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MassHealth Quarterly Dashboard Report - October 2016 Summary Note

This dashboard report provides information on MassHealth enrollment, Children Medical Security Program (CMSP) enrollment, caseload additions and terminations, member reinstatements, applications, program determinations, customer service center data, and eligibility center data. Data is as of May 2016.

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MassHealth Quarterly Dashboard Report - October 2016 Summary Note

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  1. MassHealth Quarterly Dashboard Report Issued October 2016

  2. Summary Note • This is a monthly dashboard that includes the following information: • MassHealth Enrollment • Children Medical Security Program (CMSP) Enrollment • MassHealth Caseload Additions and Terminations • Number of Members Reinstated within 90 days of termination • MassHealth Applications • Number of Applications Missing Critical Data (MCD) • Number Renewed through Streamlined Processes • MassHealth Program Determinations • MassHealth Customer Service Center (CSC) – Call Volume and Wait Times • MassHealth Customer Service Center (CSC) – Abandonment Rate • MassHealth Eligibility Center (MEC) – Call Volume and Wait Times • MassHealth Eligibility Center (MEC) – Abandonment Rate Publish Date: August 2016. Data as of: May 2016

  3. MassHealthEnrollment Publish Date: August 2016. Data as of: May 2016

  4. Children Medical Security Program (CMSP)Enrollment 33,555 33,223 32,366 32,179 31,409 31,392 30,429 29,995 4,546 5,167 29,525 29,446 29,095 4,303 4,965 28,478 4,179 4,702 27,550 4,222 4,061 26,616 4,067 4,144 3,837 26,131 3,599 3,475 Limited Plus CMSP 3,182 2,793 9,567 9,161 10,781 8,899 10,394 8,480 8,308 10,114 8,233 7,903 8,303 7,744 CMSP FPL <= 400% 7,694 6,687 7,208 19,110 18,715 18,331 CMSP FPL > 400% 17,727 17,626 17,607 17,355 17,225 17,135 16,999 17,007 16,651 16,576 16,381 16,226 Mar-15 Apr-15 May-15 Jun-15 Jul-15 Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16 May-16 CMSP enrollment includes members who are enrolled in MassHealth Limited plus CMSP. Publish Date: August 2016. Data as of: May 2016

  5. MassHealthCaseload Additions and Terminations Adds Terms Four Prevalent Reasons for Terminations (%): • 2015 HIX closing for redetermination (7%) • Did not provide the required verification (3%) •Voluntary Withdrawal or because of written request to terminate all benefits (5%) •Not a resident of Massachusetts (5%) 3 months ending May 2015 3 months ending Aug 2015 3 months ending Nov 2015 3 months ending Feb 2016 3 months ending May 2016 Publish Date: August 2016. Data as of: May 2016 These figures reflect the average for each three month period using monthly unique member count.

  6. Number of Members Reinstated Within 90 days of Termination Mar-15 Apr-15 May-15 Jun-15 Jul-15 Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16 May-16 Publish Date: August 2016. Data as of: May 2016

  7. MassHealthApplications % Change Apr 15- Apr 16 104,429 101,154 40% 80,498 54% 74,656 73,122 Renewals in HIX launched (April 2016) Online 26% Paper 56% Phone 3 months ending May 2015 3 months ending Aug 2015 3 months ending Nov 2015 3 months ending Feb 2016 3 months ending May 2016 These figures reflect the average for each three month period. Publish Date: August 2016. Data as of: May 2016

  8. Number of Applications Missing Critical Data (MCD) Mar-15 Apr-15 May-15 Jun-15 Jul-15 Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16 May-16 Publish Date: August2016. Data as of: May 2016

  9. Number Renewed Through Streamlined Processes Publish Date: August 2016. Data as of: May 2016

  10. MassHealth Program Determinations 534,772 % Change Apr 15- Apr 16 Provisional -23% 428,436 410,090 371,496 364,485 25% Final -28% 3 months ending May 2015 3 months ending Aug 2015 3 months ending Nov 2015 3 months ending Feb 2016 3 months ending May 2016 Publish Date: August 2016. Data as of: May 2016

  11. MassHealth Customer Service Center (CSC) – Call Volume and Wait Times Publish Date: August 2016. Data as of: May 2016

  12. MassHealth Customer Service Center (CSC) – Abandonment Rate (%) Publish Date: August 2016. Data as of: May 2016

  13. MassHealth Eligibility Center (MEC) – MassHealthCall Volume and Wait Times Publish Date: August 2016. Data as of: May 2016

  14. MassHealth Eligibility Center (MEC) – Abandonment Rate (%) Publish Date: August 2016. Data as of: May 2016

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