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Summary of the Michigan Medicaid capitation data. Including breakdown of covered lives and revenue by agency providing services and by county. Michigan Medicaid Mental Health and Substance Abuse Capitation Summary May 2002 4/22/2002 8:07 PM
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Page 1: Michigan Medicaid Mental Health and Substance Abuse ...May)_23248_7.pdfDale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, MH by Provider. MDCH - Monthly Medicaid Capitation

Summary of the Michigan Medicaid capitation data. Including breakdown of covered lives and revenue by agency providing services and by county.

Michigan Medicaid

Mental Health and Substance Abuse Capitation Summary

May 2002

4/22/2002 8:07 PM

Page 2: Michigan Medicaid Mental Health and Substance Abuse ...May)_23248_7.pdfDale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, MH by Provider. MDCH - Monthly Medicaid Capitation

MDCH - Monthly Medicaid Capitation Audit/Summary 4/22/2002 8:07 PM Page 2 of 60

Section Worksheet PageSUMMARY 3Mental Health Capitation

by Provider MH by Provider 4by County MH by County 6

Substance Abuse Capitationby Provider SA by Provider 9by County SA by County 10

POPULATIONDisabled/Aged/Blind - Population by Age Group

by Provider DAB Pop by Provider 13by County DAB Pop by County 15

TANF - Population by Age Groupby Provider TANF Pop by Provider 18by County TANF Pop by County 20

Developmental Disabilities - Population by Age Groupby Provider DD Pop by Provider 23by County DD Pop by County 25

Substance Abuse - Population by Age Groupby Provider SA Pop by Provider 28by County SA Pop by County 29

REVENUEDisabled/Aged/Blind - Revenue by Age Group

by Provider DAB Rev by Provider 32by County DAB Rev by County 34

TANF - Revenue by Age Groupby Provider TANF Rev by Provider 37by County TANF Rev by County 39

Developmental Disabilities - Revenue by Age Groupby Provider DD Rev by Provider 42by County DD Rev by County 44

Substance Abuse - Revenue by Age Groupby Provider SA Rev by Provider 47by County SA Rev by County 48

REFERENCECapitation Base Rates 51Intensity Factors

Mental Health 52Developmental Disabilities 57Substance Abuse 59

Michigan Medicaid Monthly Summary - Table of Contents

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, Table of Contents

Page 3: Michigan Medicaid Mental Health and Substance Abuse ...May)_23248_7.pdfDale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, MH by Provider. MDCH - Monthly Medicaid Capitation

MDCH - Monthly Medicaid Capitation Audit/Summary 4/22/2002 8:07 PM Page 3 of 60

2002-05

Funding Group Total Capitation 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Check Values

1 DAB Capitation 27,970,550.35$ $ 2,803,529.79 $ 2,234,665.82 $ 7,964,579.25 $ 7,829,825.30 $ 5,501,027.75 $ 1,636,922.44 -

2 TANF Capitation 4,818,638.13$ $ 3,176,918.10 $ 471,270.20 $ 860,882.37 $ 268,237.44 $ 41,204.44 $ 125.58 -

3 Combined DAB and TANF Capitation 32,789,188.48$ $ 5,980,447.89 $ 2,705,936.02 $ 8,825,461.62 $ 8,098,062.74 $ 5,542,232.19 $ 1,637,048.02 -

DD Capitation 69,741,540.55$ $ 753,203.05 $ 3,532,972.34 $ 21,345,335.07 $ 23,837,296.54 $ 15,574,667.28 $ 4,698,066.27 -

4 Total MH Capitation 102,530,729.03$ $ 6,733,650.94 $ 6,238,908.36 $ 30,170,796.69 $ 31,935,359.28 $ 21,116,899.47 $ 6,335,114.29 -

5 SA Capitation 2,210,462.43$ 100,107.34$ 138,084.86$ 864,301.99$ 849,435.99$ 246,004.15$ 12,528.10$ -

6 Total MA Capitation 104,741,191.46$ 6,833,758.28$ 6,376,993.22$ 31,035,098.68$ 32,784,795.27$ 21,362,903.62$ 6,347,642.39$ -

Funding Group Total Population 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+

1 DAB Population 356,787 64,492 31,090 48,286 52,711 66,890 93,318 -

2 TANF Population 746,894 558,920 74,867 84,900 23,569 4,559 79 -

3 Combined DAB and TANF Population 1,103,681 623,412 105,957 133,186 76,280 71,449 93,397 4 -5 DD Population 241,876 33,494 20,469 47,822 52,258 66,415 21,418 -

6 Total Current MA Population* 1,103,681 623,412 105,957 133,186 76,280 71,449 93,397

Medicaid Capitation Summary

* Population figures do not include Retroactive Eligibles

22-Apr-2002 20:05

Medicaid Revenue

$-

$5

$10

$15

$20

$25

$30

0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+

Mill

ions

DAB CapitationTANF CapitationDD CapitationSA Capitation

Medicaid Population

-

100

200

300

400

500

600

0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+

Thou

sand

s

DAB PopulationTANF PopulationDD Population

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, Summary

Page 4: Michigan Medicaid Mental Health and Substance Abuse ...May)_23248_7.pdfDale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, MH by Provider. MDCH - Monthly Medicaid Capitation

MDCH - Monthly Medicaid Capitation Audit/Summary 4/22/2002 8:07 PM Page 4 of 60

MACap - Rates: 95a - Summary recordcode02 for CMHA Provider ID DD Cap

Provider ID Agent ID Provider Name DAB Eligibles

TANF Eligibles DD Eligibles Total

Eligibles SubTotal DAB

Cap SubTotal TANF

Cap SubTotal MH/DD

Cap SubTotal MHCap SubTotal DDCap

1 1709690 00GA Allegan County CMH 987 6,148 1,642 8,777 28,753$ 55,149$ 167,585$ $251,487.42 $721,127.432 1712283 00GB Antrim-Kalkaska CMH 558 3,248 880 4,686 16,347$ 19,250$ 86,629$ $122,225.40 $426,550.733 1706830 00GC AuSable Valley CMH 990 5,844 1,856 8,690 19,782$ 62,029$ 138,831$ $220,642.20 $371,760.114 1705260 00GD Barry County CMH 455 3,240 782 4,477 8,504$ 14,206$ 47,336$ $70,044.87 $112,290.795 1705322 00GE Bay-Arenac CMH 1,448 10,375 3,306 15,129 39,652$ 86,366$ 340,654$ $466,671.94 $1,269,528.426 1716175 00GF Berrien Mental Health 2,435 15,574 5,169 23,178 62,007$ 81,204$ 428,218$ $571,428.41 $1,191,069.907 1708001 00BJ CEI CMH 4,659 28,618 8,599 41,876 139,364$ 144,268$ 772,067$ $1,055,699.82 $1,885,988.408 4344340 00GG Central Michigan CMH 3,055 20,251 6,440 29,746 76,174$ 115,630$ 512,902$ $704,706.24 $2,997,595.149 1707962 00GI Copper County CMH 1,074 4,247 1,391 6,712 32,486$ 26,461$ 167,368$ $226,314.63 $593,692.5510 3119549 00GJ Detroit-Wayne County CMH 32,765 238,179 83,013 353,957 1,180,234$ 1,461,614$ 9,129,426$ $11,771,274.62 $16,472,554.5311 1705233 0028 Genesee County Health Dept 4,625 49,012 14,381 68,018 107,501$ 122,079$ 951,944$ $1,181,523.06 $3,638,743.3212 1708119 00GL Gogebic County CMH 461 1,514 481 2,456 15,967$ 26,696$ 67,272$ $109,934.93 $251,798.1013 1715955 00GN Gratiot County CMH 600 3,031 1,024 4,655 13,753$ 29,919$ 87,619$ $131,291.02 $468,759.2414 1705251 00GM Great Lakes CMH 971 5,158 1,481 7,610 53,788$ 44,355$ 271,874$ $370,016.13 $531,006.7315 1715919 00GO Hiawatha Behavioral Health Authority 916 4,748 1,299 6,963 43,178$ 33,443$ 214,723$ $291,343.73 $479,256.8116 1708128 00GP Huron Behavioral Health 523 2,851 857 4,231 16,179$ 17,860$ 98,561$ $132,600.30 $326,532.4617 1715928 00GQ Ionia County CMH 544 3,978 1,149 5,671 15,716$ 25,980$ 107,368$ $149,064.43 $471,852.6818 3402136 00GR Kalamazoo County CMH 2,514 16,247 5,356 24,117 97,232$ 111,284$ 667,671$ $876,187.43 $1,850,253.7919 1705430 00GS Kent County CMH 5,957 41,554 12,632 60,143 190,738$ 242,151$ 1,270,901$ $1,703,790.54 $2,888,157.3720 1705242 00GT Lapeer County CMH 576 4,465 1,054 6,095 16,186$ 29,793$ 107,866$ $153,845.76 $552,973.2221 1705270 00GU Lenawee County CMH 956 5,849 1,924 8,729 29,901$ 39,894$ 197,880$ $267,674.85 $692,465.4222 1712229 00GV Lifeways CMH 2,383 15,296 4,960 22,639 74,105$ 105,097$ 492,973$ $672,175.80 $1,209,815.0323 1707167 00GW Livingston County CMH 655 3,410 976 5,041 30,294$ 57,942$ 150,598$ $238,834.26 $545,969.6124 3396315 00GX Macomb County CA 6,654 32,543 10,424 49,621 173,991$ 214,627$ 1,034,183$ $1,422,801.08 $4,643,262.9525 1705304 00GY Manistee-Benzie CMH 550 3,040 1,016 4,606 14,581$ 23,555$ 101,578$ $139,714.78 $780,414.6826 1710547 00HX Monroe County CMH 1,028 7,049 2,290 10,367 30,997$ 58,006$ 240,099$ $329,102.77 $1,096,271.7827 1712461 00GZ Montcalm Center Behavl. Hlt 668 4,828 1,550 7,046 9,378$ 21,380$ 70,962$ $101,718.85 $191,747.0828 1712452 00HA Muskegon County CMH 2,490 17,984 6,086 26,560 59,874$ 113,151$ 483,308$ $656,331.98 $1,291,091.8829 1708066 00HB Newaygo County CMH 692 4,423 1,336 6,451 15,749$ 44,711$ 100,929$ $161,388.63 $256,425.7530 1707158 00HC North Central CMH 1,313 8,664 2,508 12,485 35,256$ 56,408$ 238,882$ $330,546.09 $634,635.50

MA Capitation by Provider ID 22-Apr-2002 20:052002-05

Mental Health Capitation Eligible Population

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, MH by Provider

Page 5: Michigan Medicaid Mental Health and Substance Abuse ...May)_23248_7.pdfDale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, MH by Provider. MDCH - Monthly Medicaid Capitation

MDCH - Monthly Medicaid Capitation Audit/Summary 4/22/2002 8:07 PM Page 5 of 60

MACap - Rates: 95a - Summary recordcode02 for CMHA Provider ID DD Cap

Provider ID Agent ID Provider Name DAB Eligibles

TANF Eligibles DD Eligibles Total

Eligibles SubTotal DAB

Cap SubTotal TANF

Cap SubTotal MH/DD

Cap SubTotal MHCap SubTotal DDCap

MA Capitation by Provider ID 22-Apr-2002 20:052002-05

Mental Health Capitation Eligible Population

31 1708100 00HE Northeast Michigan CMH 1,096 5,482 1,977 8,555 21,855$ 35,116$ 145,973$ $202,944.14 $1,073,781.9132 1707185 00HF Northern Michigan CMH 1,433 8,346 2,082 11,861 39,908$ 43,132$ 211,208$ $294,248.06 $796,562.8033 3140186 00HG Northpointe CMH 1,275 4,605 1,396 7,276 39,294$ 41,180$ 174,237$ $254,711.25 $534,007.3034 1705289 0058 Oakland County CMHA 9,725 39,696 14,726 64,147 258,667$ 200,908$ 1,492,676$ $1,952,250.80 $6,631,808.8635 1712425 00HI Ottawa County CMH 1,460 9,382 2,057 12,899 52,407$ 78,966$ 274,891$ $406,263.67 $1,299,832.7036 1724945 00HJ Pathways CMH 1,824 8,688 2,740 13,252 81,454$ 135,398$ 448,926$ $665,777.82 $1,425,534.0437 1712372 00HL Pines Behavioral Health CMH 575 3,420 947 4,942 17,367$ 28,539$ 96,403$ $142,308.98 $423,011.7938 1712541 00HQ Saginaw County CMH 2,578 22,965 7,726 33,269 61,349$ 92,776$ 588,463$ $742,587.18 $1,296,831.1439 1706849 00HM Sanilac County CMH 537 3,732 993 5,262 12,148$ 16,750$ 80,558$ $109,456.13 $982,627.9740 1712407 00HN Shiawassee County CMH 731 5,103 1,429 7,263 19,479$ 32,805$ 137,155$ $189,439.14 $459,727.8541 1708164 00HO St. Clair County CMH 1,671 10,862 3,048 15,581 55,517$ 189,780$ 318,734$ $564,030.76 $1,577,570.4242 1708146 00HP St. Joseph County CMH 858 5,715 1,361 7,934 29,109$ 38,312$ 140,915$ $208,334.88 $426,186.3143 2920843 00HR Summit Pointe CMH 1,869 12,395 4,432 18,696 44,768$ 110,070$ 352,752$ $507,589.63 $610,016.7444 1707130 00HS Tuscola County CMH 675 4,635 1,247 6,557 21,271$ 34,843$ 123,088$ $179,202.03 $591,273.7745 1705298 00HT Van Buren County CMH 1,287 7,935 2,271 11,493 44,313$ 61,259$ 253,878$ $359,450.82 $401,400.1946 1707176 00HU Washtenaw County CMH 2,129 11,226 4,212 17,567 89,010$ 131,623$ 571,779$ $792,411.23 $1,581,587.3847 3220732 00HV West Michigan CMH 1,008 6,985 2,208 10,201 22,025$ 45,197$ 161,759$ $228,980.40 $454,933.5148 1706114 00HW Woodlands Behavioral Healthcare 678 4,354 1,162 6,194 13,634$ 17,477$ 77,709$ $108,819.59 $331,254.4749

50

State Subtotals 114,911 746,894 241,876 1,103,681 3,571,240$ 4,818,638$ 24,399,310$ $32,789,188.48 $69,741,540.55

861,805 27,970,550 State Total $102,530,729.03

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, MH by Provider

Page 6: Michigan Medicaid Mental Health and Substance Abuse ...May)_23248_7.pdfDale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, MH by Provider. MDCH - Monthly Medicaid Capitation

MDCH - Monthly Medicaid Capitation Audit/Summary 4/22/2002 8:07 PM Page 6 of 60

MACap - Rates: 95b - qSummary recordcode02 for CMHA Provider ID by County DD Cap

Provider ID Agent ID Provider Name Co ID County Name MH Eligibles TANF

Eligibles DD Eligibles Total Eligibles

SubTotal DAB Cap

SubTotal TANF Cap

SubTotal MH/DD Cap SubTotal MHCap SubTotal DDCap

1 1708100 00HE Northeast Michigan CMH 01 Alcona 163 942 281 1,386 $3,077.87 $6,045.88 $19,242.38 $28,366.13 $146,034.882 1724945 00HJ Pathways CMH 02 Alger 155 665 220 1,040 $5,678.15 $10,408.60 $34,876.54 $50,963.29 $114,587.853 1709690 00GA Allegan County CMH 03 Allegan 987 6,148 1,642 8,777 $28,753.45 $55,148.54 $167,585.43 $251,487.42 $721,127.434 1708100 00HE Northeast Michigan CMH 04 Alpena 478 2,797 1,036 4,311 $9,655.54 $18,055.57 $79,486.46 $107,197.57 $577,901.965 1712283 00GB Antrim-Kalkaska CMH 05 Antrim 303 1,603 424 2,330 $8,904.58 $9,309.98 $43,114.85 $61,329.41 $210,825.366 1705322 00GE Bay-Arenac CMH 06 Arenac 287 1,774 523 2,584 $7,518.89 $14,891.24 $51,837.17 $74,247.30 $196,997.397 1707962 00GI Copper County CMH 07 Baraga 167 706 190 1,063 $5,553.04 $4,355.81 $21,706.78 $31,615.63 $80,372.048 1705260 00GD Barry County CMH 08 Barry 455 3,240 782 4,477 $8,503.54 $14,205.81 $47,335.52 $70,044.87 $112,290.799 1705322 00GE Bay-Arenac CMH 09 Bay 1,161 8,601 2,783 12,545 $32,132.72 $71,474.87 $288,817.05 $392,424.64 $1,072,531.0310 1705304 00GY Manistee-Benzie CMH 10 Benzie 192 1,042 338 1,572 $5,041.53 $7,912.93 $32,476.80 $45,431.26 $253,016.7011 1716175 00GF Berrien Mental Health 11 Berrien 2,435 15,574 5,169 23,178 $62,006.68 $81,204.02 $428,217.71 $571,428.41 $1,191,069.9012 1712372 00HL Pines Behavioral Health CMH 12 Branch 575 3,420 947 4,942 $17,366.73 $28,539.43 $96,402.82 $142,308.98 $423,011.7913 2920843 00HR Summit Pointe CMH 13 Calhoun 1,869 12,395 4,432 18,696 $44,767.87 $110,070.07 $352,751.69 $507,589.63 $610,016.7414 1706114 00HW Woodlands Behavioral Healthcare 14 Cass 678 4,354 1,162 6,194 $13,633.53 $17,476.68 $77,709.38 $108,819.59 $331,254.4715 1707185 00HF Northern Michigan CMH 15 Charlevoix 323 1,744 466 2,533 $8,859.59 $8,887.47 $45,870.64 $63,617.70 $173,975.5616 1707185 00HF Northern Michigan CMH 16 Cheboygan 460 2,576 634 3,670 $13,240.47 $13,512.11 $65,259.17 $92,011.75 $245,567.5417 1715919 00GO Hiawatha Behavioral Health Authority 17 Chippewa 524 3,136 811 4,471 $27,227.95 $22,156.02 $133,723.44 $183,107.41 $298,544.9418 4344340 00GG Central Michigan CMH 18 Clare 420 3,543 1,207 5,170 $10,258.33 $20,391.06 $97,509.33 $128,158.72 $574,101.1719 1708001 00BJ CEI CMH 19 Clinton 442 2,414 696 3,552 $12,640.67 $12,000.27 $64,742.70 $89,383.64 $157,349.7620 1707158 00HC North Central CMH 20 Crawford 175 1,420 400 1,995 $4,619.86 $9,199.77 $37,330.26 $51,149.89 $99,010.7221 1724945 00HJ Pathways CMH 21 Delta 663 3,196 931 4,790 $29,774.42 $49,509.79 $153,334.22 $232,618.43 $485,044.4122 3140186 00HG Northpointe CMH 22 Dickinson 457 1,858 539 2,854 $13,894.97 $16,592.85 $70,281.70 $100,769.52 $211,548.3723 1708001 00BJ CEI CMH 23 Eaton 752 5,024 1,283 7,059 $19,382.27 $25,027.54 $116,829.70 $161,239.51 $279,646.2824 1707185 00HF Northern Michigan CMH 24 Emmet 425 1,934 520 2,879 $10,277.23 $9,797.60 $52,224.38 $72,299.21 $199,789.9825 1705233 0028 Genesee County Health Dept 25 Genesee 4,625 49,012 14,381 68,018 $107,500.79 $122,078.63 $951,943.64 $1,181,523.06 $3,638,743.3226 4344340 00GG Central Michigan CMH 26 Gladwin 380 2,444 770 3,594 $8,379.27 $13,731.12 $61,882.59 $83,992.98 $368,545.8227 1708119 00GL Gogebic County CMH 27 Gogebic 461 1,514 481 2,456 $15,966.75 $26,696.09 $67,272.09 $109,934.93 $251,798.1028 1705251 00GM Great Lakes CMH 28 Grand Traverse 803 4,199 1,273 6,275 $44,882.93 $35,979.94 $236,274.53 $317,137.40 $462,922.2729 1715955 00GN Gratiot County CMH 29 Gratiot 600 3,031 1,024 4,655 $13,753.20 $29,918.74 $87,619.08 $131,291.02 $468,759.2430 1712229 00GV Lifeways CMH 30 Hillsdale 553 3,146 1,109 4,808 $16,722.87 $21,891.56 $108,103.41 $146,717.84 $268,100.98

MA Capitation by Provider ID by County 22-Apr-2002 20:052002-05

Mental Health Capitation Eligible Population

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, MH by County

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MDCH - Monthly Medicaid Capitation Audit/Summary 4/22/2002 8:07 PM Page 7 of 60

MACap - Rates: 95b - qSummary recordcode02 for CMHA Provider ID by County DD Cap

Provider ID Agent ID Provider Name Co ID County Name MH Eligibles TANF

Eligibles DD Eligibles Total Eligibles

SubTotal DAB Cap

SubTotal TANF Cap

SubTotal MH/DD Cap SubTotal MHCap SubTotal DDCap

MA Capitation by Provider ID by County 22-Apr-2002 20:052002-05

Mental Health Capitation Eligible Population

31 1707962 00GI Copper County CMH 31 Houghton 655 2,817 917 4,389 $19,723.02 $17,564.15 $112,061.10 $149,348.27 $393,387.6532 1708128 00GP Huron Behavioral Health 32 Huron 523 2,851 857 4,231 $16,179.37 $17,859.81 $98,561.12 $132,600.30 $326,532.4633 1708001 00BJ CEI CMH 33 Ingham 3,465 21,180 6,620 31,265 $107,341.21 $107,240.57 $590,494.89 $805,076.67 $1,448,992.3634 1715928 00GQ Ionia County CMH 34 Ionia 544 3,978 1,149 5,671 $15,716.12 $25,980.40 $107,367.91 $149,064.43 $471,852.6835 1706830 00GC AuSable Valley CMH 35 Iosco 426 2,596 765 3,787 $8,658.60 $27,464.89 $57,600.25 $93,723.74 $152,287.2136 3140186 00HG Northpointe CMH 36 Iron 415 983 360 1,758 $11,701.06 $8,853.08 $43,809.12 $64,363.26 $135,394.2337 4344340 00GG Central Michigan CMH 37 Isabella 544 3,658 1,241 5,443 $14,189.20 $20,882.27 $97,920.27 $132,991.74 $563,628.7938 1712229 00GV Lifeways CMH 38 Jackson 1,830 12,150 3,851 17,831 $57,382.16 $83,205.87 $384,869.93 $525,457.96 $941,714.0539 3402136 00GR Kalamazoo County CMH 39 Kalamazoo 2,514 16,247 5,356 24,117 $97,232.17 $111,284.47 $667,670.79 $876,187.43 $1,850,253.7940 1712283 00GB Antrim-Kalkaska CMH 40 Kalkaska 255 1,645 456 2,356 $7,442.20 $9,939.87 $43,513.92 $60,895.99 $215,725.3741 1705430 00GS Kent County CMH 41 Kent 5,957 41,554 12,632 60,143 $190,738.35 $242,151.06 $1,270,901.13 $1,703,790.54 $2,888,157.3742 1707962 00GI Copper County CMH 42 Keweenaw 66 144 55 265 $1,923.25 $893.88 $6,017.91 $8,835.04 $21,477.5743 3220732 00HV West Michigan CMH 43 Lake 258 1,308 652 2,218 $5,593.52 $8,551.51 $48,364.56 $62,509.59 $138,607.5344 1705242 00GT Lapeer County CMH 44 Lapeer 576 4,465 1,054 6,095 $16,186.28 $29,793.16 $107,866.32 $153,845.76 $552,973.2245 1705251 00GM Great Lakes CMH 45 Leelanau 168 959 208 1,335 $8,904.93 $8,374.76 $35,599.04 $52,878.73 $68,084.4646 1705270 00GU Lenawee County CMH 46 Lenawee 956 5,849 1,924 8,729 $29,900.86 $39,893.73 $197,880.26 $267,674.85 $692,465.4247 1707167 00GW Livingston County CMH 47 Livingston 655 3,410 976 5,041 $30,294.36 $57,941.91 $150,597.99 $238,834.26 $545,969.6148 1724945 00HJ Pathways CMH 48 Luce 162 795 300 1,257 $7,240.90 $12,574.44 $43,716.85 $63,532.19 $143,508.6649 1715919 00GO Hiawatha Behavioral Health Authority 49 Mackinac 160 723 195 1,078 $6,208.07 $5,026.98 $33,026.31 $44,261.36 $73,574.2250 3396315 00GX Macomb County CA 50 Macomb 6,654 32,543 10,424 49,621 $173,990.80 $214,627.16 $1,034,183.12 $1,422,801.08 $4,643,262.9551 1705304 00GY Manistee-Benzie CMH 51 Manistee 358 1,998 678 3,034 $9,539.75 $15,642.15 $69,101.62 $94,283.52 $527,397.9852 1724945 00HJ Pathways CMH 52 Marquette 844 4,032 1,289 6,165 $38,760.94 $62,904.97 $216,998.00 $318,663.91 $682,393.1253 3220732 00HV West Michigan CMH 53 Mason 426 2,508 707 3,641 $9,382.31 $16,098.37 $51,707.75 $77,188.43 $142,609.8254 4344340 00GG Central Michigan CMH 54 Mecosta 533 3,643 1,020 5,196 $13,765.03 $21,088.07 $79,176.71 $114,029.81 $459,049.1055 3140186 00HG Northpointe CMH 55 Menominee 403 1,764 497 2,664 $13,698.05 $15,734.52 $60,145.90 $89,578.47 $187,064.7056 4344340 00GG Central Michigan CMH 56 Midland 886 4,698 1,463 7,047 $22,157.84 $26,686.07 $119,925.36 $168,769.27 $694,754.5457 1707158 00HC North Central CMH 57 Missaukee 39 39 $1,551.31 $1,551.3158 1710547 00HX Monroe County CMH 58 Monroe 1,028 7,049 2,290 10,367 $30,997.09 $58,006.36 $240,099.32 $329,102.77 $1,096,271.7859 1712461 00GZ Montcalm Center Behavl. Hlt 59 Montcalm 668 4,828 1,550 7,046 $9,377.69 $21,379.52 $70,961.64 $101,718.85 $191,747.0860 1708100 00HE Northeast Michigan CMH 60 Montmorency 191 922 319 1,432 $3,639.19 $5,927.41 $21,648.23 $31,214.83 $162,714.67

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, MH by County

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MDCH - Monthly Medicaid Capitation Audit/Summary 4/22/2002 8:07 PM Page 8 of 60

MACap - Rates: 95b - qSummary recordcode02 for CMHA Provider ID by County DD Cap

Provider ID Agent ID Provider Name Co ID County Name MH Eligibles TANF

Eligibles DD Eligibles Total Eligibles

SubTotal DAB Cap

SubTotal TANF Cap

SubTotal MH/DD Cap SubTotal MHCap SubTotal DDCap

MA Capitation by Provider ID by County 22-Apr-2002 20:052002-05

Mental Health Capitation Eligible Population

61 1712452 00HA Muskegon County CMH 61 Muskegon 2,490 17,984 6,086 26,560 $59,873.52 $113,150.82 $483,307.64 $656,331.98 $1,291,091.8862 1708066 00HB Newaygo County CMH 62 Newaygo 692 4,423 1,336 6,451 $15,748.86 $44,710.92 $100,928.85 $161,388.63 $256,425.7563 1705289 0058 Oakland County CMHA 63 Oakland 9,725 39,696 14,726 64,147 $258,667.27 $200,907.59 $1,492,675.94 $1,952,250.80 $6,631,808.8664 3220732 00HV West Michigan CMH 64 Oceana 324 3,169 849 4,342 $7,048.71 $20,546.85 $61,686.82 $89,282.38 $173,716.1665 1706830 00GC AuSable Valley CMH 65 Ogemaw 397 2,357 779 3,533 $7,732.30 $24,980.17 $57,808.10 $90,520.57 $157,188.6166 1707962 00GI Copper County CMH 66 Ontonagon 186 580 229 995 $5,286.26 $3,647.18 $27,582.25 $36,515.69 $98,455.2967 4344340 00GG Central Michigan CMH 67 Osceola 292 2,265 739 3,296 $7,424.06 $12,851.77 $56,487.89 $76,763.72 $337,515.7268 1706830 00GC AuSable Valley CMH 68 Oscoda 167 891 312 1,370 $3,390.79 $9,584.30 $23,422.80 $36,397.89 $62,284.2969 1707185 00HF Northern Michigan CMH 69 Otsego 225 2,092 462 2,779 $7,530.88 $10,934.60 $47,853.92 $66,319.40 $177,229.7270 1712425 00HI Ottawa County CMH 70 Ottawa 1,460 9,382 2,057 12,899 $52,406.60 $78,966.22 $274,890.85 $406,263.67 $1,299,832.7071 1708100 00HE Northeast Michigan CMH 71 Presque Isle 264 821 341 1,426 $5,482.48 $5,087.21 $25,595.92 $36,165.61 $187,130.4072 1707158 00HC North Central CMH 72 Roscommon 415 2,657 862 3,934 $10,776.30 $17,736.00 $83,126.03 $111,638.33 $220,593.7873 1712541 00HQ Saginaw County CMH 73 Saginaw 2,578 22,965 7,726 33,269 $61,348.55 $92,776.09 $588,462.54 $742,587.18 $1,296,831.1474 1708164 00HO St. Clair County CMH 74 St. Clair 1,671 10,862 3,048 15,581 $55,517.19 $189,779.61 $318,733.96 $564,030.76 $1,577,570.4275 1708146 00HP St. Joseph County CMH 75 St. Joseph 858 5,715 1,361 7,934 $29,108.76 $38,311.61 $140,914.51 $208,334.88 $426,186.3176 1706849 00HM Sanilac County CMH 76 Sanilac 537 3,732 993 5,262 $12,148.25 $16,750.24 $80,557.64 $109,456.13 $982,627.9777 1715919 00GO Hiawatha Behavioral Health Authority 77 Schoolcraft 232 889 293 1,414 $9,741.64 $6,259.73 $47,973.59 $63,974.96 $107,137.6578 1712407 00HN Shiawassee County CMH 78 Shiawassee 731 5,103 1,429 7,263 $19,479.09 $32,805.47 $137,154.58 $189,439.14 $459,727.8579 1707130 00HS Tuscola County CMH 79 Tuscola 675 4,635 1,247 6,557 $21,271.31 $34,842.95 $123,087.77 $179,202.03 $591,273.7780 1705298 00HT Van Buren County CMH 80 Van Buren 1,287 7,935 2,271 11,493 $44,313.22 $61,259.28 $253,878.32 $359,450.82 $401,400.1981 1707176 00HU Washtenaw County CMH 81 Washtenaw 2,129 11,226 4,212 17,567 $89,009.66 $131,622.67 $571,778.90 $792,411.23 $1,581,587.3882 3119549 00GJ Detroit-Wayne County CMH 82 Wayne 32,765 238,179 83,013 353,957 $1,180,234.47 $1,461,613.66 $9,129,426.49 $11,771,274.62 $16,472,554.5383 1707158 00HC North Central CMH 83 Wexford 684 4,587 1,246 6,517 $18,308.61 $29,471.79 $118,426.16 $166,206.56 $315,031.0084

85

114,911 746,894 241,876 1,103,681 32,789,188.48$ 69,741,540.55$ Check Values - - - - -$ -$

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, MH by County

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MACap - Rates: 95c - qSummary recordcode02 for CA Provider ID

Provider ID Agent ID Provider Name DAB Eligibles

TANF Eligibles DD Eligibles Total

Eligibles SubTotal SA Cap

1 3119549 00XO Detroit Health Department 22,060 166,549 57,822 246,431 $637,943.652 1724945 00HY Eastern U.P. Substance Abuse 3,143 15,200 4,536 22,879 $32,427.203 1705233 00HZ Genesee County Health Dept 4,625 49,012 14,381 68,018 $132,764.254 3402136 00GR Kalamazoo County CMH 4,402 28,622 8,446 41,470 $78,506.325 1712452 00IB Lakeshore CA 9,337 61,377 18,387 89,101 $138,307.336 3396315 00GX Macomb County CA 6,654 32,543 10,424 49,621 $113,095.397 1708001 00IC Mid-South CA 11,198 70,292 22,368 103,858 $148,440.708 1705430 00ID Mink Substance Abuse Coordinating Agency 7,861 54,783 16,667 79,311 $136,222.029 4344340 00IE Northern Michigan CA 11,261 68,792 20,971 101,024 $140,311.8010 1705289 00IF Oakland County Health Div 9,725 39,696 14,726 64,147 $141,292.1611 1712541 00IG Saginaw County Health Dept 3,739 31,566 10,509 45,814 $130,814.8812 1710547 00IH Southeast MI Community Alliance 11,733 78,679 27,481 117,893 $257,789.1113 1708164 00II St. Clair County Health Dept. CA 3,982 26,545 7,199 37,726 $49,603.7414 1707176 00HU Washtenaw County CMH 2,784 14,636 5,188 22,608 $46,772.6115 1707962 00IL Western U.P. SAS 2,407 8,602 2,771 13,780 $26,171.2716

114,911 746,894 241,876 1,103,681 2,210,462.43$ Check Value 861,805 - -$

SA Capitation by Provider ID 22-Apr-2002 20:052002-05

Eligible Population

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, SA by Provider

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MACap - Rates: 95d - qSummary recordcode02 for CA Provider ID by County

Provider ID Agent ID Provider Name Co ID County Name DAB

EligiblesTANF

Eligibles DD Eligibles Total Eligibles SubTotal SA Cap

1 4344340 00IE Northern Michigan CA 01 Alcona 163 942 281 1,386 $1,852.072 1724945 00HY Eastern U.P. Substance Abuse 02 Alger 155 665 220 1,040 $1,507.383 1712452 00IB Lakeshore CA 03 Allegan 987 6,148 1,642 8,777 $12,257.004 4344340 00IE Northern Michigan CA 04 Alpena 478 2,797 1,036 4,311 $6,957.935 4344340 00IE Northern Michigan CA 05 Antrim 303 1,603 424 2,330 $2,581.326 4344340 00IE Northern Michigan CA 06 Arenac 287 1,774 523 2,584 $3,633.567 1707962 00IL Western U.P. SAS 07 Baraga 167 706 190 1,063 $1,763.178 3402136 00GR Kalamazoo County CMH 08 Barry 455 3,240 782 4,477 $8,067.759 1712541 00IG Saginaw County Health Dept 09 Bay 1,161 8,601 2,783 12,545 $36,312.7910 4344340 00IE Northern Michigan CA 10 Benzie 192 1,042 338 1,572 $1,867.9011 1712452 00IB Lakeshore CA 11 Berrien 2,435 15,574 5,169 23,178 $36,476.7312 3402136 00GR Kalamazoo County CMH 12 Branch 575 3,420 947 4,942 $9,010.4113 1708001 00IC Mid-South CA 13 Calhoun 1,869 12,395 4,432 18,696 $28,048.7214 1712452 00IB Lakeshore CA 14 Cass 678 4,354 1,162 6,194 $9,599.2615 4344340 00IE Northern Michigan CA 15 Charlevoix 323 1,744 466 2,533 $2,891.1316 4344340 00IE Northern Michigan CA 16 Cheboygan 460 2,576 634 3,670 $4,713.3817 1724945 00HY Eastern U.P. Substance Abuse 17 Chippewa 524 3,136 811 4,471 $6,189.9618 4344340 00IE Northern Michigan CA 18 Clare 420 3,543 1,207 5,170 $8,159.0519 1708001 00IC Mid-South CA 19 Clinton 442 2,414 696 3,552 $4,904.7120 4344340 00IE Northern Michigan CA 20 Crawford 175 1,420 400 1,995 $2,820.2021 1724945 00HY Eastern U.P. Substance Abuse 21 Delta 663 3,196 931 4,790 $6,805.4522 1707962 00IL Western U.P. SAS 22 Dickinson 457 1,858 539 2,854 $5,587.3823 1708001 00IC Mid-South CA 23 Eaton 752 5,024 1,283 7,059 $9,105.4124 4344340 00IE Northern Michigan CA 24 Emmet 425 1,934 520 2,879 $3,261.2625 1705233 00HZ Genesee County Health Dept 25 Genesee 4,625 49,012 14,381 68,018 $132,764.2526 4344340 00IE Northern Michigan CA 26 Gladwin 380 2,444 770 3,594 $4,989.1627 1707962 00IL Western U.P. SAS 27 Gogebic 461 1,514 481 2,456 $4,700.5428 4344340 00IE Northern Michigan CA 28 Grand Traverse 803 4,199 1,273 6,275 $8,001.8229 1708001 00IC Mid-South CA 29 Gratiot 600 3,031 1,024 4,655 $6,341.9130 1708001 00IC Mid-South CA 30 Hillsdale 553 3,146 1,109 4,808 $6,908.99

SA Capitation by Provider ID by County 22-Apr-2002 20:052002-05

Eligible Population

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, SA by County

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MACap - Rates: 95d - qSummary recordcode02 for CA Provider ID by County

Provider ID Agent ID Provider Name Co ID County Name DAB

EligiblesTANF

Eligibles DD Eligibles Total Eligibles SubTotal SA Cap

SA Capitation by Provider ID by County 22-Apr-2002 20:052002-05

Eligible Population

31 1707962 00IL Western U.P. SAS 31 Houghton 655 2,817 917 4,389 $8,434.6532 1708164 00II St. Clair County Health Dept. CA 32 Huron 523 2,851 857 4,231 $5,475.6433 1708001 00IC Mid-South CA 33 Ingham 3,465 21,180 6,620 31,265 $45,726.9334 1705430 00ID Mink Substance Abuse Coordinating Agency 34 Ionia 544 3,978 1,149 5,671 $9,826.0535 4344340 00IE Northern Michigan CA 35 Iosco 426 2,596 765 3,787 $5,398.1136 1707962 00IL Western U.P. SAS 36 Iron 415 983 360 1,758 $3,261.2737 4344340 00IE Northern Michigan CA 37 Isabella 544 3,658 1,241 5,443 $7,975.2838 1708001 00IC Mid-South CA 38 Jackson 1,830 12,150 3,851 17,831 $24,555.6139 3402136 00GR Kalamazoo County CMH 39 Kalamazoo 2,514 16,247 5,356 24,117 $47,687.3140 4344340 00IE Northern Michigan CA 40 Kalkaska 255 1,645 456 2,356 $2,908.3841 1705430 00ID Mink Substance Abuse Coordinating Agency 41 Kent 5,957 41,554 12,632 60,143 $102,420.9542 1707962 00IL Western U.P. SAS 42 Keweenaw 66 144 55 265 $420.8443 4344340 00IE Northern Michigan CA 43 Lake 258 1,308 652 2,218 $3,802.1544 1708164 00II St. Clair County Health Dept. CA 44 Lapeer 576 4,465 1,054 6,095 $7,485.6445 4344340 00IE Northern Michigan CA 45 Leelanau 168 959 208 1,335 $1,496.1646 1708001 00IC Mid-South CA 46 Lenawee 956 5,849 1,924 8,729 $12,610.3747 1707176 00HU Washtenaw County CMH 47 Livingston 655 3,410 976 5,041 $9,397.7948 1724945 00HY Eastern U.P. Substance Abuse 48 Luce 162 795 300 1,257 $1,879.0349 1724945 00HY Eastern U.P. Substance Abuse 49 Mackinac 160 723 195 1,078 $1,418.8450 3396315 00GX Macomb County CA 50 Macomb 6,654 32,543 10,424 49,621 $113,095.3951 4344340 00IE Northern Michigan CA 51 Manistee 358 1,998 678 3,034 $4,220.1352 1724945 00HY Eastern U.P. Substance Abuse 52 Marquette 844 4,032 1,289 6,165 $9,306.5453 4344340 00IE Northern Michigan CA 53 Mason 426 2,508 707 3,641 $4,700.4654 4344340 00IE Northern Michigan CA 54 Mecosta 533 3,643 1,020 5,196 $7,384.1855 1724945 00HY Eastern U.P. Substance Abuse 55 Menominee 403 1,764 497 2,664 $3,376.2956 4344340 00IE Northern Michigan CA 56 Midland 886 4,698 1,463 7,047 $9,966.1757 4344340 00IE Northern Michigan CA 57 Missaukee 39 39 $18.9958 1710547 00IH Southeast MI Community Alliance 58 Monroe 1,028 7,049 2,290 10,367 $22,186.0659 1705430 00ID Mink Substance Abuse Coordinating Agency 59 Montcalm 668 4,828 1,550 7,046 $12,322.5560 4344340 00IE Northern Michigan CA 60 Montmorency 191 922 319 1,432 $1,992.01

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, SA by County

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MACap - Rates: 95d - qSummary recordcode02 for CA Provider ID by County

Provider ID Agent ID Provider Name Co ID County Name DAB

EligiblesTANF

Eligibles DD Eligibles Total Eligibles SubTotal SA Cap

SA Capitation by Provider ID by County 22-Apr-2002 20:052002-05

Eligible Population

61 1712452 00IB Lakeshore CA 61 Muskegon 2,490 17,984 6,086 26,560 $45,419.9562 1705430 00ID Mink Substance Abuse Coordinating Agency 62 Newaygo 692 4,423 1,336 6,451 $11,652.4763 1705289 00IF Oakland County Health Div 63 Oakland 9,725 39,696 14,726 64,147 $141,292.1664 4344340 00IE Northern Michigan CA 64 Oceana 324 3,169 849 4,342 $5,932.7765 4344340 00IE Northern Michigan CA 65 Ogemaw 397 2,357 779 3,533 $5,275.4166 1707962 00IL Western U.P. SAS 66 Ontonagon 186 580 229 995 $2,003.4267 4344340 00IE Northern Michigan CA 67 Osceola 292 2,265 739 3,296 $4,619.9668 4344340 00IE Northern Michigan CA 68 Oscoda 167 891 312 1,370 $2,194.6769 4344340 00IE Northern Michigan CA 69 Otsego 225 2,092 462 2,779 $3,594.9470 1712452 00IB Lakeshore CA 70 Ottawa 1,460 9,382 2,057 12,899 $16,625.7571 4344340 00IE Northern Michigan CA 71 Presque Isle 264 821 341 1,426 $1,988.3572 4344340 00IE Northern Michigan CA 72 Roscommon 415 2,657 862 3,934 $6,330.5273 1712541 00IG Saginaw County Health Dept 73 Saginaw 2,578 22,965 7,726 33,269 $94,502.0974 1708164 00II St. Clair County Health Dept. CA 74 St. Clair 1,671 10,862 3,048 15,581 $21,427.1175 3402136 00GR Kalamazoo County CMH 75 St. Joseph 858 5,715 1,361 7,934 $13,740.8576 1708164 00II St. Clair County Health Dept. CA 76 Sanilac 537 3,732 993 5,262 $6,796.3077 1724945 00HY Eastern U.P. Substance Abuse 77 Schoolcraft 232 889 293 1,414 $1,943.7178 1708001 00IC Mid-South CA 78 Shiawassee 731 5,103 1,429 7,263 $10,238.0579 1708164 00II St. Clair County Health Dept. CA 79 Tuscola 675 4,635 1,247 6,557 $8,419.0580 1712452 00IB Lakeshore CA 80 Van Buren 1,287 7,935 2,271 11,493 $17,928.6481 1707176 00HU Washtenaw County CMH 81 Washtenaw 2,129 11,226 4,212 17,567 $37,374.8282 1710547 00IH Southeast MI Community Alliance 82 Wayne 10,705 71,630 25,191 107,526 $235,603.0583 3119549 00XO Detroit Health Department 82 Wayne 22,060 166,549 57,822 246,431 $637,943.6584 4344340 00IE Northern Michigan CA 83 Wexford 684 4,587 1,246 6,517 $8,784.3885

114,911 746,894 241,876 1,103,681 2,210,462.43$ Check Value - -$

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, SA by County

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MACap - Rates: 96a - qSummary recordcode02 by CMHA - Pop - DAB

Provider ID Agent ID Provider Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

1 1705233 0028 Genesee County Health Dept 4,162 1,846 3,129 3,155 3,389 3,325 19,006 2 1705242 00GT Lapeer County CMH 203 137 242 222 304 522 1,630 3 1705251 00GM Great Lakes CMH 445 207 314 322 422 742 2,452 4 1705260 00GD Barry County CMH 163 156 139 187 232 360 1,237 5 1705270 00GU Lenawee County CMH 507 268 436 391 544 734 2,880 6 1705289 0058 Oakland County CMHA 3,325 1,826 3,090 3,183 4,208 8,819 24,451 7 1705298 00HT Van Buren County CMH 584 328 418 469 707 1,052 3,558 8 1705304 00GY Manistee-Benzie CMH 183 115 187 215 373 493 1,566 9 1705322 00GE Bay-Arenac CMH 542 431 699 796 931 1,355 4,754 10 1705430 00GS Kent County CMH 3,914 2,012 2,677 2,500 2,927 4,559 18,589 11 1706114 00HW Woodlands Behavioral Healthcare 347 161 236 251 334 511 1,840 12 1706830 00GC AuSable Valley CMH 314 231 325 493 610 873 2,846 13 1706849 00HM Sanilac County CMH 169 134 173 226 333 495 1,530 14 1707130 00HS Tuscola County CMH 377 210 245 258 359 473 1,922 15 1707158 00HC North Central CMH 525 318 481 650 774 1,073 3,821 16 1707167 00GW Livingston County CMH 296 195 230 215 253 442 1,631 17 1707176 00HU Washtenaw County CMH 1,127 621 906 985 1,056 1,646 6,341 18 1707185 00HF Northern Michigan CMH 509 304 432 445 645 1,180 3,515 19 1707962 00GI Copper County CMH 192 176 232 279 499 1,087 2,465 20 1708001 00BJ CEI CMH 2,867 1,380 1,816 1,923 2,192 3,080 13,258 21 1708066 00HB Newaygo County CMH 325 185 250 324 407 537 2,028 22 1708100 00HE Northeast Michigan CMH 313 271 388 466 625 1,010 3,073 23 1708119 00GL Gogebic County CMH 91 74 93 118 131 435 942 24 1708128 00GP Huron Behavioral Health 109 133 154 191 287 506 1,380 25 1708146 00HP St. Joseph County CMH 414 231 285 299 406 584 2,219 26 1708164 00HO St. Clair County CMH 954 446 626 697 883 1,113 4,719 27 1709690 00GA Allegan County CMH 435 231 333 329 506 795 2,629 28 1710547 00HX Monroe County CMH 526 317 508 515 583 869 3,318 29 1712229 00GV Lifeways CMH 1,518 664 1,037 1,008 1,345 1,771 7,343 30 1712283 00GB Antrim-Kalkaska CMH 254 110 147 194 287 446 1,438

MA DAB Population by Provider ID by Age Group2002-05

22-Apr-2002 20:05

Eligible Population by Age Group

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, DAB Pop by Provider

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MDCH - Monthly Medicaid Capitation Audit/Summary 4/22/2002 8:07 PM Page 14 of 60

31 1712372 00HL Pines Behavioral Health CMH 281 122 212 195 270 442 1,522 32 1712407 00HN Shiawassee County CMH 327 231 319 318 364 601 2,160 33 1712425 00HI Ottawa County CMH 600 362 464 448 526 1,117 3,517 34 1712452 00HA Muskegon County CMH 1,481 759 1,315 1,440 1,655 1,926 8,576 35 1712461 00GZ Montcalm Center Behavl. Hlt 376 223 316 334 428 541 2,218 36 1712541 00HQ Saginaw County CMH 1,959 1,091 1,666 1,655 1,755 2,178 10,304 37 1715919 00GO Hiawatha Behavioral Health Authority 318 193 245 308 421 730 2,215 38 1715928 00GQ Ionia County CMH 280 178 255 236 340 404 1,693 39 1715955 00GN Gratiot County CMH 204 146 202 205 302 565 1,624 40 1716175 00GF Berrien Mental Health 1,580 611 947 1,068 1,386 2,012 7,604 41 1724945 00HJ Pathways CMH 491 446 531 618 870 1,608 4,564 42 2920843 00HR Summit Pointe CMH 1,115 586 915 993 1,176 1,516 6,301 43 3119549 00GJ Detroit-Wayne County CMH 23,840 8,928 15,478 17,879 23,260 26,393 115,778 44 3140186 00HG Northpointe CMH 269 200 239 298 462 1,203 2,671 45 3220732 00HV West Michigan CMH 456 299 415 474 693 879 3,216 46 3396315 00GX Macomb County CA 2,249 1,317 2,089 2,309 3,083 6,031 17,078 47 3402136 00GR Kalamazoo County CMH 1,433 709 1,108 1,224 1,447 1,949 7,870 48 4344340 00GG Central Michigan CMH 1,543 971 1,342 1,403 1,900 2,336 9,495 49

50

State Subtotals 64,492 31,090 48,286 52,711 66,890 93,318 356,787

Check Values -

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, DAB Pop by Provider

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MDCH - Monthly Medicaid Capitation Audit/Summary 4/22/2002 8:07 PM Page 15 of 60

MACap - Rates: 96b - qSummary recordcode02 by CMHA by County - Pop - DAB

Provider ID Agent ID Provider Name Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

1 1708100 00HE Northeast Michigan CMH 01 Alcona 42 25 42 61 107 167 444 2 1724945 00HJ Pathways CMH 02 Alger 24 19 43 44 79 166 375 3 1709690 00GA Allegan County CMH 03 Allegan 435 231 333 329 506 795 2,629 4 1708100 00HE Northeast Michigan CMH 04 Alpena 147 143 233 256 293 442 1,514 5 1712283 00GB Antrim-Kalkaska CMH 05 Antrim 125 68 74 103 126 231 727 6 1705322 00GE Bay-Arenac CMH 06 Arenac 85 66 95 122 165 277 810 7 1707962 00GI Copper County CMH 07 Baraga 37 19 28 35 77 161 357 8 1705260 00GD Barry County CMH 08 Barry 163 156 139 187 232 360 1,237 9 1705322 00GE Bay-Arenac CMH 09 Bay 457 365 604 674 766 1,078 3,944 10 1705304 00GY Manistee-Benzie CMH 10 Benzie 77 32 60 68 115 178 530 11 1716175 00GF Berrien Mental Health 11 Berrien 1,580 611 947 1,068 1,386 2,012 7,604 12 1712372 00HL Pines Behavioral Health CMH 12 Branch 281 122 212 195 270 442 1,522 13 2920843 00HR Summit Pointe CMH 13 Calhoun 1,115 586 915 993 1,176 1,516 6,301 14 1706114 00HW Woodlands Behavioral Healthcare 14 Cass 347 161 236 251 334 511 1,840 15 1707185 00HF Northern Michigan CMH 15 Charlevoix 112 64 93 85 163 272 789 16 1707185 00HF Northern Michigan CMH 16 Cheboygan 181 88 136 141 194 354 1,094 17 1715919 00GO Hiawatha Behavioral Health Authority 17 Chippewa 226 139 144 203 247 376 1,335 18 4344340 00GG Central Michigan CMH 18 Clare 201 156 229 302 374 365 1,627 19 1708001 00BJ CEI CMH 19 Clinton 251 115 162 167 156 287 1,138 20 1707158 00HC North Central CMH 20 Crawford 93 42 68 111 111 150 575 21 1724945 00HJ Pathways CMH 21 Delta 175 160 181 218 284 576 1,594 22 3140186 00HG Northpointe CMH 22 Dickinson 106 77 100 134 152 427 996 23 1708001 00BJ CEI CMH 23 Eaton 378 189 308 257 326 577 2,035 24 1707185 00HF Northern Michigan CMH 24 Emmet 96 80 101 111 165 392 945 25 1705233 0028 Genesee County Health Dept 25 Genesee 4,162 1,846 3,129 3,155 3,389 3,325 19,006 26 4344340 00GG Central Michigan CMH 26 Gladwin 133 96 153 178 254 336 1,150 27 1708119 00GL Gogebic County CMH 27 Gogebic 91 74 93 118 131 435 942 28 1705251 00GM Great Lakes CMH 28 Grand Traverse 366 170 278 282 366 614 2,076 29 1715955 00GN Gratiot County CMH 29 Gratiot 204 146 202 205 302 565 1,624 30 1712229 00GV Lifeways CMH 30 Hillsdale 284 162 227 203 332 454 1,662

2002-05MA DAB Population by Provider ID by County by Age Group 22-Apr-2002 20:05

Eligible Population by Age Group

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, DAB Pop by County

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MACap - Rates: 96b - qSummary recordcode02 by CMHA by County - Pop - DAB

Provider ID Agent ID Provider Name Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

2002-05MA DAB Population by Provider ID by County by Age Group 22-Apr-2002 20:05

Eligible Population by Age Group

31 1707962 00GI Copper County CMH 31 Houghton 110 123 156 188 329 666 1,572 32 1708128 00GP Huron Behavioral Health 32 Huron 109 133 154 191 287 506 1,380 33 1708001 00BJ CEI CMH 33 Ingham 2,238 1,076 1,346 1,499 1,710 2,216 10,085 34 1715928 00GQ Ionia County CMH 34 Ionia 280 178 255 236 340 404 1,693 35 1706830 00GC AuSable Valley CMH 35 Iosco 145 90 157 185 248 366 1,191 36 3140186 00HG Northpointe CMH 36 Iron 66 42 56 68 142 401 775 37 4344340 00GG Central Michigan CMH 37 Isabella 313 198 294 230 335 415 1,785 38 1712229 00GV Lifeways CMH 38 Jackson 1,234 502 810 805 1,013 1,317 5,681 39 3402136 00GR Kalamazoo County CMH 39 Kalamazoo 1,433 709 1,108 1,224 1,447 1,949 7,870 40 1712283 00GB Antrim-Kalkaska CMH 40 Kalkaska 129 42 73 91 161 215 711 41 1705430 00GS Kent County CMH 41 Kent 3,914 2,012 2,677 2,500 2,927 4,559 18,589 42 1707962 00GI Copper County CMH 42 Keweenaw 11 6 9 6 24 65 121 43 3220732 00HV West Michigan CMH 43 Lake 114 73 106 167 213 237 910 44 1705242 00GT Lapeer County CMH 44 Lapeer 203 137 242 222 304 522 1,630 45 1705251 00GM Great Lakes CMH 45 Leelanau 79 37 36 40 56 128 376 46 1705270 00GU Lenawee County CMH 46 Lenawee 507 268 436 391 544 734 2,880 47 1707167 00GW Livingston County CMH 47 Livingston 296 195 230 215 253 442 1,631 48 1724945 00HJ Pathways CMH 48 Luce 68 35 42 61 93 163 462 49 1715919 00GO Hiawatha Behavioral Health Authority 49 Mackinac 43 13 35 54 66 144 355 50 3396315 00GX Macomb County CA 50 Macomb 2,249 1,317 2,089 2,309 3,083 6,031 17,078 51 1705304 00GY Manistee-Benzie CMH 51 Manistee 106 83 127 147 258 315 1,036 52 1724945 00HJ Pathways CMH 52 Marquette 224 232 265 295 414 703 2,133 53 3220732 00HV West Michigan CMH 53 Mason 183 126 158 126 196 344 1,133 54 4344340 00GG Central Michigan CMH 54 Mecosta 265 190 196 220 284 398 1,553 55 3140186 00HG Northpointe CMH 55 Menominee 97 81 83 96 168 375 900 56 4344340 00GG Central Michigan CMH 56 Midland 469 229 325 327 428 571 2,349 57 1707158 00HC North Central CMH 57 Missaukee 38 1 39 58 1710547 00HX Monroe County CMH 58 Monroe 526 317 508 515 583 869 3,318 59 1712461 00GZ Montcalm Center Behavl. Hlt 59 Montcalm 376 223 316 334 428 541 2,218 60 1708100 00HE Northeast Michigan CMH 60 Montmorency 59 41 38 75 114 183 510

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, DAB Pop by County

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MACap - Rates: 96b - qSummary recordcode02 by CMHA by County - Pop - DAB

Provider ID Agent ID Provider Name Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

2002-05MA DAB Population by Provider ID by County by Age Group 22-Apr-2002 20:05

Eligible Population by Age Group

61 1712452 00HA Muskegon County CMH 61 Muskegon 1,481 759 1,315 1,440 1,655 1,926 8,576 62 1708066 00HB Newaygo County CMH 62 Newaygo 325 185 250 324 407 537 2,028 63 1705289 0058 Oakland County CMHA 63 Oakland 3,325 1,826 3,090 3,183 4,208 8,819 24,451 64 3220732 00HV West Michigan CMH 64 Oceana 159 100 151 181 284 298 1,173 65 1706830 00GC AuSable Valley CMH 65 Ogemaw 117 103 115 220 262 359 1,176 66 1707962 00GI Copper County CMH 66 Ontonagon 34 28 39 50 69 195 415 67 4344340 00GG Central Michigan CMH 67 Osceola 162 102 145 146 225 251 1,031 68 1706830 00GC AuSable Valley CMH 68 Oscoda 52 38 53 88 100 148 479 69 1707185 00HF Northern Michigan CMH 69 Otsego 120 72 102 108 123 162 687 70 1712425 00HI Ottawa County CMH 70 Ottawa 600 362 464 448 526 1,117 3,517 71 1708100 00HE Northeast Michigan CMH 71 Presque Isle 65 62 75 74 111 218 605 72 1707158 00HC North Central CMH 72 Roscommon 152 105 175 222 266 357 1,277 73 1712541 00HQ Saginaw County CMH 73 Saginaw 1,959 1,091 1,666 1,655 1,755 2,178 10,304 74 1708164 00HO St. Clair County CMH 74 St. Clair 954 446 626 697 883 1,113 4,719 75 1708146 00HP St. Joseph County CMH 75 St. Joseph 414 231 285 299 406 584 2,219 76 1706849 00HM Sanilac County CMH 76 Sanilac 169 134 173 226 333 495 1,530 77 1715919 00GO Hiawatha Behavioral Health Authority 77 Schoolcraft 49 41 66 51 108 210 525 78 1712407 00HN Shiawassee County CMH 78 Shiawassee 327 231 319 318 364 601 2,160 79 1707130 00HS Tuscola County CMH 79 Tuscola 377 210 245 258 359 473 1,922 80 1705298 00HT Van Buren County CMH 80 Van Buren 584 328 418 469 707 1,052 3,558 81 1707176 00HU Washtenaw County CMH 81 Washtenaw 1,127 621 906 985 1,056 1,646 6,341 82 3119549 00GJ Detroit-Wayne County CMH 82 Wayne 23,840 8,928 15,478 17,879 23,260 26,393 115,778 83 1707158 00HC North Central CMH 83 Wexford 242 170 238 317 397 566 1,930 84

85

64,492 31,090 48,286 52,711 66,890 93,318 356,787 Check Values -

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, DAB Pop by County

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MACap - Rates: 96c - qSummary recordcode02 by CMHA - Pop - TANF

Provider ID Agent ID Provider Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

1 1705233 0028 Genesee County Health Dept 35,476 5,184 6,471 1,637 241 3 49,012 2 1705242 00GT Lapeer County CMH 3,408 449 467 120 21 4,465 3 1705251 00GM Great Lakes CMH 4,009 522 448 155 24 5,158 4 1705260 00GD Barry County CMH 2,396 366 349 114 15 3,240 5 1705270 00GU Lenawee County CMH 4,386 634 633 170 26 5,849 6 1705289 0058 Oakland County CMHA 30,277 3,403 4,292 1,332 386 6 39,696 7 1705298 00HT Van Buren County CMH 5,689 890 990 309 55 2 7,935 8 1705304 00GY Manistee-Benzie CMH 2,308 350 288 80 14 3,040 9 1705322 00GE Bay-Arenac CMH 7,592 1,184 1,219 329 51 10,375 10 1705430 00GS Kent County CMH 31,077 4,547 4,636 1,086 206 2 41,554 11 1706114 00HW Woodlands Behavioral Healthcare 3,120 493 566 146 29 4,354 12 1706830 00GC AuSable Valley CMH 4,246 646 680 238 34 5,844 13 1706849 00HM Sanilac County CMH 2,787 403 393 127 22 3,732 14 1707130 00HS Tuscola County CMH 3,493 484 491 154 13 4,635 15 1707158 00HC North Central CMH 6,327 941 1,047 304 45 8,664 16 1707167 00GW Livingston County CMH 2,605 331 344 113 17 3,410 17 1707176 00HU Washtenaw County CMH 8,366 1,184 1,279 339 56 2 11,226 18 1707185 00HF Northern Michigan CMH 6,406 804 872 230 34 8,346 19 1707962 00GI Copper County CMH 3,245 421 429 129 23 4,247 20 1708001 00BJ CEI CMH 21,087 3,130 3,392 804 202 3 28,618 21 1708066 00HB Newaygo County CMH 3,290 457 495 152 29 4,423 22 1708100 00HE Northeast Michigan CMH 4,034 571 609 237 31 5,482 23 1708119 00GL Gogebic County CMH 1,162 141 154 47 10 1,514 24 1708128 00GP Huron Behavioral Health 2,218 249 277 96 11 2,851 25 1708146 00HP St. Joseph County CMH 4,273 643 633 139 26 1 5,715 26 1708164 00HO St. Clair County CMH 7,953 1,187 1,304 340 78 10,862 27 1709690 00GA Allegan County CMH 4,724 636 610 150 28 6,148 28 1710547 00HX Monroe County CMH 5,329 759 746 183 32 7,049 29 1712229 00GV Lifeways CMH 11,590 1,652 1,575 404 74 1 15,296 30 1712283 00GB Antrim-Kalkaska CMH 2,557 308 288 79 16 3,248

MA TANF Population by Provider ID by Age Group2002-05

22-Apr-2002 20:05

Eligible Population by Age Group

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, TANF Pop by Provider

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MDCH - Monthly Medicaid Capitation Audit/Summary 4/22/2002 8:07 PM Page 19 of 60

31 1712372 00HL Pines Behavioral Health CMH 2,545 371 395 98 11 3,420 32 1712407 00HN Shiawassee County CMH 3,757 573 609 147 17 5,103 33 1712425 00HI Ottawa County CMH 7,345 957 827 216 36 1 9,382 34 1712452 00HA Muskegon County CMH 13,248 2,161 2,020 493 61 1 17,984 35 1712461 00GZ Montcalm Center Behavl. Hlt 3,681 508 492 129 18 4,828 36 1712541 00HQ Saginaw County CMH 17,032 2,407 2,745 681 99 1 22,965 37 1715919 00GO Hiawatha Behavioral Health Authority 3,547 523 503 155 19 1 4,748 38 1715928 00GQ Ionia County CMH 2,920 505 419 109 24 1 3,978 39 1715955 00GN Gratiot County CMH 2,272 344 332 66 17 3,031 40 1716175 00GF Berrien Mental Health 11,408 1,778 1,856 434 97 1 15,574 41 1724945 00HJ Pathways CMH 6,291 1,001 1,052 296 48 8,688 42 2920843 00HR Summit Pointe CMH 9,274 1,401 1,353 321 46 12,395 43 3119549 00GJ Detroit-Wayne County CMH 180,844 21,001 26,807 7,814 1,666 47 238,179 44 3140186 00HG Northpointe CMH 3,400 551 477 161 16 4,605 45 3220732 00HV West Michigan CMH 5,172 680 846 244 42 1 6,985 46 3396315 00GX Macomb County CA 24,125 2,976 3,742 1,367 328 5 32,543 47 3402136 00GR Kalamazoo County CMH 11,969 1,853 1,897 459 69 16,247 48 4344340 00GG Central Michigan CMH 14,660 2,308 2,551 636 96 20,251 49

50

State Subtotals 558,920 74,867 84,900 23,569 4,559 79 746,894

Check Values -

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, TANF Pop by Provider

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MACap - Rates: 96d - qSummary recordcode02 by CMHA by County - Pop - TANF

Provider ID Agent ID Provider Name Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

1 1708100 00HE Northeast Michigan CMH 01 Alcona 696 90 115 35 6 942 2 1724945 00HJ Pathways CMH 02 Alger 483 72 77 29 4 665 3 1709690 00GA Allegan County CMH 03 Allegan 4,724 636 610 150 28 6,148 4 1708100 00HE Northeast Michigan CMH 04 Alpena 2,017 304 339 123 14 2,797 5 1712283 00GB Antrim-Kalkaska CMH 05 Antrim 1,305 151 109 30 8 1,603 6 1705322 00GE Bay-Arenac CMH 06 Arenac 1,291 194 196 83 10 1,774 7 1707962 00GI Copper County CMH 07 Baraga 542 75 72 12 5 706 8 1705260 00GD Barry County CMH 08 Barry 2,396 366 349 114 15 3,240 9 1705322 00GE Bay-Arenac CMH 09 Bay 6,301 990 1,023 246 41 8,601 10 1705304 00GY Manistee-Benzie CMH 10 Benzie 831 107 77 24 3 1,042 11 1716175 00GF Berrien Mental Health 11 Berrien 11,408 1,778 1,856 434 97 1 15,574 12 1712372 00HL Pines Behavioral Health CMH 12 Branch 2,545 371 395 98 11 3,420 13 2920843 00HR Summit Pointe CMH 13 Calhoun 9,274 1,401 1,353 321 46 12,395 14 1706114 00HW Woodlands Behavioral Healthcare 14 Cass 3,120 493 566 146 29 4,354 15 1707185 00HF Northern Michigan CMH 15 Charlevoix 1,397 137 162 39 9 1,744 16 1707185 00HF Northern Michigan CMH 16 Cheboygan 1,929 243 312 79 13 2,576 17 1715919 00GO Hiawatha Behavioral Health Authority 17 Chippewa 2,310 364 352 95 14 1 3,136 18 4344340 00GG Central Michigan CMH 18 Clare 2,574 354 463 135 17 3,543 19 1708001 00BJ CEI CMH 19 Clinton 1,826 264 253 59 12 2,414 20 1707158 00HC North Central CMH 20 Crawford 1,041 160 160 49 10 1,420 21 1724945 00HJ Pathways CMH 21 Delta 2,368 341 354 117 16 3,196 22 3140186 00HG Northpointe CMH 22 Dickinson 1,393 202 193 64 6 1,858 23 1708001 00BJ CEI CMH 23 Eaton 3,786 548 525 130 35 5,024 24 1707185 00HF Northern Michigan CMH 24 Emmet 1,532 193 160 47 2 1,934 25 1705233 0028 Genesee County Health Dept 25 Genesee 35,476 5,184 6,471 1,637 241 3 49,012 26 4344340 00GG Central Michigan CMH 26 Gladwin 1,858 241 257 76 12 2,444 27 1708119 00GL Gogebic County CMH 27 Gogebic 1,162 141 154 47 10 1,514 28 1705251 00GM Great Lakes CMH 28 Grand Traverse 3,270 440 349 121 19 4,199 29 1715955 00GN Gratiot County CMH 29 Gratiot 2,272 344 332 66 17 3,031 30 1712229 00GV Lifeways CMH 30 Hillsdale 2,319 353 354 99 21 3,146

Eligible Population by Age Group

2002-05MA TANF Population by Provider ID by County by Age Group 22-Apr-2002 20:05

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, TANF Pop by County

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MACap - Rates: 96d - qSummary recordcode02 by CMHA by County - Pop - TANF

Provider ID Agent ID Provider Name Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

Eligible Population by Age Group

2002-05MA TANF Population by Provider ID by County by Age Group 22-Apr-2002 20:05

31 1707962 00GI Copper County CMH 31 Houghton 2,151 278 290 85 13 2,817 32 1708128 00GP Huron Behavioral Health 32 Huron 2,218 249 277 96 11 2,851 33 1708001 00BJ CEI CMH 33 Ingham 15,475 2,318 2,614 615 155 3 21,180 34 1715928 00GQ Ionia County CMH 34 Ionia 2,920 505 419 109 24 1 3,978 35 1706830 00GC AuSable Valley CMH 35 Iosco 1,910 271 299 99 17 2,596 36 3140186 00HG Northpointe CMH 36 Iron 724 111 102 43 3 983 37 4344340 00GG Central Michigan CMH 37 Isabella 2,555 525 453 112 13 3,658 38 1712229 00GV Lifeways CMH 38 Jackson 9,271 1,299 1,221 305 53 1 12,150 39 3402136 00GR Kalamazoo County CMH 39 Kalamazoo 11,969 1,853 1,897 459 69 16,247 40 1712283 00GB Antrim-Kalkaska CMH 40 Kalkaska 1,252 157 179 49 8 1,645 41 1705430 00GS Kent County CMH 41 Kent 31,077 4,547 4,636 1,086 206 2 41,554 42 1707962 00GI Copper County CMH 42 Keweenaw 110 15 12 5 2 144 43 3220732 00HV West Michigan CMH 43 Lake 952 122 170 50 13 1 1,308 44 1705242 00GT Lapeer County CMH 44 Lapeer 3,408 449 467 120 21 4,465 45 1705251 00GM Great Lakes CMH 45 Leelanau 739 82 99 34 5 959 46 1705270 00GU Lenawee County CMH 46 Lenawee 4,386 634 633 170 26 5,849 47 1707167 00GW Livingston County CMH 47 Livingston 2,605 331 344 113 17 3,410 48 1724945 00HJ Pathways CMH 48 Luce 564 85 115 26 5 795 49 1715919 00GO Hiawatha Behavioral Health Authority 49 Mackinac 565 67 61 26 4 723 50 3396315 00GX Macomb County CA 50 Macomb 24,125 2,976 3,742 1,367 328 5 32,543 51 1705304 00GY Manistee-Benzie CMH 51 Manistee 1,477 243 211 56 11 1,998 52 1724945 00HJ Pathways CMH 52 Marquette 2,876 503 506 124 23 4,032 53 3220732 00HV West Michigan CMH 53 Mason 1,898 231 290 81 8 2,508 54 4344340 00GG Central Michigan CMH 54 Mecosta 2,532 453 527 114 17 3,643 55 3140186 00HG Northpointe CMH 55 Menominee 1,283 238 182 54 7 1,764 56 4344340 00GG Central Michigan CMH 56 Midland 3,482 479 580 135 22 4,698 57 1710547 00HX Monroe County CMH 58 Monroe 5,329 759 746 183 32 7,049 58 1712461 00GZ Montcalm Center Behavl. Hlt 59 Montcalm 3,681 508 492 129 18 4,828 59 1708100 00HE Northeast Michigan CMH 60 Montmorency 672 99 95 47 9 922 60 1712452 00HA Muskegon County CMH 61 Muskegon 13,248 2,161 2,020 493 61 1 17,984

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, TANF Pop by County

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MACap - Rates: 96d - qSummary recordcode02 by CMHA by County - Pop - TANF

Provider ID Agent ID Provider Name Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

Eligible Population by Age Group

2002-05MA TANF Population by Provider ID by County by Age Group 22-Apr-2002 20:05

61 1708066 00HB Newaygo County CMH 62 Newaygo 3,290 457 495 152 29 4,423 62 1705289 0058 Oakland County CMHA 63 Oakland 30,277 3,403 4,292 1,332 386 6 39,696 63 3220732 00HV West Michigan CMH 64 Oceana 2,322 327 386 113 21 3,169 64 1706830 00GC AuSable Valley CMH 65 Ogemaw 1,701 277 283 85 11 2,357 65 1707962 00GI Copper County CMH 66 Ontonagon 442 53 55 27 3 580 66 4344340 00GG Central Michigan CMH 67 Osceola 1,659 256 271 64 15 2,265 67 1706830 00GC AuSable Valley CMH 68 Oscoda 635 98 98 54 6 891 68 1707185 00HF Northern Michigan CMH 69 Otsego 1,548 231 238 65 10 2,092 69 1712425 00HI Ottawa County CMH 70 Ottawa 7,345 957 827 216 36 1 9,382 70 1708100 00HE Northeast Michigan CMH 71 Presque Isle 649 78 60 32 2 821 71 1707158 00HC North Central CMH 72 Roscommon 1,876 261 377 126 17 2,657 72 1712541 00HQ Saginaw County CMH 73 Saginaw 17,032 2,407 2,745 681 99 1 22,965 73 1708164 00HO St. Clair County CMH 74 St. Clair 7,953 1,187 1,304 340 78 10,862 74 1708146 00HP St. Joseph County CMH 75 St. Joseph 4,273 643 633 139 26 1 5,715 75 1706849 00HM Sanilac County CMH 76 Sanilac 2,787 403 393 127 22 3,732 76 1715919 00GO Hiawatha Behavioral Health Authority 77 Schoolcraft 672 92 90 34 1 889 77 1712407 00HN Shiawassee County CMH 78 Shiawassee 3,757 573 609 147 17 5,103 78 1707130 00HS Tuscola County CMH 79 Tuscola 3,493 484 491 154 13 4,635 79 1705298 00HT Van Buren County CMH 80 Van Buren 5,689 890 990 309 55 2 7,935 80 1707176 00HU Washtenaw County CMH 81 Washtenaw 8,366 1,184 1,279 339 56 2 11,226 81 3119549 00GJ Detroit-Wayne County CMH 82 Wayne 180,844 21,001 26,807 7,814 1,666 47 238,179 82 1707158 00HC North Central CMH 83 Wexford 3,410 520 510 129 18 4,587 83

84

85

558,920 74,867 84,900 23,569 4,559 79 746,894 Check Values -

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, TANF Pop by County

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MACap - Rates: 96e - qSummary recordcode02 by CMHA - Pop - DD

Provider ID Agent ID Provider Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

1 1705233 0028 Genesee County Health Dept 2,496 1,265 3,101 3,120 3,358 1,041 14,381 2 1705242 00GT Lapeer County CMH 89 83 239 222 303 118 1,054 3 1705251 00GM Great Lakes CMH 196 116 306 319 420 124 1,481 4 1705260 00GD Barry County CMH 83 88 137 185 230 59 782 5 1705270 00GU Lenawee County CMH 256 171 431 386 540 140 1,924 6 1705289 0058 Oakland County CMHA 1,466 1,222 3,055 3,158 4,185 1,640 14,726 7 1705298 00HT Van Buren County CMH 289 190 409 467 705 211 2,271 8 1705304 00GY Manistee-Benzie CMH 92 72 186 213 370 83 1,016 9 1705322 00GE Bay-Arenac CMH 355 266 693 793 927 272 3,306 10 1705430 00GS Kent County CMH 2,228 1,379 2,655 2,480 2,904 986 12,632 11 1706114 00HW Woodlands Behavioral Healthcare 150 104 235 247 332 94 1,162 12 1706830 00GC AuSable Valley CMH 173 133 321 487 607 135 1,856 13 1706849 00HM Sanilac County CMH 94 76 169 226 332 96 993 14 1707130 00HS Tuscola County CMH 180 129 243 256 359 80 1,247 15 1707158 00HC North Central CMH 250 178 475 647 770 188 2,508 16 1707167 00GW Livingston County CMH 96 133 226 212 252 57 976 17 1707176 00HU Washtenaw County CMH 510 419 890 977 1,046 370 4,212 18 1707185 00HF Northern Michigan CMH 232 176 428 440 641 165 2,082 19 1707962 00GI Copper County CMH 106 95 228 278 497 187 1,391 20 1708001 00BJ CEI CMH 1,270 860 1,797 1,894 2,158 620 8,599 21 1708066 00HB Newaygo County CMH 153 98 250 323 404 108 1,336 22 1708100 00HE Northeast Michigan CMH 176 139 386 463 622 191 1,977 23 1708119 00GL Gogebic County CMH 45 32 93 117 131 63 481 24 1708128 00GP Huron Behavioral Health 62 67 153 190 287 98 857 25 1708146 00HP St. Joseph County CMH 129 129 281 295 405 122 1,361 26 1708164 00HO St. Clair County CMH 378 285 621 686 878 200 3,048 27 1709690 00GA Allegan County CMH 188 156 333 325 500 140 1,642 28 1710547 00HX Monroe County CMH 318 218 501 508 580 165 2,290 29 1712229 00GV Lifeways CMH 759 452 1,033 999 1,331 386 4,960 30 1712283 00GB Antrim-Kalkaska CMH 109 73 145 190 285 78 880

Eligible Population by Age Group

MA DD Population by Provider ID by Age Group2002-05

22-Apr-2002 20:05

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, DD Pop by Provider

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MDCH - Monthly Medicaid Capitation Audit/Summary 4/22/2002 8:07 PM Page 24 of 60

31 1712372 00HL Pines Behavioral Health CMH 113 76 210 193 268 87 947 32 1712407 00HN Shiawassee County CMH 189 155 317 316 359 93 1,429 33 1712425 00HI Ottawa County CMH 242 254 462 445 524 130 2,057 34 1712452 00HA Muskegon County CMH 804 491 1,303 1,430 1,642 416 6,086 35 1712461 00GZ Montcalm Center Behavl. Hlt 237 134 314 332 424 109 1,550 36 1712541 00HQ Saginaw County CMH 1,299 776 1,658 1,650 1,740 603 7,726 37 1715919 00GO Hiawatha Behavioral Health Authority 122 88 244 307 421 117 1,299 38 1715928 00GQ Ionia County CMH 127 114 254 233 339 82 1,149 39 1715955 00GN Gratiot County CMH 136 90 199 204 299 96 1,024 40 1716175 00GF Berrien Mental Health 909 433 933 1,063 1,373 458 5,169 41 1724945 00HJ Pathways CMH 250 242 523 614 865 246 2,740 42 2920843 00HR Summit Pointe CMH 607 405 911 986 1,165 358 4,432 43 3119549 00GJ Detroit-Wayne County CMH 12,576 6,229 15,337 17,721 23,099 8,051 83,013 44 3140186 00HG Northpointe CMH 144 106 236 298 460 152 1,396 45 3220732 00HV West Michigan CMH 253 183 411 471 690 200 2,208 46 3396315 00GX Macomb County CA 1,088 846 2,070 2,287 3,059 1,074 10,424 47 3402136 00GR Kalamazoo County CMH 716 461 1,089 1,215 1,440 435 5,356 48 4344340 00GG Central Michigan CMH 754 582 1,331 1,390 1,889 494 6,440 49

50

State Subtotals 33,494 20,469 47,822 52,258 66,415 21,418 241,876

Check Values -

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, DD Pop by Provider

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MDCH - Monthly Medicaid Capitation Audit/Summary 4/22/2002 8:07 PM Page 25 of 60

MACap - Rates: 96f - qSummary recordcode02 by CMHA by County - Pop - DD

Provider ID Agent ID Provider Name Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

1 1708100 00HE Northeast Michigan CMH 01 Alcona 26 8 41 61 107 38 281 2 1724945 00HJ Pathways CMH 02 Alger 18 7 43 44 78 30 220 3 1709690 00GA Allegan County CMH 03 Allegan 188 156 333 325 500 140 1,642 4 1708100 00HE Northeast Michigan CMH 04 Alpena 92 84 232 254 290 84 1,036 5 1712283 00GB Antrim-Kalkaska CMH 05 Antrim 48 47 73 101 124 31 424 6 1705322 00GE Bay-Arenac CMH 06 Arenac 52 36 94 122 164 55 523 7 1707962 00GI Copper County CMH 07 Baraga 9 9 26 35 77 34 190 8 1705260 00GD Barry County CMH 08 Barry 83 88 137 185 230 59 782 9 1705322 00GE Bay-Arenac CMH 09 Bay 303 230 599 671 763 217 2,783 10 1705304 00GY Manistee-Benzie CMH 10 Benzie 35 24 59 67 115 38 338 11 1716175 00GF Berrien Mental Health 11 Berrien 909 433 933 1,063 1,373 458 5,169 12 1712372 00HL Pines Behavioral Health CMH 12 Branch 113 76 210 193 268 87 947 13 2920843 00HR Summit Pointe CMH 13 Calhoun 607 405 911 986 1,165 358 4,432 14 1706114 00HW Woodlands Behavioral Healthcare 14 Cass 150 104 235 247 332 94 1,162 15 1707185 00HF Northern Michigan CMH 15 Charlevoix 50 36 93 84 161 42 466 16 1707185 00HF Northern Michigan CMH 16 Cheboygan 71 50 135 139 192 47 634 17 1715919 00GO Hiawatha Behavioral Health Authority 17 Chippewa 78 67 143 203 247 73 811 18 4344340 00GG Central Michigan CMH 18 Clare 131 89 228 300 372 87 1,207 19 1708001 00BJ CEI CMH 19 Clinton 102 70 161 165 155 43 696 20 1707158 00HC North Central CMH 20 Crawford 52 28 68 110 109 33 400 21 1724945 00HJ Pathways CMH 21 Delta 87 91 177 215 282 79 931 22 3140186 00HG Northpointe CMH 22 Dickinson 64 46 99 134 150 46 539 23 1708001 00BJ CEI CMH 23 Eaton 210 124 304 255 320 70 1,283 24 1707185 00HF Northern Michigan CMH 24 Emmet 49 46 101 111 165 48 520 25 1705233 0028 Genesee County Health Dept 25 Genesee 2,496 1,265 3,101 3,120 3,358 1,041 14,381 26 4344340 00GG Central Michigan CMH 26 Gladwin 66 57 152 176 254 65 770 27 1708119 00GL Gogebic County CMH 27 Gogebic 45 32 93 117 131 63 481 28 1705251 00GM Great Lakes CMH 28 Grand Traverse 156 98 270 279 364 106 1,273 29 1715955 00GN Gratiot County CMH 29 Gratiot 136 90 199 204 299 96 1,024 30 1712229 00GV Lifeways CMH 30 Hillsdale 153 101 226 201 328 100 1,109

Eligible Population by Age Group

2002-05MA DD Population by Provider ID by County by Age Group 22-Apr-2002 20:05

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, DD Pop by County

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MDCH - Monthly Medicaid Capitation Audit/Summary 4/22/2002 8:07 PM Page 26 of 60

MACap - Rates: 96f - qSummary recordcode02 by CMHA by County - Pop - DD

Provider ID Agent ID Provider Name Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

Eligible Population by Age Group

2002-05MA DD Population by Provider ID by County by Age Group 22-Apr-2002 20:05

31 1707962 00GI Copper County CMH 31 Houghton 72 66 155 187 327 110 917 32 1708128 00GP Huron Behavioral Health 32 Huron 62 67 153 190 287 98 857 33 1708001 00BJ CEI CMH 33 Ingham 958 666 1,332 1,474 1,683 507 6,620 34 1715928 00GQ Ionia County CMH 34 Ionia 127 114 254 233 339 82 1,149 35 1706830 00GC AuSable Valley CMH 35 Iosco 82 49 155 181 247 51 765 36 3140186 00HG Northpointe CMH 36 Iron 33 20 56 68 142 41 360 37 4344340 00GG Central Michigan CMH 37 Isabella 174 122 289 227 334 95 1,241 38 1712229 00GV Lifeways CMH 38 Jackson 606 351 807 798 1,003 286 3,851 39 3402136 00GR Kalamazoo County CMH 39 Kalamazoo 716 461 1,089 1,215 1,440 435 5,356 40 1712283 00GB Antrim-Kalkaska CMH 40 Kalkaska 61 26 72 89 161 47 456 41 1705430 00GS Kent County CMH 41 Kent 2,228 1,379 2,655 2,480 2,904 986 12,632 42 1707962 00GI Copper County CMH 42 Keweenaw 6 1 9 6 24 9 55 43 3220732 00HV West Michigan CMH 43 Lake 60 47 106 165 211 63 652 44 1705242 00GT Lapeer County CMH 44 Lapeer 89 83 239 222 303 118 1,054 45 1705251 00GM Great Lakes CMH 45 Leelanau 40 18 36 40 56 18 208 46 1705270 00GU Lenawee County CMH 46 Lenawee 256 171 431 386 540 140 1,924 47 1707167 00GW Livingston County CMH 47 Livingston 96 133 226 212 252 57 976 48 1724945 00HJ Pathways CMH 48 Luce 39 21 41 61 92 46 300 49 1715919 00GO Hiawatha Behavioral Health Authority 49 Mackinac 20 6 35 53 66 15 195 50 3396315 00GX Macomb County CA 50 Macomb 1,088 846 2,070 2,287 3,059 1,074 10,424 51 1705304 00GY Manistee-Benzie CMH 51 Manistee 57 48 127 146 255 45 678 52 1724945 00HJ Pathways CMH 52 Marquette 106 123 262 294 413 91 1,289 53 3220732 00HV West Michigan CMH 53 Mason 92 79 155 125 196 60 707 54 4344340 00GG Central Michigan CMH 54 Mecosta 147 98 193 220 283 79 1,020 55 3140186 00HG Northpointe CMH 55 Menominee 47 40 81 96 168 65 497 56 4344340 00GG Central Michigan CMH 56 Midland 155 153 324 323 422 86 1,463 57 1710547 00HX Monroe County CMH 58 Monroe 318 218 501 508 580 165 2,290 58 1712461 00GZ Montcalm Center Behavl. Hlt 59 Montcalm 237 134 314 332 424 109 1,550 59 1708100 00HE Northeast Michigan CMH 60 Montmorency 32 21 38 75 114 39 319 60 1712452 00HA Muskegon County CMH 61 Muskegon 804 491 1,303 1,430 1,642 416 6,086

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, DD Pop by County

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MACap - Rates: 96f - qSummary recordcode02 by CMHA by County - Pop - DD

Provider ID Agent ID Provider Name Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

Eligible Population by Age Group

2002-05MA DD Population by Provider ID by County by Age Group 22-Apr-2002 20:05

61 1708066 00HB Newaygo County CMH 62 Newaygo 153 98 250 323 404 108 1,336 62 1705289 0058 Oakland County CMHA 63 Oakland 1,466 1,222 3,055 3,158 4,185 1,640 14,726 63 3220732 00HV West Michigan CMH 64 Oceana 101 57 150 181 283 77 849 64 1706830 00GC AuSable Valley CMH 65 Ogemaw 53 71 113 219 260 63 779 65 1707962 00GI Copper County CMH 66 Ontonagon 19 19 38 50 69 34 229 66 4344340 00GG Central Michigan CMH 67 Osceola 81 63 145 144 224 82 739 67 1706830 00GC AuSable Valley CMH 68 Oscoda 38 13 53 87 100 21 312 68 1707185 00HF Northern Michigan CMH 69 Otsego 62 44 99 106 123 28 462 69 1712425 00HI Ottawa County CMH 70 Ottawa 242 254 462 445 524 130 2,057 70 1708100 00HE Northeast Michigan CMH 71 Presque Isle 26 26 75 73 111 30 341 71 1707158 00HC North Central CMH 72 Roscommon 82 59 173 222 264 62 862 72 1712541 00HQ Saginaw County CMH 73 Saginaw 1,299 776 1,658 1,650 1,740 603 7,726 73 1708164 00HO St. Clair County CMH 74 St. Clair 378 285 621 686 878 200 3,048 74 1708146 00HP St. Joseph County CMH 75 St. Joseph 129 129 281 295 405 122 1,361 75 1706849 00HM Sanilac County CMH 76 Sanilac 94 76 169 226 332 96 993 76 1715919 00GO Hiawatha Behavioral Health Authority 77 Schoolcraft 24 15 66 51 108 29 293 77 1712407 00HN Shiawassee County CMH 78 Shiawassee 189 155 317 316 359 93 1,429 78 1707130 00HS Tuscola County CMH 79 Tuscola 180 129 243 256 359 80 1,247 79 1705298 00HT Van Buren County CMH 80 Van Buren 289 190 409 467 705 211 2,271 80 1707176 00HU Washtenaw County CMH 81 Washtenaw 510 419 890 977 1,046 370 4,212 81 3119549 00GJ Detroit-Wayne County CMH 82 Wayne 12,576 6,229 15,337 17,721 23,099 8,051 83,013 82 1707158 00HC North Central CMH 83 Wexford 116 91 234 315 397 93 1,246 83

84

85

33,494 20,469 47,822 52,258 66,415 21,418 241,876 Check Values -

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, DD Pop by County

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MACap - Rates: 96g - qSummary recordcode02 by CA - Pop

Provider ID Agent ID CA_ProviderName 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

1 1705233 00HZ Genesee County Health Dept 39,638 7,030 9,600 4,792 3,630 3,328 68,018 2 1705289 00IF Oakland County Health Div 33,602 5,229 7,382 4,515 4,594 8,825 64,147 3 1705430 00ID Mink Substance Abuse Coordinating Agency 45,863 8,615 9,540 4,870 4,379 6,044 79,311 4 1707176 00HU Washtenaw County CMH 12,394 2,331 2,759 1,652 1,382 2,090 22,608 5 1707962 00IL Western U.P. SAS 6,979 1,244 1,359 882 966 2,350 13,780 6 1708001 00IC Mid-South CA 58,904 11,009 12,619 6,750 6,305 8,271 103,858 7 1708164 00II St. Clair County Health Dept. CA 21,671 3,832 4,372 2,431 2,311 3,109 37,726 8 1710547 00IH Southeast MI Community Alliance 66,924 10,460 14,115 8,589 8,115 9,690 117,893 9 1712452 00IB Lakeshore CA 50,561 9,367 10,582 5,753 5,420 7,418 89,101 10 1712541 00IG Saginaw County Health Dept 25,749 4,853 6,038 3,256 2,661 3,257 45,814 11 1724945 00HY Eastern U.P. Substance Abuse 12,027 2,482 2,596 1,527 1,533 2,714 22,879 12 3119549 00XO Detroit Health Department 143,615 20,545 29,424 17,802 17,426 17,619 246,431 13 3396315 00GX Macomb County CA 26,374 4,293 5,831 3,676 3,411 6,036 49,621 14 3402136 00GR Kalamazoo County CMH 23,474 4,451 5,018 2,715 2,476 3,336 41,470 15 4344340 00IE Northern Michigan CA 55,637 10,216 11,951 7,070 6,840 9,310 101,024 16

State Subtotals 623,412 105,957 133,186 76,280 71,449 93,397 1,103,681

Check Values -

MA SA Population by Provider ID by Age Group 22-Apr-2002 20:052002-05

Eligible Population by Age Group

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, SA Pop by Provider

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MDCH - Monthly Medicaid Capitation Audit/Summary 4/22/2002 8:07 PM Page 29 of 60

MACap - Rates: 96h - qSummary recordcode02 by CA by County - Pop - SA

Provider ID Agent ID CA_ProviderName Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

1 4344340 00IE Northern Michigan CA 01 Alcona 738 115 157 96 113 167 1,386 2 1724945 00HY Eastern U.P. Substance Abuse 02 Alger 507 91 120 73 83 166 1,040 3 1712452 00IB Lakeshore CA 03 Allegan 5,159 867 943 479 534 795 8,777 4 4344340 00IE Northern Michigan CA 04 Alpena 2,164 447 572 379 307 442 4,311 5 4344340 00IE Northern Michigan CA 05 Antrim 1,430 219 183 133 134 231 2,330 6 4344340 00IE Northern Michigan CA 06 Arenac 1,376 260 291 205 175 277 2,584 7 1707962 00IL Western U.P. SAS 07 Baraga 579 94 100 47 82 161 1,063 8 3402136 00GR Kalamazoo County CMH 08 Barry 2,559 522 488 301 247 360 4,477 9 1712541 00IG Saginaw County Health Dept 09 Bay 6,758 1,355 1,627 920 807 1,078 12,545 10 4344340 00IE Northern Michigan CA 10 Benzie 908 139 137 92 118 178 1,572 11 1712452 00IB Lakeshore CA 11 Berrien 12,988 2,389 2,803 1,502 1,483 2,013 23,178 12 3402136 00GR Kalamazoo County CMH 12 Branch 2,826 493 607 293 281 442 4,942 13 1708001 00IC Mid-South CA 13 Calhoun 10,389 1,987 2,268 1,314 1,222 1,516 18,696 14 1712452 00IB Lakeshore CA 14 Cass 3,467 654 802 397 363 511 6,194 15 4344340 00IE Northern Michigan CA 15 Charlevoix 1,509 201 255 124 172 272 2,533 16 4344340 00IE Northern Michigan CA 16 Cheboygan 2,110 331 448 220 207 354 3,670 17 1724945 00HY Eastern U.P. Substance Abuse 17 Chippewa 2,536 503 496 298 261 377 4,471 18 4344340 00IE Northern Michigan CA 18 Clare 2,775 510 692 437 391 365 5,170 19 1708001 00IC Mid-South CA 19 Clinton 2,077 379 415 226 168 287 3,552 20 4344340 00IE Northern Michigan CA 20 Crawford 1,134 202 228 160 121 150 1,995 21 1724945 00HY Eastern U.P. Substance Abuse 21 Delta 2,543 501 535 335 300 576 4,790 22 1707962 00IL Western U.P. SAS 22 Dickinson 1,499 279 293 198 158 427 2,854 23 1708001 00IC Mid-South CA 23 Eaton 4,164 737 833 387 361 577 7,059 24 4344340 00IE Northern Michigan CA 24 Emmet 1,628 273 261 158 167 392 2,879 25 1705233 00HZ Genesee County Health Dept 25 Genesee 39,638 7,030 9,600 4,792 3,630 3,328 68,018 26 4344340 00IE Northern Michigan CA 26 Gladwin 1,991 337 410 254 266 336 3,594 27 1707962 00IL Western U.P. SAS 27 Gogebic 1,253 215 247 165 141 435 2,456 28 4344340 00IE Northern Michigan CA 28 Grand Traverse 3,636 610 627 403 385 614 6,275 29 1708001 00IC Mid-South CA 29 Gratiot 2,476 490 534 271 319 565 4,655 30 1708001 00IC Mid-South CA 30 Hillsdale 2,603 515 581 302 353 454 4,808

MA SA Population by Provider ID by County by Age Group 22-Apr-2002 20:052002-05

Eligible Population by Age Group

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, SA Pop by County

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MDCH - Monthly Medicaid Capitation Audit/Summary 4/22/2002 8:07 PM Page 30 of 60

MACap - Rates: 96h - qSummary recordcode02 by CA by County - Pop - SA

Provider ID Agent ID CA_ProviderName Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

MA SA Population by Provider ID by County by Age Group 22-Apr-2002 20:052002-05

Eligible Population by Age Group

31 1707962 00IL Western U.P. SAS 31 Houghton 2,261 401 446 273 342 666 4,389 32 1708164 00II St. Clair County Health Dept. CA 32 Huron 2,327 382 431 287 298 506 4,231 33 1708001 00IC Mid-South CA 33 Ingham 17,713 3,394 3,960 2,114 1,865 2,219 31,265 34 1705430 00ID Mink Substance Abuse Coordinating Agency 34 Ionia 3,200 683 674 345 364 405 5,671 35 4344340 00IE Northern Michigan CA 35 Iosco 2,055 361 456 284 265 366 3,787 36 1707962 00IL Western U.P. SAS 36 Iron 790 153 158 111 145 401 1,758 37 4344340 00IE Northern Michigan CA 37 Isabella 2,868 723 747 342 348 415 5,443 38 1708001 00IC Mid-South CA 38 Jackson 10,505 1,801 2,031 1,110 1,066 1,318 17,831 39 3402136 00GR Kalamazoo County CMH 39 Kalamazoo 13,402 2,562 3,005 1,683 1,516 1,949 24,117 40 4344340 00IE Northern Michigan CA 40 Kalkaska 1,381 199 252 140 169 215 2,356 41 1705430 00ID Mink Substance Abuse Coordinating Agency 41 Kent 34,991 6,559 7,313 3,586 3,133 4,561 60,143 42 1707962 00IL Western U.P. SAS 42 Keweenaw 121 21 21 11 26 65 265 43 4344340 00IE Northern Michigan CA 43 Lake 1,066 195 276 217 226 238 2,218 44 1708164 00II St. Clair County Health Dept. CA 44 Lapeer 3,611 586 709 342 325 522 6,095 45 4344340 00IE Northern Michigan CA 45 Leelanau 818 119 135 74 61 128 1,335 46 1708001 00IC Mid-South CA 46 Lenawee 4,893 902 1,069 561 570 734 8,729 47 1707176 00HU Washtenaw County CMH 47 Livingston 2,901 526 574 328 270 442 5,041 48 1724945 00HY Eastern U.P. Substance Abuse 48 Luce 632 120 157 87 98 163 1,257 49 1724945 00HY Eastern U.P. Substance Abuse 49 Mackinac 608 80 96 80 70 144 1,078 50 3396315 00GX Macomb County CA 50 Macomb 26,374 4,293 5,831 3,676 3,411 6,036 49,621 51 4344340 00IE Northern Michigan CA 51 Manistee 1,583 326 338 203 269 315 3,034 52 1724945 00HY Eastern U.P. Substance Abuse 52 Marquette 3,100 735 771 419 437 703 6,165 53 4344340 00IE Northern Michigan CA 53 Mason 2,081 357 448 207 204 344 3,641 54 4344340 00IE Northern Michigan CA 54 Mecosta 2,797 643 723 334 301 398 5,196 55 1724945 00HY Eastern U.P. Substance Abuse 55 Menominee 1,380 319 265 150 175 375 2,664 56 4344340 00IE Northern Michigan CA 56 Midland 3,951 708 905 462 450 571 7,047 57 4344340 00IE Northern Michigan CA 57 Missaukee 38 1 39 58 1710547 00IH Southeast MI Community Alliance 58 Monroe 5,855 1,076 1,254 698 615 869 10,367 59 1705430 00ID Mink Substance Abuse Coordinating Agency 59 Montcalm 4,057 731 808 463 446 541 7,046 60 4344340 00IE Northern Michigan CA 60 Montmorency 731 140 133 122 123 183 1,432

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, SA Pop by County

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MACap - Rates: 96h - qSummary recordcode02 by CA by County - Pop - SA

Provider ID Agent ID CA_ProviderName Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

MA SA Population by Provider ID by County by Age Group 22-Apr-2002 20:052002-05

Eligible Population by Age Group

61 1712452 00IB Lakeshore CA 61 Muskegon 14,729 2,920 3,335 1,933 1,716 1,927 26,560 62 1705430 00ID Mink Substance Abuse Coordinating Agency 62 Newaygo 3,615 642 745 476 436 537 6,451 63 1705289 00IF Oakland County Health Div 63 Oakland 33,602 5,229 7,382 4,515 4,594 8,825 64,147 64 4344340 00IE Northern Michigan CA 64 Oceana 2,481 427 537 294 305 298 4,342 65 4344340 00IE Northern Michigan CA 65 Ogemaw 1,818 380 398 305 273 359 3,533 66 1707962 00IL Western U.P. SAS 66 Ontonagon 476 81 94 77 72 195 995 67 4344340 00IE Northern Michigan CA 67 Osceola 1,821 358 416 210 240 251 3,296 68 4344340 00IE Northern Michigan CA 68 Oscoda 687 136 151 142 106 148 1,370 69 4344340 00IE Northern Michigan CA 69 Otsego 1,668 303 340 173 133 162 2,779 70 1712452 00IB Lakeshore CA 70 Ottawa 7,945 1,319 1,291 664 562 1,118 12,899 71 4344340 00IE Northern Michigan CA 71 Presque Isle 714 140 135 106 113 218 1,426 72 4344340 00IE Northern Michigan CA 72 Roscommon 2,028 366 552 348 283 357 3,934 73 1712541 00IG Saginaw County Health Dept 73 Saginaw 18,991 3,498 4,411 2,336 1,854 2,179 33,269 74 1708164 00II St. Clair County Health Dept. CA 74 St. Clair 8,907 1,633 1,930 1,037 961 1,113 15,581 75 3402136 00GR Kalamazoo County CMH 75 St. Joseph 4,687 874 918 438 432 585 7,934 76 1708164 00II St. Clair County Health Dept. CA 76 Sanilac 2,956 537 566 353 355 495 5,262 77 1724945 00HY Eastern U.P. Substance Abuse 77 Schoolcraft 721 133 156 85 109 210 1,414 78 1708001 00IC Mid-South CA 78 Shiawassee 4,084 804 928 465 381 601 7,263 79 1708164 00II St. Clair County Health Dept. CA 79 Tuscola 3,870 694 736 412 372 473 6,557 80 1712452 00IB Lakeshore CA 80 Van Buren 6,273 1,218 1,408 778 762 1,054 11,493 81 1707176 00HU Washtenaw County CMH 81 Washtenaw 9,493 1,805 2,185 1,324 1,112 1,648 17,567 82 1710547 00IH Southeast MI Community Alliance 82 Wayne 61,069 9,384 12,861 7,891 7,500 8,821 107,526 83 3119549 00XO Detroit Health Department 82 Wayne 143,615 20,545 29,424 17,802 17,426 17,619 246,431 84 4344340 00IE Northern Michigan CA 83 Wexford 3,652 690 748 446 415 566 6,517 85

623,412 105,957 133,186 76,280 71,449 93,397 1,103,681 Check Values -

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, SA Pop by County

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MACap - Rates: 97a - qSummary recordcode02 by CMHA - Rev - DAB

Provider ID Agent ID Provider Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

1 1705233 0028 Genesee County Health Dept $116,868.96 $86,318.96 $335,804.28 $303,763.40 $179,515.33 $37,173.50 $1,059,444.432 1705242 00GT Lapeer County CMH $8,686.37 $9,763.99 $39,583.94 $32,576.28 $24,541.92 $8,900.10 $124,052.603 1705251 00GM Great Lakes CMH $34,621.00 $26,820.99 $93,377.32 $85,906.38 $61,941.16 $22,994.58 $325,661.434 1705260 00GD Barry County CMH $4,182.58 $6,665.88 $13,630.34 $16,452.26 $11,228.80 $3,679.20 $55,839.065 1705270 00GU Lenawee County CMH $21,877.05 $19,255.80 $71,900.76 $57,848.45 $44,281.60 $12,617.46 $227,781.126 1705289 0058 Oakland County CMHA $143,640.00 $131,362.44 $510,189.90 $471,465.96 $342,909.92 $151,774.99 $1,751,343.217 1705298 00HT Van Buren County CMH $28,598.48 $26,748.40 $78,241.24 $78,759.17 $65,319.73 $20,524.52 $298,191.548 1705304 00GY Manistee-Benzie CMH $7,795.80 $8,159.25 $30,451.08 $31,409.35 $29,978.01 $8,366.21 $116,159.709 1705322 00GE Bay-Arenac CMH $23,013.32 $30,476.01 $113,440.71 $115,889.64 $74,573.10 $22,913.05 $380,305.8310 1705430 00GS Kent County CMH $171,237.50 $146,594.32 $447,674.71 $375,075.00 $241,594.58 $79,463.37 $1,461,639.4811 1706114 00HW Woodlands Behavioral Healthcare $9,868.68 $7,626.57 $25,655.56 $24,480.03 $17,922.44 $5,789.63 $91,342.9112 1706830 00GC AuSable Valley CMH $9,708.88 $11,894.19 $38,405.25 $52,267.86 $35,581.30 $10,755.36 $158,612.8413 1706849 00HM Sanilac County CMH $5,903.17 $7,796.12 $23,098.96 $27,072.54 $21,944.70 $6,890.40 $92,705.8914 1707130 00HS Tuscola County CMH $15,943.33 $14,790.30 $39,601.80 $37,412.58 $28,641.02 $7,970.05 $144,359.0815 1707158 00HC North Central CMH $20,532.75 $20,711.34 $71,899.88 $87,171.50 $57,105.72 $16,717.34 $274,138.5316 1707167 00GW Livingston County CMH $18,523.68 $20,322.90 $55,016.00 $46,139.00 $29,871.71 $11,019.06 $180,892.3517 1707176 00HU Washtenaw County CMH $63,923.44 $58,659.66 $196,420.80 $191,582.50 $113,002.56 $37,199.60 $660,788.5618 1707185 00HF Northern Michigan CMH $21,739.39 $21,623.52 $70,528.32 $65,179.15 $51,974.10 $20,071.80 $251,116.2819 1707962 00GI Copper County CMH $10,362.24 $15,818.88 $47,859.28 $51,634.53 $50,808.18 $23,370.50 $199,853.6120 1708001 00BJ CEI CMH $108,601.96 $87,050.40 $262,902.32 $249,759.24 $156,640.32 $46,477.20 $911,431.4421 1708066 00HB Newaygo County CMH $10,299.25 $9,764.30 $30,285.00 $35,212.32 $24,334.53 $6,782.31 $116,677.7122 1708100 00HE Northeast Michigan CMH $9,681.09 $13,956.50 $45,865.48 $49,419.30 $36,462.50 $12,443.20 $167,828.0723 1708119 00GL Gogebic County CMH $5,430.88 $7,354.86 $21,215.16 $24,148.70 $14,749.29 $10,339.95 $83,238.8424 1708128 00GP Huron Behavioral Health $5,397.68 $10,968.51 $29,147.58 $32,431.80 $26,811.54 $9,983.38 $114,740.4925 1708146 00HP St. Joseph County CMH $17,992.44 $16,719.78 $47,347.05 $44,562.96 $33,292.00 $10,109.04 $170,023.2726 1708164 00HO St. Clair County CMH $41,565.78 $32,366.22 $104,260.30 $104,145.74 $72,591.43 $19,321.68 $374,251.1527 1709690 00GA Allegan County CMH $19,013.85 $16,814.49 $55,634.31 $49,310.52 $41,724.76 $13,840.95 $196,338.8828 1710547 00HX Monroe County CMH $22,970.42 $23,055.41 $84,795.36 $77,121.25 $48,033.37 $15,120.60 $271,096.4129 1712229 00GV Lifeways CMH $64,788.24 $47,197.12 $169,165.81 $147,520.80 $108,299.40 $30,107.00 $567,078.3730 1712283 00GB Antrim-Kalkaska CMH $10,975.34 $7,914.50 $24,275.58 $28,741.10 $23,393.37 $7,675.66 $102,975.55

Age Group

MA DAB Revenue by Provider ID by Age Group2002-05

22-Apr-2002 20:05

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31 1712372 00HL Pines Behavioral Health CMH $12,071.76 $8,726.66 $34,806.16 $28,721.55 $21,880.80 $7,562.62 $113,769.5532 1712407 00HN Shiawassee County CMH $12,975.36 $15,264.48 $48,379.54 $43,267.08 $27,245.40 $9,501.81 $156,633.6733 1712425 00HI Ottawa County CMH $33,006.00 $33,162.82 $97,560.64 $84,506.24 $54,588.28 $24,473.47 $327,297.4534 1712452 00HA Muskegon County CMH $48,458.32 $41,365.50 $164,480.20 $161,582.40 $102,179.70 $25,115.04 $543,181.1635 1712461 00GZ Montcalm Center Behavl. Hlt $7,324.48 $7,236.35 $23,532.52 $22,314.54 $15,733.28 $4,198.16 $80,339.3336 1712541 00HQ Saginaw County CMH $63,667.50 $59,044.92 $206,917.20 $184,416.65 $107,581.50 $28,183.32 $649,811.0937 1715919 00GO Hiawatha Behavioral Health Authority $22,062.84 $22,301.15 $64,971.55 $73,279.36 $55,108.90 $20,177.20 $257,901.0038 1715928 00GQ Ionia County CMH $10,897.60 $11,536.18 $37,931.25 $31,494.20 $24,962.80 $6,262.00 $123,084.0339 1715955 00GN Gratiot County CMH $7,611.24 $9,072.44 $28,807.22 $26,227.70 $21,257.78 $8,395.90 $101,372.2840 1716175 00GF Berrien Mental Health $58,254.60 $37,515.40 $133,460.71 $135,027.24 $96,410.16 $29,556.28 $490,224.3941 1724945 00HJ Pathways CMH $33,977.20 $51,397.04 $140,449.50 $146,645.22 $113,578.50 $44,332.56 $530,380.0242 2920843 00HR Summit Pointe CMH $37,508.60 $32,833.58 $117,659.85 $114,562.41 $74,640.72 $20,314.40 $397,519.5643 3119549 00GJ Detroit-Wayne County CMH $1,150,756.80 $717,721.92 $2,855,845.78 $2,959,510.87 $2,118,288.20 $507,537.39 $10,309,660.9644 3140186 00HG Northpointe CMH $14,773.48 $18,290.00 $50,166.10 $56,116.38 $47,863.20 $26,321.64 $213,530.8045 3220732 00HV West Michigan CMH $14,391.36 $15,715.44 $50,065.60 $51,301.02 $41,261.22 $11,049.03 $183,783.6746 3396315 00GX Macomb County CA $95,132.70 $92,769.48 $337,728.63 $334,897.36 $246,023.40 $101,622.35 $1,208,173.9247 3402136 00GR Kalamazoo County CMH $75,318.48 $62,065.86 $222,608.28 $220,613.76 $143,484.52 $40,812.06 $764,902.9648 4344340 00GG Central Michigan CMH $51,597.92 $54,074.99 $171,534.44 $160,882.01 $119,871.00 $31,115.52 $589,075.8849

50

State Subtotals $2,803,529.79 $2,234,665.82 $7,964,579.25 $7,829,825.30 $5,501,027.75 $1,636,922.44 $27,970,550.35

Check Values -$

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, DAB Rev by Provider

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MDCH - Monthly Medicaid Capitation Audit/Summary 4/22/2002 8:07 PM Page 34 of 60

MACap - Rates: 97b - qSummary recordcode02 by CMHA by County - Rev - DAB

Provider ID Agent ID Provider Name Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

1 1708100 00HE Northeast Michigan CMH 01 Alcona $1,299.06 $1,287.50 $4,964.82 $6,469.05 $6,242.38 $2,057.44 $22,320.252 1724945 00HJ Pathways CMH 02 Alger $1,660.80 $2,189.56 $11,373.50 $10,440.76 $10,313.45 $4,576.62 $40,554.693 1709690 00GA Allegan County CMH 03 Allegan $19,013.85 $16,814.49 $55,634.31 $49,310.52 $41,724.76 $13,840.95 $196,338.884 1708100 00HE Northeast Michigan CMH 04 Alpena $4,546.71 $7,364.50 $27,542.93 $27,148.80 $17,093.62 $5,445.44 $89,142.005 1712283 00GB Antrim-Kalkaska CMH 05 Antrim $5,401.25 $4,892.60 $12,220.36 $15,259.45 $10,270.26 $3,975.51 $52,019.436 1705322 00GE Bay-Arenac CMH 06 Arenac $3,609.10 $4,666.86 $15,417.55 $17,761.98 $13,216.50 $4,684.07 $59,356.067 1707962 00GI Copper County CMH 07 Baraga $1,996.89 $1,707.72 $5,776.12 $6,477.45 $7,840.14 $3,461.50 $27,259.828 1705260 00GD Barry County CMH 08 Barry $4,182.58 $6,665.88 $13,630.34 $16,452.26 $11,228.80 $3,679.20 $55,839.069 1705322 00GE Bay-Arenac CMH 09 Bay $19,404.22 $25,809.15 $98,023.16 $98,127.66 $61,356.60 $18,228.98 $320,949.7710 1705304 00GY Manistee-Benzie CMH 10 Benzie $3,280.20 $2,270.40 $9,770.40 $9,934.12 $9,242.55 $3,020.66 $37,518.3311 1716175 00GF Berrien Mental Health 11 Berrien $58,254.60 $37,515.40 $133,460.71 $135,027.24 $96,410.16 $29,556.28 $490,224.3912 1712372 00HL Pines Behavioral Health CMH 12 Branch $12,071.76 $8,726.66 $34,806.16 $28,721.55 $21,880.80 $7,562.62 $113,769.5513 2920843 00HR Summit Pointe CMH 13 Calhoun $37,508.60 $32,833.58 $117,659.85 $114,562.41 $74,640.72 $20,314.40 $397,519.5614 1706114 00HW Woodlands Behavioral Healthcare 14 Cass $9,868.68 $7,626.57 $25,655.56 $24,480.03 $17,922.44 $5,789.63 $91,342.9115 1707185 00HF Northern Michigan CMH 15 Charlevoix $4,783.52 $4,552.32 $15,183.18 $12,449.95 $13,134.54 $4,626.72 $54,730.2316 1707185 00HF Northern Michigan CMH 16 Cheboygan $7,730.51 $6,259.44 $22,203.36 $20,652.27 $15,632.52 $6,021.54 $78,499.6417 1715919 00GO Hiawatha Behavioral Health Authority 17 Chippewa $15,679.88 $16,061.45 $38,187.36 $48,297.76 $32,332.30 $10,392.64 $160,951.3918 4344340 00GG Central Michigan CMH 18 Clare $6,721.44 $8,687.64 $29,270.78 $34,630.34 $23,595.66 $4,861.80 $107,767.6619 1708001 00BJ CEI CMH 19 Clinton $9,507.88 $7,254.20 $23,452.74 $21,689.96 $11,147.76 $4,330.83 $77,383.3720 1707158 00HC North Central CMH 20 Crawford $3,637.23 $2,735.46 $10,164.64 $14,886.21 $8,189.58 $2,337.00 $41,950.1221 1724945 00HJ Pathways CMH 21 Delta $12,110.00 $18,438.40 $47,874.50 $51,729.22 $37,076.20 $15,880.32 $183,108.6422 3140186 00HG Northpointe CMH 22 Dickinson $5,821.52 $7,041.65 $20,990.00 $25,233.54 $15,747.20 $9,342.76 $84,176.6723 1708001 00BJ CEI CMH 23 Eaton $14,318.64 $11,922.12 $44,589.16 $33,379.16 $23,295.96 $8,706.93 $136,211.9724 1707185 00HF Northern Michigan CMH 24 Emmet $4,100.16 $5,690.40 $16,489.26 $16,258.17 $13,295.70 $6,667.92 $62,501.6125 1705233 0028 Genesee County Health Dept 25 Genesee $116,868.96 $86,318.96 $335,804.28 $303,763.40 $179,515.33 $37,173.50 $1,059,444.4326 4344340 00GG Central Michigan CMH 26 Gladwin $4,447.52 $5,346.24 $19,556.46 $20,411.26 $16,024.86 $4,475.52 $70,261.8627 1708119 00GL Gogebic County CMH 27 Gogebic $5,430.88 $7,354.86 $21,215.16 $24,148.70 $14,749.29 $10,339.95 $83,238.8428 1705251 00GM Great Lakes CMH 28 Grand Traverse $28,474.80 $22,026.90 $82,671.64 $75,234.78 $53,721.48 $19,027.86 $281,157.4629 1715955 00GN Gratiot County CMH 29 Gratiot $7,611.24 $9,072.44 $28,807.22 $26,227.70 $21,257.78 $8,395.90 $101,372.2830 1712229 00GV Lifeways CMH 30 Hillsdale $12,121.12 $11,514.96 $37,030.51 $29,709.05 $26,732.64 $7,718.00 $124,826.28

MA DAB Revenue by Provider ID by County by Age Group 22-Apr-2002 20:052002-05

Age Group

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, DAB Rev by County

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MACap - Rates: 97b - qSummary recordcode02 by CMHA by County - Rev - DAB

Provider ID Agent ID Provider Name Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

MA DAB Revenue by Provider ID by County by Age Group 22-Apr-2002 20:052002-05

Age Group

31 1707962 00GI Copper County CMH 31 Houghton $5,936.70 $11,055.24 $32,181.24 $34,793.16 $33,498.78 $14,319.00 $131,784.1232 1708128 00GP Huron Behavioral Health 32 Huron $5,397.68 $10,968.51 $29,147.58 $32,431.80 $26,811.54 $9,983.38 $114,740.4933 1708001 00BJ CEI CMH 33 Ingham $84,775.44 $67,874.08 $194,860.42 $194,690.12 $122,196.60 $33,439.44 $697,836.1034 1715928 00GQ Ionia County CMH 34 Ionia $10,897.60 $11,536.18 $37,931.25 $31,494.20 $24,962.80 $6,262.00 $123,084.0335 1706830 00GC AuSable Valley CMH 35 Iosco $4,483.40 $4,634.10 $18,552.69 $19,613.70 $14,465.84 $4,509.12 $66,258.8536 3140186 00HG Northpointe CMH 36 Iron $3,624.72 $3,840.90 $11,754.40 $12,805.08 $14,711.20 $8,773.88 $55,510.1837 4344340 00GG Central Michigan CMH 37 Isabella $10,466.72 $11,026.62 $37,579.08 $26,374.10 $21,135.15 $5,527.80 $112,109.4738 1712229 00GV Lifeways CMH 38 Jackson $52,667.12 $35,682.16 $132,135.30 $117,811.75 $81,566.76 $22,389.00 $442,252.0939 3402136 00GR Kalamazoo County CMH 39 Kalamazoo $75,318.48 $62,065.86 $222,608.28 $220,613.76 $143,484.52 $40,812.06 $764,902.9640 1712283 00GB Antrim-Kalkaska CMH 40 Kalkaska $5,574.09 $3,021.90 $12,055.22 $13,481.65 $13,123.11 $3,700.15 $50,956.1241 1705430 00GS Kent County CMH 41 Kent $171,237.50 $146,594.32 $447,674.71 $375,075.00 $241,594.58 $79,463.37 $1,461,639.4842 1707962 00GI Copper County CMH 42 Keweenaw $593.67 $539.28 $1,856.61 $1,110.42 $2,443.68 $1,397.50 $7,941.1643 3220732 00HV West Michigan CMH 43 Lake $3,597.84 $3,836.88 $12,787.84 $18,074.41 $12,682.02 $2,979.09 $53,958.0844 1705242 00GT Lapeer County CMH 44 Lapeer $8,686.37 $9,763.99 $39,583.94 $32,576.28 $24,541.92 $8,900.10 $124,052.6045 1705251 00GM Great Lakes CMH 45 Leelanau $6,146.20 $4,794.09 $10,705.68 $10,671.60 $8,219.68 $3,966.72 $44,503.9746 1705270 00GU Lenawee County CMH 46 Lenawee $21,877.05 $19,255.80 $71,900.76 $57,848.45 $44,281.60 $12,617.46 $227,781.1247 1707167 00GW Livingston County CMH 47 Livingston $18,523.68 $20,322.90 $55,016.00 $46,139.00 $29,871.71 $11,019.06 $180,892.3548 1724945 00HJ Pathways CMH 48 Luce $4,705.60 $4,033.40 $11,109.00 $14,474.69 $12,141.15 $4,493.91 $50,957.7549 1715919 00GO Hiawatha Behavioral Health Authority 49 Mackinac $2,983.34 $1,502.15 $9,281.65 $12,847.68 $8,639.40 $3,980.16 $39,234.3850 3396315 00GX Macomb County CA 50 Macomb $95,132.70 $92,769.48 $337,728.63 $334,897.36 $246,023.40 $101,622.35 $1,208,173.9251 1705304 00GY Manistee-Benzie CMH 51 Manistee $4,515.60 $5,888.85 $20,680.68 $21,475.23 $20,735.46 $5,345.55 $78,641.3752 1724945 00HJ Pathways CMH 52 Marquette $15,500.80 $26,735.68 $70,092.50 $70,000.55 $54,047.70 $19,381.71 $255,758.9453 3220732 00HV West Michigan CMH 53 Mason $5,775.48 $6,622.56 $19,061.12 $13,636.98 $11,669.84 $4,324.08 $61,090.0654 4344340 00GG Central Michigan CMH 54 Mecosta $8,861.60 $10,581.10 $25,052.72 $25,227.40 $17,917.56 $5,301.36 $92,941.7455 3140186 00HG Northpointe CMH 55 Menominee $5,327.24 $7,407.45 $17,421.70 $18,077.76 $17,404.80 $8,205.00 $73,843.9556 4344340 00GG Central Michigan CMH 56 Midland $15,683.36 $12,753.01 $41,541.50 $37,497.09 $27,002.52 $7,605.72 $142,083.2057 1707158 00HC North Central CMH 57 Missaukee $1,486.18 $65.13 $1,551.3158 1710547 00HX Monroe County CMH 58 Monroe $22,970.42 $23,055.41 $84,795.36 $77,121.25 $48,033.37 $15,120.60 $271,096.4159 1712461 00GZ Montcalm Center Behavl. Hlt 59 Montcalm $7,324.48 $7,236.35 $23,532.52 $22,314.54 $15,733.28 $4,198.16 $80,339.3360 1708100 00HE Northeast Michigan CMH 60 Montmorency $1,824.87 $2,111.50 $4,491.98 $7,953.75 $6,650.76 $2,254.56 $25,287.42

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MACap - Rates: 97b - qSummary recordcode02 by CMHA by County - Rev - DAB

Provider ID Agent ID Provider Name Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

MA DAB Revenue by Provider ID by County by Age Group 22-Apr-2002 20:052002-05

Age Group

61 1712452 00HA Muskegon County CMH 61 Muskegon $48,458.32 $41,365.50 $164,480.20 $161,582.40 $102,179.70 $25,115.04 $543,181.1662 1708066 00HB Newaygo County CMH 62 Newaygo $10,299.25 $9,764.30 $30,285.00 $35,212.32 $24,334.53 $6,782.31 $116,677.7163 1705289 0058 Oakland County CMHA 63 Oakland $143,640.00 $131,362.44 $510,189.90 $471,465.96 $342,909.92 $151,774.99 $1,751,343.2164 3220732 00HV West Michigan CMH 64 Oceana $5,018.04 $5,256.00 $18,216.64 $19,589.63 $16,909.36 $3,745.86 $68,735.5365 1706830 00GC AuSable Valley CMH 65 Ogemaw $3,617.64 $5,303.47 $13,589.55 $23,324.40 $15,282.46 $4,422.88 $65,540.4066 1707962 00GI Copper County CMH 66 Ontonagon $1,834.98 $2,516.64 $8,045.31 $9,253.50 $7,025.58 $4,192.50 $32,868.5167 4344340 00GG Central Michigan CMH 67 Osceola $5,417.28 $5,680.38 $18,533.90 $16,741.82 $14,195.25 $3,343.32 $63,911.9568 1706830 00GC AuSable Valley CMH 68 Oscoda $1,607.84 $1,956.62 $6,263.01 $9,329.76 $5,833.00 $1,823.36 $26,813.5969 1707185 00HF Northern Michigan CMH 69 Otsego $5,125.20 $5,121.36 $16,652.52 $15,818.76 $9,911.34 $2,755.62 $55,384.8070 1712425 00HI Ottawa County CMH 70 Ottawa $33,006.00 $33,162.82 $97,560.64 $84,506.24 $54,588.28 $24,473.47 $327,297.4571 1708100 00HE Northeast Michigan CMH 71 Presque Isle $2,010.45 $3,193.00 $8,865.75 $7,847.70 $6,475.74 $2,685.76 $31,078.4072 1707158 00HC North Central CMH 72 Roscommon $5,944.72 $6,838.65 $26,159.00 $29,772.42 $19,625.48 $5,562.06 $93,902.3373 1712541 00HQ Saginaw County CMH 73 Saginaw $63,667.50 $59,044.92 $206,917.20 $184,416.65 $107,581.50 $28,183.32 $649,811.0974 1708164 00HO St. Clair County CMH 74 St. Clair $41,565.78 $32,366.22 $104,260.30 $104,145.74 $72,591.43 $19,321.68 $374,251.1575 1708146 00HP St. Joseph County CMH 75 St. Joseph $17,992.44 $16,719.78 $47,347.05 $44,562.96 $33,292.00 $10,109.04 $170,023.2776 1706849 00HM Sanilac County CMH 76 Sanilac $5,903.17 $7,796.12 $23,098.96 $27,072.54 $21,944.70 $6,890.40 $92,705.8977 1715919 00GO Hiawatha Behavioral Health Authority 77 Schoolcraft $3,399.62 $4,737.55 $17,502.54 $12,133.92 $14,137.20 $5,804.40 $57,715.2378 1712407 00HN Shiawassee County CMH 78 Shiawassee $12,975.36 $15,264.48 $48,379.54 $43,267.08 $27,245.40 $9,501.81 $156,633.6779 1707130 00HS Tuscola County CMH 79 Tuscola $15,943.33 $14,790.30 $39,601.80 $37,412.58 $28,641.02 $7,970.05 $144,359.0880 1705298 00HT Van Buren County CMH 80 Van Buren $28,598.48 $26,748.40 $78,241.24 $78,759.17 $65,319.73 $20,524.52 $298,191.5481 1707176 00HU Washtenaw County CMH 81 Washtenaw $63,923.44 $58,659.66 $196,420.80 $191,582.50 $113,002.56 $37,199.60 $660,788.5682 3119549 00GJ Detroit-Wayne County CMH 82 Wayne $1,150,756.80 $717,721.92 $2,855,845.78 $2,959,510.87 $2,118,288.20 $507,537.39 $10,309,660.9683 1707158 00HC North Central CMH 83 Wexford $9,464.62 $11,072.10 $35,576.24 $42,512.87 $29,290.66 $8,818.28 $136,734.7784

85

$2,803,529.79 $2,234,665.82 $7,964,579.25 $7,829,825.30 $5,501,027.75 $1,636,922.44 $27,970,550.35Check Values -

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, DAB Rev by County

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MACap - Rates: 97d - qSummary recordcode02 by CMHA - Rev - TANF

Provider ID Agent ID Provider Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

1 1705233 0028 Genesee County Health Dept $76,628.16 $12,337.92 $25,172.19 $7,104.58 $833.86 $1.92 $122,078.632 1705242 00GT Lapeer County CMH $20,243.52 $2,931.97 $4,987.56 $1,430.40 $199.71 $29,793.163 1705251 00GM Great Lakes CMH $30,989.57 $4,437.00 $6,227.20 $2,404.05 $296.88 $44,354.704 1705260 00GD Barry County CMH $9,248.56 $1,555.50 $2,425.55 $883.50 $92.70 $14,205.815 1705270 00GU Lenawee County CMH $26,491.44 $4,209.76 $6,880.71 $2,060.40 $251.42 $39,893.736 1705289 0058 Oakland County CMHA $135,035.42 $16,708.73 $34,464.76 $11,934.72 $2,756.04 $7.92 $200,907.597 1705298 00HT Van Buren County CMH $38,059.41 $6,550.40 $11,909.70 $4,146.78 $589.05 $3.94 $61,259.288 1705304 00GY Manistee-Benzie CMH $16,017.52 $2,670.50 $3,597.12 $1,114.40 $155.54 $23,555.089 1705322 00GE Bay-Arenac CMH $55,421.60 $9,507.52 $16,017.66 $4,823.14 $596.19 $86,366.1110 1705430 00GS Kent County CMH $160,357.32 $25,826.96 $43,022.08 $11,240.10 $1,701.56 $3.04 $242,151.0611 1706114 00HW Woodlands Behavioral Healthcare $10,857.60 $1,888.19 $3,548.82 $1,020.54 $161.53 $17,476.6812 1706830 00GC AuSable Valley CMH $39,233.04 $6,569.82 $11,308.40 $4,414.90 $503.20 $62,029.3613 1706849 00HM Sanilac County CMH $11,036.52 $1,757.08 $2,806.02 $1,010.92 $139.70 $16,750.2414 1707130 00HS Tuscola County CMH $23,228.45 $3,542.88 $5,877.27 $2,055.90 $138.45 $34,842.9515 1707158 00HC North Central CMH $35,937.36 $5,881.25 $10,710.81 $3,468.64 $409.50 $56,407.5616 1707167 00GW Livingston County CMH $39,283.40 $5,491.29 $9,336.16 $3,420.51 $410.55 $57,941.9117 1707176 00HU Washtenaw County CMH $86,420.78 $13,462.08 $23,776.61 $7,030.86 $926.24 $6.10 $131,622.6718 1707185 00HF Northern Michigan CMH $29,467.60 $4,068.24 $7,220.16 $2,125.20 $250.58 $43,131.7819 1707962 00GI Copper County CMH $17,977.30 $2,568.10 $4,277.13 $1,434.48 $204.01 $26,461.0220 1708001 00BJ CEI CMH $93,415.41 $15,243.10 $27,034.24 $7,139.52 $1,432.18 $3.93 $144,268.3821 1708066 00HB Newaygo County CMH $29,215.20 $4,464.89 $7,910.10 $2,708.64 $412.09 $44,710.9222 1708100 00HE Northeast Michigan CMH $22,550.06 $3,511.65 $6,120.45 $2,656.77 $277.14 $35,116.0723 1708119 00GL Gogebic County CMH $18,196.92 $2,429.43 $4,341.26 $1,477.68 $250.80 $26,696.0924 1708128 00GP Huron Behavioral Health $12,376.44 $1,528.86 $2,781.08 $1,075.20 $98.23 $17,859.8125 1708146 00HP St. Joseph County CMH $25,424.35 $4,205.22 $6,773.10 $1,659.66 $247.52 $1.76 $38,311.6126 1708164 00HO St. Clair County CMH $121,601.37 $19,965.34 $35,873.04 $10,431.20 $1,908.66 $189,779.6127 1709690 00GA Allegan County CMH $37,933.72 $5,622.24 $8,814.50 $2,418.00 $360.08 $55,148.5428 1710547 00HX Monroe County CMH $39,008.28 $6,109.95 $9,824.82 $2,688.27 $375.04 $58,006.3629 1712229 00GV Lifeways CMH $70,930.80 $11,117.96 $17,356.50 $4,965.16 $725.20 $1.81 $105,097.4330 1712283 00GB Antrim-Kalkaska CMH $13,679.95 $1,811.04 $2,773.44 $848.46 $136.96 $19,249.85

MA TANF Revenue by Provider ID by Age Group 22-Apr-2002 20:052002-05

Age Group

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31 1712372 00HL Pines Behavioral Health CMH $18,731.20 $3,001.39 $5,229.80 $1,447.46 $129.58 $28,539.4332 1712407 00HN Shiawassee County CMH $21,227.05 $3,564.06 $6,193.53 $1,666.98 $153.85 $32,805.4733 1712425 00HI Ottawa County CMH $55,895.45 $8,010.09 $11,321.63 $3,298.32 $438.48 $2.25 $78,966.2234 1712452 00HA Muskegon County CMH $73,658.88 $13,225.32 $20,220.20 $5,501.88 $542.90 $1.64 $113,150.8235 1712461 00GZ Montcalm Center Behavl. Hlt $14,539.95 $2,204.72 $3,498.12 $1,022.97 $113.76 $21,379.5236 1712541 00HQ Saginaw County CMH $60,463.60 $9,387.30 $17,513.10 $4,848.72 $562.32 $1.05 $92,776.0937 1715919 00GO Hiawatha Behavioral Health Authority $22,097.81 $3,582.55 $5,633.60 $1,937.50 $189.43 $1.84 $33,442.7338 1715928 00GQ Ionia County CMH $16,906.80 $3,216.85 $4,365.98 $1,266.58 $222.48 $1.71 $25,980.4039 1715955 00GN Gratiot County CMH $19,948.16 $3,323.04 $5,245.60 $1,162.92 $239.02 $29,918.7440 1716175 00GF Berrien Mental Health $52,248.64 $8,961.12 $15,293.44 $3,988.46 $711.01 $1.35 $81,204.0241 1724945 00HJ Pathways CMH $85,557.60 $14,974.96 $25,742.44 $8,077.84 $1,044.96 $135,397.8042 2920843 00HR Summit Pointe CMH $73,079.12 $12,146.67 $19,185.54 $5,078.22 $580.52 $110,070.0743 3119549 00GJ Detroit-Wayne County CMH $976,557.60 $124,955.95 $260,832.11 $84,781.90 $14,410.90 $75.20 $1,461,613.6644 3140186 00HG Northpointe CMH $26,860.00 $4,788.19 $6,778.17 $2,551.85 $202.24 $41,180.4545 3220732 00HV West Michigan CMH $29,221.80 $4,222.80 $8,603.82 $2,766.96 $379.68 $1.67 $45,196.7346 3396315 00GX Macomb County CA $138,477.50 $18,778.56 $38,617.44 $15,734.17 $3,011.04 $8.45 $214,627.1647 3402136 00GR Kalamazoo County CMH $72,173.07 $12,303.92 $20,582.45 $5,558.49 $666.54 $111,284.4748 4344340 00GG Central Michigan CMH $73,006.80 $12,647.84 $22,856.96 $6,353.64 $765.12 $115,630.3649

50

State Subtotals $3,176,918.10 $471,270.20 $860,882.37 $268,237.44 $41,204.44 $125.58 $4,818,638.13

Check Values -

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MACap - Rates: 97d - qSummary recordcode02 by CMHA by County - Pop - TANF

Provider ID Agent ID Provider Name Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

1 1708100 00HE Northeast Michigan CMH 01 Alcona $3,890.64 $553.50 $1,155.75 $392.35 $53.64 $6,045.882 1724945 00HJ Pathways CMH 02 Alger $6,568.80 $1,077.12 $1,884.19 $791.41 $87.08 $10,408.603 1709690 00GA Allegan County CMH 03 Allegan $37,933.72 $5,622.24 $8,814.50 $2,418.00 $360.08 $55,148.544 1708100 00HE Northeast Michigan CMH 04 Alpena $11,275.03 $1,869.60 $3,406.95 $1,378.83 $125.16 $18,055.575 1712283 00GB Antrim-Kalkaska CMH 05 Antrim $6,981.75 $887.88 $1,049.67 $322.20 $68.48 $9,309.986 1705322 00GE Bay-Arenac CMH 06 Arenac $9,424.30 $1,557.82 $2,575.44 $1,216.78 $116.90 $14,891.247 1707962 00GI Copper County CMH 07 Baraga $3,002.68 $457.50 $717.84 $133.44 $44.35 $4,355.818 1705260 00GD Barry County CMH 08 Barry $9,248.56 $1,555.50 $2,425.55 $883.50 $92.70 $14,205.819 1705322 00GE Bay-Arenac CMH 09 Bay $45,997.30 $7,949.70 $13,442.22 $3,606.36 $479.29 $71,474.8710 1705304 00GY Manistee-Benzie CMH 10 Benzie $5,767.14 $816.41 $961.73 $334.32 $33.33 $7,912.9311 1716175 00GF Berrien Mental Health 11 Berrien $52,248.64 $8,961.12 $15,293.44 $3,988.46 $711.01 $1.35 $81,204.0212 1712372 00HL Pines Behavioral Health CMH 12 Branch $18,731.20 $3,001.39 $5,229.80 $1,447.46 $129.58 $28,539.4313 2920843 00HR Summit Pointe CMH 13 Calhoun $73,079.12 $12,146.67 $19,185.54 $5,078.22 $580.52 $110,070.0714 1706114 00HW Woodlands Behavioral Healthcare 14 Cass $10,857.60 $1,888.19 $3,548.82 $1,020.54 $161.53 $17,476.6815 1707185 00HF Northern Michigan CMH 15 Charlevoix $6,426.20 $693.22 $1,341.36 $360.36 $66.33 $8,887.4716 1707185 00HF Northern Michigan CMH 16 Cheboygan $8,873.40 $1,229.58 $2,583.36 $729.96 $95.81 $13,512.1117 1715919 00GO Hiawatha Behavioral Health Authority 17 Chippewa $14,391.30 $2,493.40 $3,942.40 $1,187.50 $139.58 $1.84 $22,156.0218 4344340 00GG Central Michigan CMH 18 Clare $12,818.52 $1,939.92 $4,148.48 $1,348.65 $135.49 $20,391.0619 1708001 00BJ CEI CMH 19 Clinton $8,089.18 $1,285.68 $2,016.41 $523.92 $85.08 $12,000.2720 1707158 00HC North Central CMH 20 Crawford $5,912.88 $1,000.00 $1,636.80 $559.09 $91.00 $9,199.7721 1724945 00HJ Pathways CMH 21 Delta $32,204.80 $5,101.36 $8,662.38 $3,192.93 $348.32 $49,509.7922 3140186 00HG Northpointe CMH 22 Dickinson $11,004.70 $1,755.38 $2,742.53 $1,014.40 $75.84 $16,592.8523 1708001 00BJ CEI CMH 23 Eaton $16,771.98 $2,668.76 $4,184.25 $1,154.40 $248.15 $25,027.5424 1707185 00HF Northern Michigan CMH 24 Emmet $7,047.20 $976.58 $1,324.80 $434.28 $14.74 $9,797.6025 1705233 0028 Genesee County Health Dept 25 Genesee $76,628.16 $12,337.92 $25,172.19 $7,104.58 $833.86 $1.92 $122,078.6326 4344340 00GG Central Michigan CMH 26 Gladwin $9,252.84 $1,320.68 $2,302.72 $759.24 $95.64 $13,731.1227 1708119 00GL Gogebic County CMH 27 Gogebic $18,196.92 $2,429.43 $4,341.26 $1,477.68 $250.80 $26,696.0928 1705251 00GM Great Lakes CMH 28 Grand Traverse $25,277.10 $3,740.00 $4,851.10 $1,876.71 $235.03 $35,979.9429 1715955 00GN Gratiot County CMH 29 Gratiot $19,948.16 $3,323.04 $5,245.60 $1,162.92 $239.02 $29,918.7430 1712229 00GV Lifeways CMH 30 Hillsdale $14,192.28 $2,375.69 $3,901.08 $1,216.71 $205.80 $21,891.56

MA TANF Revenue by Provider ID by County by Age Group 22-Apr-2002 20:052002-05

Age Group

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MACap - Rates: 97d - qSummary recordcode02 by CMHA by County - Pop - TANF

Provider ID Agent ID Provider Name Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

MA TANF Revenue by Provider ID by County by Age Group 22-Apr-2002 20:052002-05

Age Group

31 1707962 00GI Copper County CMH 31 Houghton $11,916.54 $1,695.80 $2,891.30 $945.20 $115.31 $17,564.1532 1708128 00GP Huron Behavioral Health 32 Huron $12,376.44 $1,528.86 $2,781.08 $1,075.20 $98.23 $17,859.8133 1708001 00BJ CEI CMH 33 Ingham $68,554.25 $11,288.66 $20,833.58 $5,461.20 $1,098.95 $3.93 $107,240.5734 1715928 00GQ Ionia County CMH 34 Ionia $16,906.80 $3,216.85 $4,365.98 $1,266.58 $222.48 $1.71 $25,980.4035 1706830 00GC AuSable Valley CMH 35 Iosco $17,648.40 $2,756.07 $4,972.37 $1,836.45 $251.60 $27,464.8936 3140186 00HG Northpointe CMH 36 Iron $5,719.60 $964.59 $1,449.42 $681.55 $37.92 $8,853.0837 4344340 00GG Central Michigan CMH 37 Isabella $12,723.90 $2,877.00 $4,058.88 $1,118.88 $103.61 $20,882.2738 1712229 00GV Lifeways CMH 38 Jackson $56,738.52 $8,742.27 $13,455.42 $3,748.45 $519.40 $1.81 $83,205.8739 3402136 00GR Kalamazoo County CMH 39 Kalamazoo $72,173.07 $12,303.92 $20,582.45 $5,558.49 $666.54 $111,284.4740 1712283 00GB Antrim-Kalkaska CMH 40 Kalkaska $6,698.20 $923.16 $1,723.77 $526.26 $68.48 $9,939.8741 1705430 00GS Kent County CMH 41 Kent $160,357.32 $25,826.96 $43,022.08 $11,240.10 $1,701.56 $3.04 $242,151.0642 1707962 00GI Copper County CMH 42 Keweenaw $609.40 $91.50 $119.64 $55.60 $17.74 $893.8843 3220732 00HV West Michigan CMH 43 Lake $5,378.80 $757.62 $1,728.90 $567.00 $117.52 $1.67 $8,551.5144 1705242 00GT Lapeer County CMH 44 Lapeer $20,243.52 $2,931.97 $4,987.56 $1,430.40 $199.71 $29,793.1645 1705251 00GM Great Lakes CMH 45 Leelanau $5,712.47 $697.00 $1,376.10 $527.34 $61.85 $8,374.7646 1705270 00GU Lenawee County CMH 46 Lenawee $26,491.44 $4,209.76 $6,880.71 $2,060.40 $251.42 $39,893.7347 1707167 00GW Livingston County CMH 47 Livingston $39,283.40 $5,491.29 $9,336.16 $3,420.51 $410.55 $57,941.9148 1724945 00HJ Pathways CMH 48 Luce $7,670.40 $1,271.60 $2,814.05 $709.54 $108.85 $12,574.4449 1715919 00GO Hiawatha Behavioral Health Authority 49 Mackinac $3,519.95 $458.95 $683.20 $325.00 $39.88 $5,026.9850 3396315 00GX Macomb County CA 50 Macomb $138,477.50 $18,778.56 $38,617.44 $15,734.17 $3,011.04 $8.45 $214,627.1651 1705304 00GY Manistee-Benzie CMH 51 Manistee $10,250.38 $1,854.09 $2,635.39 $780.08 $122.21 $15,642.1552 1724945 00HJ Pathways CMH 52 Marquette $39,113.60 $7,524.88 $12,381.82 $3,383.96 $500.71 $62,904.9753 3220732 00HV West Michigan CMH 53 Mason $10,723.70 $1,434.51 $2,949.30 $918.54 $72.32 $16,098.3754 4344340 00GG Central Michigan CMH 54 Mecosta $12,609.36 $2,482.44 $4,721.92 $1,138.86 $135.49 $21,088.0755 3140186 00HG Northpointe CMH 55 Menominee $10,135.70 $2,068.22 $2,586.22 $855.90 $88.48 $15,734.5256 4344340 00GG Central Michigan CMH 56 Midland $17,340.36 $2,624.92 $5,196.80 $1,348.65 $175.34 $26,686.0757 1710547 00HX Monroe County CMH 58 Monroe $39,008.28 $6,109.95 $9,824.82 $2,688.27 $375.04 $58,006.3658 1712461 00GZ Montcalm Center Behavl. Hlt 59 Montcalm $14,539.95 $2,204.72 $3,498.12 $1,022.97 $113.76 $21,379.5259 1708100 00HE Northeast Michigan CMH 60 Montmorency $3,756.48 $608.85 $954.75 $526.87 $80.46 $5,927.4160 1712452 00HA Muskegon County CMH 61 Muskegon $73,658.88 $13,225.32 $20,220.20 $5,501.88 $542.90 $1.64 $113,150.82

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MACap - Rates: 97d - qSummary recordcode02 by CMHA by County - Pop - TANF

Provider ID Agent ID Provider Name Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

MA TANF Revenue by Provider ID by County by Age Group 22-Apr-2002 20:052002-05

Age Group

61 1708066 00HB Newaygo County CMH 62 Newaygo $29,215.20 $4,464.89 $7,910.10 $2,708.64 $412.09 $44,710.9262 1705289 0058 Oakland County CMHA 63 Oakland $135,035.42 $16,708.73 $34,464.76 $11,934.72 $2,756.04 $7.92 $200,907.5963 3220732 00HV West Michigan CMH 64 Oceana $13,119.30 $2,030.67 $3,925.62 $1,281.42 $189.84 $20,546.8564 1706830 00GC AuSable Valley CMH 65 Ogemaw $15,717.24 $2,817.09 $4,706.29 $1,576.75 $162.80 $24,980.1765 1707962 00GI Copper County CMH 66 Ontonagon $2,448.68 $323.30 $548.35 $300.24 $26.61 $3,647.1866 4344340 00GG Central Michigan CMH 67 Osceola $8,261.82 $1,402.88 $2,428.16 $639.36 $119.55 $12,851.7767 1706830 00GC AuSable Valley CMH 68 Oscoda $5,867.40 $996.66 $1,629.74 $1,001.70 $88.80 $9,584.3068 1707185 00HF Northern Michigan CMH 69 Otsego $7,120.80 $1,168.86 $1,970.64 $600.60 $73.70 $10,934.6069 1712425 00HI Ottawa County CMH 70 Ottawa $55,895.45 $8,010.09 $11,321.63 $3,298.32 $438.48 $2.25 $78,966.2270 1708100 00HE Northeast Michigan CMH 71 Presque Isle $3,627.91 $479.70 $603.00 $358.72 $17.88 $5,087.2171 1707158 00HC North Central CMH 72 Roscommon $10,655.68 $1,631.25 $3,856.71 $1,437.66 $154.70 $17,736.0072 1712541 00HQ Saginaw County CMH 73 Saginaw $60,463.60 $9,387.30 $17,513.10 $4,848.72 $562.32 $1.05 $92,776.0973 1708164 00HO St. Clair County CMH 74 St. Clair $121,601.37 $19,965.34 $35,873.04 $10,431.20 $1,908.66 $189,779.6174 1708146 00HP St. Joseph County CMH 75 St. Joseph $25,424.35 $4,205.22 $6,773.10 $1,659.66 $247.52 $1.76 $38,311.6175 1706849 00HM Sanilac County CMH 76 Sanilac $11,036.52 $1,757.08 $2,806.02 $1,010.92 $139.70 $16,750.2476 1715919 00GO Hiawatha Behavioral Health Authority 77 Schoolcraft $4,186.56 $630.20 $1,008.00 $425.00 $9.97 $6,259.7377 1712407 00HN Shiawassee County CMH 78 Shiawassee $21,227.05 $3,564.06 $6,193.53 $1,666.98 $153.85 $32,805.4778 1707130 00HS Tuscola County CMH 79 Tuscola $23,228.45 $3,542.88 $5,877.27 $2,055.90 $138.45 $34,842.9579 1705298 00HT Van Buren County CMH 80 Van Buren $38,059.41 $6,550.40 $11,909.70 $4,146.78 $589.05 $3.94 $61,259.2880 1707176 00HU Washtenaw County CMH 81 Washtenaw $86,420.78 $13,462.08 $23,776.61 $7,030.86 $926.24 $6.10 $131,622.6781 3119549 00GJ Detroit-Wayne County CMH 82 Wayne $976,557.60 $124,955.95 $260,832.11 $84,781.90 $14,410.90 $75.20 $1,461,613.6682 1707158 00HC North Central CMH 83 Wexford $19,368.80 $3,250.00 $5,217.30 $1,471.89 $163.80 $29,471.7983 $0.0084 $0.0085

$3,176,918.10 $471,270.20 $860,882.37 $268,237.44 $41,204.44 $125.58 $4,818,638.13Check Values -

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, TANF Rev by County

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MACap - Rates: 97e - qSummary recordcode02 by CMHA - Rev - DD

Provider ID Agent ID Provider Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

1 1705233 0028 Genesee County Health Dept $53,040.00 $193,114.90 $1,227,282.77 $1,269,122.40 $692,990.46 $203,192.79 $3,638,743.322 1705242 00GT Lapeer County CMH $3,670.36 $24,582.94 $183,516.15 $175,200.18 $121,318.17 $44,685.42 $552,973.223 1705251 00GM Great Lakes CMH $5,766.32 $24,511.96 $167,635.98 $179,612.95 $119,977.20 $33,502.32 $531,006.734 1705260 00GD Barry County CMH $972.76 $7,406.96 $29,896.14 $41,493.65 $26,171.70 $6,349.58 $112,290.795 1705270 00GU Lenawee County CMH $7,567.36 $36,305.01 $237,235.33 $218,367.92 $154,985.40 $38,004.40 $692,465.426 1705289 0058 Oakland County CMHA $53,054.54 $317,622.24 $2,058,581.20 $2,187,104.48 $1,470,441.60 $545,004.80 $6,631,808.867 1705298 00HT Van Buren County CMH $4,297.43 $20,295.80 $113,264.37 $132,922.21 $101,802.00 $28,818.38 $401,400.198 1705304 00GY Manistee-Benzie CMH $5,741.72 $32,276.88 $216,169.20 $254,426.37 $224,227.40 $47,573.11 $780,414.689 1705322 00GE Bay-Arenac CMH $10,770.70 $57,964.06 $391,496.49 $460,439.59 $273,075.66 $75,781.92 $1,269,528.4210 1705430 00GS Kent County CMH $43,980.72 $195,555.99 $976,084.20 $937,068.00 $556,696.80 $178,771.66 $2,888,157.3711 1706114 00HW Woodlands Behavioral Healthcare $3,528.00 $17,565.60 $102,899.45 $111,159.88 $75,802.24 $20,299.30 $331,254.4712 1706830 00GC AuSable Valley CMH $2,729.94 $15,074.22 $94,319.43 $147,069.13 $93,004.54 $19,562.85 $371,760.1113 1706849 00HM Sanilac County CMH $7,560.42 $43,904.44 $253,106.23 $347,877.28 $259,272.08 $70,907.52 $982,627.9714 1707130 00HS Tuscola County CMH $7,214.40 $37,139.10 $181,370.34 $196,382.72 $139,719.21 $29,448.00 $591,273.7715 1707158 00HC North Central CMH $4,965.00 $25,388.14 $175,640.75 $245,892.35 $148,463.70 $34,285.56 $634,635.5016 1707167 00GW Livingston County CMH $4,265.28 $42,446.95 $186,992.40 $180,282.68 $108,722.88 $23,259.42 $545,969.6117 1707176 00HU Washtenaw County CMH $15,412.20 $90,931.38 $500,740.70 $564,960.02 $306,875.48 $102,667.60 $1,581,587.3818 1707185 00HF Northern Michigan CMH $7,210.56 $39,293.76 $247,734.96 $261,756.00 $193,466.62 $47,100.90 $796,562.8019 1707962 00GI Copper County CMH $3,724.84 $23,974.20 $149,169.00 $186,935.54 $169,551.55 $60,337.42 $593,692.5520 1708001 00BJ CEI CMH $23,075.90 $112,230.00 $607,961.04 $658,581.68 $380,692.78 $103,447.00 $1,885,988.4021 1708066 00HB Newaygo County CMH $2,362.32 $10,868.20 $71,875.00 $95,443.27 $60,563.64 $15,313.32 $256,425.7522 1708100 00HE Northeast Michigan CMH $7,553.92 $42,853.70 $308,514.36 $380,340.61 $259,230.94 $75,288.38 $1,073,781.9123 1708119 00GL Gogebic County CMH $1,858.50 $9,493.44 $71,527.23 $92,486.16 $52,536.24 $23,896.53 $251,798.1024 1708128 00GP Huron Behavioral Health $1,889.14 $14,664.96 $86,819.85 $110,811.80 $84,920.43 $27,426.28 $326,532.4625 1708146 00HP St. Joseph County CMH $3,236.61 $23,247.09 $131,280.39 $141,650.15 $98,662.05 $28,110.02 $426,186.3126 1708164 00HO St. Clair County CMH $15,910.02 $86,164.05 $486,733.59 $552,614.16 $358,838.60 $77,310.00 $1,577,570.4227 1709690 00GA Allegan County CMH $6,822.52 $40,666.08 $225,044.73 $225,738.50 $176,195.00 $46,660.60 $721,127.4328 1710547 00HX Monroe County CMH $12,414.72 $61,125.02 $364,191.93 $379,536.96 $219,849.00 $59,154.15 $1,096,271.7829 1712229 00GV Lifeways CMH $15,612.63 $66,764.92 $395,577.02 $393,186.42 $265,774.08 $72,899.96 $1,209,815.0330 1712283 00GB Antrim-Kalkaska CMH $4,448.29 $21,395.57 $110,176.80 $148,380.50 $112,919.85 $29,229.72 $426,550.73

MA DD Revenue by Provider ID by Age Group 22-Apr-2002 20:052002-05

Age Group

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31 1712372 00HL Pines Behavioral Health CMH $4,098.51 $19,796.48 $141,815.10 $133,955.51 $94,370.84 $28,975.35 $423,011.7932 1712407 00HN Shiawassee County CMH $4,938.57 $29,091.95 $154,252.20 $158,037.92 $91,089.07 $22,318.14 $459,727.8533 1712425 00HI Ottawa County CMH $12,351.68 $93,113.86 $439,080.18 $434,676.00 $259,678.68 $60,932.30 $1,299,832.7034 1712452 00HA Muskegon County CMH $13,708.20 $60,127.86 $413,676.44 $466,609.00 $271,833.10 $65,137.28 $1,291,091.8835 1712461 00GZ Montcalm Center Behavl. Hlt $2,452.95 $9,965.58 $60,542.34 $65,792.44 $42,628.96 $10,364.81 $191,747.0836 1712541 00HQ Saginaw County CMH $18,354.87 $78,771.76 $436,352.44 $446,308.50 $238,780.20 $78,263.37 $1,296,831.1437 1715919 00GO Hiawatha Behavioral Health Authority $3,579.48 $18,544.24 $133,302.08 $172,377.43 $119,930.27 $31,523.31 $479,256.8138 1715928 00GQ Ionia County CMH $4,226.56 $27,248.28 $157,393.64 $148,390.71 $109,534.29 $25,059.20 $471,852.6839 1715955 00GN Gratiot County CMH $5,236.00 $24,885.00 $142,647.18 $150,292.92 $111,760.22 $33,937.92 $468,759.2440 1716175 00GF Berrien Mental Health $18,261.81 $62,494.89 $349,109.94 $408,797.91 $267,886.03 $84,519.32 $1,191,069.9041 1724945 00HJ Pathways CMH $10,440.00 $72,587.90 $406,695.26 $490,727.22 $350,740.20 $94,343.46 $1,425,534.0442 2920843 00HR Summit Pointe CMH $6,865.17 $32,890.05 $191,811.05 $213,370.40 $127,905.35 $37,174.72 $610,016.7443 3119549 00GJ Detroit-Wayne County CMH $211,276.80 $751,840.30 $4,799,100.67 $5,699,073.60 $3,768,832.84 $1,242,430.32 $16,472,554.5344 3140186 00HG Northpointe CMH $4,559.04 $24,106.52 $139,143.24 $180,579.06 $141,422.40 $44,197.04 $534,007.3045 3220732 00HV West Michigan CMH $4,298.47 $22,336.98 $130,052.73 $153,183.33 $113,850.00 $31,212.00 $454,933.5146 3396315 00GX Macomb County CA $39,146.24 $218,640.24 $1,386,941.40 $1,574,919.68 $1,068,722.83 $354,892.56 $4,643,262.9547 3402136 00GR Kalamazoo County CMH $20,212.68 $93,486.19 $572,519.97 $656,500.95 $394,747.20 $112,786.80 $1,850,253.7948 4344340 00GG Central Michigan CMH $28,538.90 $158,216.70 $938,062.18 $1,006,860.40 $694,207.50 $171,709.46 $2,997,595.1449

50

State Subtotals $753,203.05 $3,532,972.34 $21,345,335.07 $23,837,296.54 $15,574,667.28 $4,698,066.27 $69,741,540.55

Check Values -

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, DD Rev by Provider

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MACap - Rates: 97f - qSummary recordcode02 by CA by County - Rev - DD

Provider ID Agent ID Provider Name Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

1 1708100 00HE Northeast Michigan CMH 01 Alcona $1,115.92 $2,466.40 $32,769.66 $50,109.67 $44,594.39 $14,978.84 $146,034.882 1724945 00HJ Pathways CMH 02 Alger $751.68 $2,099.65 $33,437.66 $35,166.12 $31,627.44 $11,505.30 $114,587.853 1709690 00GA Allegan County CMH 03 Allegan $6,822.52 $40,666.08 $225,044.73 $225,738.50 $176,195.00 $46,660.60 $721,127.434 1708100 00HE Northeast Michigan CMH 04 Alpena $3,948.64 $25,897.20 $185,428.32 $208,653.38 $120,863.30 $33,111.12 $577,901.965 1712283 00GB Antrim-Kalkaska CMH 05 Antrim $1,958.88 $13,775.23 $55,468.32 $78,875.95 $49,130.04 $11,616.94 $210,825.366 1705322 00GE Bay-Arenac CMH 06 Arenac $1,577.68 $7,844.76 $53,103.42 $70,836.86 $48,311.12 $15,323.55 $196,997.397 1707962 00GI Copper County CMH 07 Baraga $316.26 $2,271.24 $17,010.50 $23,535.05 $26,268.55 $10,970.44 $80,372.048 1705260 00GD Barry County CMH 08 Barry $972.76 $7,406.96 $29,896.14 $41,493.65 $26,171.70 $6,349.58 $112,290.799 1705322 00GE Bay-Arenac CMH 09 Bay $9,193.02 $50,119.30 $338,393.07 $389,602.73 $224,764.54 $60,458.37 $1,072,531.0310 1705304 00GY Manistee-Benzie CMH 10 Benzie $2,184.35 $10,758.96 $68,569.80 $80,030.83 $69,692.30 $21,780.46 $253,016.7011 1716175 00GF Berrien Mental Health 11 Berrien $18,261.81 $62,494.89 $349,109.94 $408,797.91 $267,886.03 $84,519.32 $1,191,069.9012 1712372 00HL Pines Behavioral Health CMH 12 Branch $4,098.51 $19,796.48 $141,815.10 $133,955.51 $94,370.84 $28,975.35 $423,011.7913 2920843 00HR Summit Pointe CMH 13 Calhoun $6,865.17 $32,890.05 $191,811.05 $213,370.40 $127,905.35 $37,174.72 $610,016.7414 1706114 00HW Woodlands Behavioral Healthcare 14 Cass $3,528.00 $17,565.60 $102,899.45 $111,159.88 $75,802.24 $20,299.30 $331,254.4715 1707185 00HF Northern Michigan CMH 15 Charlevoix $1,554.00 $8,037.36 $53,830.26 $49,971.60 $48,593.02 $11,989.32 $173,975.5616 1707185 00HF Northern Michigan CMH 16 Cheboygan $2,206.68 $11,163.00 $78,140.70 $82,691.10 $57,949.44 $13,416.62 $245,567.5417 1715919 00GO Hiawatha Behavioral Health Authority 17 Chippewa $2,288.52 $14,118.91 $78,123.76 $113,982.47 $70,362.89 $19,668.39 $298,544.9418 4344340 00GG Central Michigan CMH 18 Clare $4,958.35 $24,194.65 $160,689.84 $217,308.00 $136,710.00 $30,240.33 $574,101.1719 1708001 00BJ CEI CMH 19 Clinton $1,853.34 $9,135.00 $54,469.52 $57,373.80 $27,343.55 $7,174.55 $157,349.7620 1707158 00HC North Central CMH 20 Crawford $1,032.72 $3,993.64 $25,144.36 $41,805.50 $21,016.29 $6,018.21 $99,010.7221 1724945 00HJ Pathways CMH 21 Delta $3,633.12 $27,295.45 $137,638.74 $171,834.45 $114,345.36 $30,297.29 $485,044.4122 3140186 00HG Northpointe CMH 22 Dickinson $2,026.24 $10,461.32 $58,369.41 $81,199.98 $46,116.00 $13,375.42 $211,548.3723 1708001 00BJ CEI CMH 23 Eaton $3,815.70 $16,182.00 $102,849.28 $88,668.60 $56,451.20 $11,679.50 $279,646.2824 1707185 00HF Northern Michigan CMH 24 Emmet $1,522.92 $10,269.96 $58,460.82 $66,033.90 $49,800.30 $13,702.08 $199,789.9825 1705233 0028 Genesee County Health Dept 25 Genesee $53,040.00 $193,114.90 $1,227,282.77 $1,269,122.40 $692,990.46 $203,192.79 $3,638,743.3226 4344340 00GG Central Michigan CMH 26 Gladwin $2,498.10 $15,495.45 $107,126.56 $127,487.36 $93,345.00 $22,593.35 $368,545.8227 1708119 00GL Gogebic County CMH 27 Gogebic $1,858.50 $9,493.44 $71,527.23 $92,486.16 $52,536.24 $23,896.53 $251,798.1028 1705251 00GM Great Lakes CMH 28 Grand Traverse $4,589.52 $20,708.38 $147,914.10 $157,090.95 $103,980.24 $28,639.08 $462,922.2729 1715955 00GN Gratiot County CMH 29 Gratiot $5,236.00 $24,885.00 $142,647.18 $150,292.92 $111,760.22 $33,937.92 $468,759.2430 1712229 00GV Lifeways CMH 30 Hillsdale $3,147.21 $14,918.71 $86,544.44 $79,109.58 $65,495.04 $18,886.00 $268,100.98

MA DD Revenue by Provider ID by County by Age Group 22-Apr-2002 20:052002-05

Age Group

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MACap - Rates: 97f - qSummary recordcode02 by CA by County - Rev - DD

Provider ID Agent ID Provider Name Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

MA DD Revenue by Provider ID by County by Age Group 22-Apr-2002 20:052002-05

Age Group

31 1707962 00GI Copper County CMH 31 Houghton $2,530.08 $16,655.76 $101,408.75 $125,744.41 $111,556.05 $35,492.60 $393,387.6532 1708128 00GP Huron Behavioral Health 32 Huron $1,889.14 $14,664.96 $86,819.85 $110,811.80 $84,920.43 $27,426.28 $326,532.4633 1708001 00BJ CEI CMH 33 Ingham $17,406.86 $86,913.00 $450,642.24 $512,539.28 $296,898.03 $84,592.95 $1,448,992.3634 1715928 00GQ Ionia County CMH 34 Ionia $4,226.56 $27,248.28 $157,393.64 $148,390.71 $109,534.29 $25,059.20 $471,852.6835 1706830 00GC AuSable Valley CMH 35 Iosco $1,293.96 $5,553.66 $45,543.65 $54,660.19 $37,845.34 $7,390.41 $152,287.2136 3140186 00HG Northpointe CMH 36 Iron $1,044.78 $4,548.40 $33,017.04 $41,205.96 $43,656.48 $11,921.57 $135,394.2337 4344340 00GG Central Michigan CMH 37 Isabella $6,585.90 $33,165.70 $203,681.42 $164,429.72 $122,745.00 $33,021.05 $563,628.7938 1712229 00GV Lifeways CMH 38 Jackson $12,465.42 $51,846.21 $309,032.58 $314,076.84 $200,279.04 $54,013.96 $941,714.0539 3402136 00GR Kalamazoo County CMH 39 Kalamazoo $20,212.68 $93,486.19 $572,519.97 $656,500.95 $394,747.20 $112,786.80 $1,850,253.7940 1712283 00GB Antrim-Kalkaska CMH 40 Kalkaska $2,489.41 $7,620.34 $54,708.48 $69,504.55 $63,789.81 $17,612.78 $215,725.3741 1705430 00GS Kent County CMH 41 Kent $43,980.72 $195,555.99 $976,084.20 $937,068.00 $556,696.80 $178,771.66 $2,888,157.3742 1707962 00GI Copper County CMH 42 Keweenaw $210.84 $252.36 $5,888.25 $4,034.58 $8,187.60 $2,903.94 $21,477.5743 3220732 00HV West Michigan CMH 43 Lake $1,019.40 $5,736.82 $33,541.58 $53,662.95 $34,815.00 $9,831.78 $138,607.5344 1705242 00GT Lapeer County CMH 44 Lapeer $3,670.36 $24,582.94 $183,516.15 $175,200.18 $121,318.17 $44,685.42 $552,973.2245 1705251 00GM Great Lakes CMH 45 Leelanau $1,176.80 $3,803.58 $19,721.88 $22,522.00 $15,996.96 $4,863.24 $68,084.4646 1705270 00GU Lenawee County CMH 46 Lenawee $7,567.36 $36,305.01 $237,235.33 $218,367.92 $154,985.40 $38,004.40 $692,465.4247 1707167 00GW Livingston County CMH 47 Livingston $4,265.28 $42,446.95 $186,992.40 $180,282.68 $108,722.88 $23,259.42 $545,969.6148 1724945 00HJ Pathways CMH 48 Luce $1,628.64 $6,298.95 $31,882.42 $48,753.03 $37,304.16 $17,641.46 $143,508.6649 1715919 00GO Hiawatha Behavioral Health Authority 49 Mackinac $586.80 $1,264.38 $19,121.20 $29,758.97 $18,801.42 $4,041.45 $73,574.2250 3396315 00GX Macomb County CA 50 Macomb $39,146.24 $218,640.24 $1,386,941.40 $1,574,919.68 $1,068,722.83 $354,892.56 $4,643,262.9551 1705304 00GY Manistee-Benzie CMH 51 Manistee $3,557.37 $21,517.92 $147,599.40 $174,395.54 $154,535.10 $25,792.65 $527,397.9852 1724945 00HJ Pathways CMH 52 Marquette $4,426.56 $36,893.85 $203,736.44 $234,973.62 $167,463.24 $34,899.41 $682,393.1253 3220732 00HV West Michigan CMH 53 Mason $1,563.08 $9,642.74 $49,046.65 $40,653.75 $32,340.00 $9,363.60 $142,609.8254 4344340 00GG Central Michigan CMH 54 Mecosta $5,563.95 $26,641.30 $136,022.54 $159,359.20 $104,002.50 $27,459.61 $459,049.1055 3140186 00HG Northpointe CMH 55 Menominee $1,488.02 $9,096.80 $47,756.79 $58,173.12 $51,649.92 $18,900.05 $187,064.7056 4344340 00GG Central Michigan CMH 56 Midland $5,866.75 $41,593.05 $228,348.72 $233,968.28 $155,085.00 $29,892.74 $694,754.5457 1707158 00HC North Central CMH 57 Missaukee $0.0058 1710547 00HX Monroe County CMH 58 Monroe $12,414.72 $61,125.02 $364,191.93 $379,536.96 $219,849.00 $59,154.15 $1,096,271.7859 1712461 00GZ Montcalm Center Behavl. Hlt 59 Montcalm $2,452.95 $9,965.58 $60,542.34 $65,792.44 $42,628.96 $10,364.81 $191,747.0860 1708100 00HE Northeast Michigan CMH 60 Montmorency $1,373.44 $6,474.30 $30,371.88 $61,610.25 $47,511.78 $15,373.02 $162,714.67

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MACap - Rates: 97f - qSummary recordcode02 by CA by County - Rev - DD

Provider ID Agent ID Provider Name Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

MA DD Revenue by Provider ID by County by Age Group 22-Apr-2002 20:052002-05

Age Group

61 1712452 00HA Muskegon County CMH 61 Muskegon $13,708.20 $60,127.86 $413,676.44 $466,609.00 $271,833.10 $65,137.28 $1,291,091.8862 1708066 00HB Newaygo County CMH 62 Newaygo $2,362.32 $10,868.20 $71,875.00 $95,443.27 $60,563.64 $15,313.32 $256,425.7563 1705289 0058 Oakland County CMHA 63 Oakland $53,054.54 $317,622.24 $2,058,581.20 $2,187,104.48 $1,470,441.60 $545,004.80 $6,631,808.8664 3220732 00HV West Michigan CMH 64 Oceana $1,715.99 $6,957.42 $47,464.50 $58,866.63 $46,695.00 $12,016.62 $173,716.1665 1706830 00GC AuSable Valley CMH 65 Ogemaw $836.34 $8,047.14 $33,202.79 $66,135.81 $39,837.20 $9,129.33 $157,188.6166 1707962 00GI Copper County CMH 66 Ontonagon $667.66 $4,794.84 $24,861.50 $33,621.50 $23,539.35 $10,970.44 $98,455.2967 4344340 00GG Central Michigan CMH 67 Osceola $3,065.85 $17,126.55 $102,193.10 $104,307.84 $82,320.00 $28,502.38 $337,515.7268 1706830 00GC AuSable Valley CMH 68 Oscoda $599.64 $1,473.42 $15,572.99 $26,273.13 $15,322.00 $3,043.11 $62,284.2969 1707185 00HF Northern Michigan CMH 69 Otsego $1,926.96 $9,823.44 $57,303.18 $63,059.40 $37,123.86 $7,992.88 $177,229.7270 1712425 00HI Ottawa County CMH 70 Ottawa $12,351.68 $93,113.86 $439,080.18 $434,676.00 $259,678.68 $60,932.30 $1,299,832.7071 1708100 00HE Northeast Michigan CMH 71 Presque Isle $1,115.92 $8,015.80 $59,944.50 $59,967.31 $46,261.47 $11,825.40 $187,130.4072 1707158 00HC North Central CMH 72 Roscommon $1,628.52 $8,415.17 $63,970.21 $84,371.10 $50,901.84 $11,306.94 $220,593.7873 1712541 00HQ Saginaw County CMH 73 Saginaw $18,354.87 $78,771.76 $436,352.44 $446,308.50 $238,780.20 $78,263.37 $1,296,831.1474 1708164 00HO St. Clair County CMH 74 St. Clair $15,910.02 $86,164.05 $486,733.59 $552,614.16 $358,838.60 $77,310.00 $1,577,570.4275 1708146 00HP St. Joseph County CMH 75 St. Joseph $3,236.61 $23,247.09 $131,280.39 $141,650.15 $98,662.05 $28,110.02 $426,186.3176 1706849 00HM Sanilac County CMH 76 Sanilac $7,560.42 $43,904.44 $253,106.23 $347,877.28 $259,272.08 $70,907.52 $982,627.9777 1715919 00GO Hiawatha Behavioral Health Authority 77 Schoolcraft $704.16 $3,160.95 $36,057.12 $28,635.99 $30,765.96 $7,813.47 $107,137.6578 1712407 00HN Shiawassee County CMH 78 Shiawassee $4,938.57 $29,091.95 $154,252.20 $158,037.92 $91,089.07 $22,318.14 $459,727.8579 1707130 00HS Tuscola County CMH 79 Tuscola $7,214.40 $37,139.10 $181,370.34 $196,382.72 $139,719.21 $29,448.00 $591,273.7780 1705298 00HT Van Buren County CMH 80 Van Buren $4,297.43 $20,295.80 $113,264.37 $132,922.21 $101,802.00 $28,818.38 $401,400.1981 1707176 00HU Washtenaw County CMH 81 Washtenaw $15,412.20 $90,931.38 $500,740.70 $564,960.02 $306,875.48 $102,667.60 $1,581,587.3882 3119549 00GJ Detroit-Wayne County CMH 82 Wayne $211,276.80 $751,840.30 $4,799,100.67 $5,699,073.60 $3,768,832.84 $1,242,430.32 $16,472,554.5383 1707158 00HC North Central CMH 83 Wexford $2,303.76 $12,979.33 $86,526.18 $119,715.75 $76,545.57 $16,960.41 $315,031.0084 $0.0085

$753,203.05 $3,532,972.34 $21,345,335.07 $23,837,296.54 $15,574,667.28 $4,698,066.27 $69,741,540.55Check Values -

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, DD Rev by County

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MACap - Rates: 97g - qSummary recordcode02 by CMHA - Rev - SA

Provider ID Agent ID CA_ProviderName 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

1 1705233 00HZ Genesee County Health Dept $5,876.34 $8,318.40 $56,228.25 $49,795.85 $12,079.91 $465.50 $132,764.252 1705289 00IF Oakland County Health Div $6,126.99 $8,321.58 $56,415.00 $53,332.23 $15,861.70 $1,234.66 $141,292.163 1705430 00ID Mink Substance Abuse Coordinating Agency $7,394.53 $10,970.97 $58,880.88 $46,308.72 $12,002.41 $664.51 $136,222.024 1707176 00HU Washtenaw County CMH $1,930.70 $3,204.21 $18,209.03 $18,395.08 $4,741.27 $292.32 $46,772.615 1707962 00IL Western U.P. SAS $1,251.60 $1,985.56 $10,402.54 $9,509.05 $2,764.02 $258.50 $26,171.276 1708001 00IC Mid-South CA $7,458.28 $10,927.64 $61,351.65 $53,232.06 $14,727.04 $744.03 $148,440.707 1708164 00II St. Clair County Health Dept. CA $2,440.36 $3,660.04 $20,147.68 $17,961.65 $5,114.20 $279.81 $49,603.748 1710547 00IH Southeast MI Community Alliance $10,984.93 $13,991.20 $95,895.54 $104,085.10 $31,284.18 $1,548.16 $257,789.119 1712452 00IB Lakeshore CA $6,508.11 $9,889.68 $56,095.81 $50,597.74 $14,400.56 $815.43 $138,307.3310 1712541 00IG Saginaw County Health Dept $4,620.88 $8,187.31 $51,141.84 $52,284.88 $13,896.21 $683.76 $130,814.8811 1724945 00HY Eastern U.P. Substance Abuse $1,417.65 $2,616.92 $13,079.32 $11,712.08 $3,357.06 $244.17 $32,427.2012 3119549 00XO Detroit Health Department $29,125.70 $32,961.75 $231,051.85 $259,260.42 $82,202.59 $3,341.34 $637,943.6513 3396315 00GX Macomb County CA $4,845.49 $6,893.46 $44,906.02 $43,647.26 $11,958.82 $844.34 $113,095.3914 3402136 00GR Kalamazoo County CMH $3,916.56 $6,149.74 $33,787.52 $27,317.85 $6,967.80 $366.85 $78,506.3215 4344340 00IE Northern Michigan CA $6,209.22 $10,006.40 $56,709.06 $51,996.02 $14,646.38 $744.72 $140,311.8016 $0.00

State Subtotals $100,107.34 $138,084.86 $864,301.99 $849,435.99 $246,004.15 $12,528.10 $2,210,462.43

Check Values -

MA SA Revenue by Provider ID by Age Group 22-Apr-2002 20:052002-05

Age Group

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MACap - Rates: 96h - qSummary recordcode02 by CA by County - Pop - SA

Provider ID Agent ID CA_ProviderName Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

1 4344340 00IE Northern Michigan CA 01 Alcona $75.00 $107.05 $715.82 $698.98 $241.86 $13.36 $1,852.072 1724945 00HY Eastern U.P. Substance Abuse 02 Alger $54.51 $90.99 $611.44 $553.74 $181.76 $14.94 $1,507.383 1712452 00IB Lakeshore CA 03 Allegan $625.87 $919.95 $5,007.49 $4,195.42 $1,420.82 $87.45 $12,257.004 4344340 00IE Northern Michigan CA 04 Alpena $228.98 $450.01 $2,799.11 $2,786.53 $657.94 $35.36 $6,957.935 4344340 00IE Northern Michigan CA 05 Antrim $161.90 $218.95 $894.22 $1,001.29 $286.48 $18.48 $2,581.326 4344340 00IE Northern Michigan CA 06 Arenac $142.38 $249.04 $1,367.77 $1,477.91 $374.30 $22.16 $3,633.567 1707962 00IL Western U.P. SAS 07 Baraga $103.50 $145.06 $757.84 $503.73 $235.33 $17.71 $1,763.178 3402136 00GR Kalamazoo County CMH 08 Barry $385.32 $731.88 $3,214.22 $3,001.99 $694.74 $39.60 $8,067.759 1712541 00IG Saginaw County Health Dept 09 Bay $1,025.06 $2,161.80 $13,690.05 $14,990.00 $4,219.50 $226.38 $36,312.7910 4344340 00IE Northern Michigan CA 10 Benzie $101.90 $130.71 $680.44 $686.84 $253.77 $14.24 $1,867.9011 1712452 00IB Lakeshore CA 11 Berrien $1,813.24 $2,506.07 $14,710.99 $13,297.36 $3,927.75 $221.32 $36,476.7312 3402136 00GR Kalamazoo County CMH 12 Branch $474.00 $670.70 $4,089.52 $2,936.47 $791.10 $48.62 $9,010.4113 1708001 00IC Mid-South CA 13 Calhoun $1,299.42 $1,967.47 $11,248.35 $10,522.26 $2,874.78 $136.44 $28,048.7214 1712452 00IB Lakeshore CA 14 Cass $447.39 $678.97 $4,067.56 $3,392.66 $956.47 $56.21 $9,599.2615 4344340 00IE Northern Michigan CA 15 Charlevoix $163.28 $202.13 $1,221.87 $913.90 $368.19 $21.76 $2,891.1316 4344340 00IE Northern Michigan CA 16 Cheboygan $237.58 $319.99 $2,081.20 $1,603.98 $442.31 $28.32 $4,713.3817 1724945 00HY Eastern U.P. Substance Abuse 17 Chippewa $311.86 $525.71 $2,457.12 $2,290.17 $571.26 $33.84 $6,189.9618 4344340 00IE Northern Michigan CA 18 Clare $298.38 $508.14 $3,259.95 $3,225.11 $838.27 $29.20 $8,159.0519 1708001 00IC Mid-South CA 19 Clinton $271.58 $378.34 $2,039.94 $1,797.94 $391.08 $25.83 $4,904.7120 4344340 00IE Northern Michigan CA 20 Crawford $126.06 $186.62 $1,056.28 $1,181.58 $257.66 $12.00 $2,820.2021 1724945 00HY Eastern U.P. Substance Abuse 21 Delta $293.62 $538.06 $2,703.73 $2,561.56 $656.64 $51.84 $6,805.4522 1707962 00IL Western U.P. SAS 22 Dickinson $272.55 $442.09 $2,238.97 $2,135.14 $451.66 $46.97 $5,587.3823 1708001 00IC Mid-South CA 23 Eaton $491.88 $702.82 $4,036.76 $2,988.39 $833.63 $51.93 $9,105.4124 4344340 00IE Northern Michigan CA 24 Emmet $166.72 $269.41 $1,264.51 $1,169.28 $359.98 $31.36 $3,261.2625 1705233 00HZ Genesee County Health Dept 25 Genesee $5,876.34 $8,318.40 $56,228.25 $49,795.85 $12,079.91 $465.50 $132,764.2526 4344340 00IE Northern Michigan CA 26 Gladwin $209.82 $330.53 $1,972.87 $1,878.94 $570.12 $26.88 $4,989.1627 1707962 00IL Western U.P. SAS 27 Gogebic $228.90 $348.89 $1,896.42 $1,773.14 $405.34 $47.85 $4,700.5428 4344340 00IE Northern Michigan CA 28 Grand Traverse $429.96 $595.50 $3,122.26 $2,980.41 $824.57 $49.12 $8,001.8229 1708001 00IC Mid-South CA 29 Gratiot $283.76 $486.60 $2,603.14 $2,170.75 $746.81 $50.85 $6,341.9130 1708001 00IC Mid-South CA 30 Hillsdale $327.52 $519.55 $2,856.59 $2,339.66 $824.81 $40.86 $6,908.99

MA SA Population by Provider ID by County by Age Group 22-Apr-2002 20:052002-05

Age Group

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, SA Rev by County

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MACap - Rates: 96h - qSummary recordcode02 by CA by County - Pop - SA

Provider ID Agent ID CA_ProviderName Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

MA SA Population by Provider ID by County by Age Group 22-Apr-2002 20:052002-05

Age Group

31 1707962 00IL Western U.P. SAS 31 Houghton $388.65 $642.31 $3,412.02 $2,940.76 $977.65 $73.26 $8,434.6532 1708164 00II St. Clair County Health Dept. CA 32 Huron $228.67 $388.09 $2,021.60 $2,127.73 $664.01 $45.54 $5,475.6433 1708001 00IC Mid-South CA 33 Ingham $2,357.00 $3,431.94 $18,792.02 $16,620.98 $4,325.55 $199.44 $45,726.9334 1705430 00ID Mink Substance Abuse Coordinating Agency 34 Ionia $486.40 $843.49 $4,184.00 $3,270.48 $997.24 $44.44 $9,826.0535 4344340 00IE Northern Michigan CA 35 Iosco $219.50 $344.57 $2,162.75 $2,075.90 $566.11 $29.28 $5,398.1136 1707962 00IL Western U.P. SAS 36 Iron $148.20 $242.31 $1,209.50 $1,203.88 $413.27 $44.11 $3,261.2737 4344340 00IE Northern Michigan CA 37 Isabella $348.38 $703.23 $3,630.90 $2,512.70 $746.87 $33.20 $7,975.2838 1708001 00IC Mid-South CA 38 Jackson $1,358.68 $1,755.61 $10,041.30 $8,783.10 $2,498.39 $118.53 $24,555.6139 3402136 00GR Kalamazoo County CMH 39 Kalamazoo $2,296.08 $3,546.21 $20,382.32 $16,981.47 $4,266.84 $214.39 $47,687.3140 4344340 00IE Northern Michigan CA 40 Kalkaska $159.50 $184.31 $1,162.31 $1,022.98 $362.08 $17.20 $2,908.3841 1705430 00ID Mink Substance Abuse Coordinating Agency 41 Kent $5,727.73 $8,384.69 $45,122.27 $34,101.12 $8,583.65 $501.49 $102,420.9542 1707962 00IL Western U.P. SAS 42 Keweenaw $23.10 $33.39 $162.36 $120.02 $74.82 $7.15 $420.8443 4344340 00IE Northern Michigan CA 43 Lake $128.60 $204.17 $1,335.26 $1,631.81 $483.35 $18.96 $3,802.1544 1708164 00II St. Clair County Health Dept. CA 44 Lapeer $368.05 $538.37 $3,292.24 $2,521.14 $718.86 $46.98 $7,485.6445 4344340 00IE Northern Michigan CA 45 Leelanau $95.46 $119.01 $615.24 $526.30 $129.91 $10.24 $1,496.1646 1708001 00IC Mid-South CA 46 Lenawee $604.38 $895.02 $5,317.72 $4,389.57 $1,337.62 $66.06 $12,610.3747 1707176 00HU Washtenaw County CMH 47 Livingston $427.44 $741.19 $3,748.44 $3,497.17 $921.67 $61.88 $9,397.7948 1724945 00HY Eastern U.P. Substance Abuse 48 Luce $82.04 $126.65 $770.31 $670.81 $214.55 $14.67 $1,879.0349 1724945 00HY Eastern U.P. Substance Abuse 49 Mackinac $70.63 $77.51 $490.40 $614.18 $153.16 $12.96 $1,418.8450 3396315 00GX Macomb County CA 50 Macomb $4,845.49 $6,893.46 $44,906.02 $43,647.26 $11,958.82 $844.34 $113,095.3951 4344340 00IE Northern Michigan CA 51 Manistee $166.92 $312.44 $1,628.49 $1,510.11 $576.97 $25.20 $4,220.1352 1724945 00HY Eastern U.P. Substance Abuse 52 Marquette $361.88 $787.54 $3,905.05 $3,232.23 $956.57 $63.27 $9,306.5453 4344340 00IE Northern Michigan CA 53 Mason $236.02 $368.13 $2,133.78 $1,497.33 $437.68 $27.52 $4,700.4654 4344340 00IE Northern Michigan CA 54 Mecosta $324.46 $635.71 $3,302.60 $2,445.70 $643.87 $31.84 $7,384.1855 1724945 00HY Eastern U.P. Substance Abuse 55 Menominee $160.09 $328.61 $1,325.39 $1,144.92 $383.53 $33.75 $3,376.2956 4344340 00IE Northern Michigan CA 56 Midland $494.30 $714.62 $4,324.35 $3,423.36 $963.86 $45.68 $9,966.1757 4344340 00IE Northern Michigan CA 57 Missaukee $17.48 $1.51 $18.9958 1710547 00IH Southeast MI Community Alliance 58 Monroe $873.42 $1,429.66 $8,682.06 $8,665.10 $2,396.78 $139.04 $22,186.0659 1705430 00ID Mink Substance Abuse Coordinating Agency 59 Montcalm $626.75 $933.31 $5,047.36 $4,428.48 $1,227.14 $59.51 $12,322.5560 4344340 00IE Northern Michigan CA 60 Montmorency $80.90 $138.14 $612.18 $883.80 $262.35 $14.64 $1,992.01

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MACap - Rates: 96h - qSummary recordcode02 by CA by County - Pop - SA

Provider ID Agent ID CA_ProviderName Co ID County Name 0 - 17 18 - 25 26 - 39 40 - 49 50 - 64 65+ Total

MA SA Population by Provider ID by County by Age Group 22-Apr-2002 20:052002-05

Age Group

61 1712452 00IB Lakeshore CA 61 Muskegon $1,904.01 $3,076.87 $18,265.55 $17,368.64 $4,593.02 $211.86 $45,419.9562 1705430 00ID Mink Substance Abuse Coordinating Agency 62 Newaygo $553.65 $809.48 $4,527.25 $4,508.64 $1,194.38 $59.07 $11,652.4763 1705289 00IF Oakland County Health Div 63 Oakland $6,126.99 $8,321.58 $56,415.00 $53,332.23 $15,861.70 $1,234.66 $141,292.1664 4344340 00IE Northern Michigan CA 64 Oceana $258.90 $402.79 $2,465.93 $2,130.28 $651.03 $23.84 $5,932.7765 4344340 00IE Northern Michigan CA 65 Ogemaw $189.90 $368.82 $1,835.01 $2,267.35 $585.61 $28.72 $5,275.4166 1707962 00IL Western U.P. SAS 66 Ontonagon $86.70 $131.51 $725.43 $832.38 $205.95 $21.45 $2,003.4267 4344340 00IE Northern Michigan CA 67 Osceola $207.24 $351.14 $1,977.27 $1,551.38 $512.85 $20.08 $4,619.9668 4344340 00IE Northern Michigan CA 68 Oscoda $74.72 $132.84 $718.59 $1,029.94 $226.74 $11.84 $2,194.6769 4344340 00IE Northern Michigan CA 69 Otsego $179.04 $286.59 $1,576.58 $1,256.19 $283.58 $12.96 $3,594.9470 1712452 00IB Lakeshore CA 70 Ottawa $929.60 $1,411.50 $6,888.28 $5,784.32 $1,489.18 $122.87 $16,625.7571 4344340 00IE Northern Michigan CA 71 Presque Isle $81.82 $153.68 $708.45 $783.62 $243.34 $17.44 $1,988.3572 4344340 00IE Northern Michigan CA 72 Roscommon $220.00 $359.52 $2,582.09 $2,535.36 $604.99 $28.56 $6,330.5273 1712541 00IG Saginaw County Health Dept 73 Saginaw $3,595.82 $6,025.51 $37,451.79 $37,294.88 $9,676.71 $457.38 $94,502.0974 1708164 00II St. Clair County Health Dept. CA 74 St. Clair $1,084.62 $1,554.86 $8,865.64 $7,705.59 $2,116.23 $100.17 $21,427.1175 3402136 00GR Kalamazoo County CMH 75 St. Joseph $761.16 $1,200.95 $6,101.46 $4,397.92 $1,215.12 $64.24 $13,740.8576 1708164 00II St. Clair County Health Dept. CA 76 Sanilac $302.39 $500.54 $2,568.86 $2,594.19 $785.77 $44.55 $6,796.3077 1724945 00HY Eastern U.P. Substance Abuse 77 Schoolcraft $83.02 $141.85 $815.88 $644.47 $239.59 $18.90 $1,943.7178 1708001 00IC Mid-South CA 78 Shiawassee $464.06 $790.29 $4,415.83 $3,619.41 $894.37 $54.09 $10,238.0579 1708164 00II St. Clair County Health Dept. CA 79 Tuscola $456.63 $678.18 $3,399.34 $3,013.00 $829.33 $42.57 $8,419.0580 1712452 00IB Lakeshore CA 80 Van Buren $788.00 $1,296.32 $7,155.94 $6,559.34 $2,013.32 $115.72 $17,928.6481 1707176 00HU Washtenaw County CMH 81 Washtenaw $1,503.26 $2,463.02 $14,460.59 $14,897.91 $3,819.60 $230.44 $37,374.8282 1710547 00IH Southeast MI Community Alliance 82 Wayne $10,111.51 $12,561.54 $87,213.48 $95,420.00 $28,887.40 $1,409.12 $235,603.0583 3119549 00XO Detroit Health Department 82 Wayne $29,125.70 $32,961.75 $231,051.85 $259,260.42 $82,202.59 $3,341.34 $637,943.6584 4344340 00IE Northern Michigan CA 83 Wexford $384.12 $657.10 $3,500.98 $3,307.16 $889.74 $45.28 $8,784.3885

$100,107.34 $138,084.86 $864,301.99 $849,435.99 $246,004.15 $12,528.10 $2,210,462.43Check Values -

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, SA Rev by County

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Code Group Code Group 2 Age Group Statewide Base

Cap RateCode Group Code Group 2 Age Group Statewide Base

Cap RateCode Group Code Group 2 Age Group Statewide Base

Cap Rate

MH DAB - E&P only 0 - 17 $ 42.40 DD DAB - E&P only 0 - 17 $ 22.52 SA DAB - E&P only 0 - 17 $ 0.75 MH DAB - E&P only 18 - 25 $ 70.61 DD DAB - E&P only 18 - 25 $ 161.75 SA DAB - E&P only 18 - 25 $ 2.48 MH DAB - E&P only 26 - 39 $ 162.06 DD DAB - E&P only 26 - 39 $ 419.34 SA DAB - E&P only 26 - 39 $ 10.39 MH DAB - E&P only 40 - 49 $ 145.39 DD DAB - E&P only 40 - 49 $ 430.99 SA DAB - E&P only 40 - 49 $ 13.07 MH DAB - E&P only 50 - 64 $ 79.99 DD DAB - E&P only 50 - 64 $ 218.66 SA DAB - E&P only 50 - 64 $ 3.55 MH DAB - E&P only 65+ $ 16.89 DD DAB - E&P only 65+ $ 206.81 SA DAB - E&P only 65+ $ 0.14 MH DAB - Other 0 - 17 $ 42.40 SA DAB - Other 0 - 17 $ 0.75 MH DAB - Other 18 - 25 $ 70.61 SA DAB - Other 18 - 25 $ 2.48 MH DAB - Other 26 - 39 $ 162.06 SA DAB - Other 26 - 39 $ 10.39 MH DAB - Other 40 - 49 $ 145.39 SA DAB - Other 40 - 49 $ 13.07 MH DAB - Other 50 - 64 $ 79.99 SA DAB - Other 50 - 64 $ 3.55 MH DAB - Other 65+ $ 16.89 SA DAB - Other 65+ $ 0.14 MH TANF 0 - 17 $ 5.59 SA TANF 0 - 17 $ 0.09 MH TANF 18 - 25 $ 6.15 SA TANF 18 - 25 $ 0.84 MH TANF 26 - 39 $ 10.06 SA TANF 26 - 39 $ 4.27 MH TANF 40 - 49 $ 11.22 SA TANF 40 - 49 $ 6.70 MH TANF 50 - 64 $ 8.95 SA TANF 50 - 64 $ 1.95 MH TANF 65+ $ 1.65 SA TANF 65+ $ -

MA Capitation Statewide Base Rates 22-Apr-2002 20:052002-05

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, Cap Base Rates

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MDCH - Monthly Medicaid Capitation Audit/Summary 4/22/2002 8:07 PM Page 52 of 60

MA Capitation Intensity Factors2002-05

Provider ID Provider Name Code Group Code Group 2

Effective Payment Month

Intensity Factor

1709690 Allegan County CMH MH DAB - Other 200112 1.030900 1709690 Allegan County CMH MH DAB - E&P only 200112 1.030900 1709690 Allegan County CMH MH TANF 200112 1.436600 1712283 Antrim-Kalkaska CMH MH DAB - Other 200112 1.019000 1712283 Antrim-Kalkaska CMH MH DAB - E&P only 200112 1.019000 1712283 Antrim-Kalkaska CMH MH TANF 200112 0.956800 1706830 AuSable Valley CMH MH DAB - Other 200112 0.729200 1706830 AuSable Valley CMH MH DAB - E&P only 200112 0.729200 1706830 AuSable Valley CMH MH TANF 200112 1.653500 1705260 Barry County CMH MH DAB - Other 200112 0.605100 1705260 Barry County CMH MH DAB - E&P only 200112 0.605100 1705260 Barry County CMH MH TANF 200112 0.691000 1705322 Bay-Arenac CMH MH DAB - Other 200112 1.001400 1705322 Bay-Arenac CMH MH DAB - Other 200112 1.001400 1705322 Bay-Arenac CMH MH DAB - E&P only 200112 1.001400 1705322 Bay-Arenac CMH MH DAB - E&P only 200112 1.001400 1705322 Bay-Arenac CMH MH TANF 200112 1.306500 1705322 Bay-Arenac CMH MH TANF 200112 1.306500 1716175 Berrien County CMH MH DAB - Other 200112 0.869600 1716175 Berrien County CMH MH DAB - E&P only 200112 0.869600 1716175 Berrien County CMH MH TANF 200112 0.818900 4344340 Central Michigan CMH MH DAB - Other 200112 0.785500 4344340 Central Michigan CMH MH DAB - E&P only 200112 0.785500 4344340 Central Michigan CMH MH TANF 200112 0.824800 1708001 Clinton-Eaton-Ingham CMH MH DAB - Other 200112 0.893300 1708001 Clinton-Eaton-Ingham CMH MH DAB - E&P only 200112 0.893300 1708001 Clinton-Eaton-Ingham CMH MH TANF 200112 0.791800 1707962 Copper County CMH MH DAB - Other 200112 1.272900 1707962 Copper County CMH MH DAB - E&P only 200112 1.272900 1707962 Copper County CMH MH TANF 200112 0.991500 3119549 Detroit-Wayne CMH MH DAB - Other 200112 1.138500 3119549 Detroit-Wayne CMH MH DAB - Other 200112 1.138500 3119549 Detroit-Wayne CMH MH DAB - E&P only 200112 1.138500

22-Apr-2002 20:05Statewide Base Rate X Intensity Factor = Local Capitation Rate

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, Intensity Factors

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MDCH - Monthly Medicaid Capitation Audit/Summary 4/22/2002 8:07 PM Page 53 of 60

MA Capitation Intensity Factors2002-05

Provider ID Provider Name Code Group Code Group 2

Effective Payment Month

Intensity Factor

22-Apr-2002 20:05Statewide Base Rate X Intensity Factor = Local Capitation Rate

3119549 Detroit-Wayne CMH MH DAB - E&P only 200112 1.138500 3119549 Detroit-Wayne CMH MH TANF 200112 0.966900 3119549 Detroit-Wayne CMH MH TANF 200112 0.966900 1705233 Genesee County CMH MH DAB - Other 200112 0.662200 1705233 Genesee County CMH MH DAB - E&P only 200112 0.662200 1705233 Genesee County CMH MH TANF 200112 0.386600 1708119 Gogebic County CMH MH DAB - Other 200112 1.407600 1708119 Gogebic County CMH MH DAB - E&P only 200112 1.407600 1708119 Gogebic County CMH MH TANF 200112 2.802200 1715955 Gratiot County CMH MH DAB - Other 200112 0.880000 1715955 Gratiot County CMH MH DAB - E&P only 200112 0.880000 1715955 Gratiot County CMH MH TANF 200112 1.570400 1705251 Great Lakes CMH MH DAB - Other 200112 1.835000 1705251 Great Lakes CMH MH DAB - E&P only 200112 1.835000 1705251 Great Lakes CMH MH TANF 200112 1.382200 1715919 Hiawatha MH DAB - Other 200112 1.636400 1715919 Hiawatha MH DAB - E&P only 200112 1.636400 1715919 Hiawatha MH TANF 200112 1.113800 1708128 Huron Behavioral Health MH DAB - Other 200112 1.167900 1708128 Huron Behavioral Health MH DAB - E&P only 200112 1.167900 1708128 Huron Behavioral Health MH TANF 200112 0.998300 1715928 Ionia County CMH MH DAB - Other 200112 0.917900 1715928 Ionia County CMH MH DAB - E&P only 200112 0.917900 1715928 Ionia County CMH MH TANF 200112 1.035800 3402136 Kalamazoo County CMH MH DAB - Other 200112 1.239700 3402136 Kalamazoo County CMH MH DAB - E&P only 200112 1.239700 3402136 Kalamazoo County CMH MH TANF 200112 1.078900 1705430 Kent County CMH MH DAB - Other 200112 1.031900 1705430 Kent County CMH MH DAB - E&P only 200112 1.031900 1705430 Kent County CMH MH TANF 200112 0.922900 1705242 Lapeer County CMH MH DAB - Other 200112 1.009300 1705242 Lapeer County CMH MH DAB - E&P only 200112 1.009300 1705242 Lapeer County CMH MH TANF 200112 1.062100 1705270 Lenawee County CMH MH DAB - Other 200112 1.017600

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, Intensity Factors

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MDCH - Monthly Medicaid Capitation Audit/Summary 4/22/2002 8:07 PM Page 54 of 60

MA Capitation Intensity Factors2002-05

Provider ID Provider Name Code Group Code Group 2

Effective Payment Month

Intensity Factor

22-Apr-2002 20:05Statewide Base Rate X Intensity Factor = Local Capitation Rate

1705270 Lenawee County CMH MH DAB - E&P only 200112 1.017600 1705270 Lenawee County CMH MH TANF 200112 1.080400 1712229 Lifeways MH DAB - Other 200112 1.006600 1712229 Lifeways MH DAB - E&P only 200112 1.006600 1712229 Lifeways MH TANF 200112 1.095000 1707167 Livingston County CMH MH DAB - Other 200112 1.476000 1707167 Livingston County CMH MH DAB - E&P only 200112 1.476000 1707167 Livingston County CMH MH TANF 200112 2.698300 3396315 Macomb County CMH MH DAB - Other 200112 0.997600 3396315 Macomb County CMH MH DAB - E&P only 200112 0.997600 3396315 Macomb County CMH MH TANF 200112 1.026200 1705304 Manistee-Benzie CMH MH DAB - Other 200112 1.004800 1705304 Manistee-Benzie CMH MH DAB - E&P only 200112 1.004800 1705304 Manistee-Benzie CMH MH TANF 200112 1.241400 1712318 Midland-Gladwin CMH MH DAB - Other 200112 0.794300 1712318 Midland-Gladwin CMH MH DAB - E&P only 200112 0.794300 1712318 Midland-Gladwin CMH MH TANF 200112 1.015500 1710547 Monroe County CMH MH DAB - Other 200112 1.030000 1710547 Monroe County CMH MH DAB - E&P only 200112 1.030000 1710547 Monroe County CMH MH TANF 200112 1.309400 1712461 Montcalm Center MH DAB - Other 200112 0.459500 1712461 Montcalm Center MH DAB - E&P only 200112 0.459500 1712461 Montcalm Center MH TANF 200112 0.706500 1712452 Muskegon County CMH MH DAB - Other 200112 0.771800 1712452 Muskegon County CMH MH DAB - E&P only 200112 0.771800 1712452 Muskegon County CMH MH TANF 200112 0.994600 1708066 Newaygo County CMH MH DAB - Other 200112 0.747500 1708066 Newaygo County CMH MH DAB - E&P only 200112 0.747500 1708066 Newaygo County CMH MH TANF 200112 1.588000 1707158 North Central CMH MH DAB - Other 200112 0.922400 1707158 North Central CMH MH DAB - E&P only 200112 0.922400 1707158 North Central CMH MH TANF 200112 1.016700 1708100 Northeast CMH MH DAB - Other 200112 0.729400 1708100 Northeast CMH MH DAB - E&P only 200112 0.729400

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, Intensity Factors

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MDCH - Monthly Medicaid Capitation Audit/Summary 4/22/2002 8:07 PM Page 55 of 60

MA Capitation Intensity Factors2002-05

Provider ID Provider Name Code Group Code Group 2

Effective Payment Month

Intensity Factor

22-Apr-2002 20:05Statewide Base Rate X Intensity Factor = Local Capitation Rate

1708100 Northeast CMH MH TANF 200112 0.999200 1707185 Northern Michigan CMH MH DAB - Other 200112 1.007400 1707185 Northern Michigan CMH MH DAB - E&P only 200112 1.007400 1707185 Northern Michigan CMH MH TANF 200112 0.823100 3140186 Northpointe Behavioral Health MH DAB - Other 200112 1.295200 3140186 Northpointe Behavioral Health MH DAB - Other 200112 1.295200 3140186 Northpointe Behavioral Health MH DAB - E&P only 200112 1.295200 3140186 Northpointe Behavioral Health MH DAB - E&P only 200112 1.295200 3140186 Northpointe Behavioral Health MH TANF 200112 1.412700 3140186 Northpointe Behavioral Health MH TANF 200112 1.412700 1705289 Oakland County CMH MH DAB - Other 200112 1.018800 1705289 Oakland County CMH MH DAB - E&P only 200112 1.018800 1705289 Oakland County CMH MH TANF 200112 0.798200 1712425 Ottawa County CMH MH DAB - Other 200112 1.297400 1712425 Ottawa County CMH MH DAB - E&P only 200112 1.297400 1712425 Ottawa County CMH MH TANF 200112 1.361100 1724945 Pathways MH DAB - Other 200112 1.632100 1724945 Pathways MH DAB - E&P only 200112 1.632100 1724945 Pathways MH TANF 200112 2.432200 1712372 Pines Behavioral Health MH DAB - Other 200112 1.013100 1712372 Pines Behavioral Health MH DAB - E&P only 200112 1.013100 1712372 Pines Behavioral Health MH TANF 200112 1.316000 1712541 Saginaw County CMH MH DAB - Other 200112 0.766400 1712541 Saginaw County CMH MH DAB - E&P only 200112 0.766400 1712541 Saginaw County CMH MH TANF 200112 0.634200 1706849 Sanilac County CMH MH DAB - Other 200112 0.823900 1706849 Sanilac County CMH MH DAB - E&P only 200112 0.823900 1706849 Sanilac County CMH MH TANF 200112 0.709300 1712407 Shiawassee County CMH MH DAB - Other 200112 0.935800 1712407 Shiawassee County CMH MH DAB - E&P only 200112 0.935800 1712407 Shiawassee County CMH MH TANF 200112 1.011000 1708164 St. Clair County CMH MH DAB - Other 200112 1.027700 1708164 St. Clair County CMH MH DAB - E&P only 200112 1.027700 1708164 St. Clair County CMH MH TANF 200112 2.734500

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, Intensity Factors

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MDCH - Monthly Medicaid Capitation Audit/Summary 4/22/2002 8:07 PM Page 56 of 60

MA Capitation Intensity Factors2002-05

Provider ID Provider Name Code Group Code Group 2

Effective Payment Month

Intensity Factor

22-Apr-2002 20:05Statewide Base Rate X Intensity Factor = Local Capitation Rate

1708146 St. Joseph County CMH MH DAB - Other 200112 1.025100 1708146 St. Joseph County CMH MH DAB - E&P only 200112 1.025100 1708146 St. Joseph County CMH MH TANF 200112 1.064100 2920843 Summit Pointe MH DAB - Other 200112 0.793500 2920843 Summit Pointe MH DAB - E&P only 200112 0.793500 2920843 Summit Pointe MH TANF 200112 1.410000 1707130 Tuscola County CMH MH DAB - Other 200112 0.997400 1707130 Tuscola County CMH MH DAB - E&P only 200112 0.997400 1707130 Tuscola County CMH MH TANF 200112 1.189800 1705298 Van Buren County CMH MH DAB - Other 200112 1.155000 1705298 Van Buren County CMH MH DAB - E&P only 200112 1.155000 1705298 Van Buren County CMH MH TANF 200112 1.196200 1707176 Wastenaw County CMH MH DAB - Other 200112 1.337800 1707176 Wastenaw County CMH MH DAB - E&P only 200112 1.337800 1707176 Wastenaw County CMH MH TANF 200112 1.848200 3220732 Western Michigan CMH MH DAB - Other 200112 0.744400 3220732 Western Michigan CMH MH DAB - E&P only 200112 0.744400 3220732 Western Michigan CMH MH TANF 200112 1.010500 1706114 Woodland Behavioral Health MH DAB - Other 200112 0.670800 1706114 Woodland Behavioral Health MH DAB - E&P only 200112 0.670800 1706114 Woodland Behavioral Health MH TANF 200112 0.622800

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, Intensity Factors

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MDCH - Monthly Medicaid Capitation Audit/Summary 4/22/2002 8:07 PM Page 57 of 60

MA Capitation Intensity Factors2002-05

Provider ID Provider Name Code Group Code Group 2

Effective Payment Month

Intensity Factor

22-Apr-2002 20:05Statewide Base Rate X Intensity Factor = Local Capitation Rate

1709690 Allegan County CMH DD DD 200112 1.611600 1712283 Antrim-Kalkaska CMH DD DD 200112 1.812000 1706830 AuSable Valley CMH DD DD 200112 0.700700 1705260 Barry County CMH DD DD 200112 0.491700 1705322 Bay-Arenac CMH DD DD 200112 1.347200 1705322 Bay-Arenac CMH DD DD 200112 1.347200 1716175 Berrien County CMH DD DD 200112 0.885600 4344340 Central Michigan CMH DD DD 200112 1.922000 1708001 Clinton-Eaton-Ingham CMH DD DD 200112 0.806800 1707962 Copper County CMH DD DD 200112 1.552000 3119549 Detroit-Wayne CMH DD DD 200112 0.737800 3119549 Detroit-Wayne CMH DD DD 200112 0.737800 1705233 Genesee County CMH DD DD 200112 0.905300 1708119 Gogebic County CMH DD DD 200112 1.834100 1715955 Gratiot County CMH DD DD 200112 1.709400 1705251 Great Lakes CMH DD DD 200112 1.287000 1715919 Hiawatha DD DD 200112 1.315800 1708128 Huron Behavioral Health DD DD 200112 1.353200 1715928 Ionia County CMH DD DD 200112 1.477700 3402136 Kalamazoo County CMH DD DD 200112 1.231800 1705430 Kent County CMH DD DD 200112 0.868400 1705242 Lapeer County CMH DD DD 200112 1.811100 1705270 Lenawee County CMH DD DD 200112 1.312600 1712229 Lifeways DD DD 200112 0.913200 1707167 Livingston County CMH DD DD 200112 2.005600 3396315 Macomb County CMH DD DD 200112 1.577300 1705304 Manistee-Benzie CMH DD DD 200112 2.717000 1712318 Midland-Gladwin CMH DD DD 200112 1.239700 1710547 Monroe County CMH DD DD 200112 1.703300 1712461 Montcalm Center DD DD 200112 0.459800 1712452 Muskegon County CMH DD DD 200112 0.781000 1708066 Newaygo County CMH DD DD 200112 0.685600 1707158 North Central CMH DD DD 200112 0.890200

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, Intensity Factors

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MDCH - Monthly Medicaid Capitation Audit/Summary 4/22/2002 8:07 PM Page 58 of 60

MA Capitation Intensity Factors2002-05

Provider ID Provider Name Code Group Code Group 2

Effective Payment Month

Intensity Factor

22-Apr-2002 20:05Statewide Base Rate X Intensity Factor = Local Capitation Rate

1708100 Northeast CMH DD DD 200112 1.857900 1707185 Northern Michigan CMH DD DD 200112 1.380300 3140186 Northpointe Behavioral Health DD DD 200112 1.423100 3140186 Northpointe Behavioral Health DD DD 200112 1.423100 1705289 Oakland County CMH DD DD 200112 1.600400 1712425 Ottawa County CMH DD DD 200112 2.266400 1724945 Pathways DD DD 200112 1.843100 1712372 Pines Behavioral Health DD DD 200112 1.591500 1712541 Saginaw County CMH DD DD 200112 0.612900 1706849 Sanilac County CMH DD DD 200112 3.479000 1712407 Shiawassee County CMH DD DD 200112 1.160400 1708164 St. Clair County CMH DD DD 200112 1.869100 1708146 St. Joseph County CMH DD DD 200112 1.161100 2920843 Summit Pointe DD DD 200112 0.502100 1707130 Tuscola County CMH DD DD 200112 1.779900 1705298 Van Buren County CMH DD DD 200112 0.642800 1707176 Wastenaw County CMH DD DD 200112 1.361800 3220732 Western Michigan CMH DD DD 200112 0.747600 1706114 Woodland Behavioral Health DD DD 200112 1.024900

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, Intensity Factors

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MDCH - Monthly Medicaid Capitation Audit/Summary 4/22/2002 8:07 PM Page 59 of 60

MA Capitation Intensity Factors2002-05

Provider ID Provider Name Code Group Code Group 2

Effective Payment Month

Intensity Factor

22-Apr-2002 20:05Statewide Base Rate X Intensity Factor = Local Capitation Rate

1724945 Eastern U.P. SAS SA DAB - Other 200112 0.618600 1724945 Eastern U.P. SAS SA DAB - E&P only 200112 0.618600 1724945 Eastern U.P. SAS SA TANF 200112 1.018600 1705233 Genesee Co. Health Dept. SA DAB - Other 200112 0.969200 1705233 Genesee Co. Health Dept. SA DAB - E&P only 200112 0.969200 1705233 Genesee Co. Health Dept. SA TANF 200112 0.895600 3402136 Kalamazoo Co. Human Services Department SA DAB - Other 200112 0.795300 3402136 Kalamazoo Co. Human Services Department SA DAB - E&P only 200112 0.795300 3402136 Kalamazoo Co. Human Services Department SA TANF 200112 1.386400 1712452 Lakeshore Coordinating Council SA DAB - Other 200112 0.763600 1712452 Lakeshore Coordinating Council SA DAB - E&P only 200112 0.763600 1712452 Lakeshore Coordinating Council SA TANF 200112 0.908100 3396315 Macomb County SA DAB - Other 200112 1.008900 3396315 Macomb County SA DAB - E&P only 200112 1.008900 3396315 Macomb County SA TANF 200112 1.440600 1708001 Mid-South SA Com. SA DAB - Other 200112 0.671200 1708001 Mid-South SA Com. SA DAB - E&P only 200112 0.671200 1708001 Mid-South SA Com. SA TANF 200112 0.843700 1705430 Mink Substance Abuse Coordinating Agency SA DAB - Other 200112 0.780100 1705430 Mink Substance Abuse Coordinating Agency SA DAB - E&P only 200112 0.780100 1705430 Mink Substance Abuse Coordinating Agency SA TANF 200112 1.182500 1715937 Northern Michigan SA Services Inc. SA DAB - Other 200112 0.607100 1715937 Northern Michigan SA Services Inc. SA DAB - E&P only 200112 0.607100 1715937 Northern Michigan SA Services Inc. SA TANF 200112 0.918600 1705289 Oakland County Health Division SA DAB - Other 200112 0.995500 1705289 Oakland County Health Division SA DAB - E&P only 200112 0.995500 1705289 Oakland County Health Division SA TANF 200112 1.335900 1712541 Saginaw County Health Department SA DAB - Other 200112 1.524600 1712541 Saginaw County Health Department SA DAB - E&P only 200112 1.524600 1712541 Saginaw County Health Department SA TANF 200112 0.944400 3119549 Southeast Michigan Community Alliance SA DAB - Other 200112 1.132300 3119549 Southeast Michigan Community Alliance SA DAB - Other 200112 1.132300 3119549 Southeast Michigan Community Alliance SA DAB - E&P only 200112 1.132300

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, Intensity Factors

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MDCH - Monthly Medicaid Capitation Audit/Summary 4/22/2002 8:07 PM Page 60 of 60

MA Capitation Intensity Factors2002-05

Provider ID Provider Name Code Group Code Group 2

Effective Payment Month

Intensity Factor

22-Apr-2002 20:05Statewide Base Rate X Intensity Factor = Local Capitation Rate

3119549 Southeast Michigan Community Alliance SA DAB - E&P only 200112 1.132300 3119549 Southeast Michigan Community Alliance SA TANF 200112 0.851000 3119549 Southeast Michigan Community Alliance SA TANF 200112 0.851000 1708164 St. Clair Sounty Health Department SA DAB - Other 200112 0.632900 1708164 St. Clair Sounty Health Department SA DAB - E&P only 200112 0.632900 1708164 St. Clair Sounty Health Department SA TANF 200112 0.852600 1707176 Washtenaw County CMHC SA DAB - Other 200112 0.991300 1707176 Washtenaw County CMHC SA DAB - E&P only 200112 0.991300 1707176 Washtenaw County CMHC SA TANF 200112 0.938500 1707962 Western U.P. SAS Coordinating Agency SA DAB - Other 200112 0.800800 1707962 Western U.P. SAS Coordinating Agency SA DAB - E&P only 200112 0.800800 1707962 Western U.P. SAS Coordinating Agency SA TANF 200112 1.707500

Dale K. Howe - Confidential MACap State - 2002-05 - Final.XLS, Intensity Factors


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