANF Page 42 of 75 - - - - Substance Abuse Revenue by PlHP by Age Group 1915(b)(3) TANF Female Detail November, 2006 1 2 - $ - $ 9.856 - 8 61.095 $ - $ 11,723 6,193 $ 6.945 2,527 $ 149 $ $ 8,875 $ 1,648 $ $ 5.154 $ 2,585 $ 96 $ 164 $ - $ 8 94 $ 121 $ - $ 8.740 100.233 $ 58,373 I$ 183,667 3 4344340 OOGG CMH for Central Michigan F TANF $ 2.361 $ 1.323 $ OOGS CMHSA Network of West Michigan F TANF 91 428 406 4483587 $ $ $ 4 $ 971 $ 5.501 $ 2.769 $ 5 31 19549 OOGJ Detroit Wavne Countv CMH Aoencv F 1'ANF $ 2.030 8 4.287 $ 32.491 $ 20.706 $ 13 1705289 0058 Oakland County CMH Authority F TANF $ 412 $ 875 $ 6.175 $ 3,965 $ 297 14 1712541 OOHQ Saginaw County CMH Authority F TANF $ 185 $ 484 $ 3.468 $ 1,964 $ 15 4390138 -~~ OOHU Southeast Partnershio F TANF $ 156 $ 631 $ 3.845 $ 2.191 16 3402136 OOGR Southwest Alliance F TANF $ 318 $ 859 $ 5,022 $ 17 1708164 OOHO Thumb Mental Health Alliance F TANF $ 192 $ 451 $ 2,767 18 2920843 OOHR Venture Behavioral Health F TANF $ 391 $ 821 $ 4,779 I$ 6,015 1$ 15,185 $ ~~ 64 $ 187 $ 1.580 $ I 20 I I State Subtotals 1 I I I 1 I 1 I I 1$ 3.862 1$ 4,245 8 - Check Values Report Generated: 1013112006 3:04 PM MDCH Mental Health 8 Substance Abuse Specialty Services and Habilitation Supports Waiver Capitation Report SABSTANF Page 43 of 75