AMOUNT OF FUNDING PAID TO PIHPs September 10, 2010

AMOUNT OF FUNDING PAID TO PIHPs
(FY2010 Appropriation Bill - Public Act 131 of 2009)
September 10, 2010
Section 418: On or before the tenth of each month, the department shall report to
the senate and house appropriations subcommittees on community health, the senate
and house fiscal agencies, and the state budget director on the amount of funding paid
to PIHPs to support the Medicaid managed mental health care program in the
preceding month. The information shall include the total paid to each PIHP, per capita
rate paid for each eligibility group for each PIHP, and number of cases in each eligibility
group for each PIHP, and year-to-date summary of eligibles and expenditures for the
Medicaid managed mental health care program.
Michigan's Medicaid Speciality Services and Supports Waiver
418 REPORT - FY2010
This report is provided in compliance with the Michigan Department of Community Health Appropriations Act, Sec. 418 which states: "On or
before the tenth of each month, the department shall report to the senate and house appropriations subcommittees on community health,
the senate and house fiscal agencies, and the state budget director on the amount of funding paid to PIHPs to support the Medicaid
managed mental health care program in the preceding month. The information shall include the total paid to each PIHP, per capita rate paid
for each eligibility group for each PIHP, and number of cases in each eligibility group for each PIHP, and year-to-date summary of eligibles
and expenditures for the Medicaid managed mental health care program."
The Michigan Department of Community Health operates a Medicaid prepaid specialty services managed care program through a 1915(b)
managed care waiver. This waiver operates concurrently with a 1915(c) Habilitation Supports Waiver (HSW). All Medicaid specialty mental
health, developmental disability and substance abuse services are provided through this program. Michigan's 46 community mental health s
Inpatient Health Plans (PIHPs) as proposed by the state and approved by the Center for Medicare and Medicaid Services
(CMS). The waiver is required to be implemented through the PIHP structure.
Note 1: Throughout the year PIHP capitation payments include recoupments or other payment adjustments for deceased recoveries, HSW
non-service recoupments and HSW retroactive eligibility or other payments or recoveries. The payments listed in this report include
adjustments. Adjustment details amounts are not separately reported. Calculation examples are provided on the Per Capita Cap Rates Paid
tab, and in those instances where adjustments have been made, the results from applying the examples' calculation methodology will not
reconcile to the amounts shown as paid.
Note 2: MCHIP-Healthy Kids MEG is a subset of the TANF eligibility group that is paid at the same Per Capita Rate, and thus is not
separately reported.
Note 3: The FY2010-capYTD and FY2010-popYTD tabs include the months of October through the current pay period.
Note 4: PIHPs and Affiliates tab contains a full lists of PIHPs and CMHSPs
MEG Summary
Year-To-Date:
October 2009 through August 2010
Michigan's Medicaid Speciality Services and Supports Waiver
418 REPORT - FY2010
Capitation Paid (including adjustments)
PIHP
ACCESS ALLIANCE
CMH AFFILIATION OF MID MI
CMH FOR CENTRAL MICHIGAN
CMH PARTNERSHIP OF SE MI
DETROIT WAYNE PIHP
GENESEE COUNTY PIHP
LAKESHORE BEHAVIORAL HLTH ALLIANCE
LIFEWAYS PIHP
MACOMB PIHP
NETWORK 180
NORTH CARE
NORTHERN AFFILIATION
NORTHWEST CMH AFFILIATION
OAKLAND COUNTY PIHP
SAGINAW COUNTY PIHP
SOUTHWEST MI URBAN & RURAL CONSORTIUM
THUMB ALLIANCE
VENTURE BEHAVIORAL HEALTH
TOTAL
MH
48,689,256
67,541,864
34,972,628
58,156,630
288,027,986
69,277,858
46,843,280
25,915,344
108,167,666
71,893,291
51,653,400
34,775,397
34,661,337
158,470,133
29,137,788
54,595,210
46,356,994
58,985,412
$1,288,121,474
DAB
SA
552,994
672,972
421,332
731,938
9,053,507
1,612,600
677,338
326,288
1,743,815
1,237,318
441,483
488,793
412,536
1,565,628
802,987
908,558
354,405
770,698
$22,775,192
Combined
49,242,250
68,214,837
35,393,961
58,888,568
297,081,493
70,890,458
47,520,618
26,241,632
109,911,481
73,130,609
52,094,883
35,264,190
35,073,873
160,035,761
29,940,775
55,503,768
46,711,399
59,756,110
$1,310,896,665
TANF
449,989
701,027
313,466
597,160
3,298,444
705,609
509,594
262,753
811,644
743,256
320,947
345,137
328,922
841,856
301,424
567,974
372,793
663,956
12,135,951
DAB & TANF
627,485
975,169
451,315
813,175
4,676,641
973,512
685,975
363,967
1,106,752
1,022,306
477,787
493,390
460,213
1,199,223
441,715
774,558
490,740
932,883
16,966,806
MH
7,664,565
10,618,801
4,613,434
7,581,380
34,583,015
7,907,654
4,416,921
3,232,691
10,763,670
7,134,753
6,164,262
4,406,249
6,416,872
12,115,240
2,547,341
6,668,332
7,384,755
8,582,028
$152,801,961
Eligible Months Paid
DAB
PIHP
ACCESS ALLIANCE
CMH AFFILIATION OF MID MI
CMH FOR CENTRAL MICHIGAN
CMH PARTNERSHIP OF SE MI
DETROIT WAYNE PIHP
GENESEE COUNTY PIHP
LAKESHORE BEHAVIORAL HLTH ALLIANCE
LIFEWAYS PIHP
MACOMB PIHP
NETWORK 180
NORTH CARE
NORTHERN AFFILIATION
NORTHWEST CMH AFFILIATION
OAKLAND COUNTY PIHP
SAGINAW COUNTY PIHP
SOUTHWEST MI URBAN & RURAL CONSORTIUM
THUMB ALLIANCE
VENTURE BEHAVIORAL HEALTH
TOTAL
177,496
274,142
137,849
216,015
1,378,197
267,903
176,381
101,214
295,108
279,050
156,840
148,253
131,291
357,367
140,291
206,584
117,947
268,927
4,830,855
HSW
4,000
3,886
5,761
7,266
12,345
4,043
2,515
2,798
4,807
1,786
3,886
4,549
1,890
8,409
1,249
4,901
3,080
3,468
80,639
TANF
SA
806,825
788,351
353,470
950,177
3,203,765
1,676,481
735,875
500,223
1,472,606
851,498
458,700
476,522
444,733
1,331,781
537,288
839,747
633,938
901,270
$16,963,249
Combined
8,471,390
11,407,152
4,966,905
8,531,557
37,786,780
9,584,135
5,152,796
3,732,914
12,236,275
7,986,251
6,622,961
4,882,771
6,861,604
13,447,021
3,084,629
7,508,079
8,018,693
9,483,298
$169,765,210
MH
56,353,821
78,160,665
39,586,062
65,738,010
322,611,002
77,185,512
51,260,201
29,148,035
118,931,336
79,028,044
57,817,661
39,181,645
41,078,209
170,585,373
31,685,129
61,263,542
53,741,749
67,567,440
$1,440,923,435
DAB & TANF
SA
1,359,819
1,461,323
774,803
1,682,115
12,257,272
3,289,081
1,413,213
826,511
3,216,421
2,088,816
900,183
965,315
857,268
2,897,409
1,340,275
1,748,305
988,343
1,671,968
$39,738,441
Combined
57,713,640
79,621,988
40,360,865
67,420,125
334,868,273
80,474,593
52,673,414
29,974,546
122,147,756
81,116,860
58,717,844
40,146,961
41,935,477
173,482,782
33,025,404
63,011,847
54,730,092
69,239,408
$1,480,661,876
HSW
18,890,394
20,595,285
22,279,375
35,232,004
68,736,524
14,665,826
13,433,939
7,292,626
24,759,233
8,097,439
20,288,860
21,628,323
8,251,162
47,820,453
7,966,916
19,960,784
15,580,476
14,634,825
$390,114,444
Michigan's Medicaid Speciality Services and Supports Waiver
418 REPORT - FY2010
Monthly MEG Summary
Report Period: October 2009
Capitation Paid (including adjustments)
TOTAL
MH
4,042,980
5,505,138
2,742,566
5,103,468
24,138,470
5,950,065
3,996,035
2,033,196
9,864,766
6,209,169
4,428,794
2,333,306
2,712,575
13,273,766
2,595,630
4,684,390
3,928,305
4,440,512
$107,983,131
DAB
SA
48,785
58,947
37,084
60,347
754,354
141,588
59,116
28,805
148,558
108,460
39,185
42,870
36,571
133,128
67,514
79,715
31,131
67,897
$1,944,053
Combined
4,091,764
5,564,085
2,779,649
5,163,814
24,892,823
6,091,654
4,055,151
2,062,001
10,013,324
6,317,629
4,467,979
2,376,177
2,749,146
13,406,895
2,663,144
4,764,105
3,959,436
4,508,409
$109,927,185
TOTAL
DAB
15,621
24,010
12,147
18,760
120,756
23,491
15,409
8,947
25,082
24,443
13,911
12,994
11,539
30,562
12,405
18,118
10,382
23,694
422,271
TANF
39,522
61,827
27,399
51,240
290,678
62,046
45,064
22,991
67,821
64,956
28,001
30,247
28,973
69,599
26,575
49,867
32,430
59,111
1,058,347
DAB & TANF
55,143
85,837
39,546
70,000
411,434
85,537
60,473
31,938
92,903
89,399
41,912
43,241
40,512
100,161
38,980
67,985
42,812
82,805
1,480,618
PIHP
ACCESS ALLIANCE
CMH AFFILIATION OF MID MI
CMH FOR CENTRAL MICHIGAN
CMH PARTNERSHIP OF SE MI
DETROIT WAYNE PIHP
GENESEE COUNTY PIHP
LAKESHORE BEHAVIORAL HLTH ALLIANCE
LIFEWAYS PIHP
MACOMB PIHP
NETWORK 180
NORTH CARE
NORTHERN AFFILIATION
NORTHWEST CMH AFFILIATION
OAKLAND COUNTY PIHP
SAGINAW COUNTY PIHP
SOUTHWEST MI URBAN & RURAL CONSORTIUM
THUMB ALLIANCE
VENTURE BEHAVIORAL HEALTH
MH
701,109
926,169
399,939
613,707
2,543,185
523,932
333,963
293,106
840,630
564,452
629,496
283,215
510,389
1,104,708
163,293
582,458
616,689
556,491
$12,186,930
Eligible Months Paid
PIHP
ACCESS ALLIANCE
CMH AFFILIATION OF MID MI
CMH FOR CENTRAL MICHIGAN
CMH PARTNERSHIP OF SE MI
DETROIT WAYNE PIHP
GENESEE COUNTY PIHP
LAKESHORE BEHAVIORAL HLTH ALLIANCE
LIFEWAYS PIHP
MACOMB PIHP
NETWORK 180
NORTH CARE
NORTHERN AFFILIATION
NORTHWEST CMH AFFILIATION
OAKLAND COUNTY PIHP
SAGINAW COUNTY PIHP
SOUTHWEST MI URBAN & RURAL CONSORTIUM
THUMB ALLIANCE
VENTURE BEHAVIORAL HEALTH
HSW
354
348
527
652
1,130
351
227
254
426
164
344
408
163
751
108
440
275
313
7,235
TANF
SA
69,885
68,511
30,373
75,862
266,837
145,429
64,122
42,620
120,187
73,508
39,241
40,540
38,317
108,363
44,483
72,939
53,849
78,730
$1,433,795
Combined
770,994
994,680
430,312
689,569
2,810,022
669,361
398,084
335,725
960,817
637,960
668,737
323,754
548,705
1,213,071
207,775
655,397
670,538
635,221
$13,620,725
MH
4,744,088
6,431,307
3,142,505
5,717,175
26,681,655
6,473,998
4,329,998
2,326,302
10,705,396
6,773,621
5,058,289
2,616,521
3,222,963
14,378,474
2,758,923
5,266,848
4,544,994
4,997,003
$120,170,061
DAB & TANF
SA
118,670
127,458
67,457
136,209
1,021,191
287,017
123,237
71,424
268,745
181,969
78,426
83,410
74,888
241,491
111,997
152,654
84,980
146,627
$3,377,848
Combined
4,862,758
6,558,765
3,209,961
5,853,384
27,702,846
6,761,014
4,453,235
2,397,726
10,974,141
6,955,590
5,136,715
2,699,931
3,297,851
14,619,966
2,870,919
5,419,502
4,629,974
5,143,630
$123,547,909
HSW
1,577,885
1,722,966
1,961,321
2,639,221
5,821,545
1,335,355
1,103,723
586,035
1,528,458
631,713
1,745,693
2,146,626
753,077
3,845,400
613,504
1,629,827
1,472,491
1,383,505
$32,498,345
Michigan's Medicaid Speciality Services and Supports Waiver
418 REPORT - FY2010
Monthly MEG Summary
Report Period: November 2009
Capitation Paid (including adjustments)
TOTAL
MH
4,109,343
5,653,535
2,799,157
5,244,301
24,605,553
6,053,763
4,090,039
2,056,164
10,158,807
6,344,501
4,514,135
2,384,239
2,772,726
13,589,143
2,638,920
4,788,985
3,985,350
4,528,215
$110,316,874
DAB
SA
49,544
60,525
37,841
62,005
769,397
144,057
60,542
29,104
152,986
110,820
39,953
43,832
37,401
136,494
68,709
81,505
31,587
69,212
$1,985,516
Combined
4,158,887
5,714,059
2,836,999
5,306,306
25,374,950
6,197,820
4,150,581
2,085,268
10,311,793
6,455,321
4,554,088
2,428,071
2,810,127
13,725,637
2,707,629
4,870,490
4,016,937
4,597,427
$112,302,390
TOTAL
DAB
15,903
24,635
12,408
19,264
123,155
23,926
15,809
9,049
25,853
24,975
14,183
13,265
11,787
31,250
12,623
18,503
10,533
24,128
431,249
TANF
40,364
63,392
27,926
52,864
296,772
63,472
45,726
23,511
70,062
66,430
28,778
31,089
29,671
71,961
27,216
50,877
33,023
60,025
1,083,159
DAB & TANF
56,267
88,027
40,334
72,128
419,927
87,398
61,535
32,560
95,915
91,405
42,961
44,354
41,458
103,211
39,839
69,380
43,556
84,153
1,514,408
PIHP
ACCESS ALLIANCE
CMH AFFILIATION OF MID MI
CMH FOR CENTRAL MICHIGAN
CMH PARTNERSHIP OF SE MI
DETROIT WAYNE PIHP
GENESEE COUNTY PIHP
LAKESHORE BEHAVIORAL HLTH ALLIANCE
LIFEWAYS PIHP
MACOMB PIHP
NETWORK 180
NORTH CARE
NORTHERN AFFILIATION
NORTHWEST CMH AFFILIATION
OAKLAND COUNTY PIHP
SAGINAW COUNTY PIHP
SOUTHWEST MI URBAN & RURAL CONSORTIUM
THUMB ALLIANCE
VENTURE BEHAVIORAL HEALTH
MH
716,335
950,967
408,179
634,025
2,598,555
536,745
339,502
300,128
870,043
577,903
647,873
291,699
523,293
1,143,086
167,189
595,020
629,134
566,224
$12,495,898
Eligible Months Paid
PIHP
ACCESS ALLIANCE
CMH AFFILIATION OF MID MI
CMH FOR CENTRAL MICHIGAN
CMH PARTNERSHIP OF SE MI
DETROIT WAYNE PIHP
GENESEE COUNTY PIHP
LAKESHORE BEHAVIORAL HLTH ALLIANCE
LIFEWAYS PIHP
MACOMB PIHP
NETWORK 180
NORTH CARE
NORTHERN AFFILIATION
NORTHWEST CMH AFFILIATION
OAKLAND COUNTY PIHP
SAGINAW COUNTY PIHP
SOUTHWEST MI URBAN & RURAL CONSORTIUM
THUMB ALLIANCE
VENTURE BEHAVIORAL HEALTH
HSW
368
349
519
649
1,120
372
229
254
426
162
352
409
174
745
117
445
278
316
7,284
TANF
SA
71,665
70,689
31,212
78,928
274,043
149,960
65,899
44,045
125,854
75,735
40,663
42,196
39,451
112,684
45,565
75,129
55,414
80,900
$1,480,035
Combined
788,000
1,021,656
439,391
712,953
2,872,598
686,705
405,401
344,172
995,897
653,638
688,536
333,895
562,745
1,255,770
212,754
670,149
684,548
647,125
$13,975,933
MH
4,825,678
6,604,502
3,207,336
5,878,325
27,204,108
6,590,507
4,429,541
2,356,292
11,028,849
6,922,404
5,162,007
2,675,937
3,296,019
14,732,229
2,806,109
5,384,005
4,614,484
5,094,439
$122,812,772
DAB & TANF
SA
121,209
131,214
69,054
140,934
1,043,441
294,017
126,441
73,149
278,840
186,555
80,616
86,029
76,853
249,178
114,274
156,634
87,001
150,112
$3,465,551
Combined
4,946,886
6,735,716
3,276,390
6,019,259
28,247,548
6,884,524
4,555,982
2,429,440
11,307,690
7,108,959
5,242,624
2,761,966
3,372,872
14,981,407
2,920,382
5,540,640
4,701,485
5,244,552
$126,278,323
HSW
1,598,271
1,759,767
1,986,317
2,654,648
5,868,321
1,377,674
1,125,450
608,134
1,534,625
639,350
1,797,864
2,175,945
778,035
3,833,352
646,061
1,633,557
1,493,386
1,418,020
$32,928,778
Michigan's Medicaid Speciality Services and Supports Waiver
418 REPORT - FY2010
Monthly MEG Summary
Report Period: December 2009
Capitation Paid (including adjustments)
PIHP
ACCESS ALLIANCE
CMH AFFILIATION OF MID MI
CMH FOR CENTRAL MICHIGAN
CMH PARTNERSHIP OF SE MI
DETROIT WAYNE PIHP
GENESEE COUNTY PIHP
LAKESHORE BEHAVIORAL HLTH ALLIANCE
LIFEWAYS PIHP
MACOMB PIHP
NETWORK 180
NORTH CARE
NORTHERN AFFILIATION
NORTHWEST CMH AFFILIATION
OAKLAND COUNTY PIHP
SAGINAW COUNTY PIHP
SOUTHWEST MI URBAN & RURAL CONSORTIUM
THUMB ALLIANCE
VENTURE BEHAVIORAL HEALTH
TOTAL
MH
4,124,764
5,678,121
2,805,799
5,282,585
24,738,317
6,091,575
4,113,711
2,069,554
10,249,228
6,374,373
4,510,774
2,397,971
2,767,346
13,718,033
2,636,363
4,802,172
4,007,938
4,556,222
$110,924,846
DAB
SA
49,776
60,792
37,938
62,486
773,749
145,069
60,905
29,344
154,216
111,365
39,932
44,105
37,290
137,862
68,558
81,755
31,794
69,680
$1,996,615
Combined
4,174,540
5,738,913
2,843,738
5,345,071
25,512,065
6,236,644
4,174,616
2,098,898
10,403,444
6,485,739
4,550,706
2,442,076
2,804,636
13,855,894
2,704,921
4,883,927
4,039,731
4,625,902
$112,921,461
TANF
40,396
63,060
28,067
53,180
298,463
63,568
45,923
23,528
70,828
66,435
28,772
31,259
29,395
72,784
27,322
51,121
33,204
59,859
1,087,164
DAB & TANF
56,349
87,778
40,511
72,573
422,361
87,640
61,801
32,617
96,946
91,553
42,953
44,591
41,188
104,273
39,944
69,691
43,786
84,120
1,520,675
MH
717,822
947,434
410,071
638,411
2,614,610
537,981
341,038
300,346
880,040
578,214
647,788
293,769
518,689
1,156,117
167,884
597,913
633,618
564,866
$12,546,611
Eligible Months Paid
DAB
PIHP
ACCESS ALLIANCE
CMH AFFILIATION OF MID MI
CMH FOR CENTRAL MICHIGAN
CMH PARTNERSHIP OF SE MI
DETROIT WAYNE PIHP
GENESEE COUNTY PIHP
LAKESHORE BEHAVIORAL HLTH ALLIANCE
LIFEWAYS PIHP
MACOMB PIHP
NETWORK 180
NORTH CARE
NORTHERN AFFILIATION
NORTHWEST CMH AFFILIATION
OAKLAND COUNTY PIHP
SAGINAW COUNTY PIHP
SOUTHWEST MI URBAN & RURAL CONSORTIUM
THUMB ALLIANCE
VENTURE BEHAVIORAL HEALTH
TOTAL
15,953
24,718
12,444
19,393
123,898
24,072
15,878
9,089
26,118
25,118
14,181
13,332
11,793
31,489
12,622
18,570
10,582
24,261
433,511
HSW
353
352
528
658
1,124
360
227
255
427
164
350
414
167
754
112
438
276
318
7,277
TANF
SA
72,223
70,765
31,354
79,791
276,629
150,776
66,396
44,167
127,757
76,074
40,593
42,920
39,217
114,131
45,845
75,692
56,180
80,890
$1,491,400
Combined
790,045
1,018,199
441,426
718,202
2,891,239
688,758
407,434
344,513
1,007,796
654,288
688,381
336,689
557,906
1,270,248
213,729
673,604
689,798
645,757
$14,038,011
MH
4,842,586
6,625,556
3,215,871
5,920,996
27,352,927
6,629,557
4,454,749
2,369,900
11,129,267
6,952,587
5,158,562
2,691,740
3,286,035
14,874,149
2,804,248
5,400,085
4,641,556
5,121,088
$123,471,457
DAB & TANF
SA
121,999
131,556
69,292
142,277
1,050,378
295,846
127,300
73,511
281,973
187,440
80,526
87,024
76,507
251,993
114,402
157,446
87,974
150,570
$3,488,015
Combined
4,964,585
6,757,112
3,285,163
6,063,273
28,403,304
6,925,402
4,582,049
2,443,411
11,411,240
7,140,027
5,239,087
2,778,764
3,362,542
15,126,142
2,918,650
5,557,531
4,729,529
5,271,658
$126,959,472
HSW
1,581,737
1,764,435
1,981,083
2,657,194
5,849,711
1,379,441
1,110,278
603,871
1,537,654
639,350
1,796,808
2,179,061
790,227
3,839,605
651,433
1,610,063
1,470,257
1,444,349
$32,886,556
Michigan's Medicaid Speciality Services and Supports Waiver
418 REPORT - FY2010
Monthly MEG Summary
Report Period: January 2010
Capitation Paid (including adjustments)
TOTAL
MH
4,116,754
5,616,257
2,801,474
5,270,647
24,640,986
6,041,472
4,102,245
2,054,549
10,272,694
6,378,392
4,488,706
2,383,600
2,748,954
13,744,602
2,625,597
4,767,740
4,012,532
4,514,813
$110,582,016
DAB
SA
49,718
60,228
37,938
62,409
771,544
144,090
60,879
29,164
155,049
111,413
39,790
43,858
37,089
138,467
68,351
81,248
31,889
69,111
$1,992,234
Combined
4,166,472
5,676,485
2,839,412
5,333,056
25,412,530
6,185,561
4,163,124
2,083,713
10,427,744
6,489,806
4,528,496
2,427,458
2,786,043
13,883,069
2,693,949
4,848,988
4,044,421
4,583,924
$112,574,251
TOTAL
DAB
16,081
24,629
12,484
19,547
124,537
24,024
15,942
9,070
26,485
25,280
14,197
13,352
11,841
31,807
12,671
18,583
10,685
24,225
435,440
TANF
40,834
62,743
28,330
53,771
300,188
63,489
45,888
23,509
72,524
67,066
28,949
31,310
29,487
74,159
27,339
51,243
33,569
59,513
1,093,911
DAB & TANF
56,915
87,372
40,814
73,318
424,725
87,513
61,830
32,579
99,009
92,346
43,146
44,662
41,328
105,966
40,010
69,826
44,254
83,738
1,529,351
PIHP
ACCESS ALLIANCE
CMH AFFILIATION OF MID MI
CMH FOR CENTRAL MICHIGAN
CMH PARTNERSHIP OF SE MI
DETROIT WAYNE PIHP
GENESEE COUNTY PIHP
LAKESHORE BEHAVIORAL HLTH ALLIANCE
LIFEWAYS PIHP
MACOMB PIHP
NETWORK 180
NORTH CARE
NORTHERN AFFILIATION
NORTHWEST CMH AFFILIATION
OAKLAND COUNTY PIHP
SAGINAW COUNTY PIHP
SOUTHWEST MI URBAN & RURAL CONSORTIUM
THUMB ALLIANCE
VENTURE BEHAVIORAL HEALTH
MH
725,444
941,927
414,397
644,831
2,624,286
536,769
340,222
300,299
900,471
583,104
652,364
294,461
520,399
1,178,136
167,900
599,044
640,124
561,261
$12,625,438
Eligible Months Paid
PIHP
ACCESS ALLIANCE
CMH AFFILIATION OF MID MI
CMH FOR CENTRAL MICHIGAN
CMH PARTNERSHIP OF SE MI
DETROIT WAYNE PIHP
GENESEE COUNTY PIHP
LAKESHORE BEHAVIORAL HLTH ALLIANCE
LIFEWAYS PIHP
MACOMB PIHP
NETWORK 180
NORTH CARE
NORTHERN AFFILIATION
NORTHWEST CMH AFFILIATION
OAKLAND COUNTY PIHP
SAGINAW COUNTY PIHP
SOUTHWEST MI URBAN & RURAL CONSORTIUM
THUMB ALLIANCE
VENTURE BEHAVIORAL HEALTH
HSW
348
346
522
646
1,115
360
225
253
420
163
350
414
166
745
111
439
275
318
7,216
TANF
SA
72,976
70,158
31,833
80,579
276,957
150,149
65,982
44,163
130,889
76,450
41,045
43,092
39,502
116,577
45,984
75,619
56,679
80,270
$1,498,905
Combined
798,421
1,012,085
446,230
725,410
2,901,242
686,918
406,204
344,462
1,031,360
659,554
693,409
337,553
559,900
1,294,713
213,884
674,663
696,803
641,531
$14,124,343
MH
4,842,198
6,558,184
3,215,871
5,915,478
27,265,272
6,578,241
4,442,467
2,354,848
11,173,165
6,961,497
5,141,070
2,678,061
3,269,353
14,922,739
2,793,497
5,366,784
4,652,655
5,076,075
$123,207,454
DAB & TANF
SA
122,695
130,386
69,771
142,988
1,048,501
294,239
126,861
73,326
285,938
187,863
80,835
86,950
76,590
255,044
114,335
156,867
88,568
149,381
$3,491,139
Combined
4,964,893
6,688,570
3,285,642
6,058,466
28,313,773
6,872,480
4,569,328
2,428,174
11,459,104
7,149,360
5,221,905
2,765,012
3,345,943
15,177,782
2,907,832
5,523,651
4,741,224
5,225,455
$126,698,593
HSW
1,563,681
1,730,388
1,955,145
2,613,667
5,817,701
1,382,142
1,102,111
600,274
1,508,924
636,563
1,797,078
2,178,237
786,728
3,801,555
646,061
1,604,668
1,463,374
1,442,939
$32,631,234
Monthly MEG Summary
Report Period: February 2010
Michigan's Medicaid Speciality Services and Supports Waiver
418 REPORT - FY2010
Capitation Paid (including adjustments)
TOTAL
MH
4,140,060
5,663,204
2,825,434
5,326,105
25,020,659
6,100,406
4,127,417
2,076,027
10,439,519
6,412,296
4,505,963
2,406,617
2,768,313
13,991,332
2,651,226
4,806,443
4,065,961
4,564,350
$111,891,335
DAB
SA
50,013
60,625
38,232
62,992
783,266
145,478
61,116
29,452
157,290
111,934
39,831
44,231
37,293
140,859
68,983
81,791
32,304
69,756
$2,015,446
Combined
4,190,074
5,723,830
2,863,667
5,389,097
25,803,925
6,245,884
4,188,533
2,105,479
10,596,809
6,524,230
4,545,795
2,450,848
2,805,606
14,132,191
2,720,209
4,888,234
4,098,265
4,634,106
$113,906,781
TOTAL
DAB
16,066
24,717
12,551
19,621
125,432
24,135
15,954
9,119
26,599
25,289
14,189
13,418
11,866
32,106
12,717
18,628
10,745
24,353
437,505
TANF
41,010
62,853
28,555
54,158
300,549
63,520
46,248
23,629
72,848
67,149
29,205
31,195
29,726
75,358
27,259
51,351
33,733
59,752
1,098,098
DAB & TANF
57,076
87,570
41,106
73,779
425,981
87,655
62,202
32,748
99,447
92,438
43,394
44,613
41,592
107,464
39,976
69,979
44,478
84,105
1,535,603
PIHP
ACCESS ALLIANCE
CMH AFFILIATION OF MID MI
CMH FOR CENTRAL MICHIGAN
CMH PARTNERSHIP OF SE MI
DETROIT WAYNE PIHP
GENESEE COUNTY PIHP
LAKESHORE BEHAVIORAL HLTH ALLIANCE
LIFEWAYS PIHP
MACOMB PIHP
NETWORK 180
NORTH CARE
NORTHERN AFFILIATION
NORTHWEST CMH AFFILIATION
OAKLAND COUNTY PIHP
SAGINAW COUNTY PIHP
SOUTHWEST MI URBAN & RURAL CONSORTIUM
THUMB ALLIANCE
VENTURE BEHAVIORAL HEALTH
MH
727,184
942,723
417,451
649,395
2,621,421
536,392
342,579
301,782
902,361
583,668
658,910
293,071
524,126
1,194,499
167,332
598,849
642,604
563,064
$12,667,409
Eligible Months Paid
PIHP
ACCESS ALLIANCE
CMH AFFILIATION OF MID MI
CMH FOR CENTRAL MICHIGAN
CMH PARTNERSHIP OF SE MI
DETROIT WAYNE PIHP
GENESEE COUNTY PIHP
LAKESHORE BEHAVIORAL HLTH ALLIANCE
LIFEWAYS PIHP
MACOMB PIHP
NETWORK 180
NORTH CARE
NORTHERN AFFILIATION
NORTHWEST CMH AFFILIATION
OAKLAND COUNTY PIHP
SAGINAW COUNTY PIHP
SOUTHWEST MI URBAN & RURAL CONSORTIUM
THUMB ALLIANCE
VENTURE BEHAVIORAL HEALTH
HSW
354
347
517
648
1,129
363
229
252
432
162
350
411
173
747
112
443
278
318
7,265
TANF
SA
72,413
69,777
31,872
80,768
273,336
148,912
65,959
44,227
129,391
76,094
41,458
42,661
39,655
117,095
45,527
74,687
56,364
79,952
$1,490,149
Combined
799,597
1,012,500
449,323
730,163
2,894,757
685,304
408,538
346,009
1,031,752
659,762
700,369
335,732
563,781
1,311,595
212,859
673,536
698,968
643,015
$14,157,558
MH
4,867,244
6,605,927
3,242,885
5,975,500
27,642,080
6,636,798
4,469,996
2,377,809
11,341,880
6,995,964
5,164,874
2,699,688
3,292,439
15,185,831
2,818,558
5,405,292
4,708,565
5,127,413
$124,558,743
DAB & TANF
SA
122,426
130,402
70,105
143,759
1,056,602
294,390
127,075
73,679
286,681
188,028
81,290
86,892
76,948
257,955
114,510
156,478
88,668
149,707
$3,505,595
Combined
4,989,670
6,736,329
3,312,990
6,119,260
28,698,682
6,931,187
4,597,071
2,451,488
11,628,561
7,183,992
5,246,164
2,786,580
3,369,387
15,443,786
2,933,068
5,561,770
4,797,233
5,277,121
$128,064,339
HSW
1,767,586
2,271,286
2,147,761
2,939,719
6,735,062
1,750,153
1,471,643
627,417
1,660,968
793,267
2,047,432
2,257,520
1,041,321
3,854,129
949,469
1,744,822
1,593,013
1,722,443
$37,375,011
Michigan's Medicaid Speciality Services and Supports Waiver
418 REPORT - FY2010
Monthly MEG Summary
Report Period: March 2010
Capitation Paid (including adjustments)
TOTAL
MH
4,151,012
5,658,974
2,813,237
5,344,930
24,971,769
6,059,606
4,119,810
2,064,116
10,453,606
6,388,642
4,500,117
2,391,633
2,737,128
14,114,913
2,637,007
4,807,153
4,035,579
4,564,908
$111,814,143
DAB
SA
50,194
60,584
38,074
63,232
781,901
144,351
61,027
29,297
157,604
111,506
39,821
43,966
36,878
142,132
68,615
81,846
32,039
69,762
$2,012,828
Combined
4,201,207
5,719,558
2,851,311
5,408,162
25,753,669
6,203,957
4,180,837
2,093,413
10,611,210
6,500,149
4,539,938
2,435,599
2,774,006
14,257,045
2,705,622
4,888,999
4,067,617
4,634,670
$113,826,971
TOTAL
DAB
16,102
24,731
12,482
19,681
125,234
24,037
15,894
9,074
26,672
25,180
14,151
13,320
11,769
32,409
12,635
18,620
10,695
24,361
437,047
TANF
40,878
63,416
28,553
54,411
298,500
63,267
45,891
23,839
73,539
67,076
29,245
31,254
29,514
76,653
27,302
51,174
33,587
59,649
1,097,748
DAB & TANF
56,980
88,147
41,035
74,092
423,734
87,304
61,785
32,913
100,211
92,256
43,396
44,574
41,283
109,062
39,937
69,794
44,282
84,010
1,534,795
PIHP
ACCESS ALLIANCE
CMH AFFILIATION OF MID MI
CMH FOR CENTRAL MICHIGAN
CMH PARTNERSHIP OF SE MI
DETROIT WAYNE PIHP
GENESEE COUNTY PIHP
LAKESHORE BEHAVIORAL HLTH ALLIANCE
LIFEWAYS PIHP
MACOMB PIHP
NETWORK 180
NORTH CARE
NORTHERN AFFILIATION
NORTHWEST CMH AFFILIATION
OAKLAND COUNTY PIHP
SAGINAW COUNTY PIHP
SOUTHWEST MI URBAN & RURAL CONSORTIUM
THUMB ALLIANCE
VENTURE BEHAVIORAL HEALTH
MH
725,563
951,214
417,348
652,675
2,604,025
534,469
339,936
304,493
911,763
582,818
659,786
293,788
520,827
1,214,666
167,703
597,437
639,803
562,174
$12,680,488
Eligible Months Paid
PIHP
ACCESS ALLIANCE
CMH AFFILIATION OF MID MI
CMH FOR CENTRAL MICHIGAN
CMH PARTNERSHIP OF SE MI
DETROIT WAYNE PIHP
GENESEE COUNTY PIHP
LAKESHORE BEHAVIORAL HLTH ALLIANCE
LIFEWAYS PIHP
MACOMB PIHP
NETWORK 180
NORTH CARE
NORTHERN AFFILIATION
NORTHWEST CMH AFFILIATION
OAKLAND COUNTY PIHP
SAGINAW COUNTY PIHP
SOUTHWEST MI URBAN & RURAL CONSORTIUM
THUMB ALLIANCE
VENTURE BEHAVIORAL HEALTH
HSW
359
349
518
654
1,119
364
225
254
424
161
353
409
170
743
115
445
278
314
7,254
TANF
SA
72,424
70,539
31,870
81,232
272,011
148,727
65,490
44,693
131,409
75,848
41,559
42,880
39,537
119,147
45,731
74,812
56,181
79,991
$1,494,082
Combined
797,987
1,021,753
449,219
733,907
2,876,035
683,195
405,426
349,186
1,043,172
658,666
701,345
336,668
560,364
1,333,813
213,434
672,250
695,984
642,165
$14,174,570
MH
4,876,575
6,610,187
3,230,585
5,997,605
27,575,794
6,594,075
4,459,747
2,368,610
11,365,369
6,971,461
5,159,904
2,685,421
3,257,955
15,329,579
2,804,710
5,404,591
4,675,381
5,127,082
$124,494,631
DAB & TANF
SA
122,618
131,123
69,944
144,464
1,053,911
293,077
126,517
73,990
289,013
187,354
81,379
86,846
76,416
261,279
114,346
156,658
88,220
149,753
$3,506,910
Combined
4,999,193
6,741,311
3,300,529
6,142,069
28,629,705
6,887,152
4,586,263
2,442,599
11,654,382
7,158,815
5,241,283
2,772,267
3,334,370
15,590,859
2,919,056
5,561,249
4,763,601
5,276,836
$128,001,541
HSW
1,640,370
1,758,206
1,937,525
2,640,710
5,846,111
1,410,383
1,080,393
592,716
1,518,276
628,359
1,845,156
2,160,462
807,480
3,797,893
681,252
1,625,049
1,484,045
1,419,039
$32,873,424
Monthly MEG Summary
Report Period: April 2010
Michigan's Medicaid Speciality Services and Supports Waiver
418 REPORT - FY2010
Capitation Paid (including adjustments)
PIHP
ACCESS ALLIANCE
CMH AFFILIATION OF MID MI
CMH FOR CENTRAL MICHIGAN
CMH PARTNERSHIP OF SE MI
DETROIT WAYNE PIHP
GENESEE COUNTY PIHP
LAKESHORE BEHAVIORAL HLTH ALLIANCE
LIFEWAYS PIHP
MACOMB PIHP
NETWORK 180
NORTH CARE
NORTHERN AFFILIATION
NORTHWEST CMH AFFILIATION
OAKLAND COUNTY PIHP
SAGINAW COUNTY PIHP
SOUTHWEST MI URBAN & RURAL CONSORTIUM
THUMB ALLIANCE
VENTURE BEHAVIORAL HEALTH
TOTAL
MH
4,173,514
5,743,588
2,842,533
5,387,513
25,151,009
6,155,891
4,187,775
2,098,226
10,604,248
6,455,749
4,565,050
2,423,712
2,790,870
14,402,155
2,673,812
4,880,889
4,066,726
4,623,411
$113,226,671
DAB
SA
50,504
61,536
38,505
63,767
788,181
146,660
62,043
29,783
160,040
112,832
40,437
44,553
37,589
145,234
69,624
83,134
32,335
70,677
$2,037,436
Combined
4,224,019
5,805,124
2,881,038
5,451,280
25,939,189
6,302,550
4,249,817
2,128,009
10,764,288
6,568,581
4,605,488
2,468,265
2,828,460
14,547,388
2,743,436
4,964,023
4,099,062
4,694,087
$115,264,106
DAB
16,174
25,029
12,550
19,802
125,873
24,371
16,136
9,220
27,031
25,395
14,318
13,507
11,982
32,969
12,800
18,853
10,745
24,604
441,359
TANF
40,962
63,319
28,680
54,333
298,071
63,949
46,226
23,854
74,362
67,422
29,282
31,381
29,708
78,074
27,571
51,562
33,929
60,123
1,102,808
DAB & TANF
57,136
88,348
41,230
74,135
423,944
88,320
62,362
33,074
101,393
92,817
43,600
44,888
41,690
111,043
40,371
70,415
44,674
84,727
1,544,167
MH
728,594
950,527
419,573
652,121
2,601,632
540,824
342,677
305,626
923,142
586,396
660,690
295,313
524,498
1,239,181
169,824
602,283
647,093
567,444
$12,757,439
Eligible Months Paid
PIHP
ACCESS ALLIANCE
CMH AFFILIATION OF MID MI
CMH FOR CENTRAL MICHIGAN
CMH PARTNERSHIP OF SE MI
DETROIT WAYNE PIHP
GENESEE COUNTY PIHP
LAKESHORE BEHAVIORAL HLTH ALLIANCE
LIFEWAYS PIHP
MACOMB PIHP
NETWORK 180
NORTH CARE
NORTHERN AFFILIATION
NORTHWEST CMH AFFILIATION
OAKLAND COUNTY PIHP
SAGINAW COUNTY PIHP
SOUTHWEST MI URBAN & RURAL CONSORTIUM
THUMB ALLIANCE
VENTURE BEHAVIORAL HEALTH
TOTAL
HSW
366
349
518
649
1,118
371
226
256
424
164
354
410
171
747
117
449
278
312
7,279
TANF
SA
73,440
70,861
32,274
81,270
272,145
151,404
66,260
45,530
133,956
76,723
41,655
43,267
40,027
122,299
46,827
75,740
57,188
81,408
$1,512,276
Combined
802,035
1,021,387
451,847
733,391
2,873,778
692,228
408,938
351,156
1,057,098
663,119
702,345
338,581
564,525
1,361,480
216,651
678,024
704,281
648,853
$14,269,714
MH
4,902,109
6,694,115
3,262,106
6,039,634
27,752,641
6,696,715
4,530,452
2,403,852
11,527,390
7,042,145
5,225,741
2,719,025
3,315,369
15,641,335
2,843,636
5,483,173
4,713,819
5,190,855
$125,984,109
DAB & TANF
SA
123,945
132,397
70,780
145,037
1,060,326
298,064
128,303
75,313
293,995
189,556
82,092
87,820
77,616
267,533
116,451
158,874
89,524
152,085
$3,549,712
Combined
5,026,053
6,826,512
3,332,886
6,184,671
28,812,967
6,994,778
4,658,755
2,479,165
11,821,386
7,231,700
5,307,833
2,806,845
3,392,984
15,908,869
2,960,087
5,642,047
4,803,343
5,342,940
$129,533,821
HSW
1,687,977
1,754,891
1,943,081
2,630,664
5,836,274
1,424,727
1,103,733
595,817
1,530,861
637,583
1,923,604
2,212,454
820,073
3,865,967
698,915
1,675,264
1,520,085
1,440,433
$33,302,400
Michigan's Medicaid Speciality Services and Supports Waiver
418 REPORT - FY2010
Monthly MEG Summary
Report Period: May 2010
Capitation Paid (including adjustments)
PIHP
ACCESS ALLIANCE
CMH AFFILIATION OF MID MI
CMH FOR CENTRAL MICHIGAN
CMH PARTNERSHIP OF SE MI
DETROIT WAYNE PIHP
GENESEE COUNTY PIHP
LAKESHORE BEHAVIORAL HLTH ALLIANCE
LIFEWAYS PIHP
MACOMB PIHP
NETWORK 180
NORTH CARE
NORTHERN AFFILIATION
NORTHWEST CMH AFFILIATION
OAKLAND COUNTY PIHP
SAGINAW COUNTY PIHP
SOUTHWEST MI URBAN & RURAL CONSORTIUM
THUMB ALLIANCE
VENTURE BEHAVIORAL HEALTH
TOTAL
MH
5,139,097
7,243,470
3,970,489
5,517,184
29,900,555
6,902,509
4,696,463
2,950,651
9,373,200
7,042,971
5,228,710
4,648,237
3,965,564
16,021,397
2,766,822
5,453,689
4,711,817
7,061,057
$132,593,882
DAB
SA
51,121
62,241
38,891
73,823
912,273
149,227
62,916
30,170
164,098
114,045
40,708
45,126
37,985
147,962
80,580
84,304
32,686
71,425
$2,199,581
Combined
5,190,218
7,305,712
4,009,380
5,591,007
30,812,828
7,051,737
4,759,379
2,980,821
9,537,298
7,157,015
5,269,418
4,693,363
4,003,549
16,169,359
2,847,402
5,537,992
4,744,503
7,132,482
$134,793,463
TANF
41,643
64,687
29,027
55,289
302,766
65,064
47,162
24,415
76,570
68,760
29,529
31,730
30,193
80,295
27,699
52,475
34,758
60,947
1,123,009
DAB & TANF
58,008
89,964
41,681
75,245
429,919
89,793
63,491
33,738
104,113
94,417
43,910
45,385
42,293
113,772
40,597
71,554
45,616
85,775
1,569,271
MH
676,771
1,023,031
444,088
788,068
4,191,043
1,060,192
523,225
288,748
1,151,850
786,007
410,797
604,052
703,069
991,649
353,439
638,490
752,357
1,181,914
$16,568,791
Eligible Months Paid
PIHP
ACCESS ALLIANCE
CMH AFFILIATION OF MID MI
CMH FOR CENTRAL MICHIGAN
CMH PARTNERSHIP OF SE MI
DETROIT WAYNE PIHP
GENESEE COUNTY PIHP
LAKESHORE BEHAVIORAL HLTH ALLIANCE
LIFEWAYS PIHP
MACOMB PIHP
NETWORK 180
NORTH CARE
NORTHERN AFFILIATION
NORTHWEST CMH AFFILIATION
OAKLAND COUNTY PIHP
SAGINAW COUNTY PIHP
SOUTHWEST MI URBAN & RURAL CONSORTIUM
THUMB ALLIANCE
VENTURE BEHAVIORAL HEALTH
TOTAL
DAB
16,365
25,277
12,654
19,956
127,153
24,729
16,329
9,323
27,543
25,657
14,381
13,655
12,100
33,477
12,898
19,079
10,858
24,828
446,262
HSW
368
349
519
649
1,120
372
229
254
426
162
352
409
174
745
117
445
278
316
7,284
TANF
SA
75,604
73,300
33,023
96,075
318,465
155,275
68,483
47,267
140,012
79,217
42,622
44,427
41,428
127,913
54,075
77,788
59,667
83,421
$1,618,061
Combined
752,376
1,096,331
477,111
884,143
4,509,508
1,215,467
591,708
336,014
1,291,862
865,224
453,419
648,479
744,498
1,119,563
407,514
716,278
812,024
1,265,335
$18,186,852
MH
5,815,868
8,266,502
4,414,578
6,305,252
34,091,597
7,962,701
5,219,688
3,239,399
10,525,050
7,828,978
5,639,507
5,252,289
4,668,634
17,013,046
3,120,261
6,092,179
5,464,174
8,242,971
$149,162,673
DAB & TANF
SA
126,725
135,541
71,914
169,898
1,230,738
304,502
131,399
77,436
304,110
193,261
83,329
89,553
79,413
275,875
134,655
162,092
92,353
154,846
$3,817,642
Combined
5,942,594
8,402,043
4,486,492
6,475,150
35,322,335
8,267,203
5,351,086
3,316,835
10,829,160
8,022,239
5,722,837
5,341,842
4,748,047
17,288,921
3,254,916
6,254,271
5,556,527
8,397,817
$152,980,315
HSW
1,630,016
1,675,711
1,810,608
3,440,997
6,079,472
1,016,535
1,300,056
713,709
2,727,547
830,349
1,688,338
1,309,839
541,961
3,635,784
691,978
1,893,290
1,083,355
993,503
$33,063,049
Monthly MEG Summary
Report Period: June 2010
Michigan's Medicaid Speciality Services and Supports Waiver
418 REPORT - FY2010
Capitation Paid (including adjustments)
PIHP
ACCESS ALLIANCE
CMH AFFILIATION OF MID MI
CMH FOR CENTRAL MICHIGAN
CMH PARTNERSHIP OF SE MI
DETROIT WAYNE PIHP
GENESEE COUNTY PIHP
LAKESHORE BEHAVIORAL HLTH ALLIANCE
LIFEWAYS PIHP
MACOMB PIHP
NETWORK 180
NORTH CARE
NORTHERN AFFILIATION
NORTHWEST CMH AFFILIATION
OAKLAND COUNTY PIHP
SAGINAW COUNTY PIHP
SOUTHWEST MI URBAN & RURAL CONSORTIUM
THUMB ALLIANCE
VENTURE BEHAVIORAL HEALTH
TOTAL
MH
5,098,169
7,198,620
3,942,519
5,431,315
29,304,022
6,889,696
4,638,001
2,938,393
9,169,961
7,032,612
5,167,606
4,626,397
3,946,027
15,716,907
2,729,892
5,414,554
4,712,380
6,980,130
$130,937,203
DAB
SA
50,791
61,954
38,622
73,189
896,582
149,144
62,367
29,956
162,226
114,151
40,415
44,781
37,862
145,880
79,942
84,056
32,830
70,465
$2,175,213
Combined
5,148,960
7,260,574
3,981,141
5,504,503
30,200,605
7,038,840
4,700,368
2,968,349
9,332,187
7,146,763
5,208,022
4,671,179
3,983,889
15,862,788
2,809,834
5,498,610
4,745,210
7,050,595
$133,112,416
TANF
41,411
65,182
29,103
55,646
303,698
65,561
47,232
24,400
77,534
69,249
29,724
31,742
30,644
80,655
27,698
52,817
34,896
61,245
1,128,437
DAB & TANF
57,789
90,563
41,801
75,655
431,254
90,490
63,558
33,797
105,352
95,087
44,169
45,472
42,819
114,353
40,597
71,992
45,816
86,024
1,576,588
MH
672,214
1,030,978
445,338
793,530
4,203,481
1,068,868
524,099
288,643
1,166,643
791,604
413,479
604,877
713,852
995,749
353,438
642,624
755,443
1,188,142
$16,653,002
Eligible Months Paid
PIHP
ACCESS ALLIANCE
CMH AFFILIATION OF MID MI
CMH FOR CENTRAL MICHIGAN
CMH PARTNERSHIP OF SE MI
DETROIT WAYNE PIHP
GENESEE COUNTY PIHP
LAKESHORE BEHAVIORAL HLTH ALLIANCE
LIFEWAYS PIHP
MACOMB PIHP
NETWORK 180
NORTH CARE
NORTHERN AFFILIATION
NORTHWEST CMH AFFILIATION
OAKLAND COUNTY PIHP
SAGINAW COUNTY PIHP
SOUTHWEST MI URBAN & RURAL CONSORTIUM
THUMB ALLIANCE
VENTURE BEHAVIORAL HEALTH
TOTAL
DAB
16,378
25,381
12,698
20,009
127,556
24,929
16,326
9,397
27,818
25,838
14,445
13,730
12,175
33,698
12,899
19,175
10,920
24,779
448,151
HSW
376
363
541
690
1,128
377
231
259
480
165
356
422
177
838
115
457
288
311
7,574
TANF
SA
75,190
74,296
33,233
97,426
321,337
157,694
69,037
47,390
142,913
80,194
43,129
44,686
42,172
129,536
54,301
78,680
60,547
84,314
$1,636,077
Combined
747,404
1,105,274
478,571
890,956
4,524,817
1,226,562
593,136
336,033
1,309,556
871,798
456,608
649,563
756,025
1,125,285
407,740
721,304
815,990
1,272,456
$18,289,079
MH
5,770,383
8,229,598
4,387,857
6,224,845
33,507,503
7,958,565
5,162,100
3,227,035
10,336,605
7,824,216
5,581,085
5,231,274
4,659,879
16,712,656
3,083,331
6,057,178
5,467,823
8,168,272
$147,590,205
DAB & TANF
SA
125,981
136,250
71,855
170,614
1,217,919
306,838
131,404
77,347
305,139
194,345
83,544
89,468
80,034
275,416
134,243
162,736
93,377
154,779
$3,811,289
Combined
5,896,364
8,365,847
4,459,712
6,395,459
34,725,422
8,265,403
5,293,504
3,304,382
10,641,743
8,018,561
5,664,629
5,320,742
4,739,913
16,988,073
3,217,574
6,219,914
5,561,200
8,323,051
$151,401,494
HSW
2,319,886
2,450,138
2,699,784
5,316,879
7,767,048
1,515,226
1,367,536
895,301
5,061,875
1,006,781
2,066,043
2,184,642
864,796
9,059,452
1,034,940
2,486,865
1,691,846
1,291,076
$51,080,111
Monthly MEG Summary
Report Period: July 2010
Michigan's Medicaid Speciality Services and Supports Waiver
418 REPORT - FY2010
Capitation Paid (including adjustments)
PIHP
ACCESS ALLIANCE
CMH AFFILIATION OF MID MI
CMH FOR CENTRAL MICHIGAN
CMH PARTNERSHIP OF SE MI
DETROIT WAYNE PIHP
GENESEE COUNTY PIHP
LAKESHORE BEHAVIORAL HLTH ALLIANCE
LIFEWAYS PIHP
MACOMB PIHP
NETWORK 180
NORTH CARE
NORTHERN AFFILIATION
NORTHWEST CMH AFFILIATION
OAKLAND COUNTY PIHP
SAGINAW COUNTY PIHP
SOUTHWEST MI URBAN & RURAL CONSORTIUM
THUMB ALLIANCE
VENTURE BEHAVIORAL HEALTH
TOTAL
MH
5,098,453
7,233,836
3,952,081
5,446,516
29,613,027
6,944,999
4,666,295
2,956,958
9,293,958
7,055,536
5,189,553
4,676,168
3,964,229
15,794,418
2,757,224
5,420,541
4,699,474
7,009,667
$131,772,933
DAB
SA
50,820
62,355
38,733
73,149
905,144
150,427
62,711
30,237
163,508
114,432
40,424
45,376
37,960
146,331
80,398
83,956
32,619
70,884
$2,189,463
Combined
5,149,274
7,296,190
3,990,814
5,519,665
30,518,171
7,095,426
4,729,006
2,987,195
9,457,466
7,169,968
5,229,976
4,721,544
4,002,188
15,940,749
2,837,622
5,504,497
4,732,094
7,080,551
$133,962,395
DAB
16,303
25,372
12,642
19,851
126,763
24,952
16,248
9,366
27,713
25,765
14,362
13,781
12,147
33,452
12,925
19,127
10,849
24,693
446,311
TANF
41,140
64,899
28,709
55,734
303,079
65,459
46,776
24,314
77,408
68,758
29,608
31,797
30,581
80,444
27,622
52,235
34,685
61,168
1,124,416
DAB & TANF
57,443
90,271
41,351
75,585
429,842
90,411
63,024
33,680
105,121
94,523
43,970
45,578
42,728
113,896
40,547
71,362
45,534
85,861
1,570,727
MH
667,494
1,026,678
439,279
794,852
4,198,401
1,067,536
519,092
287,786
1,165,426
786,271
411,895
605,398
712,342
993,999
352,417
635,344
751,240
1,186,627
$16,602,077
Eligible Months Paid
PIHP
ACCESS ALLIANCE
CMH AFFILIATION OF MID MI
CMH FOR CENTRAL MICHIGAN
CMH PARTNERSHIP OF SE MI
DETROIT WAYNE PIHP
GENESEE COUNTY PIHP
LAKESHORE BEHAVIORAL HLTH ALLIANCE
LIFEWAYS PIHP
MACOMB PIHP
NETWORK 180
NORTH CARE
NORTHERN AFFILIATION
NORTHWEST CMH AFFILIATION
OAKLAND COUNTY PIHP
SAGINAW COUNTY PIHP
SOUTHWEST MI URBAN & RURAL CONSORTIUM
THUMB ALLIANCE
VENTURE BEHAVIORAL HEALTH
TOTAL
HSW
379
362
521
679
1,115
376
233
253
456
158
362
421
177
797
112
447
289
314
7,451
TANF
SA
74,424
73,789
32,829
97,914
322,323
157,456
68,077
47,261
143,367
79,618
42,919
44,472
42,099
129,953
54,055
77,935
60,116
84,254
$1,632,862
Combined
741,918
1,100,467
472,109
892,766
4,520,724
1,224,993
587,169
335,047
1,308,793
865,888
454,814
649,870
754,441
1,123,952
406,471
713,279
811,355
1,270,882
$18,234,939
MH
5,765,948
8,260,514
4,391,360
6,241,368
33,811,428
8,012,535
5,185,387
3,244,744
10,459,384
7,841,806
5,601,448
5,281,566
4,676,571
16,788,418
3,109,641
6,055,885
5,450,714
8,196,294
$148,375,010
DAB & TANF
SA
125,244
136,144
71,562
171,064
1,227,467
307,884
130,788
77,498
306,875
194,050
83,343
89,848
80,059
276,284
134,453
161,891
92,735
155,138
$3,822,324
Combined
5,891,192
8,396,658
4,462,922
6,412,432
35,038,895
8,320,418
5,316,175
3,322,242
10,766,259
8,035,856
5,684,791
5,371,414
4,756,629
17,064,702
3,244,094
6,217,776
5,543,449
8,351,432
$152,197,334
HSW
1,566,308
782,680
1,474,450
2,864,438
5,079,352
627,633
1,098,696
667,047
2,605,072
640,556
1,498,129
1,053,493
136,963
3,973,610
297,407
1,695,374
1,036,128
523,475
$27,620,811
Michigan's Medicaid Speciality Services and Supports Waiver
418 REPORT - FY2010
Monthly MEG Summary
Report Period: August 2010
Capitation Paid (including adjustments)
PIHP
ACCESS ALLIANCE
CMH AFFILIATION OF MID MI
CMH FOR CENTRAL MICHIGAN
CMH PARTNERSHIP OF SE MI
DETROIT WAYNE PIHP
GENESEE COUNTY PIHP
LAKESHORE BEHAVIORAL HLTH ALLIANCE
LIFEWAYS PIHP
MACOMB PIHP
NETWORK 180
NORTH CARE
NORTHERN AFFILIATION
NORTHWEST CMH AFFILIATION
OAKLAND COUNTY PIHP
SAGINAW COUNTY PIHP
SOUTHWEST MI URBAN & RURAL CONSORTIUM
THUMB ALLIANCE
VENTURE BEHAVIORAL HEALTH
TOTAL
MH
4,495,110
6,347,120
3,477,337
4,802,066
25,943,620
6,087,877
4,105,489
2,617,510
8,287,678
6,199,049
4,553,991
4,103,516
3,487,605
14,103,467
2,425,294
4,768,652
4,130,932
6,142,127
$116,078,441
DAB
SA
51,727
63,186
39,474
74,540
917,117
152,509
63,717
30,977
168,240
116,359
40,986
46,094
38,618
151,278
81,713
85,249
33,192
71,830
$2,226,806
Combined
4,546,837
6,410,306
3,516,811
4,876,606
26,860,737
6,240,386
4,169,206
2,648,487
8,455,919
6,315,408
4,594,977
4,149,611
3,526,223
14,254,745
2,507,007
4,853,901
4,164,123
6,213,957
$118,305,247
DAB
16,550
25,643
12,789
20,131
127,840
25,237
16,456
9,560
28,194
26,110
14,522
13,899
12,292
34,148
13,096
19,328
10,953
25,001
451,749
TANF
41,829
65,649
29,117
56,534
305,680
66,214
47,458
24,763
78,148
69,955
29,854
32,133
31,030
81,874
27,821
53,252
34,979
62,564
1,138,854
DAB & TANF
58,379
91,292
41,906
76,665
433,520
91,451
63,914
34,323
106,342
96,065
44,376
46,032
43,322
116,022
40,917
72,580
45,932
87,565
1,590,603
MH
606,034
927,154
397,771
719,766
3,782,377
963,946
470,588
261,735
1,051,300
714,317
371,183
546,606
645,388
903,450
316,923
578,869
676,651
1,083,820
$15,017,879
Eligible Months Paid
PIHP
ACCESS ALLIANCE
CMH AFFILIATION OF MID MI
CMH FOR CENTRAL MICHIGAN
CMH PARTNERSHIP OF SE MI
DETROIT WAYNE PIHP
GENESEE COUNTY PIHP
LAKESHORE BEHAVIORAL HLTH ALLIANCE
LIFEWAYS PIHP
MACOMB PIHP
NETWORK 180
NORTH CARE
NORTHERN AFFILIATION
NORTHWEST CMH AFFILIATION
OAKLAND COUNTY PIHP
SAGINAW COUNTY PIHP
SOUTHWEST MI URBAN & RURAL CONSORTIUM
THUMB ALLIANCE
VENTURE BEHAVIORAL HEALTH
TOTAL
HSW
375
372
531
692
1,127
377
234
254
466
161
363
422
178
797
113
453
287
318
7,520
TANF
SA
76,580
75,666
33,596
100,331
329,682
160,699
70,171
48,861
146,872
82,036
43,816
45,380
43,328
134,081
54,896
80,725
61,752
87,138
$1,675,608
Combined
682,614
1,002,820
431,367
820,097
4,112,059
1,124,645
540,759
310,596
1,198,172
796,353
414,999
591,987
688,716
1,037,531
371,819
659,594
738,403
1,170,958
$16,693,487
MH
5,101,144
7,274,274
3,875,109
5,521,832
29,725,997
7,051,823
4,576,076
2,879,244
9,338,979
6,913,366
4,925,174
4,650,123
4,132,993
15,006,917
2,742,217
5,347,521
4,807,583
7,225,947
$131,096,320
DAB & TANF
SA
128,308
138,852
73,069
174,870
1,246,798
313,208
133,889
79,838
315,112
198,395
84,802
91,474
81,946
285,359
136,609
165,974
94,943
158,968
$3,902,414
Combined
5,229,451
7,413,126
3,948,178
5,696,703
30,972,796
7,365,031
4,709,965
2,959,082
9,654,091
7,111,761
5,009,976
4,741,597
4,214,938
15,292,276
2,878,826
5,513,496
4,902,526
7,384,915
$134,998,734
HSW
1,956,678
2,924,817
2,382,300
4,833,867
8,035,929
1,446,558
1,570,321
802,307
3,544,972
1,013,568
2,082,714
1,770,045
930,503
4,313,707
1,055,897
2,362,005
1,272,495
1,556,041
$43,854,725
Specialty Services Waiver
State Plan (b) & Alternative (b)(3) Services Capitation Rates
Effective August 1, 2010
State of Michigan
Department of Community Health
Statewide Capitation Rates
For (b) and (b)(3) Capitation Rates:
Capitation Rate [a.k.a. "per capita rate paid for each eligibility group for each PIHP]" = Base Rate X AgeGender Factor X Geographic Factor
Service and
Population
TANF Mental Health
DAB Mental Health
TANF Substance Abuse
DAB Substance Abuse
Service and Population
Mental Health - TANF
Male
Female
May 1, 2010 Rates
Base
HRA
Total
State Plan State Plan State Plan
$10.35
$0.00
$10.35
$116.54
$14.08
$130.62
$0.90
$3.24
0 - 17
$0.00
$0.00
18 - 25
$0.90
$3.24
1915(b)(3)
$1.66
$108.87
$0.41
$1.30
SFY 2010 Age / Gender Factors
26 - 39
40 - 49
50 - 64
65+
1.1001
0.7374
0.9436
0.9751
1.1119
1.1579
1.3799
1.1683
2.0528
0.8683
0.0516
0.0112
Mental Health - DAB
Male
Female
0.4390
0.2780
1.0181
0.7208
2.1396
1.5981
2.0053
1.3052
1.7888
1.2615
0.5068
0.2631
Substance Abuse - TANF
Male
Female
0.3421
0.1742
2.0595
1.7588
3.7791
3.4471
4.7942
5.4737
5.0710
5.0160
0.0064
0.0064
Substance Abuse - DAB
Male
Female
0.3534
0.1808
1.1537
0.8368
1.3869
1.6105
2.3987
2.1509
2.2103
1.0049
0.1691
0.0223
State Fiscal Year 2010 Geographic Factors
PIHP Name
Lakeshore Affiliation
CMH for Central Michigan
Access Alliance
Southeast Partnership
Southwest Alliance
Saginaw
Genesee
CMH Affiliation of Mid-Michigan
Detroit-Wayne
North Care
Lifeways
Macomb
Oakland
Thumb Alliance
CMHSA Network of West Michigan
Venture
North Country
Northern Lakes
Mental Health
TANF
DAB
0.8563
1.0137
1.1697
1.0671
1.2457
1.0798
1.0960
0.9815
0.9379
1.0096
0.9788
0.7289
1.2454
0.9322
1.2135
1.0205
1.0612
0.8077
1.0669
1.3166
0.9107
1.1045
1.1474
1.2848
0.9475
1.8155
1.6602
1.5262
0.8829
0.9674
1.4916
1.0103
1.4606
1.1949
1.7872
1.1525
Substance Abuse
TANF
DAB
1.1689
0.8298
0.7851
0.6349
1.3158
0.6543
1.3170
0.8104
1.1618
0.9543
1.3642
1.2859
1.6108
1.2050
0.8341
0.5398
0.7485
1.5032
1.0724
0.6451
1.4671
0.6914
1.2819
1.4154
1.1889
1.0687
1.2621
0.6454
0.9310
0.9656
1.0265
0.6301
1.0328
0.7152
1.0219
0.6755
Example 1: Access Alliance DAB Male, age 55
Base
Age/Gender GeoFactor
MH St. Plan
$130.62
1.7888
1.0798
MH (b)(3)
$108.87
1.7888
1.0798
MH Total
$239.49
1.7888
1.0798
Example 2: Detroit Wayne TANF Female, age 42
Base
Age/Gender GeoFactor
MH St. Plan
$10.35
1.1683
1.0612
MH (b)(3)
$1.66
1.1683
1.0612
MH Total
$12.01
1.1683
1.0612
=
=
=
CapRate
$252.30
$210.29
$462.59
=
=
=
$12.83
$2.06
$14.89
To avoid problems with transmitting data in HIPAA compliant formats, all capitation rates are set to a minimum of $0.01.
State of Michigan
Specialty Services Waiver
Waiver C Capitation Rates
Rates Effective August 1, 2010
Capitation Rate [a.k.a. "per capita rate paid for the Waiver C eligibility group for each PIHP]" = Base Rate + Residential Living
Arrangement Additive X Multiplicative Factor + Mt Pleasant Additive [for enrollees discharged from MPC on or after 10-1-07]
Note: Waiver C rates are calculated based on County of Residence and Paid to County of Financial Responsibility
Rate Development Base:
May 1, 2010
Rates
$2,762.26
Additive Parameter - Residential Living Arrangement
Supported Independence Program
Private Residence with Spouse or Non-Family
Specialized Residential Home
Private Residence with Family or Foster Family Home
$ 3,621.59
2,384.42
$1,507.94
$682.03
Mt. Pleasant MVA
$8,127.80
Multiplicative Parameter - PIHP
Lakeshore Affiliation
CMH for Central Michigan
Access Alliance
Southeast Partnership
Southwest Alliance
Saginaw
Genesee
CMH Affiliation of Mid-Michigan
Detroit-Wayne
North Care
Lifeways
Macomb
Oakland
Thumb Alliance
CMHSA Network of West Michigan
Venture
North Country
Northern Lakes
1.2048
0.7690
0.9873
1.1897
0.9658
1.2783
0.5881
1.0160
1.1556
1.1399
0.6904
1.5367
1.1139
0.9059
1.1407
0.6538
0.7276
0.6329
Example 1: Access Alliance non-MPC SIP enrollee
who lives in Bay Co.
Base
RLA
MultiFactor
MPC
$2,762.26
$3,621.59
0.9873
=
CapRate
$6,302.78
Example 2: Saginaw 9-1-09 MPC-Exit who resides in
in a Spec Res Facility in Saginaw Co.
Base
RLA
MultiFactor
MPC
$2,762.26 $1,507.94
1.2783 $8,127.80
=
CapRate
$13,586.40
Example 3: Saginaw 4-1-09 MPC-Exit who resides in
who lives in a Foster Family home in Bay Co.
Base
RLA
MultiFactor
MPC
$2,762.26
$682.03
0.9873 $8,127.80
=
CapRate
$11,528.35
0
Specialty Services Waiver
State Plan (b) & Alternative (b)(3) Services Capitation Rates
Effective May 1, 2010
State of Michigan
Department of Community Health
Statewide Capitation Rates
For (b) and (b)(3) Capitation Rates:
Capitation Rate [a.k.a. "per capita rate paid for each eligibility group for each PIHP]" = Base Rate X AgeGender Factor X Geographic Factor
Service and
Population
TANF Mental Health
DAB Mental Health
TANF Substance Abuse
DAB Substance Abuse
Service and Population
Mental Health - TANF
Male
Female
May 1, 2010 Rates
Base
HRA
Total
State Plan State Plan State Plan
$11.60
$0.00
$11.60
$135.87
$14.08
$149.95
$0.90
$3.24
0 - 17
$0.00
$0.00
18 - 25
$0.90
$3.24
1915(b)(3)
$1.86
$126.93
$0.41
$1.30
SFY 2010 Age / Gender Factors
26 - 39
40 - 49
50 - 64
65+
1.1001
0.7374
0.9436
0.9751
1.1119
1.1579
1.3799
1.1683
2.0528
0.8683
0.0516
0.0112
Mental Health - DAB
Male
Female
0.4390
0.2780
1.0181
0.7208
2.1396
1.5981
2.0053
1.3052
1.7888
1.2615
0.5068
0.2631
Substance Abuse - TANF
Male
Female
0.3421
0.1742
2.0595
1.7588
3.7791
3.4471
4.7942
5.4737
5.0710
5.0160
0.0064
0.0064
Substance Abuse - DAB
Male
Female
0.3534
0.1808
1.1537
0.8368
1.3869
1.6105
2.3987
2.1509
2.2103
1.0049
0.1691
0.0223
State Fiscal Year 2010 Geographic Factors
PIHP Name
Lakeshore Affiliation
CMH for Central Michigan
Access Alliance
Southeast Partnership
Southwest Alliance
Saginaw
Genesee
CMH Affiliation of Mid-Michigan
Detroit-Wayne
North Care
Lifeways
Macomb
Oakland
Thumb Alliance
CMHSA Network of West Michigan
Venture
North Country
Northern Lakes
Mental Health
TANF
DAB
0.8563
1.0137
1.1697
1.0671
1.2457
1.0798
1.0960
0.9815
0.9379
1.0096
0.9788
0.7289
1.2454
0.9322
1.2135
1.0205
1.0612
0.8077
1.0669
1.3166
0.9107
1.1045
1.1474
1.2848
0.9475
1.8155
1.6602
1.5262
0.8829
0.9674
1.4916
1.0103
1.4606
1.1949
1.7872
1.1525
Substance Abuse
TANF
DAB
1.1689
0.8298
0.7851
0.6349
1.3158
0.6543
1.3170
0.8104
1.1618
0.9543
1.3642
1.2859
1.6108
1.2050
0.8341
0.5398
0.7485
1.5032
1.0724
0.6451
1.4671
0.6914
1.2819
1.4154
1.1889
1.0687
1.2621
0.6454
0.9310
0.9656
1.0265
0.6301
1.0328
0.7152
1.0219
0.6755
Example 1: Access Alliance DAB Male, age 55
Base
Age/Gender GeoFactor
MH St. Plan
$149.95
1.7888
1.0798
MH (b)(3)
$126.93
1.7888
1.0798
MH Total
$276.88
1.7888
1.0798
Example 2: Detroit Wayne TANF Female, age 42
Base
Age/Gender GeoFactor
MH St. Plan
$11.60
1.1683
1.0612
MH (b)(3)
$1.86
1.1683
1.0612
MH Total
$13.46
1.1683
1.0612
To avoid problems with transmitting data in HIPAA compliant formats, all capitation rates are set to a minimum of $0.01.
=
=
=
CapRate
$289.64
$245.17
$534.81
=
=
=
$14.38
$2.31
$16.69
State of Michigan
Specialty Sew ices Waiver
Waiver C Capitation Rates
Rates Effective May 1, 2010
Capitation Rate [a.k.a. "per capita rate paid for the Waiver C eligibility group for each PIHP]" = Base Rate + Residential Living
Arrangement Additive X Multiplicative Factor + Mt Pleasant Additive [for enrollees discharged from MPC on or after 10-1-07]
Note: Waiver C rates are calculated based on County of Residence and Paid to County of Financial Responsibility
Rate Development Base:
May 1, 2010
Rates
$2,762.26
Additive Parameter - Residential Living Arrangement
Supported Independence Program
Private Residence with Spouse or Non-Family
Specialized Residential Home
Private Residence with Family or Foster Family Home
$ 3,621.59
2,384.42
$1,507.94
$682.03
Mt. Pleasant MVA
$8,127.80
Multiplicative Parameter - PIHP
Lakeshore Affiliation
CMH for Central Michigan
Access Alliance
Southeast Partnership
Southwest Alliance
Saginaw
Genesee
CMH Affiliation of Mid-Michigan
Detroit-Wayne
North Care
Lifeways
Macomb
Oakland
Thumb Alliance
CMHSA Network of West Michigan
Venture
North Country
Northern Lakes
1.2048
0.7690
0.9873
1.1897
0.9658
1.2783
0.5881
1.0160
1.1556
1.1399
0.6904
1.5367
1.1139
0.9059
1.1407
0.6538
0.7276
0.6329
Example 1: Access Alliance non-MPC SIP enrollee
who lives in Bay Co.
Base
RLA
MultiFactor
MPC
$2,762.26
$3,621.59
0.9873
=
CapRate
$6,302.78
Example 2: Saginaw 9-1-09 MPC-Exit who resides in
in a Spec Res Facility in Saginaw Co.
Base
RLA
MultiFactor
MPC
$2,762.26 $1,507.94
1.2783 $8,127.80
=
CapRate
$13,586.40
Example 3: Saginaw 4-1-09 MPC-Exit who resides in
who lives in a Foster Family home in Bay Co.
Base
RLA
MultiFactor
MPC
$2,762.26
$682.03
0.9873 $8,127.80
=
CapRate
$11,528.35
0
Specialty Services Waiver
State Plan (b) & Alternative (b)(3) Services Capitation Rates
Effective April 1, 2009
State of Michigan
Department of Community Health
Statewide Capitation Rates
For (b) and (b)(3) Capitation Rates:
Capitation Rate [a.k.a. "per capita rate paid for each eligibility group for each PIHP]" = Base Rate X AgeGender Factor X Geographic Factor
Service and Population
TANF Mental Health
DAB Mental Health
TANF Substance Abuse
DAB Substance Abuse
Service and Population
Mental Health - TANF
Male
Female
April 1, 2009 Rates
State Plan 1915(b)(3)
$9.87
$1.53
$135.96
$115.75
$0.90
$3.24
0 - 17
$0.41
$1.30
18 - 25
Total
$11.40
$251.71
$1.31
$4.54
SFY 2009 Age / Gender Factors
26 - 39
40 - 49
50 - 64
65+
1.0322
0.7172
1.1058
0.9930
1.2308
1.4869
1.4352
2.1682
0.9976
2.0001
0.0011
0.0011
Mental Health - DAB
Male
Female
0.4612
0.3208
1.0440
0.7947
2.0615
1.5486
2.0956
1.5495
1.5912
1.0973
0.4480
0.2467
Substance Abuse - TANF
Male
Female
0.3421
0.1742
2.0595
1.7588
3.7791
3.4471
4.7942
5.4737
5.0710
5.0160
0.0064
0.0064
Substance Abuse - DAB
Male
Female
0.3534
0.1808
1.1537
0.8368
1.3869
1.6105
2.3987
2.1509
2.2103
1.0049
0.1691
0.0223
State Fiscal Year 2009 Geographic Factors
PIHP Name
Access Alliance
CMH Affiliation of Mid-Michigan
CMH for Central Michigan
CMHSA Network of West Michigan
Detroit-Wayne
Genesee
Lakeshore Affiliation
Lifeways
Macomb
North Care
North Country
Northern Lakes
Oakland
Saginaw
Southeast Partnership
Southwest Alliance
Thumb Alliance
Venture
Mental Health
TANF
DAB
1.5591
0.9943
1.3178
0.9153
1.2725
0.8630
0.7747
0.9995
0.7557
0.7737
0.7295
0.9422
0.6600
1.0211
1.1320
0.8894
1.0770
1.6707
1.9805
1.3050
0.8272
0.7124
1.5547
0.9208
1.3910
1.8685
0.5339
0.7951
1.0561
1.0811
1.0350
1.0233
1.6740
1.4908
0.8326
0.7497
Substance Abuse
TANF
DAB
1.3159
0.6543
0.8342
0.5398
0.7852
0.6349
0.9311
0.9656
0.6545
1.3132
1.6109
1.2051
1.1690
0.8298
1.4672
0.6914
1.2820
1.4155
1.0725
0.6451
1.0329
0.7152
1.0220
0.6755
1.1890
1.0688
1.1929
1.1232
1.1517
0.7079
1.1619
0.9543
1.2622
0.6454
1.0266
0.6301
Example 1: Access Alliance DAB Male, age 55
Base
Age/Gender GeoFactor
MH St. Plan
$135.96
1.5912
0.9943
MH (b)(3)
$115.75
1.5912
0.9943
MH Total
$251.71
1.5912
0.9943
Example 2: Detroit Wayne TANF Female, age 42
Base
Age/Gender GeoFactor
MH St. Plan
$9.87
2.1682
0.7557
MH (b)(3)
$1.53
2.1682
0.7557
MH Total
$11.40
2.1682
0.7557
=
=
=
CapRate
$215.11
$183.13
$398.24
=
=
=
$16.17
$2.51
$18.68
To avoid problems with transmitting data in HIPAA compliant formats, all capitation rates are set to a minimum of $0.01.
State of Michigan
Specialty Sew ices Waiver
Waiver C Capitation Rates
Rates Effective April 1, 2009
Capitation Rate [a.k.a. "per capita rate paid for the Waiver C eligibility group for each PIHP]" = Base Rate + Age Additive + Residential Living
Arrangement Additive X Multiplicative Factor + Mt Pleasant Additive [for enrollees discharged from MPC on or after 10-1-07]
Note: Waiver C rates are calculated based on County of Residence and Paid to County of Financial Responsibility
Rate Development Base:
Additive Parameter - Age
Age 18 and Younger
April 1, 2009
Rates
$4,601.04
($942.29)
Additive Parameter - Residential Status
Supported Independence Program
Private Residence with Spouse or Non-Family
Specialized Residential Home
Private Residence with Family or Foster Family Home
$ 1,287.42
718.03
($347.06)
($1,421.20)
Mt. Pleasant MVA
$8,127.80
Multiplicative Parameter - PIHP
Access Alliance
CMH Affiliation of Mid-Michigan
CMH for Central Michigan
CMHSA Network of West Michigan
Detroit-Wayne
Genesee
Lakeshore Affiliation
Lifeways
Macomb
North Care
North Country
Northern Lakes
Oakland
Saginaw
Southeast Partnership
Southwest Alliance
Thumb Alliance
Venture
1.0000
1.0973
0.8188
0.8764
1.0973
0.8764
1.0973
0.5473
0.7977
1.2307
1.1936
1.0973
1.1936
1.2627
0.8764
0.8188
1.2627
1.0000
Example 1: 55 year old Access Alliance non-MPC SIP enrollee
who lives in Bay Co.
Base
Age
RLA
MultiFactor MPC
$4,601.04
$0.00
$1,287.42
1.0000
=
CapRate
$5,888.46
Example 2: 33 year old Saginaw 9-1-09 MPC-Exit who resides in
in a Spec Res Facility in Saginaw Co.
Base
Age
RLA
MultiFactor MPC
$4,601.04
$0.00
($347.06)
1.2627 $8,127.80
=
CapRate
$13,499.30
Example 3: 17 year old Saginaw 4-1-09 MPC-Exit who resides in
who lives in a Foster Family home in Bay Co.
Base
Age
RLA
MultiFactor MPC
$4,601.04
($942.29)
($1,421.20)
1.0000 $8,127.80
=
CapRate
$11,307.64
0
PIHPs & AFFILIATES
PIHP
CMH
Affiliated CMHSPs
and/or
Counties
NORTH CARE
NORTHERN AFFILIATION
NORTHWEST CMH
AFFILIATION
CMH CENTRAL
MICHIGAN
network180
Pathways CMH
North Country CMH
Northern Lakes CMH
Central CMH
Kent CMH
Pathways CMH
(Alger, Delta, Luce,
Marquette)
Copper Country CMH
(Baraga, Houghton,
Keewanaw, Ontonagon)
Hiawatha CMH
(Chippewa, Mackinac,
Schoolcraft)
NorthPointe CMH
(Menominee, Dickinson,
Iron)
Gogebic CMH
North Country CMH
(Antrim, Charlevoix,
Cheboygan, Emmet,
Kalkaska, Otsego)
Northeast CMH
(Alcona, Alpena,
Montmorency,
Presque Isle)
AuSable CMH
(Oscoda, Ogemaw, Iosco)
Northern Lakes CMH
(Crawford, Grand Traverse,
Leelanau, Missaukee,
Roscommon, Wexford)
West MI CMH
(Lake, Mason, Oceana)
Central CMH
(Clare, Gladwin,
Isabella, Mecosta,
Midland, Osceola)
Kent CMH
PIHP
ACCESS ALLIANCE
OF MICHIGAN
THUMB ALLIANCE
CMH AFFILIATION OF
MID-MICHIGAN
SOUTHWEST MI URBAN &
RURAL CONSORTIUM
SAGINAW
COUNTY CMH
AUTHORITY
CMH
Bay-Arenac CMH
(Bay, Arenac)
St. Clair CMH
CEI CMH
(Clinton, Eaton, Ingham)
Kalamazoo CMH
Saginaw CMH
Kalamazoo CMH
Allegan CMH
Woodlands CMH
(Cass)
St. Joseph CMH
Saginaw CMH
Affiliated CMHSPs
and/or
Counties
Bay-Arenac CMH
(Bay, Arenac)
Huron CMH
Tuscola CMH
Montcalm CMH
Shiawassee CMH
St. Clair CMH
Lapeer CMH
Sanilac CMH
CEI CMH
(Clinton, Eaton, Ingham)
Gratiot CMH
Ionia CMH
Newaygo CMH
Manistee-Benzie CMH
Michigan's Medicaid Speciality Services and Supports Waiver
418 REPORT - FY2010
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PIHPs & AFFILIATES
PIHP
VENTURE BEHAVIORAL
HEALTH
CMH PARTNERSHIP OF
SOUTHEAST MICHIGAN
LIFEWAYS
LAKESHORE
BEHAVIORAL
HEALTH
GENESEE
COUNTY CMH
SERVICES
CMH
Summit Pointe CMH
(Calhoun)
Washtenaw CMH
LifeWays CMH
(Hillsdale and Jackson)
CMH Services of
Muskegon CMH
Genesee CMH
LifeWays CMH
(Hillsdale and Jackson)
CMH Services of
Muskegon CMH
Ottawa
Affiliated CMHSPs
and/or
Counties
PIHP
CMH
Affiliated CMHSPs
Summit Pointe CMH
(Calhoun)
Barry CMH
Berrien CMH
Pines CMH
(Branch)
Van Buren CMH
DETROIT-WAYNE
COUNTY CMH
Washtenaw CMH
Lenawee CMH
Livingston CMH
Monroe CMH
Genesee CMH
OAKLAND COUNTY CMH MACOMB COUNTY CMH
SERVICES
AUTHORITY
Detroit-Wayne CMH
Oakland CMH
Macomb CMH
Detroit-Wayne CMH
Oakland CMH
Macomb CMH
and/or
Counties
Michigan's Medicaid Speciality Services and Supports Waiver
418 REPORT - FY2010
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