Minnesota Health Care Programs Managed Care … Health Care Programs Managed Care Enrollment Totals January 2017 Table of Contents Programs Enrollment Summary by Benefit Total enrollment

Minnesota Health Care Programs Managed Care Enrollment TotalsJanuary 2017

Table of ContentsPrograms

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

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

Medica PINs program in Dakota County was sunset December 31, 2016. Most enrollees were transitioned to Medica SNBC or another SNBC plan.

SNBC enrollees age 65 or over were transitioned to an elderly program (MSC+ or MSHO) effective January 1, 2017.

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

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

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

Enrollment Summary by Elig GrpEnrollment Summary CY 2016 - Overall enrollment summary by eligibility and age.

Jeanine Heller, ManagerManaged Care Purchasing and Payment PolicyMinnesota Department of Human [email protected]

mailto:[email protected]

ProgramsJanuary 2017

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

Elderly/Disabled MHM Moving Home Minnesota MSC + Minnesota Senior Care Plus - MA and Non-Citizen MA > 65MSHO Minnesota Senior Health Options > 65SNBC Special Needs Basic CarePINs Preferred Integrated Network (SPMI Adults; SED Children)

PINs program was sunset 12/31/2016

January 2017 Managed Care Enrollment Total Summary

Blue Plus

Health Partners

Hennepin Health

Itasca Medical

Care MedicaPrimeWest

Health

South Country Health

Alliance UCare TotalFamilies and Children (under age 65)

4MinnesotaCare 17,064 9,877 224 439 26,314 1,618 1,861 815 58,212MinnesotaCare Child 1,124 616 7 33 1,461 135 155 43 3,574Medical Assistance (MA) Parents/Children 223,162 57,505 832 5,531 208,662 25,882 20,889 8,864 551,327Medical Assistance (MA/AX) Childless Adults 60,723 18,428 9,049 1,789 58,313 6,277 4,919 2,170 161,668

Elderly and Special Needs Products

Minnesota Senior Care Plus (MSC+)1Duals 3,466 1,662 201 3,263 777 884 3,039 13,292

Non Duals 374 258 3 721 22 33 1,387 2,798Minnesota Senior Health Option (MSHO)2 7,793 3,067 460 10,986 1,939 1,657 11,148 37,050Moving Home Minnesota (MHM) 1 1 2Special Needs BasicCare (SNBC) - Integrated2 207 505 434 1,146

Special Needs BasicCare (SNBC) - Non-Integrated3 Duals 1,985 988 7,371 1,133 1,329 13,136 25,942Non Duals 1,376 1,121 6,662 730 892 12,473 23,254

Program TotalsMinnesotaCare 18,188 10,493 231 472 27,775 1,753 2,016 858 61,786MA Total (includes the following programs) 295,518 84,281 11,990 7,984 295,979 36,967 31,108 52,652 816,479

Families and Children (under age 65) 283,885 75,933 9,881 7,320 266,975 32,159 25,808 11,034 712,995MSC Plus 3,840 1,920 0 204 3,984 799 917 4,426 16,090MSHO 7,793 3,067 0 460 10,986 1,939 1,657 11,148 37,050MHM 0 0 0 0 1 0 0 1 2SNBC 0 3,361 2,109 0 14,033 2,070 2,726 26,043 50,342

Total Enrollment 313,706 94,774 12,221 8,456 323,754 38,720 33,124 53,510 878,2651

2 3 4

Duals include enrollees with both Part A and B, Part Integrated - Combines Medicaid, Medicare Parts A, Non-Integrated - Medicaid onlyMinnesotaCare contains adults over 65 (M7)

A B

only, Part and D

B only

Families and ChildrenEnrollment Totals for January 2017

Does Not Included Elderly or DisabledMA/AX - Childless AdultsMnCare - Includes enrollees over age 65MnCare Child - Enrollees under age 21

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BLUE PLUS HEALTHPARTNERS HENNEPIN HEALTH ITASCA MEDICAL CARE MEDICA

MnCare MnCare

Child MA MA/AX MnCare MnCare




Child MA MA/AXAitkin 001 165 6 1,716 595 143 11 135 90Anoka 002 447 20 4,698 1,312 1,046 61 8,183 2,567 2,324 131 19,348 4,906Becker 003 323 33 3,979 971 93 9 104 61Beltrami 004 200 8Benton 005 164 5 3,431 905 218 8 1,078 311Big Stone 006 38 3Blue Earth 007 311 20 2,758 1,030 270 14 2,744 867Brown 008 101 5 461 176Carlton 009 189 17 2,968 1,031 178 11 248 142Carver 010 182 11 2,512 782 214 16 1,651 465 324 9 1,037 274Cass 011 483 19 3,991 1,285 14 1 96 50Chippewa 012 97 8 1,114 206 52 5 535 97Chisago 013 234 12 3,393 993 287 21 1,100 341Clay 014 376 25 6,915 1,676 107 4 74 46Clearwater 015 47 5Cook 016 57 5 485 191 76 1 82 35Cottonwood 017 65 4 887 207 60 6 678 133Crow Wing 018 696 39 7,019 2,038 264 18 427 191Dakota 019 1,060 79 11,277 2,875 907 57 7,458 2,185 1,884 92 15,490 4,031Dodge 020 66 3 1,080 271Douglas 021 180 6Faribault 022 110 8 1,051 312 69 5 728 169Fillmore 023 74 5 539 140 172 7 1,458 371Freeborn 024 186 9 2,073 479 177 7 1,893 459Goodhue 025 170 11 738 293Grant 026 37 1Hennepin 027 1,576 65 20,140 6,622 224 7 832 9,049 11,666 571 101,783 28,565Houston 028 30 1 203 61 131 5 1,079 394Hubbard 029 130 2Isanti 030 246 23 2,266 688 210 10 1,902 495Itasca 031 208 15 439 33 5,531 1,789Jackson 032 72 3 662 185 27 3 281 78Kanabec 033 63 451 188



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MnCare MnCare





Child MA MA/AXKandiyohi 034 363 32 4,656 826 158 9 1,236 399Kittson 035 60 2 437 100 2 9 6Koochiching 036 126 8 1,449 526 74 4 76 38LacQuiParle 037 75 4 494 115 32 2 142 59Lake 038 75 2 817 284 80 4 58 41Lake of Woods 039 68 7 380 150 1 12 5LeSueur 040 163 10 1,347 331 75 8 1,079 207Lincoln 041 55 3 459 124 24 1 124 44Lyon 042 184 10 2,401 440 79 5 1,020 207McLeod 043 169 13Mahnomen 044 37 7 472 166 1 18 3Marshall 045 81 2 801 189 1 11 7Martin 046 139 13 1,398 385 84 5 970 241Meeker 047 98 11Mille Lacs 048 188 8 2,873 826 153 10 485 181Morrison 049 122 9 709 296Mower 050 106 8 1,303 327 237 10 3,627 751Murray 051 81 7 610 129 39 6 244 47Nicollet 052 124 11 1,626 435 79 13 1,136 259Nobles 053 130 6 2,361 230 42 8 829 131Norman 054 92 7 900 192 5 5Olmsted 055 114 3 1,019 418 439 29 2,073 1,051Otter Tail 056 561 45 6,060 1,469 155 19 151 75Pennington 057 133 9 1,153 332 6 1 11 6Pine 058 221 13 2,703 783 171 15 208 122Pipestone 059 47 2Polk 060 203 24 4,162 1,018 109 11 141 64Pope 061 46 2Ramsey 062 2,230 167 48,826 12,204 2,083 118 20,748 6,792 2,431 155 8,824 2,588Red Lake 063 32 375 114 18 4 5Redwood 064 140 16 1,000 213 63 9 546 127Renville 065 77 4Rice 066 222 12 3,334 668 282 21 3,572 765



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MnCare MnCare





Child MA MA/AXRock 067 59 2 582 98 29 389 60Roseau 068 82 4 1,101 288 83 6 112 45St. Louis 069 478 26 7,557 3,839 695 26 639 452 946 60 9,264 3,401Scott 070 171 12 1,902 435 373 15 2,964 652 732 45 6,015 1,332Sherburne 071 383 35 6,212 1,354 392 29 1,556 411Sibley 072 79 3 386 131Stearns 073 706 62 13,952 3,244 811 63 2,443 880Steele 074 102 9 678 278Stevens 075 13 2Swift 076 80 8 973 195 36 9 266 83Todd 077 95 2 449 213Traverse 078 17 1Wabasha 079 85 8 880 335Wadena 080 34 262 120Waseca 081 103 7 389 157Washington 082 272 19 2,498 741 780 56 5,663 1,735 917 54 7,339 2,228Watonwan 083 83 11 694 134 59 7 693 115Wilkin 084 45 730 155 4 4Winona 085 135 14 1,161 437 279 24 2,252 841Wright 086 503 26 5,047 1,270 339 21 1,563 424 357 22 3,713 781Yellow Medicine 087 84 6 839 173 38 8 279 76

23,419 1,495 220,923 60,914 16,573 1,013 58,843 18,474 232 1 619 7,593 617 47 5,314 1,684 44,436 2,580 210,404 59,965Program Total 17,064 1,124 223,162 60,723 9,877 616 57,505 18,428 224 7 832 9,049 439 33 5,531 1,789 26,314 1,461 208,662 58,313Health Plan Total 302,073 86,426 10,112 7,792 294,750



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PRIMEWEST HEALTH SOUTH COUNTRY HEALTH

ALLIANCE UCARE MN PROGRAM TOTALS

MnCare MnCare




Child MA MA/AX TotalAitkin 001 308 17 1,851 685 2,861Anoka 002 3,817 212 32,229 8,785 45,043Becker 003 416 42 4,083 1,032 5,573Beltrami 004 302 29 6,549 1,786 502 37 6,549 1,786 8,874Benton 005 382 13 4,509 1,216 6,120Big Stone 006 58 3 515 129 96 6 515 129 746Blue Earth 007 581 34 5,502 1,897 8,014Brown 008 157 13 1,572 331 258 18 2,033 507 2,816Carlton 009 367 28 3,216 1,173 4,784Carver 010 720 36 5,200 1,521 7,477Cass 011 497 20 4,087 1,335 5,939Chippewa 012 149 13 1,649 303 2,114Chisago 013 521 33 4,493 1,334 6,381Clay 014 483 29 6,989 1,722 9,223Clearwater 015 69 7 1,039 298 116 12 1,039 298 1,465Cook 016 133 6 567 226 932Cottonwood 017 125 10 1,565 340 2,040Crow Wing 018 960 57 7,446 2,229 10,692Dakota 019 3,851 228 34,225 9,091 47,395Dodge 020 74 11 848 133 140 14 1,928 404 2,486Douglas 021 273 23 3,093 883 453 29 3,093 883 4,458Faribault 022 179 13 1,779 481 2,452Fillmore 023 246 12 1,997 511 2,766Freeborn 024 363 16 3,966 938 5,283Goodhue 025 232 20 2,570 705 402 31 3,308 998 4,739Grant 026 56 2 823 170 93 3 823 170 1,089Hennepin 027 13,466 643 122,755 44,236 181,100Houston 028 161 6 1,282 455 1,904Hubbard 029 177 18 2,805 714 307 20 2,805 714 3,846Isanti 030 456 33 4,168 1,183 5,840Itasca 031 647 48 5,531 1,789 8,015Jackson 032 99 6 943 263 1,311Kanabec 033 167 11 1,497 477 230 11 1,948 665 2,854



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MnCare MnCare




Child MA MA/AX TotalKandiyohi 034 521 41 5,892 1,225 7,679Kittson 035 62 2 446 106 616Koochiching 036 200 12 1,525 564 2,301LacQuiParle 037 107 6 636 174 923Lake 038 155 6 875 325 1,361Lake of Woods 039 69 7 392 155 623LeSueur 040 238 18 2,426 538 3,220Lincoln 041 79 4 583 168 834Lyon 042 263 15 3,421 647 4,346McLeod 043 207 18 3,222 717 376 31 3,222 717 4,346Mahnomen 044 38 7 490 169 704Marshall 045 82 2 812 196 1,092Martin 046 223 18 2,368 626 3,235Meeker 047 146 15 2,410 467 244 26 2,410 467 3,147Mille Lacs 048 341 18 3,358 1,007 4,724Morrison 049 346 29 3,196 800 468 38 3,905 1,096 5,507Mower 050 343 18 4,930 1,078 6,369Murray 051 120 13 854 176 1,163Nicollet 052 203 24 2,762 694 3,683Nobles 053 172 14 3,190 361 3,737Norman 054 92 7 905 197 1,201Olmsted 055 815 43 8,864 2,170 1,368 75 11,956 3,639 17,038Otter Tail 056 716 64 6,211 1,544 8,535Pennington 057 139 10 1,164 338 1,651Pine 058 392 28 2,911 905 4,236Pipestone 059 65 2 1,192 175 112 4 1,192 175 1,483Polk 060 312 35 4,303 1,082 5,732Pope 061 84 5 1,183 304 130 7 1,183 304 1,624Ramsey 062 6,744 440 78,398 21,584 107,166Red Lake 063 50 0 379 119 548Redwood 064 203 25 1,546 340 2,114Renville 065 89 9 1,955 402 166 13 1,955 402 2,536Rice 066 504 33 6,906 1,433 8,876



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MnCare MnCare




Child MA MA/AX TotalRock 067 88 2 971 158 1,219Roseau 068 165 10 1,213 333 1,721St. Louis 069 2,119 112 17,460 7,692 27,383Scott 070 1,276 72 10,881 2,419 14,648Sherburne 071 775 64 7,768 1,765 10,372Sibley 072 79 12 1,206 276 158 15 1,592 407 2,172Stearns 073 1,517 125 16,395 4,124 22,161Steele 074 198 10 3,404 665 300 19 4,082 943 5,344Stevens 075 59 3 647 144 72 5 647 144 868Swift 076 116 17 1,239 278 1,650Todd 077 263 22 2,424 563 358 24 2,873 776 4,031Traverse 078 33 1 449 88 50 2 449 88 589Wabasha 079 106 9 955 261 191 17 1,835 596 2,639Wadena 080 148 13 1,665 389 182 13 1,927 509 2,631Waseca 081 91 5 1,552 319 194 12 1,941 476 2,623Washington 082 1,969 129 15,500 4,704 22,302Watonwan 083 142 18 1,387 249 1,796Wilkin 084 49 0 734 155 938Winona 085 414 38 3,413 1,278 5,143Wright 086 1,199 69 10,323 2,475 14,066Yellow Medicine 087 122 14 1,118 249 1,503

2,212 172 25,254 6,318 2,902 216 21,945 5,316 1,473 82 9,821 2,483Program Total 1,618 135 25,882 6,277 1,861 155 20,889 4,919 815 43 8,864 2,170 58,212 3,574 551,327 161,668Health Plan Total 33,912 27,824 11,892 774,781

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

MSC+ - Minnesota Senior Care PlusMSHO-Minnesota Senior Health OptionsSNBC - Special Needs Basic Care

Page 10 1/5/2017

Duals - enrolles /Medicare A and/or B MSHO SNBC Integrated - Combine Medicaid Medicare

Non-Integrated - Medicaid only

CountyMedicare Status

Blue Plus HealthPartners Henn Hlth Itasca Medical Care Medica

MSC+ MSHO Total MSC+ MSHOSNBC

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

Non Int TotalAITKIN Dual 20 98 118 59 59 6 62 68

Non Dual 28 28 1 1Total 20 98 118 87 87 7 62 69ANOKA Dual 104 201 305 125 201 10 336 144 547 732 1,423

Non Dual 4 4 4 3 7 17 464 481Total 108 201 309 129 201 13 343 161 547 1,196 1,904BECKER Dual 78 171 249 57 57 35 156 191

Non Dual 5 5 34 34 4 4Total 83 171 254 91 91 39 156 195BELTRAMI Dual

Non DualTotalBENTON Dual 34 164 198 14 18 98 130 20 154 174

Non Dual 2 2 43 43 2 2Total 36 164 200 14 18 141 173 22 154 176BIG STONE Dual

Non DualTotalBLUE EARTH Dual 82 82 5 18 23

Non Dual 3 3 1 1Total 85 85 6 18 24BROWN Dual

Non DualTotalCARLTON Dual 29 143 172 55 55 32 151 183

Non Dual 43 43Total 29 143 172 98 98 32 151 183CARVER Dual 37 79 116 21 41 1 63 19 97 87 203

Non Dual 3 3 1 1 1 77 78Total 40 79 119 22 41 1 64 20 97 164 281CASS Dual 72 81 153 66 66 20 62 82

Non Dual 4 4 53 53 1 1Total 76 81 157 119 119 21 62 83CHIPPEWA Dual 18 155 173

Non Dual 1 1Total 19 155 174



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Non Int Total

CHISAGO Dual 38 45 83 12 20 47 79 26 84 110Non Dual 1 42 43

Total 38 45 83 13 20 89 122 26 84 110CLAY Dual 38 265 303 121 121 20 218 238

Non Dual 11 11 71 71 11 11Total 49 265 314 192 192 31 218 249CLEARWATER Dual

Non DualTotalCOOK Dual 7 30 37 9 9

Non Dual 2 2Total 7 30 37 11 11COTTONWOOD Dual 24 42 66

Non DualTotal 24 42 66CROW WING Dual 63 208 271 170 170 30 229 259

Non Dual 90 90Total 63 208 271 260 260 30 229 259DAKOTA Dual 222 226 448 116 263 17 396 173 553 856 1,582

Non Dual 6 6 11 13 24 9 540 549Total 228 226 454 127 263 30 420 182 553 1,396 2,131DODGE Dual

Non DualTotalDOUGLAS Dual

Non DualTotalFARIBAULT Dual 29 80 109 2 4 6

Non DualTotal 29 80 109 2 4 6FILLMORE Dual 59 158 217 7 8 15

Non Dual 2 2Total 61 158 219 7 8 15FREEBORN Dual

Non DualTotal



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Non Int Total

GOODHUE DualNon Dual

TotalGRANT Dual

Non DualTotalHENNEPIN Dual 645 1,070 23 1,738 988 1 1,456 4,100 3,128 8,685

Non Dual 124 24 148 1,121 436 3,267 3,703Total 769 1,070 47 1,886 2,109 1 1,892 4,100 6,395 12,388HOUSTON Dual 11 74 85 1 13 14

Non DualTotal 11 74 85 1 13 14HUBBARD Dual

Non DualTotalISANTI Dual 26 29 55 14 112 126

Non Dual 2 2Total 26 29 55 16 112 128ITASCA Dual 201 460 661

Non Dual 3 3Total 204 460 664JACKSON Dual 15 51 66

Non DualTotal 15 51 66KANABEC Dual

Non DualTotalKANDIYOHI Dual 90 277 367 40 40

Non Dual 15 15 29 29Total 105 277 382 69 69KITTSON Dual 19 53 72 4 4 1 1

Non Dual 1 1Total 19 53 72 5 5 1 1KOOCHICHING Dual 22 42 64 39 39 23 109 132

Non Dual 27 27Total 22 42 64 66 66 23 109 132



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Non Int Total

LAC QUI PARLE Dual 9 98 107 2 5 7Non Dual

Total 9 98 107 2 5 7LAKE Dual 22 27 49 25 25 8 16 24

Non Dual 14 14Total 22 27 49 39 39 8 16 24LAKE OF THE WOODS Dual 27 9 36 1 1

Non DualTotal 27 9 36 1 1LE SUEUR Dual 14 87 101 5 6 11

Non Dual 1 1Total 15 87 102 5 6 11LINCOLN Dual 26 58 84

Non DualTotal 26 58 84LYON Dual 41 192 233

Non Dual 2 2Total 43 192 235MCLEOD Dual

Non DualTotalMAHNOMEN Dual 9 34 43 10 10 4 16 20

Non Dual 6 6Total 9 34 43 16 16 4 16 20MARSHALL Dual 10 63 73 7 7 3 3

Non Dual 3 3Total 10 63 73 10 10 3 3MARTIN Dual 23 133 156

Non Dual 1 1Total 24 133 157MEEKER Dual

Non DualTotalMILLE LACS Dual 17 89 106 35 35 17 161 178

Non Dual 40 40Total 17 89 106 75 75 17 161 178



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Non Int Total

MORRISON Dual 12 80 92 10 130 140Non Dual 1 1

Total 12 80 92 11 130 141MOWER Dual 120 85 205 6 14 20

Non Dual 16 16 3 3Total 136 85 221 9 14 23MURRAY Dual 10 82 92

Non DualTotal 10 82 92NICOLLET Dual 30 101 131 3 6 9

Non Dual 4 4 1 1Total 34 101 135 4 6 10NOBLES Dual 39 150 189

Non Dual 5 5Total 44 150 194NORMAN Dual 6 44 50 13 13 7 52 59

Non Dual 7 7Total 6 44 50 20 20 7 52 59OLMSTED Dual 238 315 553 20 25 45

Non Dual 17 17 5 5Total 255 315 570 25 25 50OTTER TAIL Dual 65 386 451 125 125 32 233 265

Non Dual 5 5 80 80Total 70 386 456 205 205 32 233 265PENNINGTON Dual 14 125 139 14 14 3 11 14

Non Dual 2 2Total 14 125 139 16 16 3 11 14PINE Dual 43 73 116 54 54 23 92 115

Non Dual 3 3 34 34 1 1Total 46 73 119 88 88 24 92 116PIPESTONE Dual

Non DualTotalPOLK Dual 77 239 316 101 101 30 82 112

Non Dual 5 5 53 53 5 5Total 82 239 321 154 154 35 82 117



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Non Int Total

POPE DualNon Dual

TotalRAMSEY Dual 484 392 876 484 1,066 39 1,589 498 970 1,707 3,175

Non Dual 196 196 97 49 146 155 1,719 1,874Total 680 392 1,072 581 1,066 88 1,735 653 970 3,426 5,049RED LAKE Dual 6 27 33 8 8 3 2 5

Non Dual 3 3Total 6 27 33 11 11 3 2 5REDWOOD Dual 40 72 112

Non Dual 1 1Total 41 72 113RENVILLE Dual

Non DualTotalRICE Dual 128 153 281 34 83 86 203

Non Dual 4 4 4 69 73Total 132 153 285 38 83 155 276ROCK Dual 14 52 66

Non Dual 2 2Total 16 52 68ROSEAU Dual 14 130 144 13 13 8 8

Non Dual 2 2 9 9Total 16 130 146 22 22 8 8ST LOUIS Dual 258 347 605 505 505 270 1,002 1,272

Non Dual 4 4 438 438 22 22Total 262 347 609 943 943 292 1,002 1,294SCOTT Dual 83 132 215 45 110 1 156 77 265 145 487

Non Dual 2 2 1 5 6 5 115 120Total 85 132 217 46 110 6 162 82 265 260 607SHERBURNE Dual 24 97 121 13 19 9 41 19 181 143 343

Non Dual 2 2 1 4 5 4 85 89Total 26 97 123 14 19 13 46 23 181 228 432SIBLEY Dual

Non DualTotal



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Non Int Total

STEARNS Dual 91 244 335 60 68 223 351 36 280 316Non Dual 33 33 5 132 137 4 4

Total 124 244 368 65 68 355 488 40 280 320STEELE Dual

Non DualTotalSTEVENS Dual

Non DualTotalSWIFT Dual 30 112 142

Non DualTotal 30 112 142TODD Dual 1 71 72 5 106 111

Non DualTotal 1 71 72 5 106 111TRAVERSE Dual

Non DualTotalWABASHA Dual

Non DualTotalWADENA Dual 8 77 85 5 111 116

Non DualTotal 8 77 85 5 111 116WASECA Dual

Non DualTotalWASHINGTON Dual 90 101 191 104 167 15 286 65 187 285 537

Non Dual 4 4 11 13 24 11 185 196Total 94 101 195 115 167 28 310 76 187 470 733WATONWAN Dual 8 35 43 3 3 6

Non Dual 1 1Total 9 35 44 3 3 6WILKIN Dual 5 63 68 3 3 5 33 38

Non Dual 9 9 1 1Total 5 63 68 12 12 6 33 39



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Non Int Total

WINONA Dual 110 250 360 7 9 16Non Dual 4 4 1 1

Total 114 250 364 8 9 17WRIGHT Dual 75 206 281 23 24 9 56 33 215 162 410

Non Dual 3 3 2 1 3 13 112 125Total 78 206 284 25 24 10 59 46 215 274 535YELLOW MEDICINE Dual 8 90 98

Non Dual 1 1Total 9 90 99Health Plan Total Dual 3,466 7,793 11,259 1,662 3,067 1,985 6,714 988 201 460 661 1 3,263 10,986 7,371 21,621

Non Dual 374 0 374 258 0 1,376 1,634 1,121 3 0 3 0 721 0 6,662 7,383Health Plan Total 3,840 7,793 11,633 1,920 3,067 3,361 8,348 2,109 204 460 664 1 3,984 10,986 14,033 29,004



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PrimeWest Health South Country Health Alliance UCare ALL Plans

MSC+ MSHOSNBC

IntSNBC

Non Int Total MSC+ MSHOSNBC

IntSNBC

Non Int Total MHM MSC+ MSHOSNBC

IntSNBC


IntSNBC

Non Int TotalAITKIN Dual 5 43 64 112 0 31 203 0 123 357

Non Dual 38 38 0 1 0 0 66 67Total 5 43 102 150 0 32 203 0 189 424ANOKA Dual 149 543 23 693 1,408 0 522 1,492 23 1,435 3,472

Non Dual 25 628 653 0 50 0 0 1,095 1,145Total 174 543 23 1,321 2,061 0 572 1,492 23 2,530 4,617BECKER Dual 5 11 135 151 0 118 338 0 192 648

Non Dual 77 77 0 9 0 0 111 120Total 5 11 212 228 0 127 338 0 303 768BELTRAMI Dual 301 149 11 277 738 0 301 149 11 277 738

Non Dual 9 207 216 0 9 0 0 207 216Total 310 149 11 484 954 0 310 149 11 484 954BENTON Dual 14 68 132 214 0 82 404 0 230 716

Non Dual 2 96 98 0 6 0 0 139 145Total 16 68 228 312 0 88 404 0 369 861BIG STONE Dual 21 97 1 29 148 0 21 97 1 29 148

Non Dual 2 22 24 0 2 0 0 22 24Total 23 97 1 51 172 0 23 97 1 51 172BLUE EARTH Dual 57 434 311 802 0 144 452 0 311 907

Non Dual 2 186 188 0 6 0 0 186 192Total 59 434 497 990 0 150 452 0 497 1,099BROWN Dual 89 205 83 89 466 0 89 205 83 89 466

Non Dual 63 63 0 0 0 0 63 63Total 89 205 83 152 529 0 89 205 83 152 529CARLTON Dual 30 58 141 229 0 91 352 0 196 639

Non Dual 115 115 0 0 0 0 158 158Total 30 58 256 344 0 91 352 0 354 797CARVER Dual 23 80 5 98 206 0 100 297 5 186 588

Non Dual 3 75 78 0 8 0 0 152 160Total 26 80 5 173 284 0 108 297 5 338 748CASS Dual 18 38 92 148 0 110 181 0 158 449

Non Dual 1 78 79 0 6 0 0 131 137Total 19 38 170 227 0 116 181 0 289 586CHIPPEWA Dual 5 24 46 75 0 23 179 0 46 248

Non Dual 35 35 0 1 0 0 35 36Total 5 24 81 110 0 24 179 0 81 284



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MSC+ MSHOSNBC

IntSNBC


IntSNBC


IntSNBC


IntSNBC

Non Int Total

CHISAGO Dual 8 86 176 270 0 84 235 0 223 542Non Dual 112 112 0 1 0 0 154 155

Total 8 86 288 382 0 85 235 0 377 697CLAY Dual 4 13 309 326 0 62 496 0 430 988

Non Dual 3 219 222 0 25 0 0 290 315Total 7 13 528 548 0 87 496 0 720 1,303CLEARWATER Dual 64 96 3 45 208 0 64 96 3 45 208

Non Dual 35 35 0 0 0 0 35 35Total 64 96 3 80 243 0 64 96 3 80 243COOK Dual 11 7 18 0 7 41 0 16 64

Non Dual 4 4 0 0 0 0 6 6Total 11 11 22 0 7 41 0 22 70COTTONWOOD Dual 12 112 54 178 0 36 154 0 54 244

Non Dual 2 42 44 0 2 0 0 42 44Total 14 112 96 222 0 38 154 0 96 288CROW WING Dual 31 144 174 349 0 124 581 0 344 1,049

Non Dual 118 118 0 0 0 0 208 208Total 31 144 292 467 0 124 581 0 552 1,257DAKOTA Dual 116 540 21 622 1,299 0 627 1,582 21 1,495 3,725

Non Dual 14 549 563 0 40 0 0 1,102 1,142Total 130 540 21 1,171 1,862 0 667 1,582 21 2,597 4,867DODGE Dual 25 88 24 54 191 8 20 28 0 33 108 24 54 219

Non Dual 1 35 36 1 1 0 2 0 0 35 37Total 26 88 24 89 227 9 20 29 0 35 108 24 89 256DOUGLAS Dual 57 363 72 219 711 0 57 363 72 219 711

Non Dual 2 109 111 0 2 0 0 109 111Total 59 363 72 328 822 0 59 363 72 328 822FARIBAULT Dual 10 52 76 138 0 41 136 0 76 253

Non Dual 59 59 0 0 0 0 59 59Total 10 52 135 197 0 41 136 0 135 312FILLMORE Dual 19 67 61 147 0 85 233 0 61 379

Non Dual 23 23 0 2 0 0 23 25Total 19 67 84 170 0 87 233 0 84 404FREEBORN Dual 178 158 25 188 549 10 29 39 0 188 187 25 188 588

Non Dual 10 118 128 1 1 0 11 0 0 118 129Total 188 158 25 306 677 11 29 40 0 199 187 25 306 717



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MSC+ MSHOSNBC

IntSNBC


IntSNBC


IntSNBC


IntSNBC

Non Int Total

GOODHUE Dual 115 360 120 166 761 0 115 360 120 166 761Non Dual 1 111 112 0 1 0 0 111 112

Total 116 360 120 277 873 0 116 360 120 277 873GRANT Dual 15 41 8 21 85 0 15 41 8 21 85

Non Dual 18 18 0 0 0 0 18 18Total 15 41 8 39 103 0 15 41 8 39 103HENNEPIN Dual 1 1,077 3,653 82 2,233 7,046 2 3,178 8,823 82 6,372 18,457

Non Dual 643 2,855 3,498 0 1,203 0 0 7,267 8,470Total 1 1,720 3,653 82 5,088 10,544 2 4,381 8,823 82 13,639 26,927HOUSTON Dual 8 69 58 135 0 20 156 0 58 234

Non Dual 32 32 0 0 0 0 32 32Total 8 69 90 167 0 20 156 0 90 266HUBBARD Dual 140 68 5 106 319 0 140 68 5 106 319

Non Dual 63 63 0 0 0 0 63 63Total 140 68 5 169 382 0 140 68 5 169 382ISANTI Dual 17 91 195 303 0 57 232 0 195 484

Non Dual 3 127 130 0 5 0 0 127 132Total 20 91 322 433 0 62 232 0 322 616ITASCA Dual 281 281 0 201 460 0 281 942

Non Dual 206 206 0 3 0 0 206 209Total 487 487 0 204 460 0 487 1,151JACKSON Dual 7 30 24 61 0 22 81 0 24 127

Non Dual 13 13 0 0 0 0 13 13Total 7 30 37 74 0 22 81 0 37 140KANABEC Dual 53 112 16 88 269 0 53 112 16 88 269

Non Dual 2 48 50 0 2 0 0 48 50Total 55 112 16 136 319 0 55 112 16 136 319KANDIYOHI Dual 16 56 119 191 0 106 333 0 159 598

Non Dual 13 103 116 0 28 0 0 132 160Total 29 56 222 307 0 134 333 0 291 758KITTSON Dual 4 22 6 32 0 23 76 0 10 109

Non Dual 4 4 0 0 0 0 5 5Total 4 22 10 36 0 23 76 0 15 114KOOCHICHING Dual 11 17 51 79 0 56 168 0 90 314

Non Dual 33 33 0 0 0 0 60 60Total 11 17 84 112 0 56 168 0 150 374



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LAC QUI PARLE Dual 14 27 41 0 11 117 0 27 155Non Dual 17 17 0 0 0 0 17 17

Total 14 44 58 0 11 117 0 44 172LAKE Dual 14 22 19 55 0 44 65 0 44 153

Non Dual 9 9 0 0 0 0 23 23Total 14 22 28 64 0 44 65 0 67 176LAKE OF THE WOODS Dual 1 4 5 10 0 28 14 0 5 47

Non Dual 2 2 0 0 0 0 2 2Total 1 4 7 12 0 28 14 0 7 49LE SUEUR Dual 11 61 76 148 0 30 154 0 76 260

Non Dual 1 49 50 0 2 0 0 49 51Total 12 61 125 198 0 32 154 0 125 311LINCOLN Dual 2 15 21 38 0 28 73 0 21 122

Non Dual 6 6 0 0 0 0 6 6Total 2 15 27 44 0 28 73 0 27 128LYON Dual 17 41 95 153 0 58 233 0 95 386

Non Dual 1 65 66 0 3 0 0 65 68Total 18 41 160 219 0 61 233 0 160 454MCLEOD Dual 47 293 24 130 494 0 47 293 24 130 494

Non Dual 1 82 83 0 1 0 0 82 83Total 48 293 24 212 577 0 48 293 24 212 577MAHNOMEN Dual 1 21 22 0 13 51 0 31 95

Non Dual 1 17 18 0 1 0 0 23 24Total 1 1 38 40 0 14 51 0 54 119MARSHALL Dual 1 17 26 44 0 11 83 0 33 127

Non Dual 16 16 0 0 0 0 19 19Total 1 17 42 60 0 11 83 0 52 146MARTIN Dual 8 105 196 309 0 31 238 0 196 465

Non Dual 1 88 89 0 2 0 0 88 90Total 9 105 284 398 0 33 238 0 284 555MEEKER Dual 32 254 25 57 368 0 32 254 25 57 368

Non Dual 3 55 58 0 3 0 0 55 58Total 35 254 25 112 426 0 35 254 25 112 426MILLE LACS Dual 9 66 120 195 0 43 316 0 155 514

Non Dual 68 68 0 0 0 0 108 108Total 9 66 188 263 0 43 316 0 263 622



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MORRISON Dual 94 49 8 178 329 5 30 35 0 121 289 8 178 596Non Dual 1 113 114 0 2 0 0 113 115

Total 95 49 8 291 443 5 30 35 0 123 289 8 291 711MOWER Dual 64 160 240 464 0 190 259 0 240 689

Non Dual 6 138 144 0 25 0 0 138 163Total 70 160 378 608 0 215 259 0 378 852MURRAY Dual 1 14 26 41 0 11 96 0 26 133

Non Dual 3 11 14 0 3 0 0 11 14Total 4 14 37 55 0 14 96 0 37 147NICOLLET Dual 17 83 104 204 0 50 190 0 104 344

Non Dual 65 65 0 5 0 0 65 70Total 17 83 169 269 0 55 190 0 169 414NOBLES Dual 10 54 78 142 0 49 204 0 78 331

Non Dual 2 46 48 0 7 0 0 46 53Total 12 54 124 190 0 56 204 0 124 384NORMAN Dual 2 2 30 34 0 15 98 0 43 156

Non Dual 14 14 0 0 0 0 21 21Total 2 2 44 48 0 15 98 0 64 177OLMSTED Dual 181 470 53 598 1,302 0 439 810 53 598 1,900

Non Dual 36 505 541 0 58 0 0 505 563Total 217 470 53 1,103 1,843 0 497 810 53 1,103 2,463OTTER TAIL Dual 20 52 140 212 0 117 671 0 265 1,053

Non Dual 2 73 75 0 7 0 0 153 160Total 22 52 213 287 0 124 671 0 418 1,213PENNINGTON Dual 3 40 62 105 0 20 176 0 76 272

Non Dual 32 32 0 0 0 0 34 34Total 3 40 94 137 0 20 176 0 110 306PINE Dual 20 61 143 224 0 86 226 0 197 509

Non Dual 2 94 96 0 6 0 0 128 134Total 22 61 237 320 0 92 226 0 325 643PIPESTONE Dual 33 122 14 36 205 0 33 122 14 36 205

Non Dual 33 33 0 0 0 0 33 33Total 33 122 14 69 238 0 33 122 14 69 238POLK Dual 14 78 127 219 0 121 399 0 228 748

Non Dual 2 67 69 0 12 0 0 120 132Total 16 78 194 288 0 133 399 0 348 880



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POPE Dual 7 170 17 72 266 0 7 170 17 72 266Non Dual 38 38 0 0 0 0 38 38

Total 7 170 17 110 304 0 7 170 17 110 304RAMSEY Dual 518 1,764 204 1,698 4,184 0 1,984 4,192 204 3,444 9,824

Non Dual 494 2,751 3,245 0 942 0 0 4,519 5,461Total 1,012 1,764 204 4,449 7,429 0 2,926 4,192 204 7,963 15,285RED LAKE Dual 9 13 22 0 9 38 0 21 68

Non Dual 7 7 0 0 0 0 10 10Total 9 20 29 0 9 38 0 31 78REDWOOD Dual 15 51 55 121 0 55 123 0 55 233

Non Dual 35 35 0 1 0 0 35 36Total 15 51 90 156 0 56 123 0 90 269RENVILLE Dual 39 119 12 74 244 0 39 119 12 74 244

Non Dual 1 34 35 0 1 0 0 34 35Total 40 119 12 108 279 0 40 119 12 108 279RICE Dual 34 105 98 237 0 196 341 0 184 721

Non Dual 9 109 118 0 17 0 0 178 195Total 43 105 207 355 0 213 341 0 362 916ROCK Dual 7 22 60 89 0 21 74 0 60 155

Non Dual 10 10 0 2 0 0 10 12Total 7 22 70 99 0 23 74 0 70 167ROSEAU Dual 3 43 28 74 0 17 181 0 41 239

Non Dual 13 13 0 2 0 0 22 24Total 3 43 41 87 0 19 181 0 63 263ST LOUIS Dual 160 455 1,421 2,036 0 688 1,804 0 1,926 4,418

Non Dual 13 1,117 1,130 0 39 0 0 1,555 1,594Total 173 455 2,538 3,166 0 727 1,804 0 3,481 6,012SCOTT Dual 27 73 12 134 246 0 232 580 12 280 1,104

Non Dual 7 128 135 0 15 0 0 248 263Total 34 73 12 262 381 0 247 580 12 528 1,367SHERBURNE Dual 15 83 6 147 251 0 71 380 6 299 756

Non Dual 3 108 111 0 10 0 0 197 207Total 18 83 6 255 362 0 81 380 6 496 963SIBLEY Dual 24 135 12 35 206 0 24 135 12 35 206

Non Dual 2 26 28 0 2 0 0 26 28Total 26 135 12 61 234 0 26 135 12 61 234



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STEARNS Dual 47 157 12 411 627 0 234 749 12 634 1,629Non Dual 68 442 510 0 110 0 0 574 684

Total 115 157 12 853 1,137 0 344 749 12 1,208 2,313STEELE Dual 111 221 125 123 580 0 111 221 125 123 580

Non Dual 14 113 127 0 14 0 0 113 127Total 125 221 125 236 707 0 125 221 125 236 707STEVENS Dual 14 88 10 43 155 0 14 88 10 43 155

Non Dual 1 23 24 0 1 0 0 23 24Total 15 88 10 66 179 0 15 88 10 66 179SWIFT Dual 2 11 42 55 0 32 123 0 42 197

Non Dual 18 18 0 0 0 0 18 18Total 2 11 60 73 0 32 123 0 60 215TODD Dual 56 53 7 133 249 1 42 43 0 63 272 7 133 475

Non Dual 75 75 0 0 0 0 75 75Total 56 53 7 208 324 1 42 43 0 63 272 7 208 550TRAVERSE Dual 7 79 5 24 115 0 7 79 5 24 115

Non Dual 3 11 14 0 3 0 0 11 14Total 10 79 5 35 129 0 10 79 5 35 129WABASHA Dual 47 110 23 67 247 11 33 44 0 58 143 23 67 291

Non Dual 35 35 0 0 0 0 35 35Total 47 110 23 102 282 11 33 44 0 58 143 23 102 326WADENA Dual 37 34 18 147 236 2 32 34 0 52 254 18 147 471

Non Dual 109 109 0 0 0 0 109 109Total 37 34 18 256 345 2 32 34 0 52 254 18 256 580WASECA Dual 55 132 44 61 292 0 55 132 44 61 292

Non Dual 2 46 48 0 2 0 0 46 48Total 57 132 44 107 340 0 57 132 44 107 340WASHINGTON Dual 65 307 11 278 661 0 324 762 11 578 1,675

Non Dual 15 244 259 0 41 0 0 442 483Total 80 307 11 522 920 0 365 762 11 1,020 2,158WATONWAN Dual 7 44 56 107 0 18 82 0 56 156

Non Dual 25 25 0 1 0 0 25 26Total 7 44 81 132 0 19 82 0 81 182WILKIN Dual 16 16 0 10 96 0 19 125

Non Dual 6 6 0 1 0 0 15 16Total 22 22 0 11 96 0 34 141



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WINONA Dual 35 78 196 309 0 152 337 0 196 685Non Dual 2 132 134 0 7 0 0 132 139

Total 37 78 328 443 0 159 337 0 328 824WRIGHT Dual 24 115 5 139 283 0 155 560 5 310 1,030

Non Dual 6 89 95 0 24 0 0 202 226Total 30 115 5 228 378 0 179 560 5 512 1,256YELLOW MEDICINE Dual 2 23 32 57 0 10 113 0 32 155

Non Dual 30 30 0 1 0 0 30 31Total 2 23 62 87 0 11 113 0 62 186Health Plan Total Dual 777 1,939 207 1,133 4,056 884 1,657 505 1,329 4,375 1 3,039 11,148 434 13,136 27,758 2 13,292 37,050 1,146 25,942 77,432

Non Dual 22 0 0 730 752 33 0 0 892 925 0 1,387 0 0 12,473 13,860 0 2,798 0 0 23,254 26,052Health Plan Total 799 1,939 207 1,863 4,808 917 1,657 505 2,221 5,300 1 4,426 11,148 434 25,609 41,618 2 16,090 37,050 1,146 49,196 103,484

January 2017 Elderly/DisabledLiving Arrangement/Nursing Home Certifiable

Comm/Non-NHC: Community resident w/no waiverComm/NHC - Community resident with elderly waiver services

26 of 541/5/2017

Institutional - SNF/ICF-DDCAC,CADI, RC/DD, TBI - HCB Waiver Services

Waiver Status

Blue Plus HealthPartners

Hennepin Health

Itasca Medical Care Medica

MSC+ MSHO MSC+ MSHO SNBC SNBC MSC+ MSHO MHM MSC+ MSHO SNBCAITKIN Comm Well 10 33 74 7 26

NF/ICF-DD 2 26 1 14BI-NF WaiverCADI Waiver 1 6DD Waiver 4 6 1Elderly Waiver 8 34 21

AITKIN Total 20 98 87 7 62ANOKA Comm Well 51 43 89 85 13 99 210 736

NF/ICF-DD 13 24 3 14 13 88 32BI-NB Waiver 1BI-NF Waiver 1 1 1 10CAC Waiver 2CADI Waiver 3 8 1 4 6 22 268DD Waiver 1 5 147Elderly Waiver 40 126 35 98 42 221

ANOKA Total 108 201 129 201 13 161 547 1196BECKER Comm Well 39 20 73 21 44

NF/ICF-DD 16 63 5 9 47BI-NF WaiverCADI Waiver 3 3 10 2DD Waiver 1 1 3Elderly Waiver 24 84 9 63

BECKER Total 83 171 91 39 156BELTRAMI Comm Well

NF/ICF-DDBI-NB WaiverCADI WaiverDD WaiverElderly Waiver

BELTRAMI TotalBENTON Comm Well 15 18 10 3 102 7 30

NF/ICF-DD 14 63 2 1 4 75BI-NF Waiver 1CADI Waiver 1 1 28 3DD Waiver 7 1 10 2Elderly Waiver 7 75 1 13 9 46

BENTON Total 36 164 14 18 141 22 154BIG STONE Comm Well

NF/ICF-DDCADI WaiverDD WaiverElderly Waiver

BIG STONE TotalBLUE EARTH Comm Well 27 3 5

NF/ICF-DD 26 2 5BI-NF WaiverCAC WaiverCADI Waiver 3DD Waiver 5 1 1Elderly Waiver 24 7

BLUE EARTH Total 85 6 18



27 of 541/5/2017


Waiver Status


Hennepin Health


MSC+ MSHO MSC+ MSHO SNBC SNBC MSC+ MSHO MHM MSC+ MSHO SNBCBROWN Comm Well

NF/ICF-DDBI-NF WaiverCAC WaiverCADI WaiverDD WaiverElderly Waiver

BROWN TotalCARLTON Comm Well 8 19 70 9 31

NF/ICF-DD 7 42 5 36BI-NB WaiverBI-NF Waiver 1CADI Waiver 1 23 1 3DD Waiver 3 4 2 3Elderly Waiver 13 79 15 78

CARLTON Total 29 143 98 32 151CARVER Comm Well 13 11 13 13 1 7 20 90

NF/ICF-DD 11 21 3 14 4 16 7BI-NF Waiver 1CADI Waiver 1 3 43DD Waiver 1 24Elderly Waiver 16 46 6 13 9 57

CARVER Total 40 79 22 41 1 20 97 164CASS Comm Well 42 33 103 15 37

NF/ICF-DD 15 9 1 1 6BI-NB WaiverBI-NF Waiver 1 1CADI Waiver 1 2 8 1DD Waiver 1 6 6 1Elderly Waiver 17 31 3 18

CASS Total 76 81 119 21 62CHIPPEWA Comm Well 7 26

NF/ICF-DD 5 75CADI WaiverDD Waiver 1 4Elderly Waiver 6 50

CHIPPEWA Total 19 155CHISAGO Comm Well 13 8 7 6 55 8 17

NF/ICF-DD 6 8 2 8 1 4 25BI-NB Waiver 1BI-NF Waiver 1 1CADI Waiver 1 2 15 2 4DD Waiver 2 1 16 1 2Elderly Waiver 16 26 4 6 10 36

CHISAGO Total 38 45 13 20 89 26 84



28 of 541/5/2017


Waiver Status


Hennepin Health


MSC+ MSHO MSC+ MSHO SNBC SNBC MSC+ MSHO MHM MSC+ MSHO SNBCCLAY Comm Well 19 58 152 12 66

NF/ICF-DD 8 70 3 5 43BI-NF Waiver 3CAC Waiver 1CADI Waiver 5 25 1 13DD Waiver 1 1 8 4Elderly Waiver 21 131 13 92

CLAY Total 49 265 192 31 218CLEARWATER Comm Well


CLEARWATER TotalCOOK Comm Well 5 10 9

NF/ICF-DD 2 13CADI Waiver 1 1DD Waiver 1Elderly Waiver 6

COOK Total 7 30 11COTTONWOOD Comm Well 15 4

NF/ICF-DD 5 20BI-NF WaiverCADI WaiverDD WaiverElderly Waiver 4 18

COTTONWOOD Total 24 42CROW WING Comm Well 34 64 217 13 58

NF/ICF-DD 6 39 3 5 37BI-NB Waiver 1 1CAC WaiverCADI Waiver 1 25 2 3DD Waiver 2 4 14 1 2Elderly Waiver 20 101 9 128

CROW WING Total 63 208 260 30 229DAKOTA Comm Well 94 68 88 111 21 73 175 769

NF/ICF-DD 28 41 14 32 19 97 16BI-NB Waiver 2 1 4BI-NF Waiver 2 1 25CAC Waiver 5CADI Waiver 10 8 3 1 8 15 33 409DD Waiver 3 2 1 1 1 3 5 168Elderly Waiver 89 107 21 118 72 241

DAKOTA Total 228 226 127 263 30 182 553 1396DODGE Comm Well


DODGE Total



29 of 541/5/2017


Waiver Status


Hennepin Health


MSC+ MSHO MSC+ MSHO SNBC SNBC MSC+ MSHO MHM MSC+ MSHO SNBCDOUGLAS Comm Well


DOUGLAS TotalFARIBAULT Comm Well 10 22 3

NF/ICF-DD 9 30 1 1CADI Waiver 1DD Waiver 3Elderly Waiver 7 27 1

FARIBAULT Total 29 80 2 4FILLMORE Comm Well 16 21 2 2

NF/ICF-DD 27 60 4 4BI-NF WaiverCADI WaiverDD Waiver 3 2Elderly Waiver 15 75 1 2

FILLMORE Total 61 158 7 8FREEBORN Comm Well

NF/ICF-DDBI-NB WaiverCAC WaiverCADI WaiverDD WaiverElderly Waiver

FREEBORN TotalGOODHUE Comm Well


GOODHUE TotalGRANT Comm Well


GRANT TotalHENNEPIN Comm Well 454 399 30 1573 1 964 1194 4453

NF/ICF-DD 141 196 59 242 751 217BI-NB Waiver 3 5BI-NF Waiver 1 1 3 1 7 42CAC Waiver 1 1 5CADI Waiver 19 16 13 357 94 142 1207DD Waiver 14 5 2 113 17 57 466Elderly Waiver 141 453 574 1949

HENNEPIN Total 769 1070 47 2109 1 1892 4100 6395



30 of 541/5/2017


Waiver Status


Hennepin Health


MSC+ MSHO MSC+ MSHO SNBC SNBC MSC+ MSHO MHM MSC+ MSHO SNBCHOUSTON Comm Well 3 13 4

NF/ICF-DD 5 34 1 4CADI WaiverDD Waiver 2 1Elderly Waiver 3 25 4

HOUSTON Total 11 74 1 13HUBBARD Comm Well


HUBBARD TotalISANTI Comm Well 9 6 5 22

NF/ICF-DD 12 6 4 51BI-NF Waiver 1CADI Waiver 1DD WaiverElderly Waiver 5 17 6 38

ISANTI Total 26 29 16 112ITASCA Comm Well 97 136

NF/ICF-DD 39 94BI-NB WaiverBI-NF WaiverCADI Waiver 6 4DD Waiver 8Elderly Waiver 62 218

ITASCA Total 204 460JACKSON Comm Well 4 9

NF/ICF-DD 5 22CADI WaiverDD WaiverElderly Waiver 6 20

JACKSON Total 15 51KANABEC Comm Well

NF/ICF-DDBI-NF WaiverCADI WaiverDD WaiverElderly Waiver

KANABEC TotalKANDIYOHI Comm Well 54 37 55

NF/ICF-DD 11 139 1BI-NF Waiver 1CADI Waiver 8 6 6DD Waiver 17 4 7Elderly Waiver 14 91

KANDIYOHI Total 105 277 69



31 of 541/5/2017


Waiver Status


Hennepin Health


MSC+ MSHO MSC+ MSHO SNBC SNBC MSC+ MSHO MHM MSC+ MSHO SNBCKITTSON Comm Well 4 10 2

NF/ICF-DD 7 29 1 1CADI Waiver 2DD Waiver 3Elderly Waiver 5 14

KITTSON Total 19 53 5 1KOOCHICHING Comm Well 14 11 51 14 54

NF/ICF-DD 5 19 2 1 30CADI Waiver 1 3 1DD Waiver 10 1 7Elderly Waiver 2 12 7 17

KOOCHICHING Total 22 42 66 23 109LAC QUI PARLE Comm Well 5 11 1 2

NF/ICF-DD 1 52 3CADI Waiver 1DD Waiver 1Elderly Waiver 2 34 1

LAC QUI PARLE Total 9 98 2 5LAKE Comm Well 6 3 28 4 7

NF/ICF-DD 7 9 1 3BI-NF Waiver 1CADI Waiver 6 1 1DD Waiver 1 4Elderly Waiver 9 14 2 5

LAKE Total 22 27 39 8 16LAKE OF THE WOODS Comm Well 12 2

NF/ICF-DD 8 4 1CADI Waiver 1DD WaiverElderly Waiver 7 2

LAKE OF THE WOODS Total 27 9 1LE SUEUR Comm Well 2 9 1

NF/ICF-DD 1 24 4 1CADI WaiverDD Waiver 1 1Elderly Waiver 12 53 4

LE SUEUR Total 15 87 5 6LINCOLN Comm Well 9 10

NF/ICF-DD 10 33CADI WaiverDD Waiver 1 1Elderly Waiver 6 14

LINCOLN Total 26 58LYON Comm Well 19 25

NF/ICF-DD 7 60CAC WaiverCADI Waiver 1 3DD Waiver 3 8Elderly Waiver 13 96

LYON Total 43 192



32 of 541/5/2017


Waiver Status


Hennepin Health


MSC+ MSHO MSC+ MSHO SNBC SNBC MSC+ MSHO MHM MSC+ MSHO SNBCMCLEOD Comm Well


MCLEOD TotalMAHNOMEN Total Comm Well 3 11 15 1 7

BI-NF Waiver 2 7 2CAC Waiver 1CADI Waiver 1 1 1DD Waiver 1 1 2Elderly Waiver 3 14 6

MAHNOMEN Total 9 34 16 4 16MARSHALL Comm Well 7 19 8 3

NF/ICF-DD 18CADI WaiverDD Waiver 3 2Elderly Waiver 3 23

MARSHALL Total 10 63 10 3MARTIN Comm Well 13 30

NF/ICF-DD 4 39BI-NF WaiverCADI Waiver 3DD Waiver 3 2Elderly Waiver 4 59

MARTIN Total 24 133MEEKER Comm Well


MEEKER TotalMILLE LACS Comm Well 10 12 56 8 48

NF/ICF-DD 3 33 5 68BI-NB Waiver 1BI-NF Waiver 1CAC Waiver 1CADI Waiver 11DD Waiver 5 1 4Elderly Waiver 4 44 3 41

MILLE LACS Total 17 89 75 17 161MORRISON Comm Well 9 16 7 30

NF/ICF-DD 1 20 2 42BI-NB WaiverBI-NF WaiverCADI Waiver 2DD Waiver 1 2Elderly Waiver 2 43 2 54

MORRISON Total 12 80 11 130



33 of 541/5/2017


Waiver Status


Hennepin Health


MSC+ MSHO MSC+ MSHO SNBC SNBC MSC+ MSHO MHM MSC+ MSHO SNBCMOWER Comm Well 38 18 5 5

NF/ICF-DD 25 13 3BI-NF WaiverCADI WaiverDD Waiver 3 2 2Elderly Waiver 70 52 1 7

MOWER Total 136 85 9 14MURRAY Comm Well 4 13

NF/ICF-DD 5 36CADI Waiver 1DD Waiver 3Elderly Waiver 1 29

MURRAY Total 10 82NICOLLET Comm Well 20 15 2

NF/ICF-DD 5 17 1 2CAC Waiver 1CADI Waiver 1DD Waiver 2 1Elderly Waiver 8 66 1 3

NICOLLET Total 34 101 4 6NOBLES Comm Well 34 54

NF/ICF-DD 4 31CADI Waiver 4DD Waiver 1 8Elderly Waiver 5 53

NOBLES Total 44 150NORMAN Comm Well 2 8 14 3 7

NF/ICF-DD 1 21 1 2 37CADI Waiver 4DD Waiver 1 1Elderly Waiver 3 14 2 8

NORMAN Total 6 44 20 7 52OLMSTED Comm Well 103 119 15 16

NF/ICF-DD 59 61 6 4BI-NF WaiverCAC WaiverCADI Waiver 4 1DD Waiver 3 6Elderly Waiver 86 128 4 5

OLMSTED Total 255 315 25 25OTTER TAIL Comm Well 38 68 142 10 59

NF/ICF-DD 13 141 3 6 79BI-NB Waiver 1BI-NF Waiver 2CAC WaiverCADI Waiver 5 40 2 6DD Waiver 4 8 17 4 4Elderly Waiver 15 164 10 85

OTTER TAIL Total 70 386 205 32 233



34 of 541/5/2017


Waiver Status


Hennepin Health


MSC+ MSHO MSC+ MSHO SNBC SNBC MSC+ MSHO MHM MSC+ MSHO SNBCPENNINGTON Comm Well 7 35 12 3 5

NF/ICF-DD 2 35 2CADI Waiver 2DD Waiver 2 2 1Elderly Waiver 3 55 3

PENNINGTON Total 14 125 16 3 11PINE Comm Well 30 19 68 12 38

NF/ICF-DD 4 4 2 2 13BI-NF WaiverCADI Waiver 12 1DD Waiver 1 6 2 4Elderly Waiver 12 49 7 37

PINE Total 46 73 88 24 92PIPESTONE Comm Well


PIPESTONE TotalPOLK Comm Well 32 44 95 16 21

NF/ICF-DD 17 98 1 8 24BI-NB WaiverBI-NF Waiver 1CADI Waiver 1 1 36 1 2DD Waiver 1 21 2Elderly Waiver 31 96 8 35

POLK Total 82 239 154 35 82POPE Comm Well


POPE TotalRAMSEY Comm Well 302 113 339 380 71 267 323 2445

NF/ICF-DD 109 62 94 176 80 158 89BI-NB Waiver 3BI-NF Waiver 2 1 1 16CAC Waiver 1CADI Waiver 18 7 27 25 14 30 46 656DD Waiver 16 4 14 8 3 23 24 216Elderly Waiver 233 206 106 477 252 419

RAMSEY Total 680 392 581 1066 88 653 970 3426RED LAKE Comm Well 4 6 10 1 2

NF/ICF-DD 1 1 1CADI WaiverDD Waiver 1Elderly Waiver 1 19 2

RED LAKE Total 6 27 11 3 2



35 of 541/5/2017


Waiver Status


Hennepin Health


MSC+ MSHO MSC+ MSHO SNBC SNBC MSC+ MSHO MHM MSC+ MSHO SNBCREDWOOD Comm Well 9 7

NF/ICF-DD 17 32CADI Waiver 2 1DD Waiver 3 7Elderly Waiver 10 25

REDWOOD Total 41 72RENVILLE Comm Well


RENVILLE TotalRICE Comm Well 35 21 15 21 94

NF/ICF-DD 24 23 8 25 7BI-NF Waiver 1CADI Waiver 7 2 1 1 35DD Waiver 11 2 4 2 18Elderly Waiver 55 105 10 34

RICE Total 132 153 38 83 155ROCK Comm Well 2 12

NF/ICF-DD 8 19BI-NB WaiverBI-NF WaiverCADI Waiver 1DD Waiver 1Elderly Waiver 5 20

ROCK Total 16 52ROSEAU Comm Well 5 20 18 4

NF/ICF-DD 7 59 2 1CADI Waiver 1DD Waiver 1 1 1Elderly Waiver 3 50 3

ROSEAU Total 16 130 22 8ST LOUIS Comm Well 55 45 603 112 258

NF/ICF-DD 88 101 7 69 211BI-NB Waiver 25 1BI-NF Waiver 23 3 1CAC Waiver 1CADI Waiver 5 4 162 11 25DD Waiver 5 4 122 2 24Elderly Waiver 109 193 94 483

ST LOUIS Total 262 347 943 292 1002SCOTT Comm Well 33 34 36 56 5 36 98 141

NF/ICF-DD 22 42 5 9 7 52 27BI-NF Waiver 1CADI Waiver 2 1 2 5 60DD Waiver 31Elderly Waiver 30 56 3 45 37 110

SCOTT Total 85 132 46 110 6 82 265 260



36 of 541/5/2017


Waiver Status


Hennepin Health


MSC+ MSHO MSC+ MSHO SNBC SNBC MSC+ MSHO MHM MSC+ MSHO SNBCSHERBURNE Comm Well 9 15 4 6 8 11 39 123

NF/ICF-DD 9 32 5 8 2 53 13BI-NF Waiver 5CADI Waiver 2 4 1 57DD Waiver 1 1 1 1 6 30Elderly Waiver 7 47 4 5 9 83

SHERBURNE Total 26 97 14 19 13 23 181 228SIBLEY Comm Well


SIBLEY TotalSTEARNS Comm Well 68 44 39 30 250 19 133

NF/ICF-DD 22 78 4 9 3 7 42BI-NB WaiverBI-NF Waiver 1CAC WaiverCADI Waiver 1 2 1 57 1 7DD Waiver 3 5 4 44 1 7Elderly Waiver 30 115 17 29 12 91

STEARNS Total 124 244 65 68 355 40 280STEELE Comm Well

NF/ICF-DDBI-NB WaiverBI-NF WaiverCADI WaiverDD WaiverElderly Waiver

STEELE TotalSTEVENS Comm Well


STEVENS TotalSWIFT Comm Well 11 25

NF/ICF-DD 9 36BI-NF Waiver 1CADI Waiver 1 3DD Waiver 1Elderly Waiver 8 47

SWIFT Total 30 112



37 of 541/5/2017


Waiver Status


Hennepin Health


MSC+ MSHO MSC+ MSHO SNBC SNBC MSC+ MSHO MHM MSC+ MSHO SNBCTODD Comm Well 1 13 4 36

NF/ICF-DD 28 28BI-NF WaiverCAC WaiverCADI Waiver 1DD Waiver 1 2Elderly Waiver 29 40

TODD Total 1 71 5 106TRAVERSE Comm Well


TRAVERSE TotalWABASHA Comm Well


WABASHA TotalWADENA Comm Well 2 14 3 30

NF/ICF-DD 4 41 2 38BI-NF WaiverCADI Waiver 1 1 3DD Waiver 2Elderly Waiver 1 21 38

WADENA Total 8 77 5 111WASECA Comm Well


WASECA TotalWASHINGTON Comm Well 39 29 67 63 19 36 48 307

NF/ICF-DD 19 20 24 24 16 33 5BI-NB WaiverBI-NF Waiver 1 1 4CAC Waiver 1CADI Waiver 4 3 2 2 4 3 10 90DD Waiver 1 1 1 1 4 1 3 63Elderly Waiver 30 48 21 77 20 93

WASHINGTON Total 94 101 115 167 28 76 187 470WATONWAN Comm Well 5 10 2 1

NF/ICF-DD 4 15 2CADI WaiverDD WaiverElderly Waiver 10 1

WATONWAN Total 9 35 3 3



38 of 541/5/2017


Waiver Status


Hennepin Health


MSC+ MSHO MSC+ MSHO SNBC SNBC MSC+ MSHO MHM MSC+ MSHO SNBCWILKIN Comm Well 16 8 2 6

NF/ICF-DD 3 19 3 15CADI Waiver 3DD Waiver 1 3Elderly Waiver 2 28 1 9

WILKIN Total 5 63 12 6 33WINONA Comm Well 42 39 3 2

NF/ICF-DD 26 89 2CAC WaiverCADI Waiver 2 10 1DD Waiver 5 6 1Elderly Waiver 39 106 1 7

WINONA Total 114 250 8 9WRIGHT Comm Well 16 43 16 10 9 24 47 149

NF/ICF-DD 23 50 2 2 1 7 63 8BI-NB Waiver 3BI-NF Waiver 2CAC Waiver 1CADI Waiver 1 3 2 5 85DD Waiver 2 6 26Elderly Waiver 38 108 7 12 13 94

WRIGHT Total 78 206 25 24 10 46 215 274YELLOW MEDICINE Comm Well 4 16

NF/ICF-DD 1 39CADI WaiverDD Waiver 1Elderly Waiver 4 34

YELLOW MEDICINE Total 9 90Plan Total Comm Well 1,551 1,607 1,162 1,162 2,412 1,573 97 136 1 1,881 3,295 9,362

NF/ICF-DD 818 2,388 297 494 39 59 39 94 0 567 2,331 422BI-NB Waiver 2 0 0 0 29 3 0 0 0 1 2 16BI-NF Waiver 9 7 3 2 37 3 0 0 0 10 11 106CAC Waiver 1 0 0 0 4 1 0 0 0 0 1 15CADI Waiver 81 99 56 48 525 357 6 4 0 181 343 2,916DD Waiver 112 128 36 15 315 113 0 8 0 71 188 1,196Elderly Waiver 1,266 3,564 366 1,346 0 0 62 218 0 1,273 4,815 0

Plan Total 3,840 7,793 1,920 3,067 3,361 2,109 204 460 1 3,984 10,986 14,033



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Waiver Status

PrimeWest Health SCHA UCare County Total

MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC TotalAITKIN Comm Well 4 16 76 0 21 75 150 246

NF/ICF-DD 10 0 2 50 1 53BI-NF Waiver 1 0 0 0 1 1CADI Waiver 1 13 0 0 2 19 21DD Waiver 1 12 0 0 6 18 24Elderly Waiver 1 15 0 9 70 0 79

AITKIN Total 5 43 102 0 32 203 189 424ANOKA Comm Well 89 224 875 0 328 562 1,624 2,514

NF/ICF-DD 15 59 20 0 44 185 52 281BI-NB Waiver 1 0 0 0 2 2BI-NF Waiver 1 13 0 2 2 23 27CAC Waiver 2 0 0 0 4 4CADI Waiver 9 12 267 0 19 46 535 600DD Waiver 4 166 0 1 9 313 323Elderly Waiver 61 243 0 178 688 0 866

ANOKA Total 174 543 1344 0 572 1,492 2,553 4,617BECKER Comm Well 1 3 145 0 61 67 218 346

NF/ICF-DD 2 2 5 0 27 112 10 149BI-NF Waiver 1 0 0 0 1 1CADI Waiver 43 0 3 5 53 61DD Waiver 1 18 0 1 2 21 24Elderly Waiver 2 5 0 35 152 0 187

BECKER Total 5 11 212 0 127 338 303 768BELTRAMI Comm Well 137 33 421 0 137 33 421 591

NF/ICF-DD 43 40 9 0 43 40 9 92BI-NB Waiver 1 0 0 0 1 1CADI Waiver 2 44 0 2 0 44 46DD Waiver 8 4 20 0 8 4 20 32Elderly Waiver 120 72 0 120 72 0 192

BELTRAMI Total 310 149 495 0 310 149 495 954BENTON Comm Well 11 18 169 0 43 69 271 383

NF/ICF-DD 3 27 6 0 21 167 7 195BI-NF Waiver 1 0 1 0 1 2CADI Waiver 1 32 0 1 5 60 66DD Waiver 20 0 3 7 30 40Elderly Waiver 2 22 0 19 156 0 175

BENTON Total 16 68 228 0 88 404 369 861BIG STONE Comm Well 9 24 29 0 9 24 29 62

NF/ICF-DD 7 37 6 0 7 37 6 50CADI Waiver 1 16 0 1 0 16 17DD Waiver 2 1 0 0 2 1 3Elderly Waiver 6 34 0 6 34 0 40

BIG STONE Total 23 97 52 0 23 97 52 172BLUE EARTH Comm Well 20 148 352 0 50 153 352 555

NF/ICF-DD 11 79 15 0 39 84 15 138BI-NF Waiver 1 7 0 1 0 7 8CAC Waiver 1 0 0 0 1 1CADI Waiver 5 10 71 0 8 10 71 89DD Waiver 2 22 51 0 8 23 51 82Elderly Waiver 20 175 0 44 182 0 226

BLUE EARTH Total 59 434 497 0 150 452 497 1,099



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Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC TotalBROWN Comm Well 31 37 141 0 31 37 141 209

NF/ICF-DD 26 74 5 0 26 74 5 105BI-NF Waiver 3 0 0 0 3 3CAC Waiver 1 0 0 0 1 1CADI Waiver 2 9 38 0 2 9 38 49DD Waiver 3 4 47 0 3 4 47 54Elderly Waiver 27 81 0 27 81 0 108

BROWN Total 89 205 235 0 89 205 235 529CARLTON Comm Well 7 14 183 0 24 64 253 341

NF/ICF-DD 6 13 5 0 18 91 5 114BI-NB Waiver 1 2 0 1 0 2 3BI-NF Waiver 1 0 0 0 2 2CADI Waiver 1 4 38 0 3 7 61 71DD Waiver 1 27 0 3 6 31 40Elderly Waiver 14 27 0 42 184 0 226

CARLTON Total 30 58 256 0 91 352 354 797CARVER Comm Well 9 20 108 0 42 64 199 305

NF/ICF-DD 7 24 15 0 25 75 22 122BI-NF Waiver 0 0 1 0 1CADI Waiver 3 1 36 0 3 5 79 87DD Waiver 1 19 0 0 2 43 45Elderly Waiver 7 34 0 38 150 0 188

CARVER Total 26 80 178 0 108 297 343 748CASS Comm Well 10 23 135 0 67 93 238 398

NF/ICF-DD 4 1 1 0 20 16 2 38BI-NB Waiver 3 0 0 0 3 3BI-NF Waiver 2 0 1 0 3 4CADI Waiver 1 22 0 2 3 30 35DD Waiver 1 1 7 0 3 7 13 23Elderly Waiver 3 13 0 23 62 0 85

CASS Total 19 38 170 0 116 181 289 586CHIPPEWA Comm Well 3 7 55 0 10 33 55 98

NF/ICF-DD 8 6 0 5 83 6 94CADI Waiver 1 11 0 0 1 11 12DD Waiver 1 3 9 0 2 7 9 18Elderly Waiver 1 5 0 7 55 0 62

CHIPPEWA Total 5 24 81 0 24 179 81 284CHISAGO Comm Well 2 25 159 0 30 56 214 300

NF/ICF-DD 25 5 0 12 66 6 84BI-NB Waiver 0 0 0 1 1BI-NF Waiver 3 0 1 0 4 5CADI Waiver 2 64 0 5 6 79 90DD Waiver 2 57 0 3 5 73 81Elderly Waiver 4 34 0 34 102 0 136

CHISAGO Total 8 86 288 0 85 235 377 697



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Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC TotalCLAY Comm Well 2 6 326 0 33 130 478 641

NF/ICF-DD 3 4 0 13 116 7 136BI-NF Waiver 3 0 0 0 6 6CAC Waiver 0 0 0 1 1CADI Waiver 2 1 129 0 3 19 154 176DD Waiver 66 0 1 5 74 80Elderly Waiver 3 3 0 37 226 0 263

CLAY Total 7 13 528 0 87 496 720 1,303CLEARWATER Comm Well 19 39 68 0 19 39 68 126

NF/ICF-DD 23 25 6 0 23 25 6 54CADI Waiver 1 1 5 0 1 1 5 7DD Waiver 1 4 0 1 0 4 5Elderly Waiver 20 31 0 20 31 0 51

CLEARWATER Total 64 96 83 0 64 96 83 243COOK Comm Well 9 8 0 5 19 17 41

NF/ICF-DD 1 0 2 13 1 16CADI Waiver 0 0 1 1 2DD Waiver 2 0 0 0 3 3Elderly Waiver 2 0 0 8 0 8

COOK Total 11 11 0 7 41 22 70COTTONWOOD Comm Well 5 28 69 0 20 32 69 121

NF/ICF-DD 3 52 6 0 8 72 6 86BI-NF Waiver 3 0 0 0 3 3CADI Waiver 8 0 0 0 8 8DD Waiver 2 1 10 0 2 1 10 13Elderly Waiver 4 31 0 8 49 0 57

COTTONWOOD Total 14 112 96 0 38 154 96 288CROW WING Comm Well 13 56 240 0 60 178 457 695

NF/ICF-DD 6 18 3 0 17 94 6 117BI-NB Waiver 0 0 1 1 2CAC Waiver 0 0 0 0 0CADI Waiver 4 1 29 0 7 4 54 65DD Waiver 1 20 0 3 7 34 44Elderly Waiver 8 68 0 37 297 0 334

CROW WING Total 31 144 292 0 124 581 552 1,257DAKOTA Comm Well 62 199 728 0 317 553 1,518 2,388

NF/ICF-DD 22 67 6 0 83 237 22 342BI-NB Waiver 2 0 2 1 6 9BI-NF Waiver 1 10 0 2 2 35 39CAC Waiver 4 0 0 0 9 9CADI Waiver 12 24 303 0 40 66 720 826DD Waiver 2 6 139 0 9 14 308 331Elderly Waiver 32 243 0 214 709 0 923

DAKOTA Total 130 540 1192 0 667 1,582 2,618 4,867DODGE Comm Well 12 15 62 5 5 0 17 20 62 99

NF/ICF-DD 8 19 5 3 6 0 11 25 5 41CADI Waiver 2 20 0 2 0 20 22DD Waiver 4 26 0 0 4 26 30Elderly Waiver 4 50 1 9 0 5 59 0 64

DODGE Total 26 88 113 9 20 0 35 108 113 256



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Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC TotalDOUGLAS Comm Well 28 78 287 0 28 78 287 393


DOUGLAS Total 59 363 400 0 59 363 400 822FARIBAULT Comm Well 1 19 104 0 11 44 104 159

NF/ICF-DD 5 12 1 0 15 43 1 59CADI Waiver 12 0 0 1 12 13DD Waiver 1 1 18 0 4 1 18 23Elderly Waiver 3 20 0 11 47 0 58

FARIBAULT Total 10 52 135 0 41 136 135 312FILLMORE Comm Well 7 13 60 0 25 36 60 121

NF/ICF-DD 6 19 5 0 37 83 5 125BI-NF Waiver 0 0 0 0 0CADI Waiver 1 15 0 0 1 15 16DD Waiver 2 4 0 3 4 4 11Elderly Waiver 6 32 0 22 109 0 131

FILLMORE Total 19 67 84 0 87 233 84 404FREEBORN Comm Well 73 42 231 7 10 0 80 52 231 363

NF/ICF-DD 62 53 7 3 10 0 65 63 7 135BI-NB Waiver 1 0 0 0 1 1CAC Waiver 1 0 0 0 1 1CADI Waiver 5 1 42 1 0 5 2 42 49DD Waiver 3 4 49 0 3 4 49 56Elderly Waiver 45 58 1 8 0 46 66 0 112

FREEBORN Total 188 158 331 11 29 0 199 187 331 717GOODHUE Comm Well 35 73 183 0 35 73 183 291

NF/ICF-DD 53 134 27 0 53 134 27 214CADI Waiver 2 9 86 0 2 9 86 97DD Waiver 15 101 0 0 15 101 116Elderly Waiver 26 129 0 26 129 0 155

GOODHUE Total 116 360 397 0 116 360 397 873GRANT Comm Well 9 7 34 0 9 7 34 50

NF/ICF-DD 2 10 0 2 10 0 12CADI Waiver 1 10 0 1 0 10 11DD Waiver 1 4 3 0 1 4 3 8Elderly Waiver 2 20 0 2 20 0 22

GRANT Total 15 41 47 0 15 41 47 103HENNEPIN Comm Well 1 781 997 3612 2 2,199 2,590 9,668 14,459

NF/ICF-DD 192 489 128 0 575 1,436 404 2,415BI-NB Waiver 2 7 0 0 2 15 17BI-NF Waiver 2 1 36 0 3 9 82 94CAC Waiver 4 0 0 0 11 11CADI Waiver 109 119 1079 0 222 277 2,656 3,155DD Waiver 8 22 304 0 39 84 885 1,008Elderly Waiver 628 2023 0 1,343 4,425 0 5,768

HENNEPIN Total 1 1720 3653 5170 2 4,381 8,823 13,721 26,927



43 of 541/5/2017


Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC TotalHOUSTON Comm Well 6 19 72 0 9 36 72 117

NF/ICF-DD 26 2 0 6 64 2 72CADI Waiver 1 5 0 0 1 5 6DD Waiver 2 11 0 0 5 11 16Elderly Waiver 2 21 0 5 50 0 55

HOUSTON Total 8 69 90 0 20 156 90 266HUBBARD Comm Well 77 30 162 0 77 30 162 269

NF/ICF-DD 12 9 3 0 12 9 3 24CADI Waiver 2 4 0 2 0 4 6DD Waiver 1 2 5 0 1 2 5 8Elderly Waiver 48 27 0 48 27 0 75

HUBBARD Total 140 68 174 0 140 68 174 382ISANTI Comm Well 11 19 214 0 25 47 214 286

NF/ICF-DD 6 29 4 0 22 86 4 112BI-NF Waiver 1 1 0 0 2 1 3CADI Waiver 1 1 76 0 2 1 76 79DD Waiver 1 27 0 0 1 27 28Elderly Waiver 2 40 0 13 95 0 108

ISANTI Total 20 91 322 0 62 232 322 616ITASCA Comm Well 398 0 97 136 398 631

NF/ICF-DD 6 0 39 94 6 139BI-NB Waiver 1 0 0 0 1 1BI-NF Waiver 6 0 0 0 6 6CADI Waiver 62 0 6 4 62 72DD Waiver 14 0 0 8 14 22Elderly Waiver 0 62 218 0 280

ITASCA Total 487 0 204 460 487 1,151JACKSON Comm Well 3 12 25 0 7 21 25 53

NF/ICF-DD 1 7 1 0 6 29 1 36CADI Waiver 2 7 0 0 2 7 9DD Waiver 4 0 0 0 4 4Elderly Waiver 3 9 0 9 29 0 38

JACKSON Total 7 30 37 0 22 81 37 140KANABEC Comm Well 40 34 118 0 40 34 118 192

NF/ICF-DD 5 23 1 0 5 23 1 29BI-NF Waiver 1 0 0 0 1 1CADI Waiver 2 22 0 0 2 22 24DD Waiver 1 2 10 0 1 2 10 13Elderly Waiver 9 51 0 9 51 0 60

KANABEC Total 55 112 152 0 55 112 152 319KANDIYOHI Comm Well 20 27 173 0 74 64 228 366

NF/ICF-DD 1 15 4 0 12 154 5 171BI-NF Waiver 1 1 0 1 1 1 3CADI Waiver 3 1 21 0 11 7 27 45DD Waiver 1 4 23 0 18 8 30 56Elderly Waiver 4 8 0 18 99 0 117

KANDIYOHI Total 29 56 222 0 134 333 291 758



44 of 541/5/2017


Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC TotalKITTSON Comm Well 7 6 0 4 17 8 29

NF/ICF-DD 3 8 2 0 10 38 3 51CADI Waiver 0 0 0 2 2DD Waiver 2 0 3 0 2 5Elderly Waiver 1 7 0 6 21 0 27

KITTSON Total 4 22 10 0 23 76 15 114KOOCHICHING Comm Well 9 13 67 0 37 78 118 233

NF/ICF-DD 1 3 2 0 7 52 4 63CADI Waiver 7 0 1 1 10 12DD Waiver 1 8 0 1 8 18 27Elderly Waiver 1 0 10 29 0 39

KOOCHICHING Total 11 17 84 0 56 168 150 374LAC QUI PARLE Comm Well 2 33 0 6 15 33 54

NF/ICF-DD 8 1 0 1 63 1 65CADI Waiver 4 0 0 1 4 5DD Waiver 6 0 1 0 6 7Elderly Waiver 4 0 3 38 0 41

LAC QUI PARLE Total 14 44 0 11 117 44 172LAKE Comm Well 6 12 23 0 16 22 51 89

NF/ICF-DD 5 2 2 0 13 14 2 29BI-NF Waiver 0 0 0 1 1CADI Waiver 1 2 0 2 1 8 11DD Waiver 1 0 0 1 5 6Elderly Waiver 2 8 0 13 27 0 40

LAKE Total 14 22 28 0 44 65 67 176LAKE OF THE WOODS Comm Well 1 3 6 0 13 5 6 24

NF/ICF-DD 1 0 8 6 0 14CADI Waiver 0 0 1 0 1DD Waiver 1 0 0 0 1 1Elderly Waiver 0 7 2 0 9

LAKE OF THE WOODS Total 1 4 7 0 28 14 7 49LE SUEUR Comm Well 6 18 91 0 8 28 91 127

NF/ICF-DD 3 3 2 0 8 28 2 38CADI Waiver 2 22 0 0 2 22 24DD Waiver 1 10 0 1 2 10 13Elderly Waiver 3 37 0 15 94 0 109

LE SUEUR Total 12 61 125 0 32 154 125 311LINCOLN Comm Well 5 20 0 9 15 20 44

NF/ICF-DD 2 6 2 0 12 39 2 53CADI Waiver 4 0 0 0 4 4DD Waiver 1 0 1 1 1 3Elderly Waiver 4 0 6 18 0 24

LINCOLN Total 2 15 27 0 28 73 27 128LYON Comm Well 6 20 118 0 25 45 118 188

NF/ICF-DD 3 7 3 0 10 67 3 80CAC Waiver 1 0 0 0 1 1CADI Waiver 2 26 0 3 3 26 32DD Waiver 3 12 0 6 8 12 26Elderly Waiver 4 14 0 17 110 0 127

LYON Total 18 41 160 0 61 233 160 454



45 of 541/5/2017


Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC TotalMCLEOD Comm Well 14 53 151 0 14 53 151 218


MCLEOD Total 48 293 236 0 48 293 236 577MAHNOMEN Total Comm Well 30 0 4 18 45 67

BI-NF Waiver 0 4 7 0 11CAC Waiver 0 0 1 0 1CADI Waiver 1 4 0 1 2 5 8DD Waiver 1 4 0 2 3 4 9Elderly Waiver 0 3 20 0 23

MAHNOMEN Total 1 1 38 0 14 51 54 119MARSHALL Comm Well 1 6 25 0 8 28 33 69

NF/ICF-DD 3 0 0 21 0 21CADI Waiver 7 0 0 0 7 7DD Waiver 10 0 0 3 12 15Elderly Waiver 8 0 3 31 0 34

MARSHALL Total 1 17 42 0 11 83 52 146MARTIN Comm Well 5 21 145 0 18 51 145 214

NF/ICF-DD 1 27 21 0 5 66 21 92BI-NF Waiver 1 0 0 0 1 1CADI Waiver 1 2 39 0 1 5 39 45DD Waiver 1 5 78 0 4 7 78 89Elderly Waiver 1 50 0 5 109 0 114

MARTIN Total 9 105 284 0 33 238 284 555MEEKER Comm Well 17 47 99 0 17 47 99 163

NF/ICF-DD 6 71 0 6 71 0 77CADI Waiver 1 1 29 0 1 1 29 31DD Waiver 3 5 9 0 3 5 9 17Elderly Waiver 8 130 0 8 130 0 138

MEEKER Total 35 254 137 0 35 254 137 426MILLE LACS Comm Well 6 22 141 0 24 82 197 303

NF/ICF-DD 15 1 0 8 116 1 125BI-NB Waiver 0 0 0 1 1BI-NF Waiver 1 2 0 0 1 3 4CAC Waiver 0 0 0 1 1CADI Waiver 2 2 34 0 2 2 45 49DD Waiver 1 10 0 1 5 15 21Elderly Waiver 1 25 0 8 110 0 118

MILLE LACS Total 9 66 188 0 43 316 263 622MORRISON Comm Well 58 23 254 17 0 74 86 254 414

NF/ICF-DD 13 4 3 4 3 0 20 69 3 92BI-NB Waiver 1 0 0 0 1 1BI-NF Waiver 0 0 0 0 0CADI Waiver 1 35 0 1 2 35 38DD Waiver 1 6 0 1 3 6 10Elderly Waiver 22 22 1 10 0 27 129 0 156

MORRISON Total 95 49 299 5 30 0 123 289 299 711



46 of 541/5/2017


Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC TotalMOWER Comm Well 25 55 283 0 68 78 283 429


MOWER Total 70 160 378 0 215 259 378 852MURRAY Comm Well 4 32 0 4 17 32 53

NF/ICF-DD 4 1 0 5 40 1 46CADI Waiver 3 0 0 1 3 4DD Waiver 2 1 0 0 5 1 6Elderly Waiver 4 4 0 5 33 0 38

MURRAY Total 4 14 37 0 14 96 37 147NICOLLET Comm Well 10 17 118 0 32 32 118 182

NF/ICF-DD 2 8 4 0 8 27 4 39CAC Waiver 0 1 0 0 1CADI Waiver 3 33 0 0 4 33 37DD Waiver 1 2 14 0 1 5 14 20Elderly Waiver 4 53 0 13 122 0 135

NICOLLET Total 17 83 169 0 55 190 169 414NOBLES Comm Well 12 33 96 0 46 87 96 229


NOBLES Total 12 54 124 0 56 204 124 384NORMAN Comm Well 1 1 32 0 6 16 46 68

NF/ICF-DD 3 0 3 58 4 65CADI Waiver 5 0 0 0 9 9DD Waiver 4 0 0 1 5 6Elderly Waiver 1 1 0 6 23 0 29

NORMAN Total 2 2 44 0 15 98 64 177OLMSTED Comm Well 122 248 856 0 240 383 856 1,479

NF/ICF-DD 21 58 28 0 86 123 28 237BI-NF Waiver 3 0 0 0 3 3CAC Waiver 1 2 0 0 1 2 3CADI Waiver 9 14 157 0 13 15 157 185DD Waiver 4 8 110 0 7 14 110 131Elderly Waiver 61 141 0 151 274 0 425

OLMSTED Total 217 470 1156 0 497 810 1,156 2,463OTTER TAIL Comm Well 13 25 134 0 61 152 276 489

NF/ICF-DD 3 8 3 0 22 228 6 256BI-NB Waiver 1 0 0 0 2 2BI-NF Waiver 2 0 0 0 4 4CAC Waiver 0 0 0 0 0CADI Waiver 2 2 57 0 4 13 97 114DD Waiver 1 1 16 0 9 13 33 55Elderly Waiver 3 16 0 28 265 0 293

OTTER TAIL Total 22 52 213 0 124 671 418 1,213



47 of 541/5/2017


Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC TotalPENNINGTON Comm Well 1 15 59 0 11 55 71 137

NF/ICF-DD 11 4 0 2 48 4 54CADI Waiver 13 0 0 0 15 15DD Waiver 1 18 0 2 2 20 24Elderly Waiver 2 13 0 5 71 0 76

PENNINGTON Total 3 40 94 0 20 176 110 306PINE Comm Well 13 21 197 0 55 78 265 398

NF/ICF-DD 3 8 4 0 9 25 6 40BI-NF Waiver 2 0 0 0 2 2CADI Waiver 23 0 1 0 35 36DD Waiver 11 0 2 5 17 24Elderly Waiver 6 32 0 25 118 0 143

PINE Total 22 61 237 0 92 226 325 643PIPESTONE Comm Well 21 28 60 0 21 28 60 109

NF/ICF-DD 6 61 3 0 6 61 3 70CADI Waiver 9 0 0 0 9 9DD Waiver 1 2 11 0 1 2 11 14Elderly Waiver 5 31 0 5 31 0 36

PIPESTONE Total 33 122 83 0 33 122 83 238POLK Comm Well 5 10 132 0 53 75 227 355

NF/ICF-DD 3 32 4 0 28 154 5 187BI-NB Waiver 1 0 0 0 1 1BI-NF Waiver 1 0 0 0 2 2CADI Waiver 2 40 0 2 5 76 83DD Waiver 2 16 0 3 2 37 42Elderly Waiver 8 32 0 47 163 0 210

POLK Total 16 78 194 0 133 399 348 880POPE Comm Well 3 34 84 0 3 34 84 121

NF/ICF-DD 3 60 1 0 3 60 1 64BI-NF Waiver 3 0 0 0 3 3CAC Waiver 1 0 0 0 1 1CADI Waiver 1 19 0 0 1 19 20DD Waiver 4 19 0 0 4 19 23Elderly Waiver 1 71 0 1 71 0 72

POPE Total 7 170 127 0 7 170 127 304RAMSEY Comm Well 587 632 3535 0 1,495 1,448 6,051 8,994

NF/ICF-DD 67 203 73 0 350 599 162 1,111BI-NB Waiver 1 3 0 1 0 6 7BI-NF Waiver 1 2 32 0 5 2 48 55CAC Waiver 1 0 0 0 2 2CADI Waiver 71 53 784 0 146 131 1,454 1,731DD Waiver 11 9 225 0 64 45 444 553Elderly Waiver 274 865 0 865 1,967 0 2,832

RAMSEY Total 1012 1764 4653 0 2,926 4,192 8,167 15,285RED LAKE Comm Well 6 12 0 5 14 22 41

NF/ICF-DD 1 0 1 1 2 4CADI Waiver 5 0 0 0 5 5DD Waiver 2 0 0 1 2 3Elderly Waiver 3 0 3 22 0 25

RED LAKE Total 9 20 0 9 38 31 78



48 of 541/5/2017


Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC TotalREDWOOD Comm Well 8 21 72 0 17 28 72 117

NF/ICF-DD 7 7 6 0 24 39 6 69CADI Waiver 1 9 0 2 2 9 13DD Waiver 3 3 0 3 10 3 16Elderly Waiver 19 0 10 44 0 54

REDWOOD Total 15 51 90 0 56 123 90 269RENVILLE Comm Well 13 25 92 0 13 25 92 130


RENVILLE Total 40 119 120 0 40 119 120 279RICE Comm Well 14 17 134 0 64 59 228 351

NF/ICF-DD 7 24 4 0 39 72 11 122BI-NF Waiver 0 0 0 1 1CADI Waiver 1 1 45 0 9 4 80 93DD Waiver 4 1 24 0 19 5 42 66Elderly Waiver 17 62 0 82 201 0 283

RICE Total 43 105 207 0 213 341 362 916ROCK Comm Well 3 4 38 0 5 16 38 59

NF/ICF-DD 2 5 5 0 10 24 5 39BI-NB Waiver 0 0 0 0 0BI-NF Waiver 1 0 0 0 1 1CADI Waiver 18 0 1 0 18 19DD Waiver 2 8 0 0 3 8 11Elderly Waiver 2 11 0 7 31 0 38

ROCK Total 7 22 70 0 23 74 70 167ROSEAU Comm Well 2 9 35 0 7 33 53 93


ROSEAU Total 3 43 41 0 19 181 63 263ST LOUIS Comm Well 62 136 1884 0 229 439 2,487 3,155

NF/ICF-DD 41 89 53 0 198 401 60 659BI-NB Waiver 2 21 0 3 0 46 49BI-NF Waiver 1 48 0 4 1 71 76CAC Waiver 0 0 0 1 1CADI Waiver 14 12 337 0 30 41 499 570DD Waiver 4 15 195 0 11 43 317 371Elderly Waiver 49 203 0 252 879 0 1,131

ST LOUIS Total 173 455 2538 0 727 1,804 3,481 6,012SCOTT Comm Well 20 34 184 0 125 222 330 677

NF/ICF-DD 2 8 12 0 36 111 39 186BI-NF Waiver 3 0 0 0 4 4CADI Waiver 3 2 50 0 7 7 111 125DD Waiver 25 0 0 0 56 56Elderly Waiver 9 29 0 79 240 0 319

SCOTT Total 34 73 274 0 247 580 540 1,367



49 of 541/5/2017


Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC TotalSHERBURNE Comm Well 9 21 157 0 33 81 288 402

NF/ICF-DD 5 22 5 0 21 115 18 154BI-NF Waiver 6 0 0 0 11 11CADI Waiver 1 3 59 0 2 5 120 127DD Waiver 34 0 2 7 65 74Elderly Waiver 3 37 0 23 172 0 195

SHERBURNE Total 18 83 261 0 81 380 502 963SIBLEY Comm Well 12 33 41 0 12 33 41 86

NF/ICF-DD 6 34 9 0 6 34 9 49BI-NF Waiver 0 0 0 0 0CADI Waiver 1 3 16 0 1 3 16 20DD Waiver 1 7 0 0 1 7 8Elderly Waiver 7 64 0 7 64 0 71

SIBLEY Total 26 135 73 0 26 135 73 234STEARNS Comm Well 63 53 705 0 189 260 955 1,404

NF/ICF-DD 5 29 2 0 38 158 5 201BI-NB Waiver 1 0 0 0 1 1BI-NF Waiver 3 0 0 0 4 4CAC Waiver 0 0 0 0 0CADI Waiver 4 4 120 0 7 13 177 197DD Waiver 1 34 0 8 13 78 99Elderly Waiver 43 70 0 102 305 0 407

STEARNS Total 115 157 865 0 344 749 1,220 2,313STEELE Comm Well 55 52 225 0 55 52 225 332

NF/ICF-DD 15 36 11 0 15 36 11 62BI-NB Waiver 1 0 0 0 1 1BI-NF Waiver 5 0 0 0 5 5CADI Waiver 1 5 70 0 1 5 70 76DD Waiver 1 7 49 0 1 7 49 57Elderly Waiver 53 121 0 53 121 0 174

STEELE Total 125 221 361 0 125 221 361 707STEVENS Comm Well 6 10 42 0 6 10 42 58

NF/ICF-DD 7 36 4 0 7 36 4 47BI-NF Waiver 1 0 0 0 1 1CADI Waiver 1 3 13 0 1 3 13 17DD Waiver 4 16 0 0 4 16 20Elderly Waiver 1 35 0 1 35 0 36

STEVENS Total 15 88 76 0 15 88 76 179SWIFT Comm Well 3 42 0 11 28 42 81

NF/ICF-DD 1 5 3 0 10 41 3 54BI-NF Waiver 0 1 0 0 1CADI Waiver 4 0 1 3 4 8DD Waiver 1 11 0 1 1 11 13Elderly Waiver 3 0 8 50 0 58

SWIFT Total 2 11 60 0 32 123 60 215



50 of 541/5/2017


Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC TotalTODD Comm Well 32 22 164 13 0 37 84 164 285

NF/ICF-DD 2 8 1 13 0 3 77 0 80BI-NF Waiver 1 0 0 0 1 1CAC Waiver 1 0 0 0 1 1CADI Waiver 2 2 37 0 3 2 37 42DD Waiver 2 12 2 0 2 5 12 19Elderly Waiver 18 21 14 0 18 104 0 122

TODD Total 56 53 215 1 42 0 63 272 215 550TRAVERSE Comm Well 4 17 30 0 4 17 30 51

NF/ICF-DD 6 45 2 0 6 45 2 53BI-NF Waiver 0 0 0 0 0CADI Waiver 1 5 0 0 1 5 6DD Waiver 1 3 0 0 1 3 4Elderly Waiver 15 0 0 15 0 15

TRAVERSE Total 10 79 40 0 10 79 40 129WABASHA Comm Well 16 32 64 1 15 0 17 47 64 128

NF/ICF-DD 17 33 5 9 0 22 42 0 64CADI Waiver 1 30 0 0 1 30 31DD Waiver 2 6 31 1 0 2 7 31 40Elderly Waiver 12 38 5 8 0 17 46 0 63

WABASHA Total 47 110 125 11 33 0 58 143 125 326WADENA Comm Well 18 18 194 1 14 0 24 76 194 294

NF/ICF-DD 11 4 8 1 12 0 18 95 8 121BI-NF Waiver 1 0 0 0 1 1CADI Waiver 1 1 53 0 2 5 53 60DD Waiver 18 1 0 0 3 18 21Elderly Waiver 7 11 5 0 8 75 0 83

WADENA Total 37 34 274 2 32 0 52 254 274 580WASECA Comm Well 23 26 92 0 23 26 92 141

NF/ICF-DD 13 39 0 13 39 0 52BI-NF Waiver 1 0 0 0 1 1CAC Waiver 1 0 0 0 1 1CADI Waiver 1 3 26 0 1 3 26 30DD Waiver 2 6 31 0 2 6 31 39Elderly Waiver 18 58 0 18 58 0 76

WASECA Total 57 132 151 0 57 132 151 340WASHINGTON Comm Well 46 111 376 0 188 251 702 1,141

NF/ICF-DD 6 48 7 0 65 125 12 202BI-NB Waiver 1 0 0 0 1 1BI-NF Waiver 2 0 1 0 7 8CAC Waiver 2 0 0 0 3 3CADI Waiver 5 5 84 0 14 20 178 212DD Waiver 2 1 61 0 5 6 128 139Elderly Waiver 21 142 0 92 360 0 452

WASHINGTON Total 80 307 533 0 365 762 1,031 2,158WATONWAN Comm Well 5 10 64 0 12 21 64 97

NF/ICF-DD 2 18 4 0 6 35 4 45CADI Waiver 7 0 0 0 7 7DD Waiver 6 0 0 0 6 6Elderly Waiver 16 0 1 26 0 27

WATONWAN Total 7 44 81 0 19 82 81 182



51 of 541/5/2017


Waiver Status


MSC+ MSHO SNBC MSC+ MSHO SNBC MHM MSC+ MSHO SNBC MHM MSC+ MSHO SNBC TotalWILKIN Comm Well 16 0 2 22 24 48

NF/ICF-DD 1 0 6 34 1 41CADI Waiver 4 0 0 0 7 7DD Waiver 1 0 0 3 2 5Elderly Waiver 0 3 37 0 40

WILKIN Total 22 0 11 96 34 141WINONA Comm Well 20 15 236 0 65 56 236 357

NF/ICF-DD 8 23 4 0 36 112 4 152CAC Waiver 1 0 0 0 1 1CADI Waiver 3 1 70 0 6 11 70 87DD Waiver 1 2 17 0 7 8 17 32Elderly Waiver 5 37 0 45 150 0 195

WINONA Total 37 78 328 0 159 337 328 824WRIGHT Comm Well 12 26 140 0 68 126 298 492

NF/ICF-DD 9 38 6 0 41 153 15 209BI-NB Waiver 0 0 0 3 3BI-NF Waiver 2 0 0 0 4 4CAC Waiver 2 0 0 0 3 3CADI Waiver 1 1 54 0 4 9 139 152DD Waiver 3 29 0 0 11 55 66Elderly Waiver 8 47 0 66 261 0 327

WRIGHT Total 30 115 233 0 179 560 517 1,256YELLOW MEDICINE Comm Well 2 5 46 0 6 21 46 73

NF/ICF-DD 7 1 0 1 46 1 48CADI Waiver 2 12 0 0 2 12 14DD Waiver 3 3 0 0 4 3 7Elderly Waiver 6 0 4 40 0 44

YELLOW MEDICINE Total 2 23 62 0 11 113 62 186Plan Total Comm Well 357 425 1,559 405 407 1,769 1 2,176 3,637 18,606 2 7,629 10,669 35,281 53,581

NF/ICF-DD 153 683 64 231 461 76 0 532 1,821 541 0 2,637 8,272 1,201 12,110BI-NB Waiver 0 0 1 0 0 3 0 4 2 44 0 7 4 96 107BI-NF Waiver 0 0 11 0 0 12 0 5 8 198 0 27 28 367 422CAC Waiver 0 0 3 0 0 4 0 0 1 20 0 1 2 47 50CADI Waiver 20 20 271 18 36 475 0 275 297 4,545 0 637 847 9,089 10,573DD Waiver 21 53 161 15 49 387 0 56 152 2,089 0 311 593 4,261 5,165Elderly Waiver 248 758 0 248 704 0 0 1,378 5,230 0 0 4,841 16,635 0 21,476

Plan Total 799 1,939 2,070 917 1,657 2,726 1 4,426 11,148 26,043 2 16,090 37,050 50,342 103,484

Enrollment Summary

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

Dec-16 Jan-17 Feb-17 Mar-17 Apr-17 May-17 Jun-17 Jul-17 Aug-17 Sep-17 Oct-17 Nov-17 Dec-17Blue PlusMA Adults 21 - 64 56,384 57,136MA Adults 21 - 64 Expansion (AX) 59,334 60,720MA Aged - Institutionalized over 64 3,248 3,245MA Aged - Community over 64 8,476 8,443MA Children 159,922 161,074MA Pregnant Women All Ages 4,784 4,959MnCare Childless Adults 12,028 8,605MnCare Children 1,775 1,121MnCare Parents 12,461 8,439Total 318,412 313,742 0 0 0 0 0 0 0 0 0 0 0HealthPartnersMA Adults 21 - 64 14,632 14,907MA Adults 21 - 64 Expansion (AX) 17,800 18,428MA Aged - Institutionalized over 64 823 799MA Aged - Community over 64 4,209 4,210MA Children 40,635 41,357MA Disabled - Basic Care 3,259 3,360MA Pregnant Women All Ages 1,167 1,243MnCare Childless Adults 8,266 5,743MnCare Children 1,048 616MnCare Parents 6,437 4,121Total 98,276 94,784 0 0 0 0 0 0 0 0 0 0 0Hennepin HealthMA Adults 21 - 64 290 293MA Adults 21 - 64 Expansion (AX) 8,794 9,050MA Aged - Institutionalized over 64MA Aged - Community over 64MA Children 484 482MA Disabled - Basic Care* 2,420 2,112MA Pregnant Women All Ages 55 57MnCare Childless Adults 279 180MnCare Children 4 7MnCare Parents 54 43Total 12,380 12,224 0 0 0 0 0 0 0 0 0 0 0Itasca Medical CareMA Adults 21 - 64 1,574 1,560MA Adults 21 - 64 Expansion (AX) 1,715 1,789MA Aged - Institutionalized over 64 139 135MA Aged - Community over 64 543 538MA Children 3,897 3,886MA Pregnant Women All Ages 88 85MnCare Childless Adults 314 219MnCare Children 50 33MnCare Parents 282 218Total 8,602 8,463 0 0 0 0 0 0 0 0 0 0 0

Enrollment Summary


Dec-16 Jan-17 Feb-17 Mar-17 Apr-17 May-17 Jun-17 Jul-17 Aug-17 Sep-17 Oct-17 Nov-17 Dec-17MedicaMA Adults 21 - 64 49,351 49,601MA Adults 21 - 64 Expansion (AX) 57,205 58,311MA Aged - Institutionalized over 64 2,934 2,928MA Aged - Community over 64 11,783 12,107MA Children 154,661 153,856MA Disabled - Basic Care 14,580 14,042MA PINS 355MA Pregnant Women All Ages 5,113 5,207MnCare Childless Adults 23,736 15,671MnCare Children 2,802 1,459MnCare Parents 17,384 10,624Total 339,904 323,806 0 0 0 0 0 0 0 0 0 0 0PrimeWest HealthMA Adults 21 - 64 6,310 6,450MA Adults 21 - 64 Expansion (AX) 6,076 6,276MA Aged - Institutionalized over 64 839 842MA Aged - Community over 64 1,853 1,909MA Children 18,619 18,839MA Disabled - Basic Care 2,171 2,071MA Pregnant Women All Ages 593 592MnCare Childless Adults 947 662MnCare Children 200 135MnCare Parents 1,280 951Total 38,888 38,727 0 0 0 0 0 0 0 0 0 0 0South Country Health AllianceMA Adults 21 - 64 5,480 5,470MA Adults 21 - 64 Expansion (AX) 4,856 4,919MA Aged - Institutionalized over 64 709 701MA Aged - Community over 64 1,835 1,883MA Children 15,260 15,067MA Disabled - Basic Care 2,844 2,729MA Pregnant Women All Ages 347 355MnCare Childless Adults 1,361 951MnCare Children 250 153MnCare Parents 1,382 909Total 34,324 33,137 0 0 0 0 0 0 0 0 0 0 0

Enrollment Summary


Dec-16 Jan-17 Feb-17 Mar-17 Apr-17 May-17 Jun-17 Jul-17 Aug-17 Sep-17 Oct-17 Nov-17 Dec-17UCare MinnesotaMA Adults 21 - 64 2,272 2,199MA Adults 21 - 64 Expansion (AX) 2,179 2,169MA Aged - Institutionalized over 64 2,317 2,375MA Aged - Community over 64 12,393 13,272MA Children 6,674 6,510MA Disabled - Basic Care 27,592 26,101MA Pregnant Women All Ages 163 161MnCare Childless Adults 633 413MnCare Children 80 43MnCare Parents 593 400Total 54,896 53,643 0 0 0 0 0 0 0 0 0 0 0StatewideMA Adults 21 - 64 136,293 137,616 0 0 0 0 0 0 0 0 0 0 0MA Adults 21 - 64 Expansion (AX) 157,959 161,662 0 0 0 0 0 0 0 0 0 0 0MA Aged - Institutionalized over 64 11,009 11,025 0 0 0 0 0 0 0 0 0 0 0MA Aged - Community over 64 41,092 42,362 0 0 0 0 0 0 0 0 0 0 0MA Children 400,152 401,071 0 0 0 0 0 0 0 0 0 0 0MA Disabled - Basic Care 52,866 50,415 0 0 0 0 0 0 0 0 0 0 0MA PINS 355 0 0 0 0 0 0 0 0 0 0 0 0MA Pregnant Women All Ages 12,310 12,659 0 0 0 0 0 0 0 0 0 0 0MnCare Childless Adults 47,564 32,444 0 0 0 0 0 0 0 0 0 0 0MnCare Children 6,209 3,567 0 0 0 0 0 0 0 0 0 0 0MnCare Parents 39,873 25,705 0 0 0 0 0 0 0 0 0 0 0Total 905,682 878,526 0 0 0 0 0 0 0 0 0 0 0

Documents

Minnesota Health Care Programs Managed Care … Health Care Programs Managed Care Enrollment Totals January 2017 Table of Contents Programs Enrollment Summary by Benefit Total enrollment