MARS MRM170 MISSISSIPPI MEDICAID MANAGEMENT INFORMATION SYSTEM REPORT NO: MR-O-42-SFY 06/28/98 12:14:56 DEPARTMENT OF HEALTH AND SOCIAL SERVICES PAGE

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1 MARS MRM170 MISSISSIPPI MEDICAID MANAGEMENT INFORMATION SYSTEM REPORT NO: MR-O-42-SFY 06/28/98 12:14:56 DEPARTMENT OF HEALTH AND SOCIAL SERVICES PAGE NO: 1 SECTION A (1). RECIPIENTS OF MEDICAL CARE BY TYPE OF MEDICAL SERVICE, AND BY MAINTENANCE ASSISTANCE STATUS AND BASIS OF ELIGIBILITY INPATIENT MENTAL HEALTH SERVICES MAINTENANCE ASSISTANCE STATUS UNDUPLICATED INPATIENT MENTAL HOSPITAL SNF/ICF SERVICES INPATIENT OF RECIPIENT AND BASIS OF TOTAL HOSPITAL SERVICES FOR THE FOR THE AGED PSYCHIATRIC ELIGIBILITY FOR MEDICAL CARE SERVICES AGED SERVICES FOR AGE 21 AND UNDER (1) (2) (3) (4) (5) 1. UNDUPLICATED TOTAL NUMBER OF RECIPIENTS 478, , ,923 NANCE ASSISTANCE, TOTAL 248,955 62, ,045 A. AGED 30,242 9, B. BLIND 1, C. DISABLED 114,404 35, ,184 D. AFDC - CHILDREN 1, E. AFDC - ADULTS 101,609 18, MAINTENANCE ASSISTANCE, TOTAL 174,436 39, D. AFDC - CHILDREN 108,163 16, E. AFDC - ADULTS 66,273 22, MEDICALLY NEEDY, TOTAL PRIOR TO ,803 17, A. AGED 30,236 11, B. BLIND C. DISABLED 14,807 5, D. AFDC - CHILDREN 3, E. AFDC - ADULTS 3, F. OTHER TITLE XIX RECIPIENTS 2, COVERAGE GROUPS CREATED BY MCCA OF A. AGED B. BLIND C. DISABLED D. CHILDREN E. CARETAKER RELATIVES & PREGNANT WOMEN

2 MARS MRM170 MISSISSIPPI MEDICAID MANAGEMENT INFORMATION SYSTEM REPORT NO: MR-O-42-SFY 06/28/98 12:14:56 DEPARTMENT OF HEALTH AND SOCIAL SERVICES PAGE NO: 2 SECTION A (2). RECIPIENTS OF MEDICAL CARE BY TYPE OF MEDICAL SERVICE, AND BY MAINTENANCE ASSISTANCE STATUS AND BASIS OF ELIGIBILITY ICF SERVICES MAINTENANCE ASSISTANCE STATUS FOR MENTALLY ALL OTHER SNF SERVICES PHYSICIANS' DENTAL OF RECIPIENT AND BASIS OF RETARDED SERVICES SERVICES ELIGIBILITY FOR MEDICAL CARE (6) (7) (8) (9) (10) 1. UNDUPLICATED TOTAL NUMBER OF RECIPIENTS 2, , ,143 25,394 NANCE ASSISTANCE, TOTAL 1, , ,224 19,289 A. AGED ,848 29,056 1,741 B. BLIND , C. DISABLED 1, ,841 99,494 12,324 D. AFDC - CHILDREN E. AFDC - ADULTS ,434 5,058 MAINTENANCE ASSISTANCE, TOTAL ,175 2,452 D. AFDC - CHILDREN , E. AFDC - ADULTS ,842 1, MEDICALLY NEEDY, TOTAL PRIOR TO , ,093 48,101 3,629 A. AGED ,075 27,758 1,613 B. BLIND C. DISABLED 1, ,014 13,734 1,994 D. AFDC - CHILDREN ,357 0 E. AFDC - ADULTS , F. OTHER TITLE XIX RECIPIENTS , COVERAGE GROUPS CREATED BY MCCA OF A. AGED B. BLIND C. DISABLED D. CHILDREN E. CARETAKER RELATIVES & PREGNANT WOMEN

3 MARS MRM170 MISSISSIPPI MEDICAID MANAGEMENT INFORMATION SYSTEM REPORT NO: MR-O-42-SFY 06/28/98 12:14:56 DEPARTMENT OF HEALTH AND SOCIAL SERVICES PAGE NO: 3 SECTION A (3). RECIPIENTS OF MEDICAL CARE BY TYPE OF MEDICAL SERVICE, AND BY MAINTENANCE ASSISTANCE STATUS AND BASIS OF ELIGIBILITY MAINTENANCE ASSISTANCE STATUS OTHER OUTPATIENT CLINIC HOME HEALTH FAMILY PLANNING OF RECIPIENT AND BASIS OF PRACTITIONERS' HOSPITAL SERVICES SERVICES SERVICES ELIGIBILITY FOR MEDICAL CARE SERVICES SERVICES (11) (12) (13) (14) (15) 1. UNDUPLICATED TOTAL NUMBER OF RECIPIENTS 10, ,136 33,736 11,144 0 NANCE ASSISTANCE, TOTAL 8, ,348 24,900 8,972 0 A. AGED B. BLIND C. DISABLED 5,881 50,378 18,180 7,400 0 D. AFDC - CHILDREN E. AFDC - ADULTS 2,104 48,631 6, MAINTENANCE ASSISTANCE, TOTAL 1,222 82,881 4,721 1,326 0 D. AFDC - CHILDREN ,512 3, E. AFDC - ADULTS ,369 1, MEDICALLY NEEDY, TOTAL PRIOR TO ,892 4, A. AGED B. BLIND C. DISABLED 545 2,379 2, D. AFDC - CHILDREN 0 1, E. AFDC - ADULTS 15 1, F. OTHER TITLE XIX RECIPIENTS 0 1, COVERAGE GROUPS CREATED BY MCCA OF A. AGED C. DISABLED D. CHILDREN E. CARETAKER RELATIVES & PREGNANT WOMEN

4 MARS MRM170 MISSISSIPPI MEDICAID MANAGEMENT INFORMATION SYSTEM REPORT NO: MR-O-42-SFY 06/28/98 12:14:56 DEPARTMENT OF HEALTH AND SOCIAL SERVICES PAGE NO: 4 SECTION A (4). RECIPIENTS OF MEDICAL CARE BY TYPE OF MEDICAL SERVICE, AND BY MAINTENANCE ASSISTANCE STATUS AND BASIS OF ELIGIBILITY MAINTENANCE ASSISTANCE STATUS LAB AND X-RAY PRESCRIBED EARLY AND PERIODIC RURAL HEALTH OTHER CARE OF RECIPIENT AND BASIS OF SERVICES DRUGS SCREENING CLINIC SERVICES ELIGIBILITY FOR MEDICAL CARE (16) (17) (18) (19) (20) 1. UNDUPLICATED TOTAL NUMBER OF RECIPIENTS 79, , , ,851 84,385 NANCE ASSISTANCE, TOTAL 43, ,195 61,479 63,588 48,110 A. AGED 88 27, ,719 B. BLIND 204 1, C. DISABLED 22, ,257 15,031 27,048 27,575 D. AFDC - CHILDREN E. AFDC - ADULTS 19,872 75,843 45,496 35,470 17,324 MAINTENANCE ASSISTANCE, TOTAL 33, ,499 86,064 50,047 30,841 D. AFDC - CHILDREN 13,403 74,526 57,606 31,947 17,312 E. AFDC - ADULTS 20,104 46,973 28,458 18,100 13, MEDICALLY NEEDY, TOTAL PRIOR TO ,624 47,660 5,597 4,211 5,407 A. AGED 96 27, ,452 B. BLIND C. DISABLED 1,023 13, ,127 2,199 D. AFDC - CHILDREN 627 2,435 1,975 1, E. AFDC - ADULTS 470 2,682 2,111 1, F. OTHER TITLE XIX RECIPIENTS 408 1,716 1, COVERAGE GROUPS CREATED BY MCCA OF A. AGED B. BLIND C. DISABLED D. CHILDREN E. CARETAKER RELATIVES & PREGNANT WOMEN

5 MARS MRM170 MISSISSIPPI MEDICAID MANAGEMENT INFORMATION SYSTEM REPORT NO: MR-O-43-SFY 06/28/98 12:14:56 DEPARTMENT OF HEALTH AND SOCIAL SERVICES PAGE NO: 1 SECTION B (1). AMOUNTS OF MEDICAL VENDOR PAYMENTS BY TYPE OF MEDICAL SERVICE, AND BY MAINTENANCE ASSISTANCE STATUS AND BASIS OF ELIGIBILITY OF RECIPIENT INPATIENT MENTAL HEALTH SERVICES MAINTENANCE ASSISTANCE STATUS TOTAL INPATIENT MENTAL HOSPITAL SNF/ICF SERVICES INPATIENT OF RECIPIENT AND BASIS OF (COLS. 2-20) HOSPITAL SERVICES FOR THE FOR THE AGED PSYCHIATRIC ELIGIBILITY FOR MEDICAL CARE SERVICES AGED SERVICES FOR AGE 21 AND UNDER (1) (2) (3) (4) (5) 1. TOTAL AMOUNT OF EXPENDITURES 444,761, ,993, ,833,612 NANCE ASSISTANCE, TOTAL 729,208, ,798, ,487,120 A. AGED 93,031,492 12,225, B. BLIND 6,290,414 1,013, C. DISABLED 517,794, ,048, ,576,577 D. AFDC - CHILDREN 4,402,004 2,198, ,514 E. AFDC - ADULTS 107,689,508 31,312, ,278,028 MAINTENANCE ASSISTANCE, TOTAL 241,622, ,441, ,360,768 D. AFDC - CHILDREN 136,654,847 58,649, ,070,764 E. AFDC - ADULTS 104,967,405 44,791, , MEDICALLY NEEDY, TOTAL PRIOR TO ,760,940 40,431, ,985,722 A. AGED 322,359,711 19,069, B. BLIND 256,402 3, C. DISABLED 131,198,813 14,589, ,790 D. AFDC - CHILDREN 4,190,548 1,541, ,149 E. AFDC - ADULTS 3,516,577 1,101, ,641 F. OTHER TITLE XIX RECIPIENTS 10,238,886 4,126, ,314, COVERAGE GROUPS CREATED BY MCCA OF ,170, , A. AGED 1,838, , B. BLIND 8,005 2, C. DISABLED 324,347 53, D. CHILDREN E. CARETAKER RELATIVES & PREGNANT WOMEN

6 MARS MRM170 MISSISSIPPI MEDICAID MANAGEMENT INFORMATION SYSTEM REPORT NO: MR-O-43-SFY 06/28/98 12:14:56 DEPARTMENT OF HEALTH AND SOCIAL SERVICES PAGE NO: 2 SECTION B (2). AMOUNTS OF MEDICAL VENDOR PAYMENTS BY TYPE OF MEDICAL SERVICE, AND BY MAINTENANCE ASSISTANCE STATUS AND BASIS OF ELIGIBILITY OF RECIPIENT ICF SERVICES MAINTENANCE ASSISTANCE STATUS FOR MENTALLY ALL OTHER SNF SERVICES PHYSICIANS' DENTAL OF RECIPIENT AND BASIS OF RETARDED SERVICES SERVICES ELIGIBILITY FOR MEDICAL CARE (6) (7) (8) (9) (10) 1. TOTAL AMOUNT OF EXPENDITURES 123,729, ,248, ,576,599 2,875,347 NANCE ASSISTANCE, TOTAL 64,610, ,531,276 99,011,526 2,238,667 A. AGED 1,302, ,420,101 17,970, ,441 B. BLIND 997, , ,080 19,415 C. DISABLED 62,208, ,302,794 63,072,951 1,513,232 D. AFDC - CHILDREN 101, ,446 0 E. AFDC - ADULTS 0 0 3,306 16,753, ,577 MAINTENANCE ASSISTANCE, TOTAL 53, ,054, ,949 D. AFDC - CHILDREN 53, ,541,967 43,301 E. AFDC - ADULTS ,512, , MEDICALLY NEEDY, TOTAL PRIOR TO ,052, ,546,360 38,218, ,533 A. AGED 2,767, ,855,114 24,594, ,048 B. BLIND 160, ,091 5, C. DISABLED 55,716, ,618,293 11,924, ,978 D. AFDC - CHILDREN 13, ,111 0 E. AFDC - ADULTS ,512 1,445 F. OTHER TITLE XIX RECIPIENTS 394, , COVERAGE GROUPS CREATED BY MCCA OF , ,170, ,884 2,197 A. AGED 0 0 1,085, ,271 1,148 B. BLIND ,047 0 C. DISABLED 12, ,598 67,565 1,048 D. CHILDREN E. CARETAKER RELATIVES & PREGNANT WOMEN

7 MARS MRM170 MISSISSIPPI MEDICAID MANAGEMENT INFORMATION SYSTEM REPORT NO: MR-O-43-SFY 06/28/98 12:14:56 DEPARTMENT OF HEALTH AND SOCIAL SERVICES PAGE NO: 3 SECTION B (3). AMOUNTS OF MEDICAL VENDOR PAYMENTS BY TYPE OF MEDICAL SERVICE, AND BY MAINTENANCE ASSISTANCE STATUS AND BASIS OF ELIGIBILITY OF RECIPIENT MAINTENANCE ASSISTANCE STATUS OTHER OUTPATIENT CLINIC HOME HEALTH FAMILY PLANNING OF RECIPIENT AND BASIS OF PRACTITIONERS' HOSPITAL SERVICES SERVICES SERVICES ELIGIBILITY FOR MEDICAL CARE SERVICES SERVICES (11) (12) (13) (14) (15) 1. TOTAL AMOUNT OF EXPENDITURES 540,171 75,536,751 44,078,822 12,615,991 0 NANCE ASSISTANCE, TOTAL 447,579 47,711,451 34,889,218 11,083,711 0 A. AGED 8, , , ,703 0 B. BLIND 5, ,801 90, ,356 0 C. DISABLED 330,648 32,831,926 27,093,060 9,616,486 0 D. AFDC - CHILDREN 0 137, ,836 15,438 0 E. AFDC - ADULTS 103,145 14,262,355 7,083, ,726 0 MAINTENANCE ASSISTANCE, TOTAL 56,883 24,249,552 4,544, ,384 0 D. AFDC - CHILDREN 10,593 11,270,750 3,608, ,400 0 E. AFDC - ADULTS 46,289 12,978, , , MEDICALLY NEEDY, TOTAL PRIOR TO ,606 3,568,458 4,641, ,754 0 A. AGED 6, , ,197 24,339 0 B. BLIND C. DISABLED 28,762 2,070,500 3,046, ,233 0 D. AFDC - CHILDREN 0 387, ,922 11,379 0 E. AFDC - ADULTS , ,362 6,439 0 F. OTHER TITLE XIX RECIPIENTS 0 561, , , COVERAGE GROUPS CREATED BY MCCA OF ,288 3,598 1,139 0 A. AGED C. DISABLED 0 7,026 3, D. CHILDREN E. CARETAKER RELATIVES & PREGNANT WOMEN

8 MARS MRM170 MISSISSIPPI MEDICAID MANAGEMENT INFORMATION SYSTEM REPORT NO: MR-O-43-SFY 06/28/98 12:14:56 DEPARTMENT OF HEALTH AND SOCIAL SERVICES PAGE NO: 4 SECTION B (4). AMOUNTS OF MEDICAL VENDOR PAYMENTS BY TYPE OF MEDICAL SERVICE, AND BY MAINTENANCE ASSISTANCE STATUS AND BASIS OF ELIGIBILITY OF RECIPIENT MAINTENANCE ASSISTANCE STATUS LAB AND X-RAY PRESCRIBED EARLY AND PERIODIC RURAL HEALTH OTHER CARE OF RECIPIENT AND BASIS OF SERVICES DRUGS SCREENING CLINIC SERVICES ELIGIBILITY FOR MEDICAL CARE (16) (17) (18) (19) (20) 1. TOTAL AMOUNT OF EXPENDITURES 5,927, ,867,446 22,996,265 29,009,495 65,932,057 NANCE ASSISTANCE, TOTAL 3,118, ,673,784 9,857,372 15,076,618 44,672,567 A. AGED 4,302 28,976, ,846 3,611,089 B. BLIND 24,819 1,200,164 8,401 49, ,880 C. DISABLED 1,926, ,644,735 2,664,617 7,263,054 35,701,417 D. AFDC - CHILDREN 12, , ,266 92,128 82,463 E. AFDC - ADULTS 1,150,393 13,564,812 7,015,775 7,565,644 4,586,715 MAINTENANCE ASSISTANCE, TOTAL 2,630,417 14,827,656 12,160,122 13,020,266 15,278,763 D. AFDC - CHILDREN 877,816 8,934,920 8,610,549 7,710,736 10,821,237 E. AFDC - ADULTS 1,752,601 5,892,736 3,549,572 5,309,529 4,457, MEDICALLY NEEDY, TOTAL PRIOR TO ,797 64,043, , ,333 5,947,507 A. AGED 5,798 40,751, ,186 1,230,588 B. BLIND 0 14, C. DISABLED 82,290 21,202,974 30, ,312 3,594,261 D. AFDC - CHILDREN 36, , , , ,980 E. AFDC - ADULTS 26, , , , ,212 F. OTHER TITLE XIX RECIPIENTS 27,687 1,373, , , , COVERAGE GROUPS CREATED BY MCCA OF , ,275 33,219 A. AGED , ,284 B. BLIND C. DISABLED 9 75, ,878 D. CHILDREN E. CARETAKER RELATIVES & PREGNANT WOMEN

9 FOOTNOTES: (1) TOTAL ADJUSTMENTS NOT IDENTIFIED BY TYPE OF SERVICE AND BASIS OF ELIGIBILITY/MAINTENANCE ASSISTANCE STATUS: $0.00 (2) TOTAL ADJUSTMENTS INCLUDED IN REPORT BY TYPE OF SERVICE AND BASIS OF ELIGIBILITY/MAINTENANCE ASSISTANCE STATUS: $17,963,

10 MARS MRM170 MISSISSIPPI MEDICAID MANAGEMENT INFORMATION SYSTEM REPORT NO: MR-O-44-SFY 06/28/98 12:14:56 DEPARTMENT OF HEALTH AND SOCIAL SERVICES PAGE NO: 1 SECTION C. NUMBER OF MEDICAID ELIGIBLES BY LENGTH OF ELIGIBILITY, AND BY MAINTENANCE ASSISTANCE STATUS AND BASIS OF ELIGIBILITY OF RECIPIENT MAINTENANCE ASSISTANCE STATUS UNDUPLICATED NUMBER NUMBER NUMBER OF COVERED OF RECIPIENT AND BASIS OF TOTAL ELIGIBLE FOR ELIGIBLE FOR MONTHS FOR ELIGIBILITY FOR MEDICAL CARE FULL YEAR PARTIAL YEAR PARTIAL YEAR ELIGIBLES (1) (2) (3) (4) 1. UNDUPLICATED TOTAL NUMBER OF ELIGIBLES 524,090 16, , ,983 NANCE ASSISTANCE, TOTAL 273,447 6, , ,249 A. AGED 30, ,517 17,024 B. BLIND 1, , C. DISABLED 122,524 1, ,244 96,326 D. AFDC - CHILDREN 1, ,306 3,199 E. AFDC - ADULTS 117,254 4, , ,909 F. OTHER TITLE XIX RECIPIENTS MAINTENANCE ASSISTANCE, TOTAL 189,099 8, , ,475 A. AGED B. BLIND C. DISABLED D. AFDC - CHILDREN 121,792 5, , ,693 E. AFDC - ADULTS 67,306 3,203 64, ,782 F. OTHER TITLE XIX RECIPIENTS MEDICALLY NEEDY, TOTAL A. AGED B. BLIND C. DISABLED D. AFDC - CHILDREN E. AFDC - ADULTS F. OTHER TITLE XIX RECIPIENTS PRIOR TO ,480 1,824 53,656 87,579 A. AGED 28, ,261 30,189 B. BLIND C. DISABLED 14, ,319 18,543 D. AFDC - CHILDREN 4, ,402 16,061 E. AFDC - ADULTS 4, ,409 17,133 F. OTHER TITLE XIX RECIPIENTS 2, ,254 5, COVERAGE GROUPS CREATED BY MCCA OF , ,888 9,680 A. AGED 4, ,094 6,796 B. BLIND C. DISABLED 1, ,759 2,843 D. CHILDREN E. CARETAKER RELATIVES & PREGNANT WOMEN F. OTHER TITLE XIX RECIPIENTS

11 MARS MRM170 MISSISSIPPI MEDICAID MANAGEMENT INFORMATION SYSTEM REPORT NO: MR-O-45-SFY 06/28/98 12:14:56 DEPARTMENT OF HEALTH AND SOCIAL SERVICES PAGE NO: 1 SECTION D (1). ELIGIBLES FOR MEDICAL CARE BY AGE, RACE/ETHNICITY AND SEX RACE/ETHNICITY BY SEX TOTAL UNDER (1) (2) (3) (4) (5) (6) 1. UNDUPLICATED TOTAL NUMBER OF ELIGIBLES 524, ,987 1,882 3, ,524 59, WHITE, NOT HISPANIC ORIGIN 159,206 81, ,015 22,653 24,873 A. MALE 59,796 38, ,443 8,429 B. FEMALE 99,409 43, ,210 16,444 C. UNKNOWN BLACK, NOT HISPANIC ORIGIN 333, ,303 1,274 2, ,800 33,096 A. MALE 131,160 75, ,274 33,965 12,093 B. FEMALE 201,860 88, ,361 69,835 21,003 C. UNKNOWN AMERICAN INDIAN OR ALASKAN NATIVE 1, A. MALE B. FEMALE 1, C. UNKNOWN ASIAN OR PACIFIC ISLANDER 2, A. MALE B. FEMALE 1, C. UNKNOWN HISPANIC 1, A. MALE B. FEMALE C. UNKNOWN UNKNOWN RACE/EHTNICITY 26,574 18, A. MALE 9,531 7, B. FEMALE 17,043 11, C. UNKNOWN

12 MARS MRM170 MISSISSIPPI MEDICAID MANAGEMENT INFORMATION SYSTEM REPORT NO: MR-O-45-SFY 06/28/98 12:14:56 DEPARTMENT OF HEALTH AND SOCIAL SERVICES PAGE NO: 2 SECTION D (1). ELIGIBLES FOR MEDICAL CARE BY AGE, RACE/ETHNICITY AND SEX RACE/ETHNICITY BY SEX AND OVER UNKNOWN (7) (8) (9) (10) (11) 1. UNDUPLICATED TOTAL NUMBER OF ELIGIBLES 0 64, WHITE, NOT HISPANIC ORIGIN 0 28, A. MALE 0 6, B. FEMALE 0 22, C. UNKNOWN BLACK, NOT HISPANIC ORIGIN 0 27, A. MALE 0 7, B. FEMALE 0 20, C. UNKNOWN AMERICAN INDIAN OR ALASKAN NATIVE A. MALE B. FEMALE C. UNKNOWN ASIAN OR PACIFIC ISLANDER A. MALE B. FEMALE C. UNKNOWN HISPANIC A. MALE B. FEMALE C. UNKNOWN UNKNOWN RACE/EHTNICITY 0 7, A. MALE 0 2, B. FEMALE 0 5, C. UNKNOWN

13 MARS MRM170 MISSISSIPPI MEDICAID MANAGEMENT INFORMATION SYSTEM REPORT NO: MR-O-46-SFY 06/28/98 12:14:56 DEPARTMENT OF HEALTH AND SOCIAL SERVICES PAGE NO: 1 SECTION D (2). RECIPIENTS OF MEDICAL CARE BY AGE, RACE/ETHNICITY AND SEX (CONTINUED) RACE/ETHNICITY BY SEX TOTAL UNDER (1) (2) (3) (4) (5) (6) 1. UNDUPLICATED TOTAL NUMBER OF RECIPIENTS 478, ,329 2,684 3, ,980 60, WHITE, NOT HISPANIC ORIGIN 151,095 73, ,306 21,186 25,941 A. MALE 54,245 33, ,700 8,041 B. FEMALE 96,849 39, ,486 17,900 C. UNKNOWN BLACK, NOT HISPANIC ORIGIN 297, ,571 1,627 2,517 88,880 33,189 A. MALE 111,734 63, ,221 27,734 10,758 B. FEMALE 185,779 79, ,296 61,146 22,431 C. UNKNOWN AMERICAN INDIAN OR ALASKAN NATIVE 1, A. MALE B. FEMALE 1, C. UNKNOWN ASIAN OR PACIFIC ISLANDER 1, A. MALE B. FEMALE 1, C. UNKNOWN HISPANIC 1, A. MALE B. FEMALE C. UNKNOWN UNKNOWN RACE/EHTNICITY 25,677 17, A. MALE 8,952 6, B. FEMALE 16,724 10, C. UNKNOWN

14 MARS MRM170 MISSISSIPPI MEDICAID MANAGEMENT INFORMATION SYSTEM REPORT NO: MR-O-46-SFY 06/28/98 12:14:56 DEPARTMENT OF HEALTH AND SOCIAL SERVICES PAGE NO: 2 SECTION D (2). RECIPIENTS OF MEDICAL CARE BY AGE, RACE/ETHNICITY AND SEX (CONTINUED) RACE/ETHNICITY BY SEX AND OVER UNKNOWN (7) (8) (9) (10) (11) 1. UNDUPLICATED TOTAL NUMBER OF RECIPIENTS 1,859 59,457 1,482 1, WHITE, NOT HISPANIC ORIGIN , A. MALE 359 5, B. FEMALE , C. UNKNOWN BLACK, NOT HISPANIC ORIGIN , A. MALE 411 6, B. FEMALE , C. UNKNOWN AMERICAN INDIAN OR ALASKAN NATIVE A. MALE B. FEMALE C. UNKNOWN ASIAN OR PACIFIC ISLANDER A. MALE B. FEMALE C. UNKNOWN HISPANIC A. MALE B. FEMALE C. UNKNOWN UNKNOWN RACE/EHTNICITY 217 7, A. MALE 76 1, B. FEMALE 141 5, C. UNKNOWN

15 MARS MRM170 MISSISSIPPI MEDICAID MANAGEMENT INFORMATION SYSTEM REPORT NO: MR-O-47-SFY 06/28/98 12:14:56 DEPARTMENT OF HEALTH AND SOCIAL SERVICES PAGE NO: 1 SECTION D (3). AMOUNT OF MEDICAL VENDOR PAYMENTS BY AGE, RACE/ETHNICITY AND SEX RACE/ETHNICITY BY SEX TOTAL UNDER (1) (2) (3) (4) (5) (6) 1. TOTAL AMOUNT OF EXPENDITURES 444,761, ,396,900 5,760,995 5,614, ,520,322 84,142, WHITE, NOT HISPANIC ORIGIN 632,240, ,214, ,926 2,298,420 38,938,506 37,603,440 A. MALE 204,943, ,231, ,327 1,102,636 9,804,975 8,233,975 B. FEMALE 427,282, ,983, ,599 1,195,783 29,133,530 29,369,465 C. UNKNOWN 14, BLACK, NOT HISPANIC ORIGIN 677,922, ,399,157 3,393,166 3,244, ,063,474 43,696,013 A. MALE 241,336, ,674,851 1,493,420 1,727,397 24,817,487 10,312,001 B. FEMALE 436,585, ,724,305 1,899,746 1,517,564 81,245,987 33,384,011 C. UNKNOWN AMERICAN INDIAN OR ALASKAN NATIVE 5,283,665 2,521,789 13,424 9, ,740 1,683,452 A. MALE 2,035,390 1,058,944 10,022 2,766 58, ,250 B. FEMALE 3,248,274 1,462,845 3,402 6, ,079 1,063,202 C. UNKNOWN ASIAN OR PACIFIC ISLANDER 2,808,976 1,649,675 2,894 33, , ,880 A. MALE 1,144, , , ,694 90,145 B. FEMALE 1,664, ,574 2,597 19, , ,734 C. UNKNOWN HISPANIC 2,277,500 1,385,296 6,849 12, , ,278 A. MALE 720, ,980 3,150 4,676 60,695 95,113 B. FEMALE 1,557, ,315 3,698 8, , ,165 C. UNKNOWN UNKNOWN RACE/EHTNICITY 124,228,645 83,226,309 1,531,732 15, , ,442 A. MALE 41,880,627 31,408, , , ,053 B. FEMALE 82,347,780 51,817, ,801 15, ,202 74,388 C. UNKNOWN

16 MARS MRM170 MISSISSIPPI MEDICAID MANAGEMENT INFORMATION SYSTEM REPORT NO: MR-O-47-SFY 06/28/98 12:14:56 DEPARTMENT OF HEALTH AND SOCIAL SERVICES PAGE NO: 2 SECTION D (3). AMOUNT OF MEDICAL VENDOR PAYMENTS BY AGE, RACE/ETHNICITY AND SEX RACE/ETHNICITY BY SEX AND OVER UNKNOWN (7) (8) (9) (10) (11) 1. TOTAL AMOUNT OF EXPENDITURES 3,000, ,567, , , WHITE, NOT HISPANIC ORIGIN 1,307, ,222, , ,134 0 A. MALE 711,003 48,196, , ,049 0 B. FEMALE 596, ,011, , ,085 0 C. UNKNOWN 0 14, BLACK, NOT HISPANIC ORIGIN 1,333, ,141, , ,833 0 A. MALE 758,277 36,321, ,402 80,148 0 B. FEMALE 575,439 93,819, , ,685 0 C. UNKNOWN AMERICAN INDIAN OR ALASKAN NATIVE 11, ,396 1, A. MALE 6, ,947 1, B. FEMALE 4, , C. UNKNOWN ASIAN OR PACIFIC ISLANDER , ,464 0 A. MALE , B. FEMALE 1, , ,439 0 C. UNKNOWN HISPANIC , A. MALE , B. FEMALE , C. UNKNOWN UNKNOWN RACE/EHTNICITY 346,920 38,254, ,168 83,794 0 A. MALE 192,257 9,097,633 38,833 26,181 0 B. FEMALE 154,662 29,156, ,334 57,613 0 C. UNKNOWN FOOTNOTE: (1) TOTAL ADJUSTMENTS NOT INCLUDED IN REPORT BY AGE, SEX, AND RACE/ETHNICITY: $0.00 (2) TOTAL ADJUSTMENTS INCLUDED IN REPORT BY AGE, SEX, AND RACE/ETHNICITY: $17,963,

17 MARS MRM170 MISSISSIPPI MEDICAID MANAGEMENT INFORMATION SYSTEM REPORT NO: MR-O-48-SFY 06/28/98 12:14:56 DEPARTMENT OF HEALTH AND SOCIAL SERVICES PAGE NO: 1 SECTION D (4). ELIGIBLES FOR MEDICAL CARE BY AGE, BASIS OF ELIGIBILITY AND MAINTENANCE ASSISTANCE STATUS BASIS OF ELIGIBILITY OF TOTAL UNDER MAINTENANCE STATUS (1) (2) (3) (4) (5) (6) 1. UNDUPLICATED TOTAL NUMBER OF ELIGIBLES 524, ,987 1,882 3, ,524 59,335 NANCE ASSISTANCE, TOTAL 273, , ,282 95,052 7,042 A. AGED 30, B. BLIND 1,524 1, C. DISABLED 122, , D. AFDC - CHILDREN 1, , E. AFDC - ADULTS 117,254 14, ,028 94,705 6,983 0 MAINTENANCE ASSISTANCE, TOTAL 189, ,982 1, ,545 49, C. DISABLED D. AFDC - CHILDREN 121, ,162 1, ,202 4,572 E. AFDC - ADULTS 67,306 5, ,343 45, MEDICALLY NEEDY, TOTAL PRIOR TO ,480 15, ,138 6,927 2,696 A. AGED 28, B. BLIND C. DISABLED 14,651 14, D. AFDC - CHILDREN 4, ,664 0 E. AFDC - ADULTS 4, ,682 F. OTHER TITLE XIX RECIPIENTS 2, , COVERAGE GROUPS CREATED BY MCCA OF ,064 1, A. AGED 4, B. BLIND C. DISABLED 1,816 1, D. CHILDREN E. CARETAKER RELATIVES & PREGNANT WOMEN

18 MARS MRM170 MISSISSIPPI MEDICAID MANAGEMENT INFORMATION SYSTEM REPORT NO: MR-O-48-SFY 06/28/98 12:14:56 DEPARTMENT OF HEALTH AND SOCIAL SERVICES PAGE NO: 2 SECTION D (4). ELIGIBLES FOR MEDICAL CARE BY AGE, BASIS OF ELIGIBILITY AND MAINTENANCE ASSISTANCE STATUS BASIS OF ELIGIBILITY OF AND OVER UNKNOWN MAINTENANCE STATUS (7) (8) (9) (10) (11) 1. UNDUPLICATED TOTAL NUMBER OF ELIGIBLES 0 64, NANCE ASSISTANCE, TOTAL 0 31, A. AGED 0 30, B. BLIND C. DISABLED E. AFDC - ADULTS MAINTENANCE ASSISTANCE, TOTAL MEDICALLY NEEDY, TOTAL PRIOR TO , A. AGED 0 28, C. DISABLED COVERAGE GROUPS CREATED BY MCCA OF , A. AGED 0 4, C. DISABLED D. CHILDREN E. CARETAKER RELATIVES & PREGNANT WOMEN

19 MARS MRM170 MISSISSIPPI MEDICAID MANAGEMENT INFORMATION SYSTEM REPORT NO: MR-O-48-SFY 06/28/98 12:14:56 DEPARTMENT OF HEALTH AND SOCIAL SERVICES PAGE NO: 1 SECTION D (5). RECIPIENTS OF MEDICAL CARE BY AGE, BASIS OF ELIGIBILITY AND MAINTENANCE ASSISTANCE STATUS BASIS OF ELIGIBILITY OF TOTAL UNDER MAINTENANCE STATUS (1) (2) (3) (4) (5) (6) 1. UNDUPLICATED TOTAL NUMBER OF RECIPIENTS 478, ,329 2,684 3, ,980 60,548 NANCE ASSISTANCE, TOTAL 248, , ,951 80,240 8,830 A. AGED 30, B. BLIND 1,421 1, C. DISABLED 114, , D. AFDC - CHILDREN 1, , E. AFDC - ADULTS 101,609 12, ,820 7,947 0 MAINTENANCE ASSISTANCE, TOTAL 174,436 96,458 2,418 1,118 24,993 49, D. AFDC - CHILDREN 108,163 91,119 2,354 1,058 9,196 4,436 E. AFDC - ADULTS 66,273 5, ,797 45, MEDICALLY NEEDY, TOTAL PRIOR TO ,803 14, ,747 2,277 A. AGED 30, B. BLIND C. DISABLED 14,807 13, D. AFDC - CHILDREN 3, ,875 1 E. AFDC - ADULTS 3, ,074 F. OTHER TITLE XIX RECIPIENTS 2, , COVERAGE GROUPS CREATED BY MCCA OF A. AGED B. BLIND C. DISABLED D. CHILDREN E. CARETAKER RELATIVES & PREGNANT WOMEN

20 MARS MRM170 MISSISSIPPI MEDICAID MANAGEMENT INFORMATION SYSTEM REPORT NO: MR-O-48-SFY 06/28/98 12:14:56 DEPARTMENT OF HEALTH AND SOCIAL SERVICES PAGE NO: 2 SECTION D (5). RECIPIENTS OF MEDICAL CARE BY AGE, BASIS OF ELIGIBILITY AND MAINTENANCE ASSISTANCE STATUS BASIS OF ELIGIBILITY OF AND OVER UNKNOWN MAINTENANCE STATUS (7) (8) (9) (10) (11) 1. UNDUPLICATED TOTAL NUMBER OF RECIPIENTS 1,859 59,457 1,482 1,674 0 NANCE ASSISTANCE, TOTAL 1,364 29, A. AGED 0 29, B. BLIND C. DISABLED 1, E. AFDC - ADULTS MAINTENANCE ASSISTANCE, TOTAL E. AFDC - ADULTS MEDICALLY NEEDY, TOTAL PRIOR TO , A. AGED 8 28, C. DISABLED COVERAGE GROUPS CREATED BY MCCA OF A. AGED C. DISABLED D. CHILDREN E. CARETAKER RELATIVES & PREGNANT WOMEN

21 MARS MRM170 MISSISSIPPI MEDICAID MANAGEMENT INFORMATION SYSTEM REPORT NO: MR-O-48-SFY 06/28/98 12:14:56 DEPARTMENT OF HEALTH AND SOCIAL SERVICES PAGE NO: 1 SECTION D (6). AMOUNT OF MEDICAL VENDOR PAYMENTS BY AGE AND BASIS OF ELIGIBILITY AND MAINTENANCE ASSISTANCE STATUS BASIS OF ELIGIBILITY OF TOTAL UNDER MAINTENANCE STATUS (1) (2) (3) (4) (5) (6) 1. TOTAL AMOUNT OF EXPENDITURES 444,761, ,396,900 5,760,995 5,614, ,520,322 84,142,507 NANCE ASSISTANCE, TOTAL 729,208, ,621,840 1,689,094 4,281,632 85,201,553 6,771,053 A. AGED 93,031, B. BLIND 6,290,414 6,134, C. DISABLED 517,794, ,023,938 1,604, ,301 1,291,721 1,247,920 D. AFDC - CHILDREN 4,402, ,804 1,395 3,348, ,495 15,497 E. AFDC - ADULTS 107,689,508 17,767,845 82, ,558 83,569,167 5,506,838 0 MAINTENANCE ASSISTANCE, TOTAL 241,622, ,892,771 4,017, ,044 47,808,484 75,131, D. AFDC - CHILDREN 136,654, ,265,978 3,575, ,720 19,153,827 7,010,030 E. AFDC - ADULTS 104,967,405 7,626, , ,324 28,654,657 68,121, MEDICALLY NEEDY, TOTAL PRIOR TO ,760, ,570,890 54, ,605 13,510,195 2,239,194 A. AGED 322,359, B. BLIND 256, , C. DISABLED 131,198, ,518,458 34,147 1, , ,972 D. AFDC - CHILDREN 4,190, , ,880 3,132, E. AFDC - ADULTS 3,516, , , ,542 1,710,436 F. OTHER TITLE XIX RECIPIENTS 10,238,886 1,311,669 20,619 48,624 8,836,327 21, COVERAGE GROUPS CREATED BY MCCA OF ,170, , A. AGED 1,838, B. BLIND 8,005 8, C. DISABLED 324, , D. CHILDREN E. CARETAKER RELATIVES & PREGNANT WOMEN

22 MARS MRM170 MISSISSIPPI MEDICAID MANAGEMENT INFORMATION SYSTEM REPORT NO: MR-O-48-SFY 06/28/98 12:14:56 DEPARTMENT OF HEALTH AND SOCIAL SERVICES PAGE NO: 2 SECTION D (6). AMOUNT OF MEDICAL VENDOR PAYMENTS BY AGE AND BASIS OF ELIGIBILITY AND MAINTENANCE ASSISTANCE STATUS BASIS OF ELIGIBILITY OF AND OVER UNKNOWN MAINTENANCE STATUS (7) (8) (9) (10) (11) 1. TOTAL AMOUNT OF EXPENDITURES 3,000, ,567, , ,277 0 NANCE ASSISTANCE, TOTAL 1,764,845 98,286, , ,213 0 A. AGED 0 92,608, , ,233 0 B. BLIND 4, ,983 9, C. DISABLED 1,707,790 5,534, ,202 44,663 0 E. AFDC - ADULTS 52,389 2, MAINTENANCE ASSISTANCE, TOTAL 5, E. AFDC - ADULTS 5, MEDICALLY NEEDY, TOTAL PRIOR TO ,229, ,425, , ,063 0 A. AGED 9, ,184, , ,063 0 B. BLIND C. DISABLED 1,220,077 4,240, E. AFDC - ADULTS COVERAGE GROUPS CREATED BY MCCA OF ,855,597 1, A. AGED 0 1,836,500 1, C. DISABLED , D. CHILDREN E. CARETAKER RELATIVES & PREGNANT WOMEN

23 FOOTNOTES: (1) TOTAL ADJUSTMENTS NOT IDENTIFIED BY TYPE OF SERVICE AND BASIS OF ELIGIBILITY/MAINTENANCE ASSISTANCE STATUS: $0.00 (2) TOTAL ADJUSTMENTS INCLUDED IN REPORT BY TYPE OF SERVICE AND BASIS OF ELIGIBILITY/MAINTENANCE ASSISTANCE STATUS:$17,963,

24 MARS MRM170 MISSISSIPPI MEDICAID MANAGEMENT INFORMATION SYSTEM REPORT NO: MR-O-49-SFY 06/28/98 12:14:56 DEPARTMENT OF HEALTH AND SOCIAL SERVICES PAGE NO: 1 SECTION E. RECIPIENTS, DISCHARGES AND DAYS OF CARE FOR INPATIENT GENERAL HOSPITAL BY MAINTENANCE ASSISTANCE STATUS AND BASIS OF ELIGIBILITY MAINTENANCE ASSISTANCE STATUS TOTAL NUMBER OF TOTAL NUMBER TOTAL DAYS AVERAGE DAYS OF RECIPIENT AND BASIS OF RECIPIENTS OF DISCHARGES OF CARE OF CARE ELIGIBILITY FOR MEDICAL CARE DISCHARGED (1) (2) (3) (4) 1. TOTAL 113, , ,457 1 NANCE ASSISTANCE, TOTAL 51, , ,524 1 A. AGED B. BLIND 234 1,109 1,931 1 C. DISABLED 27, , ,934 1 D. AFDC - CHILDREN ,712 8 E. AFDC - ADULTS 23,970 87,322 46,124 0 F. OTHER TITLE XIX RECIPIENTS MAINTENANCE ASSISTANCE, TOTAL 57, , ,176 0 A. AGED B. BLIND C. DISABLED D. AFDC - CHILDREN 21,738 59,255 76,009 1 E. AFDC - ADULTS 35, ,298 62,167 0 F. OTHER TITLE XIX RECIPIENTS MEDICALLY NEEDY, TOTAL A. AGED B. BLIND C. DISABLED D. AFDC - CHILDREN E. AFDC - ADULTS F. OTHER TITLE XIX RECIPIENTS PRIOR TO ,464 17,393 38,737 2 A. AGED ,135 1 B. BLIND C. DISABLED 2,237 9,727 19,857 2 D. AFDC - CHILDREN 626 1,769 3,349 1 E. AFDC - ADULTS 805 2,443 1,493 0 F. OTHER TITLE XIX RECIPIENTS 628 2,876 12, COVERAGE GROUPS CREATED BY MCCA OF A. AGED B. BLIND C. DISABLED D. CHILDREN E. CARETAKER RELATIVES & PREGNANT WOMEN F. OTHER TITLE XIX RECIPIENTS

25 MARS MRM170 MISSISSIPPI MEDICAID MANAGEMENT INFORMATION SYSTEM REPORT NO: MR-O-50-SFY 06/28/98 12:14:56 DEPARTMENT OF HEALTH AND SOCIAL SERVICES PAGE NO: 1 SECTION F (1). RECIPIENTS AND DAYS OF INSTITUTIONAL CARE BY MAINTENANCE ASSISTANCE STATUS AND BASIS OF ELIGIBILITY -INPATIENT MENTAL HEALTH FACILITY SERVICES SKILLED NURSING FACILITY CARE MAINTENANCE ASSISTANCE STATUS TOTAL TOTAL DAYS AVERAGE DAYS TOTAL TOTAL DAYS AVERAGE DAYS OF RECIPIENT AND BASIS OF NUMBER OF OF CARE OF CARE NUMBER OF OF CARE OF CARE ELIGIBILITY FOR MEDICAL CARE RECIPIENTS RECIPIENTS 1. TOTAL 1,731 35, ,595 4,767, NANCE ASSISTANCE, TOTAL 1,174 24, , , A. AGED , , B. BLIND , C. DISABLED , , , D. AFDC - CHILDREN 74 1, E. AFDC - ADULTS 431 8, MAINTENANCE ASSISTANCE, TOTAL 305 5, D. AFDC - CHILDREN 268 5, E. AFDC - ADULTS MEDICALLY NEEDY, TOTAL PRIOR TO , ,027 3,957, A. AGED ,078 3,682, B. BLIND , C. DISABLED , D. AFDC - CHILDREN E. AFDC - ADULTS F. OTHER TITLE XIX RECIPIENTS 150 3, COVERAGE GROUPS CREATED BY MCCA OF , A. AGED , C. DISABLED , D. CHILDREN E. CARETAKER RELATIVES & PREGNANT WOMEN

26 MARS MRM170 MISSISSIPPI MEDICAID MANAGEMENT INFORMATION SYSTEM REPORT NO: MR-O-50-SFY 06/28/98 12:14:56 DEPARTMENT OF HEALTH AND SOCIAL SERVICES PAGE NO: 2 SECTION F (2). RECIPIENTS AND DAYS OF INSTITUTIONAL CARE BY MAINTENANCE ASSISTANCE STATUS AND BASIS OF ELIGIBILITY (CONTINUED) -INTERMEDIATE CARE FACILITY SERVICES-OTHER-- -INTERMEDIATE CARE FACILITY SERVICES-RETARDED- MAINTENANCE ASSISTANCE STATUS TOTAL TOTAL DAYS AVERAGE DAYS TOTAL TOTAL DAYS AVERAGE DAYS OF RECIPIENT AND BASIS OF NUMBER OF OF CARE OF CARE NUMBER OF OF CARE OF CARE ELIGIBILITY FOR MEDICAL CARE RECIPIENTS RECIPIENTS 1. TOTAL , , NANCE ASSISTANCE, TOTAL , , A. AGED , B. BLIND , C. DISABLED , , D. AFDC - CHILDREN MAINTENANCE ASSISTANCE, TOTAL D. AFDC - CHILDREN MEDICALLY NEEDY, TOTAL PRIOR TO , , A. AGED , B. BLIND , C. DISABLED , , D. AFDC - CHILDREN F. OTHER TITLE XIX RECIPIENTS , COVERAGE GROUPS CREATED BY MCCA OF C. DISABLED D. CHILDREN E. CARETAKER RELATIVES & PREGNANT WOMEN

27 MARS MRM170 MISSISSIPPI MEDICAID MANAGEMENT INFORMATION SYSTEM REPORT NO: MR-O-51-SFY 06/28/98 12:14:56 DEPARTMENT OF HEALTH AND SOCIAL SERVICES PAGE NO: 1 SECTION G (1). RECIPIENTS OF MEDICAL CARE BY AGE, SEX, AND RACE/ETHNICITY AND BY TYPE OF MEDICAL SERVICE -----AGE IN YEARS----- TYPE OF MEDICAL TOTAL UNDER CARE OR SERVICE (1) (2) (3) (4) (5) (6) 1. UNDUPLICATED TOTAL NUMBER OF RECIPIENTS 478, ,329 2,684 3, ,980 60, INPATIENT HOSPITAL SERVICES 120,429 53, ,749 18, MENTAL HOSPITAL SERVICES FOR THE AGED SNF ICF MENTAL HEALTH SERVICES FOR THE AGED INPATIENT PSYCHIATRIC FACILITY SERVICES FOR INDIVIDUALS AGE 21 AND UNDER 2,923 1, ICF SERVICES FOR THE MENTALLY RETARDED 2,510 2, ICF SERVICES - ALL OTHER SNF SERVICES 18,980 2, PHYSICIANS SERVICES 381, ,788 1,912 2,401 80,209 47, DENTAL SERVICES 25,394 15, ,301 1, OTHER PRACTITIONERS SERVICES 10,124 6, , OUTPATIENT HOSPITAL SERVICES 190, , ,336 55,911 30, CLINIC SERVICES 33,736 24, , HOME HEALTH SERVICES 11,144 8, FAMILY PLANNING SERVICES LAB AND X-RAY SERVICES 79,471 36, ,705 14, PRESCRIBED DRUGS 377, ,397 1,242 2,082 83,102 41, EARLY AND PERIODIC SCREENING 153,140 74,631 1,150 2,075 49,685 25, RURAL HEALTH CLINIC SERVICES 117,851 61, ,147 37,566 15, OTHER CARE 84,385 46, ,332 11,874

28 MARS MRM170 MISSISSIPPI MEDICAID MANAGEMENT INFORMATION SYSTEM REPORT NO: MR-O-51-SFY 06/28/98 12:14:56 DEPARTMENT OF HEALTH AND SOCIAL SERVICES PAGE NO: 2 SECTION G (1). RECIPIENTS OF MEDICAL CARE BY AGE, SEX, AND RACE/ETHNICITY AND BY TYPE OF MEDICAL SERVICE (CONTINUED) -----AGE IN YEARS----- TYPE OF MEDICAL AND OVER UNKNOWN CARE OR SERVICE (7) (8) (9) (10) (11) 1. UNDUPLICATED TOTAL NUMBER OF RECIPIENTS 1,859 59,457 1,482 1, INPATIENT HOSPITAL SERVICES , MENTAL HOSPITAL SERVICES FOR THE AGED SNF ICF MENTAL HEALTH SERVICES FOR THE AGED INPATIENT PSYCHIATRIC FACILITY SERVICES FOR INDIVIDUALS AGE 21 AND UNDER ICF SERVICES FOR THE MENTALLY RETARDED ICF SERVICES - ALL OTHER SNF SERVICES , PHYSICIANS SERVICES 1,485 55,910 1,389 1, DENTAL SERVICES 17 3, OTHER PRACTITIONERS SERVICES OUTPATIENT HOSPITAL SERVICES CLINIC SERVICES 28 1, HOME HEALTH SERVICES FAMILY PLANNING SERVICES LAB AND X-RAY SERVICES PRESCRIBED DRUGS 92 56, EARLY AND PERIODIC SCREENING RURAL HEALTH CLINIC SERVICES OTHER CARE 326 4,

29 MARS MRM170 MISSISSIPPI MEDICAID MANAGEMENT INFORMATION SYSTEM REPORT NO: MR-O-51-SFY 06/28/98 12:14:56 DEPARTMENT OF HEALTH AND SOCIAL SERVICES PAGE NO: 1 SECTION G (2). RECIPIENTS OF MEDICAL CARE BY AGE, SEX, AND RACE/ETHNICITY AND BY TYPE OF MEDICAL SERVICE (CONTINUED) SEX TYPE OF MEDICAL CARE OR SERVICE MALE FEMALE UNKNOWN (12) (13) (14) 1. UNDUPLICATED TOTAL NUMBER OF RECIPIENTS 176, , INPATIENT HOSPITAL SERVICES 32,529 87, MENTAL HOSPITAL SERVICES FOR THE AGED SNF ICF MENTAL HEALTH SERVICES FOR THE AGED INPATIENT PSYCHIATRIC FACILITY SERVICES FOR INDIVIDUALS AGE 21 AND UNDER 1,816 1, ICF SERVICES FOR THE MENTALLY RETARDED 1,417 1, ICF SERVICES - ALL OTHER SNF SERVICES 4,885 14, PHYSICIANS SERVICES 134, , DENTAL SERVICES 6,369 19, OTHER PRACTITIONERS SERVICES 1,757 8, OUTPATIENT HOSPITAL SERVICES 69, , CLINIC SERVICES 15,508 18, HOME HEALTH SERVICES 3,841 7, FAMILY PLANNING SERVICES LAB AND X-RAY SERVICES 14,956 64, PRESCRIBED DRUGS 135, , EARLY AND PERIODIC SCREENING 66,401 86, RURAL HEALTH CLINIC SERVICES 43,916 73, OTHER CARE 29,248 55,136 1

30 MARS MRM170 MISSISSIPPI MEDICAID MANAGEMENT INFORMATION SYSTEM REPORT NO: MR-O-51-SFY 06/28/98 12:14:56 DEPARTMENT OF HEALTH AND SOCIAL SERVICES PAGE NO: 1 SECTION G (3). RECIPIENTS OF MEDICAL CARE BY AGE, SEX, AND RACE/ETHNICITY AND BY TYPE OF MEDICAL SERVICE (CONTINUED) --RACE/ETHNICITY-- TYPE OF MEDICAL WHITE, NOT BLACK, NOT AMERICAN INDIAN ASIAN OR HISPANIC UNKNOWN CARE OR SERVICE OF HISPANIC OF HISPANIC OR PACIFIC ORIGIN ORIGIN ALASKAN NATIVE ISLANDER (15) (16) (17) (18) (19) (20) 1. UNDUPLICATED TOTAL NUMBER OF RECIPIENTS 151, ,513 1,661 1,746 1,238 25, INPATIENT HOSPITAL SERVICES 41,883 68, , MENTAL HOSPITAL SERVICES FOR THE AGED SNF ICF MENTAL HEALTH SERVICES FOR THE AGED INPATIENT PSYCHIATRIC FACILITY SERVICES FOR INDIVIDUALS AGE 21 AND UNDER 1,077 1, ICF SERVICES FOR THE MENTALLY RETARDED 1, ICF SERVICES - ALL OTHER SNF SERVICES 12,338 5, , PHYSICIANS SERVICES 127, ,419 1,006 1, , DENTAL SERVICES 7,007 16, , OTHER PRACTITIONERS SERVICES 2,973 6, OUTPATIENT HOSPITAL SERVICES 57, ,607 1, , CLINIC SERVICES 10,890 20, , HOME HEALTH SERVICES 3,205 6, , FAMILY PLANNING SERVICES LAB AND X-RAY SERVICES 22,542 53, , PRESCRIBED DRUGS 121, , , , EARLY AND PERIODIC SCREENING 40, , , RURAL HEALTH CLINIC SERVICES 28,739 83, , OTHER CARE 25,500 52, ,660

31 MARS MRM170 MISSISSIPPI MEDICAID MANAGEMENT INFORMATION SYSTEM REPORT NO: MR-O-52-SFY 06/28/98 12:14:56 DEPARTMENT OF HEALTH AND SOCIAL SERVICES PAGE NO: 1 SECTION H (1). AMOUNTS OF MEDICAL VENDOR PAYMENTS BY AGE, SEX, AND RACE/ETHNICITY AND BY TYPE OF MEDICAL SERVICE -----AGE IN YEARS----- TYPE OF MEDICAL TOTAL UNDER CARE OR SERVICE (1) (2) (3) (4) (5) (6) 1. TOTAL AMOUNT OF EXPENDITURES 444,761, ,396,900 5,760,995 5,614, ,520,322 84,142, INPATIENT HOSPITAL SERVICES 324,993, ,094,295 3,699,839 2,231,148 50,529,469 35,352, MENTAL HOSPITAL SERVICES FOR THE AGED SNF ICF MENTAL HEALTH SERVICES FOR THE AGED INPATIENT PSYCHIATRIC FACILITY SERVICES FOR INDIVIDUALS AGE 21 AND UNDER 13,833,612 8,845,225 11, ,437 4,065, , ICF SERVICES FOR THE MENTALLY RETARDED 123,729, ,583,543 1,275 59, ,860 28, ICF SERVICES - ALL OTHER SNF SERVICES 311,248,909 45,209,222 7, ,578 4, PHYSICIANS' SERVICES 185,576,599 94,657, , ,893 25,776,517 18,994, DENTAL SERVICES 2,875,347 1,827, , , OTHER PRACTITIONERS' SERVICES 540, , ,805 37, OUTPATIENT HOSPITAL SERVICES 75,536,751 46,380, , ,784 17,737,918 10,438, CLINIC SERVICES 44,078,822 35,246,964 3, ,079 6,466, , HOME HEALTH SERVICES 12,615,991 10,630,803 46,954 28, , , FAMILY PLANNING SERVICES LAB AND X-RAY SERVICES 5,927,323 2,751,082 7,057 21,399 1,913,706 1,215, PRESCRIBED DRUGS 225,867, ,939, , ,858 14,932,764 4,999, EARLY AND PERIODIC SCREENING 22,996,265 11,714, , ,903 7,661,360 3,151, RURAL HEALTH CLINIC SERVICES 29,009,495 15,177, , ,161 8,963,852 4,339, OTHER CARE 65,932,057 48,960, , ,053 6,889,633 4,219,865

32 MARS MRM170 MISSISSIPPI MEDICAID MANAGEMENT INFORMATION SYSTEM REPORT NO: MR-O-52-SFY 06/28/98 12:14:56 DEPARTMENT OF HEALTH AND SOCIAL SERVICES PAGE NO: 2 SECTION H (1). AMOUNTS OF MEDICAL VENDOR PAYMENTS BY AGE, SEX, AND RACE/ETHNICITY AND BY TYPE OF MEDICAL SERVICE (CONTINUED) -----AGE IN YEARS----- TYPE OF MEDICAL AND OVER UNKNOWN CARE OR SERVICE (7) (8) (9) (10) (11) 1. TOTAL AMOUNT OF EXPENDITURES 3,000, ,567, , , INPATIENT HOSPITAL SERVICES 1,819,377 32,548, , , MENTAL HOSPITAL SERVICES FOR THE AGED SNF ICF MENTAL HEALTH SERVICES FOR THE AGED INPATIENT PSYCHIATRIC FACILITY SERVICES FOR INDIVIDUALS AGE 21 AND UNDER ICF SERVICES FOR THE MENTALLY RETARDED 21,645 4,671, , ICF SERVICES - ALL OTHER SNF SERVICES 20, ,636, , , PHYSICIANS' SERVICES 485,177 43,574, , , DENTAL SERVICES 2, , OTHER PRACTITIONERS' SERVICES , OUTPATIENT HOSPITAL SERVICES 171, ,586 5,759 1, CLINIC SERVICES 3,347 1,042, HOME HEALTH SERVICES 164, ,950 5, FAMILY PLANNING SERVICES LAB AND X-RAY SERVICES 6,088 12, PRESCRIBED DRUGS 15,469 71,404,824 45,228 20, EARLY AND PERIODIC SCREENING 117-1, RURAL HEALTH CLINIC SERVICES 16, ,515 2, OTHER CARE 274,284 4,920,451 20,165 22,495 0

33 MARS MRM170 MISSISSIPPI MEDICAID MANAGEMENT INFORMATION SYSTEM REPORT NO: MR-O-52-SFY 06/28/98 12:14:56 DEPARTMENT OF HEALTH AND SOCIAL SERVICES PAGE NO: 1 SECTION H (2). AMOUNTS OF MEDICAL VENDOR PAYMENTS BY AGE, SEX, AND RACE/ETHNICITY AND BY TYPE OF MEDICAL SERVICE (CONTINUED) SEX TYPE OF MEDICAL CARE OR SERVICE MALE FEMALE UNKNOWN (12) (13) (14) 1. TOTAL AMOUNT OF EXPENDITURES 492,061, ,686,300 14, INPATIENT HOSPITAL SERVICES 116,753, ,239, MENTAL HOSPITAL SERVICES FOR THE AGED SNF ICF MENTAL HEALTH SERVICES FOR THE AGED INPATIENT PSYCHIATRIC FACILITY SERVICES FOR INDIVIDUALS AGE 21 AND UNDER 9,030,052 4,803, ICF SERVICES FOR THE MENTALLY RETARDED 70,032,569 53,696, ICF SERVICES - ALL OTHER SNF SERVICES 75,214, ,024,956 9, PHYSICIANS' SERVICES 54,324, ,252, DENTAL SERVICES 834,515 2,040, OTHER PRACTITIONERS' SERVICES 95, , OUTPATIENT HOSPITAL SERVICES 24,754,580 50,782, CLINIC SERVICES 22,144,407 21,934, HOME HEALTH SERVICES 4,251,716 8,364, FAMILY PLANNING SERVICES LAB AND X-RAY SERVICES 825,006 5,102, PRESCRIBED DRUGS 70,510, ,352,860 4, EARLY AND PERIODIC SCREENING 10,207,108 12,789, RURAL HEALTH CLINIC SERVICES 9,318,297 19,691, OTHER CARE 23,764,978 42,167,044 33

34 MARS MRM170 MISSISSIPPI MEDICAID MANAGEMENT INFORMATION SYSTEM REPORT NO: MR-O-52-SFY 06/28/98 12:14:56 DEPARTMENT OF HEALTH AND SOCIAL SERVICES PAGE NO: 1 SECTION H (3). AMOUNTS OF MEDICAL VENDOR PAYMENTS BY AGE, SEX, AND RACE/ETHNICITY AND BY TYPE OF MEDICAL SERVICE (CONTINUED) --RACE/ETHNICITY-- TYPE OF MEDICAL WHITE, NOT BLACK, NOT AMERICAN INDIAN ASIAN OR HISPANIC UNKNOWN CARE OR SERVICE OF HISPANIC OF HISPANIC OR PACIFIC ORIGIN ORIGIN ALASKAN NATIVE ISLANDER (15) (16) (17) (18) (19) (20) 1. TOTAL AMOUNT OF EXPENDITURES 632,240, ,922,204 5,283,665 2,808,976 2,277, ,228, INPATIENT HOSPITAL SERVICES 113,609, ,736,426 1,687, , ,309 30,366, MENTAL HOSPITAL SERVICES FOR THE AGED SNF ICF MENTAL HEALTH SERVICES FOR THE AGED INPATIENT PSYCHIATRIC FACILITY SERVICES FOR INDIVIDUALS AGE 21 AND UNDER 5,297,450 7,529,379 49,372 45,558 19, , ICF SERVICES FOR THE MENTALLY RETARDED 72,008,851 43,787, , , ,192 7,245, ICF SERVICES - ALL OTHER SNF SERVICES 199,586,870 88,759, ,919 62, ,993 22,224, PHYSICIANS' SERVICES 68,623,838 99,061, , , ,330 16,597, DENTAL SERVICES 863,393 1,753,011 2,909 5,757 4, , OTHER PRACTITIONERS' SERVICES 158, , , , OUTPATIENT HOSPITAL SERVICES 25,808,407 41,108,977 1,671, , ,675 6,564, CLINIC SERVICES 11,205,938 29,135,233 37,902 27,334 72,643 3,599, HOME HEALTH SERVICES 3,507,680 6,821,982 57,280 13,449 9,263 2,206, FAMILY PLANNING SERVICES LAB AND X-RAY SERVICES 1,773,953 3,843,829 11,153 16,606 14, , PRESCRIBED DRUGS 95,392, ,937, , , ,651 24,771, EARLY AND PERIODIC SCREENING 5,990,479 16,094, ,507 91,567 51, , RURAL HEALTH CLINIC SERVICES 6,721,109 20,864,032 62,790 50,685 76,368 1,234, OTHER CARE 21,693,270 36,159, , , ,277 7,319,737 FOOTNOTES: (1) TOTAL ADJUSTMENTS NOT IDENTIFIED BY TYPE OF SERVICE AND BASIS OF ELIGIBILITY/MAINTENANCE ASSISTANCE STATUS: $0.00 (2) TOTAL ADJUSTMENTS INCLUDED IN REPORT BY TYPE OF SERVICE AND BASIS OF ELIGIBILITY/MAINTENANCE ASSISTANCE STATUS:$17,963,

35 MARS MRM170 MISSISSIPPI MEDICAID MANAGEMENT INFORMATION SYSTEM REPORT NO: MR-O-53-SFY 06/28/98 12:14:56 DEPARTMENT OF HEALTH AND SOCIAL SERVICES PAGE NO: 1 SECTION I (1). RECIPIENTS OF INSTITUTIONAL MEDICAL CARE BY TYPE OF MEDICAL SERVICE, AND BY MAINTENANCE ASSISTANCE STATUS AND BASIS OF ELIGIBILITY INPATIENT MENTAL HEALTH SERVICES MAINTENANCE ASSISTANCE STATUS UNDUPLICATED INPATIENT MENTAL HOSPITAL SNF/ICF SERVICES INPATIENT OF RECIPIENT AND BASIS OF TOTAL HOSPITAL SERVICES FOR THE FOR THE AGED PSYCHIATRIC ELIGIBILITY FOR MEDICAL CARE SERVICES AGED SERVICES FOR AGE 21 AND UNDER (1) (2) (3) (4) (5) 1. UNDUPLICATED TOTAL NUMBER OF RECIPIENTS 17,157 7, NANCE ASSISTANCE, TOTAL 3,755 1, A. AGED 1, B. BLIND C. DISABLED 2, D. AFDC - CHILDREN E. AFDC - ADULTS MAINTENANCE ASSISTANCE, TOTAL D. AFDC - CHILDREN MEDICALLY NEEDY, TOTAL PRIOR TO ,312 5, A. AGED 11,386 5, B. BLIND C. DISABLED 1, F. OTHER TITLE XIX RECIPIENTS COVERAGE GROUPS CREATED BY MCCA OF A. AGED C. DISABLED D. CHILDREN E. CARETAKER RELATIVES & PREGNANT WOMEN

36 MARS MRM170 MISSISSIPPI MEDICAID MANAGEMENT INFORMATION SYSTEM REPORT NO: MR-O-53-SFY 06/28/98 12:14:56 DEPARTMENT OF HEALTH AND SOCIAL SERVICES PAGE NO: 2 SECTION I (2). RECIPIENTS OF INSTITUTIONAL MEDICAL CARE BY TYPE OF MEDICAL SERVICE, AND BY MAINTENANCE ASSISTANCE STATUS AND BASIS OF ELIGIBILITY ICF SERVICES MAINTENANCE ASSISTANCE STATUS FOR MENTALLY ALL OTHER SNF SERVICES PHYSICIANS' DENTAL OF RECIPIENT AND BASIS OF RETARDED SERVICES SERVICES ELIGIBILITY FOR MEDICAL CARE (6) (7) (8) (9) (10) 1. UNDUPLICATED TOTAL NUMBER OF RECIPIENTS 2, ,810 15,710 1,345 NANCE ASSISTANCE, TOTAL 1, ,567 3, A. AGED ,239 1, B. BLIND C. DISABLED 1, ,295 2, D. AFDC - CHILDREN E. AFDC - ADULTS MAINTENANCE ASSISTANCE, TOTAL D. AFDC - CHILDREN MEDICALLY NEEDY, TOTAL PRIOR TO , ,157 12, A. AGED ,328 10, B. BLIND C. DISABLED 1, , F. OTHER TITLE XIX RECIPIENTS COVERAGE GROUPS CREATED BY MCCA OF A. AGED C. DISABLED D. CHILDREN E. CARETAKER RELATIVES & PREGNANT WOMEN