by Reshmeet Kaur at 3/12/ :29:39 AM Total Call Center Volume 456,520 Health Care Options - Medicaid Plan Enrollment Contractor 311,910

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1 Medicaid Performance Dashboard Page 1 of 6 https://sdis.medicaid.gov/state/report/monthly/view/kxfe-ky6a /13/2015 Home Technical Assistance Create New Report and Data Dictionary Monthly Report Information Reporting Period: 12/01/ /31/2014 State: California Last Saved: by Reshmeet Kaur at 3/12/ :29:39 AM Submitted to CMS: by Reshmeet Kaur at 3/12/ :29:39 AM Validation by CMS: Pending Call Centers Data Limitation: Call Volume Total Call Center Volume 456,520 Health Care Options - Medicaid Plan Enrollment Contractor 311,910 Managed Care Call Center 96,046 Xerox Call Center 48,564 Call Center #4 Call Center #5 Call Center #6 Call Center #7 Call Center #8 Call Center #9 Call Center #10 Data Limitation:

2 Medicaid Performance Dashboard Page 2 of 6 Call Center Wait Time https://sdis.medicaid.gov/state/report/monthly/view/kxfe-ky6a /13/2015 Average Call Center Wait Time 1 Health Care Options - Medicaid Plan Enrollment Contractor 1 Managed Care Call Center Xerox Call Center Call Center #4 Call Center #5 Call Center #6 Call Center #7 Call Center #8 Call Center #9 Call Center #10 Data Limitation: Currently, one contracted vendor is reporting average wait time. Wait time data for additional call center(s) will be reported when made available Abandonment Rate Average Call Center Abandon Rate Health Care Options - Medicaid Plan Enrollment Contractor Managed Care Call Center Xerox Call Center Call Center #4 Call Center #5 Call Center #6 Call Center #7 Call Center #8 Call Center #9 Call Center #10 Data Limitation: Currently, two contracted vendors are reporting abandonment rate. Abandonment rate data for additional call center(s) will be reported when made available. Number of Applications Received

3 Medicaid Performance Dashboard Page 3 of 6 Total Applications Received 368,683 Applications Received by Medicaid Agency 154,626 Medicaid Applications Received Online Medicaid Applications Received by Mail Medicaid Applications Received In-Person Medicaid Applications Received by Phone Medicaid Applications Received via Other Channel Applications Received by CHIP Agency CHIP Applications Received Online CHIP Applications Received by Mail CHIP Applications Received In-Person CHIP Applications Received by Phone CHIP Applications Received via Other Channel Applications Received by SBM 214,057 Data Limitation: DHCS is working on being able to provide item 5C-5M to CMS Number of Electronic Accounts Transferred Total Account Transfers Received from the FFM Determined Account Transfers Received Assessed Account Transfers Received Request for Full Determination Transfers Received Transfers of Unknown Type Received Transfer Sent Transfers to FFM Transfers to Non-Integrated SBM Systems Data Limitation: Number of Renewals Total Number of Renewals Medicaid MAGI Renewals Medicaid non-magi Renewals https://sdis.medicaid.gov/state/report/monthly/view/kxfe-ky6a /13/2015

4 Medicaid Performance Dashboard Page 4 of 6 CHIP Renewals Unknown Type Data Limitation: Total Enrollment Total Medicaid Enrollees 11,919,314 Total MAGI Enrollees MAGI Child Enrollees MAGI Adult Enrollees Total Non-MAGI Enrollees Non-MAGI Child Enrollees Non-MAGI Adult Enrollees Total CHIP Enrollees Data Limitation: Total Number of Individuals Determined Eligible Total Medicaid Eligible 469,538 Medicaid MAGI Eligibility Determinations 429,721 Medicaid non-magi Eligibility Determinations 39,817 Medicaid Eligibility Determined at Application Determined Medicaid Eligible at Application under MAGI Rules Determined Medicaid Eligible at Application under non-magi Rules Medicaid Eligibility Determined at Annual Renewal Medicaid Eligible via Administrative Determination Medicaid Eligible via Other Method 0 Total CHIP Eligible Determined CHIP Eligible at Application Determined CHIP Eligible at Annual Renewal All Others Determined CHIP Eligible Data Limitation: Individuals determined eligible via Administrative Determination includes Express Lane Express Lane: No Data https://sdis.medicaid.gov/state/report/monthly/view/kxfe-ky6a /13/2015

5 Medicaid Performance Dashboard Page 5 of 6 https://sdis.medicaid.gov/state/report/monthly/view/kxfe-ky6a /13/2015 Total Number of Individuals Determined Ineligible Total Medicaid Ineligible Medicaid Determination - Ineligibility Established Medicaid Determination - Eligibility Cannot be Established Medicaid Determination - Ineligible at Application Medicaid Determination - Ineligible at Annual Renewal Medicaid Determination - Ineligible via Other Application Type Total CHIP Ineligible CHIP Determination - Ineligibility Established CHIP Determination - Eligibility Cannot be Established CHIP Determination - Ineligible at Application CHIP Determination - Ineligible at Annual Renewal CHIP Determination - Ineligible via Other Application Type Data Limitation: Total Number of Pending Applications/Redeterminations Number Pending at Medicaid Type Number Pending at Separate CHIP Agency Type Data Limitation: Processing Time for Determinations Median Processing Time (Days) at Medicaid Processing Time for MAGI Determination Processing Time for Non-MAGI Determination Processing Time for Direct Application to Medicaid Agency Processing Time for Transfer Application from FFM/SBM MAGI Determinations Processed Within 24 Hours

6 Medicaid Performance Dashboard Page 6 of 6 MAGI Determinations Processed in 1-7 Days MAGI Determinations Processed in 8-30 Days MAGI Determinations Processed in Days MAGI Determinations Processed in Over 45 Days Non-MAGI Determinations Processed Within 30 Days Non-MAGI Determinations Processed in Days Non-MAGI Determinations Processed in Days Non-MAGI Determinations Processed in Over 90 Days Median Processing Time (Days) at Separate CHIP Agency Processing Time for Direct Application to CHIP Agency Processing Time for Transfer Application from FFM/SBM MAGI Determinations Processed Within 24 Hours MAGI Determinations Processed in 1-7 Days MAGI Determinations Processed in 8-30 Days MAGI Determinations Processed in Days MAGI Determinations Processed in Over 45 Days Data Limitation: Data Limitations https://sdis.medicaid.gov/state/report/monthly/view/kxfe-ky6a /13/2015

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