bayou health enrollment anal ysis re port reporting ......enrollment anal ysis re port reporting...

Region Code Region Desc Region No Region Parish Health Plan Medicaid Eligibility Group Pro-activ e Choices Enrollments Auto Enrollments Transfers Newborn Enrollments Pregnant Women Reinstatements Disenrollment Total Enrollees

1 Gulf 1 New Orleans EAST JEFFERSON Aetna SSI 0 46 0 0 0 0 11 571 Gulf 1 New Orleans EAST JEFFERSON Aetna Family and Children 39 191 0 18 78 0 23 2531 Gulf 1 New Orleans EAST JEFFERSON Aetna Foster Care Children 0 2 0 0 0 0 0 21 Gulf 1 New Orleans EAST JEFFERSON Aetna Breast and Cervical Cancer 1 0 0 0 0 0 0 11 Gulf 1 New Orleans EAST JEFFERSON AmeriHealth Caritas SSI 2 3 1 0 0 2 12 181 Gulf 1 New Orleans EAST JEFFERSON AmeriHealth Caritas Family and Children 42 21 10 30 34 9 46 1191 Gulf 1 New Orleans EAST JEFFERSON AmeriHealth Caritas LaChip 0 0 0 0 0 0 1 11 Gulf 1 New Orleans EAST JEFFERSON AmeriHealth Caritas Foster Care Children 1 0 0 0 0 1 0 11 Gulf 1 New Orleans EAST JEFFERSON Amerigroup SSI 2 3 2 0 0 1 12 191 Gulf 1 New Orleans EAST JEFFERSON Amerigroup Family and Children 84 10 10 51 53 8 66 1701 Gulf 1 New Orleans EAST JEFFERSON Amerigroup LaChip 0 0 0 0 0 0 1 11 Gulf 1 New Orleans EAST JEFFERSON Amerigroup Foster Care Children 0 0 0 0 0 0 1 11 Gulf 1 New Orleans EAST JEFFERSON Amerigroup Pregnant Women 1 0 0 0 0 0 0 11 Gulf 1 New Orleans EAST JEFFERSON LA Healthcare Connections SSI 3 4 0 0 0 3 14 211 Gulf 1 New Orleans EAST JEFFERSON LA Healthcare Connections Family and Children 86 23 11 34 96 13 119 2391 Gulf 1 New Orleans EAST JEFFERSON LA Healthcare Connections Foster Care Children 1 0 0 0 0 1 0 11 Gulf 1 New Orleans EAST JEFFERSON LA Healthcare Connections Breast and Cervical Cancer 1 0 0 0 0 0 0 11 Gulf 1 New Orleans EAST JEFFERSON UnitedHealthcare Community Plan-2015 SSI 3 2 1 0 0 1 12 181 Gulf 1 New Orleans EAST JEFFERSON UnitedHealthcare Community Plan-2015 Family and Children 95 14 39 35 81 15 108 2561 Gulf 1 New Orleans EAST JEFFERSON UnitedHealthcare Community Plan-2015 Foster Care Children 0 0 0 0 0 0 1 11 Gulf 1 New Orleans EAST JEFFERSON UnitedHealthcare Community Plan-2015 Breast and Cervical Cancer 0 0 1 0 0 0 0 11 Gulf 1 New Orleans JEFFERSON Aetna SSI 4 284 88 0 0 1 5 3811 Gulf 1 New Orleans JEFFERSON Aetna Family and Children 147 1,783 653 88 525 11 27 2,6101 Gulf 1 New Orleans JEFFERSON Aetna LaChip 0 12 0 0 0 0 0 121 Gulf 1 New Orleans JEFFERSON Aetna Foster Care Children 1 8 24 0 0 0 0 331 Gulf 1 New Orleans JEFFERSON Aetna Pregnant Women 0 2 1 0 0 0 0 31 Gulf 1 New Orleans JEFFERSON Aetna Breast and Cervical Cancer 1 1 4 0 0 0 0 61 Gulf 1 New Orleans JEFFERSON AmeriHealth Caritas SSI 359 995 294 0 0 55 12 1,6601 Gulf 1 New Orleans JEFFERSON AmeriHealth Caritas Family and Children 3,419 6,584 1,518 1,273 522 560 75 11,5961 Gulf 1 New Orleans JEFFERSON AmeriHealth Caritas LaChip 9 13 2 0 0 0 1 251 Gulf 1 New Orleans JEFFERSON AmeriHealth Caritas Foster Care Children 23 7 6 0 0 19 0 361 Gulf 1 New Orleans JEFFERSON AmeriHealth Caritas Pregnant Women 5 1 2 0 0 0 0 81 Gulf 1 New Orleans JEFFERSON AmeriHealth Caritas Breast and Cervical Cancer 0 3 4 0 0 0 0 71 Gulf 1 New Orleans JEFFERSON AmeriHealth Caritas Excluded COA 1 0 0 0 0 0 0 11 Gulf 1 New Orleans JEFFERSON Amerigroup SSI 377 753 350 4 0 45 11 1,4911 Gulf 1 New Orleans JEFFERSON Amerigroup Family and Children 4,938 6,117 2,642 1,717 716 587 62 13,7591 Gulf 1 New Orleans JEFFERSON Amerigroup LaChip 13 11 3 0 0 2 0 271 Gulf 1 New Orleans JEFFERSON Amerigroup Foster Care Children 29 9 19 0 0 15 1 581 Gulf 1 New Orleans JEFFERSON Amerigroup Pregnant Women 10 0 4 0 0 2 0 141 Gulf 1 New Orleans JEFFERSON Amerigroup Breast and Cervical Cancer 9 2 3 0 0 1 0 141 Gulf 1 New Orleans JEFFERSON Amerigroup Excluded COA 1 0 0 0 0 0 0 11 Gulf 1 New Orleans JEFFERSON Community Health Solutions Family and Children 4 1 0 3 1 0 0 51 Gulf 1 New Orleans JEFFERSON Community Health Solutions Pregnant Women 1 0 0 0 0 1 0 11 Gulf 1 New Orleans JEFFERSON LA Healthcare Connections SSI 399 781 1,052 2 0 56 21 2,2531 Gulf 1 New Orleans JEFFERSON LA Healthcare Connections Family and Children 5,271 6,668 13,174 1,640 765 610 142 25,2551 Gulf 1 New Orleans JEFFERSON LA Healthcare Connections LaChip 10 8 10 0 0 1 2 301 Gulf 1 New Orleans JEFFERSON LA Healthcare Connections Foster Care Children 34 13 50 0 0 22 0 971 Gulf 1 New Orleans JEFFERSON LA Healthcare Connections Pregnant Women 7 0 8 0 0 0 0 151 Gulf 1 New Orleans JEFFERSON LA Healthcare Connections Breast and Cervical Cancer 3 5 12 0 0 0 0 201 Gulf 1 New Orleans JEFFERSON Legacy Medicaid SSI 70 0 84 0 0 0 0 1541 Gulf 1 New Orleans JEFFERSON Legacy Medicaid Family and Children 14 0 16 0 0 0 0 301 Gulf 1 New Orleans JEFFERSON Legacy Medicaid Pregnant Women 38 0 9 0 0 0 0 471 Gulf 1 New Orleans JEFFERSON Legacy Medicaid Breast and Cervical Cancer 16 0 9 0 0 0 0 251 Gulf 1 New Orleans JEFFERSON UnitedHealthcare Family and Children 9 2 0 7 1 2 0 111 Gulf 1 New Orleans JEFFERSON UnitedHealthcare Pregnant Women 3 0 0 0 0 1 0 31 Gulf 1 New Orleans JEFFERSON UnitedHealthcare Community Plan-2015 SSI 27 83 1,996 0 0 7 17 2,1231 Gulf 1 New Orleans JEFFERSON UnitedHealthcare Community Plan-2015 Family and Children 752 850 23,745 364 675 116 130 25,4771 Gulf 1 New Orleans JEFFERSON UnitedHealthcare Community Plan-2015 LaChip 2 3 18 0 0 0 0 23

BAYOU HEALTH Enrollment Analysis Report

Reporting Month: July 2015




1 Gulf 1 New Orleans JEFFERSON UnitedHealthcare Community Plan-2015 Foster Care Children 11 2 64 0 0 11 1 781 Gulf 1 New Orleans JEFFERSON UnitedHealthcare Community Plan-2015 Pregnant Women 5 0 14 0 0 0 0 191 Gulf 1 New Orleans JEFFERSON UnitedHealthcare Community Plan-2015 Breast and Cervical Cancer 3 0 12 0 0 0 0 151 Gulf 1 New Orleans ORLEANS Aetna SSI 6 516 74 0 0 3 31 6271 Gulf 1 New Orleans ORLEANS Aetna Family and Children 152 1,561 393 78 480 11 29 2,1351 Gulf 1 New Orleans ORLEANS Aetna LaChip 0 7 1 0 0 0 0 81 Gulf 1 New Orleans ORLEANS Aetna Foster Care Children 2 6 8 0 0 0 3 191 Gulf 1 New Orleans ORLEANS Aetna Pregnant Women 1 0 0 0 0 0 0 11 Gulf 1 New Orleans ORLEANS Aetna Breast and Cervical Cancer 1 4 0 0 0 0 0 51 Gulf 1 New Orleans ORLEANS AmeriHealth Caritas SSI 579 1,394 334 3 0 76 41 2,3481 Gulf 1 New Orleans ORLEANS AmeriHealth Caritas Family and Children 3,065 4,880 1,044 1,042 465 442 99 9,0881 Gulf 1 New Orleans ORLEANS AmeriHealth Caritas LaChip 11 20 3 0 0 0 0 341 Gulf 1 New Orleans ORLEANS AmeriHealth Caritas Foster Care Children 5 3 11 0 0 4 1 201 Gulf 1 New Orleans ORLEANS AmeriHealth Caritas Pregnant Women 5 1 1 0 0 0 0 71 Gulf 1 New Orleans ORLEANS AmeriHealth Caritas Breast and Cervical Cancer 1 4 0 0 0 1 0 51 Gulf 1 New Orleans ORLEANS Amerigroup SSI 474 1,551 333 4 0 81 35 2,3931 Gulf 1 New Orleans ORLEANS Amerigroup Family and Children 4,162 7,076 1,762 1,596 735 585 89 13,0891 Gulf 1 New Orleans ORLEANS Amerigroup LaChip 9 24 4 0 0 0 1 381 Gulf 1 New Orleans ORLEANS Amerigroup Foster Care Children 13 5 9 0 0 11 2 291 Gulf 1 New Orleans ORLEANS Amerigroup Pregnant Women 8 1 0 0 0 1 0 91 Gulf 1 New Orleans ORLEANS Amerigroup Breast and Cervical Cancer 5 3 2 0 0 0 0 101 Gulf 1 New Orleans ORLEANS Community Health Solutions Family and Children 3 0 0 3 0 0 0 31 Gulf 1 New Orleans ORLEANS Community Health Solutions Pregnant Women 1 0 0 0 0 0 0 11 Gulf 1 New Orleans ORLEANS LA Healthcare Connections SSI 876 1,510 1,935 6 0 108 49 4,3701 Gulf 1 New Orleans ORLEANS LA Healthcare Connections Family and Children 6,230 8,192 11,712 1,804 856 769 226 26,3601 Gulf 1 New Orleans ORLEANS LA Healthcare Connections LaChip 21 18 10 0 0 1 0 491 Gulf 1 New Orleans ORLEANS LA Healthcare Connections Foster Care Children 22 8 6 0 0 15 2 381 Gulf 1 New Orleans ORLEANS LA Healthcare Connections Pregnant Women 8 1 6 0 0 1 0 151 Gulf 1 New Orleans ORLEANS LA Healthcare Connections Breast and Cervical Cancer 7 4 5 0 0 0 0 161 Gulf 1 New Orleans ORLEANS LA Healthcare Connections Excluded COA 0 0 0 0 0 0 1 11 Gulf 1 New Orleans ORLEANS Legacy Medicaid SSI 87 0 81 0 0 0 0 1681 Gulf 1 New Orleans ORLEANS Legacy Medicaid Family and Children 14 0 11 0 0 0 0 251 Gulf 1 New Orleans ORLEANS Legacy Medicaid Pregnant Women 18 0 0 0 0 0 0 181 Gulf 1 New Orleans ORLEANS Legacy Medicaid Breast and Cervical Cancer 9 0 5 0 0 0 0 141 Gulf 1 New Orleans ORLEANS Legacy Medicaid Excluded COA 1 0 0 0 0 0 0 11 Gulf 1 New Orleans ORLEANS UnitedHealthcare SSI 0 0 1 0 0 0 0 11 Gulf 1 New Orleans ORLEANS UnitedHealthcare Family and Children 5 0 0 5 0 0 0 51 Gulf 1 New Orleans ORLEANS UnitedHealthcare Pregnant Women 1 0 0 0 0 0 0 11 Gulf 1 New Orleans ORLEANS UnitedHealthcare Excluded COA 1 0 0 0 0 0 0 11 Gulf 1 New Orleans ORLEANS UnitedHealthcare Community Plan-2015 SSI 22 121 2,913 0 0 10 50 3,1061 Gulf 1 New Orleans ORLEANS UnitedHealthcare Community Plan-2015 Family and Children 653 725 20,194 326 548 113 194 21,7661 Gulf 1 New Orleans ORLEANS UnitedHealthcare Community Plan-2015 LaChip 1 6 25 0 0 0 1 331 Gulf 1 New Orleans ORLEANS UnitedHealthcare Community Plan-2015 Foster Care Children 7 1 17 0 0 6 1 261 Gulf 1 New Orleans ORLEANS UnitedHealthcare Community Plan-2015 Pregnant Women 5 0 21 0 0 0 1 271 Gulf 1 New Orleans ORLEANS UnitedHealthcare Community Plan-2015 Breast and Cervical Cancer 3 0 8 0 0 0 0 111 Gulf 1 New Orleans PLAQUEMINES Aetna SSI 0 9 8 0 0 0 0 171 Gulf 1 New Orleans PLAQUEMINES Aetna Family and Children 6 110 60 3 20 0 5 1811 Gulf 1 New Orleans PLAQUEMINES Aetna Foster Care Children 0 0 5 0 0 0 0 51 Gulf 1 New Orleans PLAQUEMINES AmeriHealth Caritas SSI 15 27 14 0 0 0 0 561 Gulf 1 New Orleans PLAQUEMINES AmeriHealth Caritas Family and Children 202 362 68 70 27 29 6 6381 Gulf 1 New Orleans PLAQUEMINES AmeriHealth Caritas LaChip 2 1 0 0 0 0 0 31 Gulf 1 New Orleans PLAQUEMINES AmeriHealth Caritas Foster Care Children 3 0 1 0 0 3 0 41 Gulf 1 New Orleans PLAQUEMINES Amerigroup SSI 13 20 10 0 0 1 0 431 Gulf 1 New Orleans PLAQUEMINES Amerigroup Family and Children 181 154 119 61 34 21 7 4611 Gulf 1 New Orleans PLAQUEMINES Amerigroup LaChip 0 1 0 0 0 0 0 11 Gulf 1 New Orleans PLAQUEMINES Amerigroup Foster Care Children 2 0 0 0 0 1 0 21 Gulf 1 New Orleans PLAQUEMINES Amerigroup Pregnant Women 1 0 1 0 0 0 0 21 Gulf 1 New Orleans PLAQUEMINES Community Health Solutions Family and Children 1 0 0 1 0 0 0 1




1 Gulf 1 New Orleans PLAQUEMINES LA Healthcare Connections SSI 17 51 51 0 0 2 2 1211 Gulf 1 New Orleans PLAQUEMINES LA Healthcare Connections Family and Children 180 363 554 47 32 23 8 1,1051 Gulf 1 New Orleans PLAQUEMINES LA Healthcare Connections LaChip 1 0 0 0 0 0 0 11 Gulf 1 New Orleans PLAQUEMINES LA Healthcare Connections Foster Care Children 5 0 1 0 0 5 0 61 Gulf 1 New Orleans PLAQUEMINES LA Healthcare Connections Pregnant Women 0 0 1 0 0 0 0 11 Gulf 1 New Orleans PLAQUEMINES Legacy Medicaid SSI 3 0 3 0 0 0 0 61 Gulf 1 New Orleans PLAQUEMINES Legacy Medicaid Family and Children 0 0 1 0 0 0 0 11 Gulf 1 New Orleans PLAQUEMINES Legacy Medicaid Pregnant Women 5 0 0 0 0 0 0 51 Gulf 1 New Orleans PLAQUEMINES Legacy Medicaid Breast and Cervical Cancer 1 0 0 0 0 0 0 11 Gulf 1 New Orleans PLAQUEMINES UnitedHealthcare Community Plan-2015 SSI 1 5 74 0 0 1 1 811 Gulf 1 New Orleans PLAQUEMINES UnitedHealthcare Community Plan-2015 Family and Children 39 48 1,348 20 24 3 8 1,4431 Gulf 1 New Orleans PLAQUEMINES UnitedHealthcare Community Plan-2015 LaChip 0 0 1 0 0 0 1 21 Gulf 1 New Orleans PLAQUEMINES UnitedHealthcare Community Plan-2015 Foster Care Children 3 0 8 0 0 3 0 111 Gulf 1 New Orleans PLAQUEMINES UnitedHealthcare Community Plan-2015 Breast and Cervical Cancer 0 0 2 0 0 0 0 21 Gulf 1 New Orleans PLAQUEMINES UnitedHealthcare Community Plan-2015 Excluded COA 1 0 0 0 0 1 0 11 Gulf 1 New Orleans ST BERNARD Aetna SSI 0 42 4 0 0 0 2 481 Gulf 1 New Orleans ST BERNARD Aetna Family and Children 13 194 48 12 55 0 8 2631 Gulf 1 New Orleans ST BERNARD Aetna LaChip 0 1 0 0 0 0 0 11 Gulf 1 New Orleans ST BERNARD Aetna Foster Care Children 2 2 1 0 0 2 2 71 Gulf 1 New Orleans ST BERNARD AmeriHealth Caritas SSI 39 78 32 0 0 3 4 1531 Gulf 1 New Orleans ST BERNARD AmeriHealth Caritas Family and Children 389 413 127 129 56 59 6 9351 Gulf 1 New Orleans ST BERNARD AmeriHealth Caritas LaChip 1 0 0 0 0 0 0 11 Gulf 1 New Orleans ST BERNARD AmeriHealth Caritas Foster Care Children 6 0 0 0 0 6 0 61 Gulf 1 New Orleans ST BERNARD AmeriHealth Caritas Breast and Cervical Cancer 1 1 0 0 0 0 0 21 Gulf 1 New Orleans ST BERNARD Amerigroup SSI 44 91 44 0 0 4 5 1841 Gulf 1 New Orleans ST BERNARD Amerigroup Family and Children 658 652 295 226 90 69 21 1,6261 Gulf 1 New Orleans ST BERNARD Amerigroup LaChip 1 0 2 0 0 0 0 31 Gulf 1 New Orleans ST BERNARD Amerigroup Foster Care Children 2 0 0 0 0 2 0 21 Gulf 1 New Orleans ST BERNARD Amerigroup Breast and Cervical Cancer 1 1 0 0 0 0 0 21 Gulf 1 New Orleans ST BERNARD LA Healthcare Connections SSI 61 107 220 0 0 4 8 3961 Gulf 1 New Orleans ST BERNARD LA Healthcare Connections Family and Children 853 969 2,358 244 125 112 38 4,2181 Gulf 1 New Orleans ST BERNARD LA Healthcare Connections LaChip 0 1 2 0 0 0 0 31 Gulf 1 New Orleans ST BERNARD LA Healthcare Connections Foster Care Children 3 4 6 0 0 2 0 131 Gulf 1 New Orleans ST BERNARD LA Healthcare Connections Breast and Cervical Cancer 0 1 3 0 0 0 0 41 Gulf 1 New Orleans ST BERNARD Legacy Medicaid SSI 4 0 12 0 0 0 0 161 Gulf 1 New Orleans ST BERNARD Legacy Medicaid Family and Children 5 0 0 0 0 0 0 51 Gulf 1 New Orleans ST BERNARD Legacy Medicaid Pregnant Women 2 0 0 0 0 0 0 21 Gulf 1 New Orleans ST BERNARD Legacy Medicaid Breast and Cervical Cancer 1 0 0 0 0 0 0 11 Gulf 1 New Orleans ST BERNARD UnitedHealthcare Family and Children 2 0 0 2 0 0 0 21 Gulf 1 New Orleans ST BERNARD UnitedHealthcare Excluded COA 0 0 1 0 0 0 0 11 Gulf 1 New Orleans ST BERNARD UnitedHealthcare Community Plan-2015 SSI 2 10 337 0 0 1 6 3551 Gulf 1 New Orleans ST BERNARD UnitedHealthcare Community Plan-2015 Family and Children 99 117 3,178 48 82 9 19 3,4131 Gulf 1 New Orleans ST BERNARD UnitedHealthcare Community Plan-2015 LaChip 0 0 3 0 0 0 0 31 Gulf 1 New Orleans ST BERNARD UnitedHealthcare Community Plan-2015 Foster Care Children 3 0 1 0 0 3 0 41 Gulf 1 New Orleans ST BERNARD UnitedHealthcare Community Plan-2015 Pregnant Women 0 0 1 0 0 0 0 11 Gulf 1 New Orleans ST BERNARD UnitedHealthcare Community Plan-2015 Breast and Cervical Cancer 1 0 0 0 0 0 0 11 Gulf 3 Thibodaux ASSUMPTION Aetna SSI 0 14 1 0 0 0 2 171 Gulf 3 Thibodaux ASSUMPTION Aetna Family and Children 6 73 7 3 19 2 0 861 Gulf 3 Thibodaux ASSUMPTION Aetna Foster Care Children 0 0 2 0 0 0 0 21 Gulf 3 Thibodaux ASSUMPTION AmeriHealth Caritas SSI 37 65 45 0 0 5 3 1501 Gulf 3 Thibodaux ASSUMPTION AmeriHealth Caritas Family and Children 207 193 132 37 15 32 4 5361 Gulf 3 Thibodaux ASSUMPTION AmeriHealth Caritas LaChip 0 1 0 0 0 0 0 11 Gulf 3 Thibodaux ASSUMPTION AmeriHealth Caritas Pregnant Women 1 0 0 0 0 0 0 11 Gulf 3 Thibodaux ASSUMPTION Amerigroup SSI 18 71 10 1 0 2 0 991 Gulf 3 Thibodaux ASSUMPTION Amerigroup Family and Children 148 255 47 54 24 13 3 4531 Gulf 3 Thibodaux ASSUMPTION Amerigroup LaChip 0 1 0 0 0 0 0 11 Gulf 3 Thibodaux ASSUMPTION Amerigroup Foster Care Children 1 0 0 0 0 1 0 11 Gulf 3 Thibodaux ASSUMPTION LA Healthcare Connections SSI 22 45 86 0 0 4 1 154




1 Gulf 3 Thibodaux ASSUMPTION LA Healthcare Connections Family and Children 152 200 722 23 33 18 5 1,0791 Gulf 3 Thibodaux ASSUMPTION LA Healthcare Connections LaChip 1 0 0 0 0 0 0 11 Gulf 3 Thibodaux ASSUMPTION LA Healthcare Connections Foster Care Children 2 1 4 0 0 0 0 71 Gulf 3 Thibodaux ASSUMPTION LA Healthcare Connections Pregnant Women 0 1 2 0 0 0 0 31 Gulf 3 Thibodaux ASSUMPTION LA Healthcare Connections Breast and Cervical Cancer 2 0 0 0 0 0 0 21 Gulf 3 Thibodaux ASSUMPTION Legacy Medicaid SSI 3 0 5 0 0 0 0 81 Gulf 3 Thibodaux ASSUMPTION Legacy Medicaid Family and Children 6 0 0 0 0 0 0 61 Gulf 3 Thibodaux ASSUMPTION Legacy Medicaid Pregnant Women 0 0 1 0 0 0 0 11 Gulf 3 Thibodaux ASSUMPTION UnitedHealthcare Family and Children 1 0 0 1 0 0 0 11 Gulf 3 Thibodaux ASSUMPTION UnitedHealthcare Community Plan-2015 SSI 1 3 168 0 0 1 3 1751 Gulf 3 Thibodaux ASSUMPTION UnitedHealthcare Community Plan-2015 Family and Children 52 50 1,227 31 43 4 19 1,3481 Gulf 3 Thibodaux ASSUMPTION UnitedHealthcare Community Plan-2015 Foster Care Children 2 0 4 0 0 2 0 61 Gulf 3 Thibodaux ASSUMPTION UnitedHealthcare Community Plan-2015 Pregnant Women 0 0 1 0 0 0 0 11 Gulf 3 Thibodaux ASSUMPTION UnitedHealthcare Community Plan-2015 Breast and Cervical Cancer 0 0 1 0 0 0 0 11 Gulf 3 Thibodaux LAFOURCHE Aetna SSI 2 57 48 0 0 1 6 1131 Gulf 3 Thibodaux LAFOURCHE Aetna Family and Children 17 264 164 11 70 5 11 4561 Gulf 3 Thibodaux LAFOURCHE Aetna Foster Care Children 0 5 3 0 0 0 0 81 Gulf 3 Thibodaux LAFOURCHE Aetna Pregnant Women 0 2 0 0 0 0 0 21 Gulf 3 Thibodaux LAFOURCHE Aetna Breast and Cervical Cancer 0 1 0 0 0 0 0 11 Gulf 3 Thibodaux LAFOURCHE AmeriHealth Caritas SSI 110 154 92 1 0 10 3 3591 Gulf 3 Thibodaux LAFOURCHE AmeriHealth Caritas Family and Children 412 571 222 67 71 64 24 1,2291 Gulf 3 Thibodaux LAFOURCHE AmeriHealth Caritas LaChip 1 0 1 0 0 0 0 21 Gulf 3 Thibodaux LAFOURCHE AmeriHealth Caritas Foster Care Children 3 7 3 0 0 2 2 151 Gulf 3 Thibodaux LAFOURCHE AmeriHealth Caritas Pregnant Women 1 0 0 0 0 0 0 11 Gulf 3 Thibodaux LAFOURCHE AmeriHealth Caritas Breast and Cervical Cancer 0 1 1 0 0 0 0 21 Gulf 3 Thibodaux LAFOURCHE Amerigroup SSI 104 273 81 0 0 14 4 4621 Gulf 3 Thibodaux LAFOURCHE Amerigroup Family and Children 847 1,236 437 229 139 116 32 2,5521 Gulf 3 Thibodaux LAFOURCHE Amerigroup LaChip 3 0 2 0 0 0 0 51 Gulf 3 Thibodaux LAFOURCHE Amerigroup Foster Care Children 9 3 4 0 0 7 2 181 Gulf 3 Thibodaux LAFOURCHE Amerigroup Pregnant Women 2 0 0 0 0 0 0 21 Gulf 3 Thibodaux LAFOURCHE Amerigroup Breast and Cervical Cancer 1 0 0 0 0 0 0 11 Gulf 3 Thibodaux LAFOURCHE Community Health Solutions Family and Children 3 0 0 3 0 0 0 31 Gulf 3 Thibodaux LAFOURCHE LA Healthcare Connections SSI 59 163 345 2 0 3 5 5721 Gulf 3 Thibodaux LAFOURCHE LA Healthcare Connections Family and Children 450 706 3,865 103 121 67 41 5,0621 Gulf 3 Thibodaux LAFOURCHE LA Healthcare Connections LaChip 3 0 1 0 0 0 0 41 Gulf 3 Thibodaux LAFOURCHE LA Healthcare Connections Foster Care Children 12 3 31 0 0 9 2 481 Gulf 3 Thibodaux LAFOURCHE LA Healthcare Connections Pregnant Women 1 0 1 0 0 0 0 21 Gulf 3 Thibodaux LAFOURCHE LA Healthcare Connections Breast and Cervical Cancer 1 0 3 0 0 0 0 41 Gulf 3 Thibodaux LAFOURCHE Legacy Medicaid SSI 24 0 18 0 0 0 0 421 Gulf 3 Thibodaux LAFOURCHE Legacy Medicaid Family and Children 5 0 3 0 0 0 0 81 Gulf 3 Thibodaux LAFOURCHE Legacy Medicaid Pregnant Women 8 0 1 0 0 0 0 91 Gulf 3 Thibodaux LAFOURCHE Legacy Medicaid Breast and Cervical Cancer 5 0 3 0 0 0 0 81 Gulf 3 Thibodaux LAFOURCHE UnitedHealthcare SSI 1 0 0 0 0 1 0 11 Gulf 3 Thibodaux LAFOURCHE UnitedHealthcare Family and Children 1 0 0 1 0 0 0 11 Gulf 3 Thibodaux LAFOURCHE UnitedHealthcare Pregnant Women 2 0 0 0 0 0 0 21 Gulf 3 Thibodaux LAFOURCHE UnitedHealthcare Community Plan-2015 SSI 6 16 607 0 0 2 8 6371 Gulf 3 Thibodaux LAFOURCHE UnitedHealthcare Community Plan-2015 Family and Children 223 171 4,576 126 216 26 61 5,0311 Gulf 3 Thibodaux LAFOURCHE UnitedHealthcare Community Plan-2015 LaChip 1 1 1 0 0 0 0 31 Gulf 3 Thibodaux LAFOURCHE UnitedHealthcare Community Plan-2015 Foster Care Children 2 1 18 0 0 2 1 221 Gulf 3 Thibodaux LAFOURCHE UnitedHealthcare Community Plan-2015 Pregnant Women 1 0 2 0 0 0 0 31 Gulf 3 Thibodaux LAFOURCHE UnitedHealthcare Community Plan-2015 Breast and Cervical Cancer 3 0 5 0 0 0 0 81 Gulf 3 Thibodaux ST CHARLES Aetna SSI 0 33 4 0 0 0 3 401 Gulf 3 Thibodaux ST CHARLES Aetna Family and Children 14 177 120 10 45 0 0 3111 Gulf 3 Thibodaux ST CHARLES Aetna LaChip 0 1 0 0 0 0 0 11 Gulf 3 Thibodaux ST CHARLES Aetna Foster Care Children 0 1 1 0 0 0 0 21 Gulf 3 Thibodaux ST CHARLES Aetna Pregnant Women 0 1 1 0 0 0 0 21 Gulf 3 Thibodaux ST CHARLES Aetna Breast and Cervical Cancer 0 3 0 0 0 0 0 31 Gulf 3 Thibodaux ST CHARLES AmeriHealth Caritas SSI 46 92 11 1 0 4 2 151




1 Gulf 3 Thibodaux ST CHARLES AmeriHealth Caritas Family and Children 411 660 165 143 59 49 15 1,2511 Gulf 3 Thibodaux ST CHARLES AmeriHealth Caritas LaChip 2 1 0 0 0 0 0 31 Gulf 3 Thibodaux ST CHARLES AmeriHealth Caritas Foster Care Children 4 4 1 0 0 0 0 91 Gulf 3 Thibodaux ST CHARLES AmeriHealth Caritas Pregnant Women 0 0 1 0 0 0 0 11 Gulf 3 Thibodaux ST CHARLES AmeriHealth Caritas Breast and Cervical Cancer 2 3 1 0 0 0 0 61 Gulf 3 Thibodaux ST CHARLES Amerigroup SSI 49 93 37 1 0 5 3 1821 Gulf 3 Thibodaux ST CHARLES Amerigroup Family and Children 730 1,029 347 233 96 89 22 2,1281 Gulf 3 Thibodaux ST CHARLES Amerigroup Foster Care Children 2 0 0 0 0 1 0 21 Gulf 3 Thibodaux ST CHARLES Amerigroup Pregnant Women 2 1 0 0 0 0 0 31 Gulf 3 Thibodaux ST CHARLES Amerigroup Breast and Cervical Cancer 0 2 0 0 0 0 0 21 Gulf 3 Thibodaux ST CHARLES LA Healthcare Connections SSI 32 63 125 0 0 6 5 2251 Gulf 3 Thibodaux ST CHARLES LA Healthcare Connections Family and Children 451 442 1,411 121 67 45 36 2,3401 Gulf 3 Thibodaux ST CHARLES LA Healthcare Connections LaChip 0 1 0 0 0 0 0 11 Gulf 3 Thibodaux ST CHARLES LA Healthcare Connections Foster Care Children 11 0 6 0 0 4 0 171 Gulf 3 Thibodaux ST CHARLES LA Healthcare Connections Breast and Cervical Cancer 0 1 0 0 0 0 0 11 Gulf 3 Thibodaux ST CHARLES Legacy Medicaid SSI 12 0 13 0 0 0 0 251 Gulf 3 Thibodaux ST CHARLES Legacy Medicaid Family and Children 3 0 2 0 0 0 0 51 Gulf 3 Thibodaux ST CHARLES Legacy Medicaid Pregnant Women 9 0 1 0 0 0 0 101 Gulf 3 Thibodaux ST CHARLES UnitedHealthcare Family and Children 2 0 0 2 0 0 0 21 Gulf 3 Thibodaux ST CHARLES UnitedHealthcare Community Plan-2015 SSI 2 4 149 0 0 0 1 1561 Gulf 3 Thibodaux ST CHARLES UnitedHealthcare Community Plan-2015 Family and Children 61 67 1,836 20 50 7 20 1,9841 Gulf 3 Thibodaux ST CHARLES UnitedHealthcare Community Plan-2015 LaChip 0 0 1 0 0 0 2 31 Gulf 3 Thibodaux ST CHARLES UnitedHealthcare Community Plan-2015 Foster Care Children 1 0 3 0 0 1 0 41 Gulf 3 Thibodaux ST CHARLES UnitedHealthcare Community Plan-2015 Breast and Cervical Cancer 0 0 1 0 0 0 0 11 Gulf 3 Thibodaux ST JAMES Aetna SSI 0 14 2 0 0 0 1 171 Gulf 3 Thibodaux ST JAMES Aetna Family and Children 5 49 24 1 10 0 0 781 Gulf 3 Thibodaux ST JAMES Aetna Foster Care Children 0 0 1 0 0 0 0 11 Gulf 3 Thibodaux ST JAMES AmeriHealth Caritas SSI 24 52 16 0 0 3 1 931 Gulf 3 Thibodaux ST JAMES AmeriHealth Caritas Family and Children 277 492 86 63 20 38 6 8611 Gulf 3 Thibodaux ST JAMES AmeriHealth Caritas Pregnant Women 1 0 0 0 0 0 0 11 Gulf 3 Thibodaux ST JAMES AmeriHealth Caritas Breast and Cervical Cancer 1 0 0 0 0 0 0 11 Gulf 3 Thibodaux ST JAMES Amerigroup SSI 16 21 10 0 0 3 2 491 Gulf 3 Thibodaux ST JAMES Amerigroup Family and Children 142 132 78 55 19 14 3 3551 Gulf 3 Thibodaux ST JAMES Amerigroup LaChip 1 1 0 0 0 0 0 21 Gulf 3 Thibodaux ST JAMES Amerigroup Foster Care Children 0 2 0 0 0 0 0 21 Gulf 3 Thibodaux ST JAMES Amerigroup Breast and Cervical Cancer 1 0 0 0 0 1 0 11 Gulf 3 Thibodaux ST JAMES LA Healthcare Connections SSI 27 35 67 2 0 3 1 1301 Gulf 3 Thibodaux ST JAMES LA Healthcare Connections Family and Children 204 321 743 68 40 33 10 1,2781 Gulf 3 Thibodaux ST JAMES LA Healthcare Connections LaChip 1 0 0 0 0 0 0 11 Gulf 3 Thibodaux ST JAMES LA Healthcare Connections Foster Care Children 1 0 2 0 0 1 0 31 Gulf 3 Thibodaux ST JAMES Legacy Medicaid SSI 4 0 4 0 0 0 0 81 Gulf 3 Thibodaux ST JAMES Legacy Medicaid Family and Children 2 0 0 0 0 0 0 21 Gulf 3 Thibodaux ST JAMES Legacy Medicaid Pregnant Women 0 0 1 0 0 0 0 11 Gulf 3 Thibodaux ST JAMES Legacy Medicaid Breast and Cervical Cancer 1 0 0 0 0 0 0 11 Gulf 3 Thibodaux ST JAMES UnitedHealthcare Community Plan-2015 SSI 1 2 140 0 0 0 3 1461 Gulf 3 Thibodaux ST JAMES UnitedHealthcare Community Plan-2015 Family and Children 44 37 1,314 21 42 5 16 1,4111 Gulf 3 Thibodaux ST JAMES UnitedHealthcare Community Plan-2015 LaChip 0 1 0 0 0 0 0 11 Gulf 3 Thibodaux ST JAMES UnitedHealthcare Community Plan-2015 Foster Care Children 3 2 1 0 0 3 0 61 Gulf 3 Thibodaux ST JAMES UnitedHealthcare Community Plan-2015 Pregnant Women 1 0 1 0 0 0 0 21 Gulf 3 Thibodaux ST JAMES UnitedHealthcare Community Plan-2015 Breast and Cervical Cancer 1 0 2 0 0 0 0 31 Gulf 3 Thibodaux ST JOHN Aetna SSI 0 37 4 0 0 0 3 441 Gulf 3 Thibodaux ST JOHN Aetna Family and Children 12 160 86 6 41 2 2 2601 Gulf 3 Thibodaux ST JOHN Aetna Foster Care Children 0 0 3 0 0 0 0 31 Gulf 3 Thibodaux ST JOHN AmeriHealth Caritas SSI 58 82 38 0 0 9 2 1801 Gulf 3 Thibodaux ST JOHN AmeriHealth Caritas Family and Children 461 626 227 133 58 47 16 1,3301 Gulf 3 Thibodaux ST JOHN AmeriHealth Caritas LaChip 0 2 0 0 0 0 0 21 Gulf 3 Thibodaux ST JOHN AmeriHealth Caritas Foster Care Children 1 1 0 0 0 0 0 21 Gulf 3 Thibodaux ST JOHN AmeriHealth Caritas Pregnant Women 2 0 0 0 0 0 0 2




1 Gulf 3 Thibodaux ST JOHN AmeriHealth Caritas Breast and Cervical Cancer 1 0 0 0 0 0 0 11 Gulf 3 Thibodaux ST JOHN Amerigroup SSI 49 170 49 0 0 8 2 2701 Gulf 3 Thibodaux ST JOHN Amerigroup Family and Children 641 1,248 388 226 104 99 23 2,3001 Gulf 3 Thibodaux ST JOHN Amerigroup LaChip 2 2 0 0 0 1 0 41 Gulf 3 Thibodaux ST JOHN Amerigroup Foster Care Children 8 2 1 0 0 0 0 111 Gulf 3 Thibodaux ST JOHN Amerigroup Pregnant Women 0 0 1 0 0 0 0 11 Gulf 3 Thibodaux ST JOHN Amerigroup Breast and Cervical Cancer 0 1 0 0 0 0 0 11 Gulf 3 Thibodaux ST JOHN Community Health Solutions SSI 1 0 0 1 0 0 0 11 Gulf 3 Thibodaux ST JOHN Community Health Solutions Family and Children 1 0 0 1 0 0 0 11 Gulf 3 Thibodaux ST JOHN LA Healthcare Connections SSI 60 101 234 0 0 11 4 3991 Gulf 3 Thibodaux ST JOHN LA Healthcare Connections Family and Children 655 611 2,143 172 89 84 28 3,4371 Gulf 3 Thibodaux ST JOHN LA Healthcare Connections LaChip 4 1 0 0 0 0 0 51 Gulf 3 Thibodaux ST JOHN LA Healthcare Connections Foster Care Children 0 2 5 0 0 0 0 71 Gulf 3 Thibodaux ST JOHN LA Healthcare Connections Pregnant Women 2 0 0 0 0 0 0 21 Gulf 3 Thibodaux ST JOHN LA Healthcare Connections Breast and Cervical Cancer 1 0 0 0 0 0 0 11 Gulf 3 Thibodaux ST JOHN Legacy Medicaid SSI 16 0 8 0 0 0 0 241 Gulf 3 Thibodaux ST JOHN Legacy Medicaid Family and Children 4 0 0 0 0 0 0 41 Gulf 3 Thibodaux ST JOHN Legacy Medicaid Pregnant Women 4 0 0 0 0 0 0 41 Gulf 3 Thibodaux ST JOHN Legacy Medicaid Breast and Cervical Cancer 2 0 2 0 0 0 0 41 Gulf 3 Thibodaux ST JOHN UnitedHealthcare Community Plan-2015 SSI 3 4 272 0 0 3 4 2831 Gulf 3 Thibodaux ST JOHN UnitedHealthcare Community Plan-2015 Family and Children 64 105 2,404 23 60 9 13 2,5861 Gulf 3 Thibodaux ST JOHN UnitedHealthcare Community Plan-2015 LaChip 0 0 2 0 0 0 0 21 Gulf 3 Thibodaux ST JOHN UnitedHealthcare Community Plan-2015 Foster Care Children 0 0 6 0 0 0 0 61 Gulf 3 Thibodaux ST JOHN UnitedHealthcare Community Plan-2015 Pregnant Women 1 0 2 0 0 0 0 31 Gulf 3 Thibodaux ST MARY Aetna SSI 0 64 1 0 0 0 5 701 Gulf 3 Thibodaux ST MARY Aetna Family and Children 10 291 55 8 60 1 4 3601 Gulf 3 Thibodaux ST MARY Aetna LaChip 0 5 0 0 0 0 0 51 Gulf 3 Thibodaux ST MARY Aetna Foster Care Children 0 0 1 0 0 0 0 11 Gulf 3 Thibodaux ST MARY AmeriHealth Caritas SSI 137 147 72 2 0 7 2 3581 Gulf 3 Thibodaux ST MARY AmeriHealth Caritas Family and Children 851 1,260 201 289 103 99 29 2,3411 Gulf 3 Thibodaux ST MARY AmeriHealth Caritas LaChip 0 6 1 0 0 0 0 71 Gulf 3 Thibodaux ST MARY AmeriHealth Caritas Foster Care Children 5 2 1 0 0 4 0 81 Gulf 3 Thibodaux ST MARY Amerigroup SSI 48 145 43 0 0 4 4 2401 Gulf 3 Thibodaux ST MARY Amerigroup Family and Children 989 1,704 259 372 133 122 23 2,9751 Gulf 3 Thibodaux ST MARY Amerigroup LaChip 0 2 1 0 0 0 1 41 Gulf 3 Thibodaux ST MARY Amerigroup Foster Care Children 4 5 3 0 0 2 0 121 Gulf 3 Thibodaux ST MARY Amerigroup Pregnant Women 1 0 0 0 0 0 0 11 Gulf 3 Thibodaux ST MARY Amerigroup Breast and Cervical Cancer 2 0 1 0 0 0 0 31 Gulf 3 Thibodaux ST MARY LA Healthcare Connections SSI 102 190 151 1 0 6 3 4461 Gulf 3 Thibodaux ST MARY LA Healthcare Connections Family and Children 1,125 1,164 1,391 362 121 97 32 3,7121 Gulf 3 Thibodaux ST MARY LA Healthcare Connections LaChip 2 1 3 0 0 1 0 61 Gulf 3 Thibodaux ST MARY LA Healthcare Connections Foster Care Children 8 2 8 0 0 7 0 181 Gulf 3 Thibodaux ST MARY LA Healthcare Connections Pregnant Women 2 0 1 0 0 0 0 31 Gulf 3 Thibodaux ST MARY LA Healthcare Connections Breast and Cervical Cancer 2 1 2 0 0 1 0 51 Gulf 3 Thibodaux ST MARY Legacy Medicaid SSI 23 0 11 0 0 0 0 341 Gulf 3 Thibodaux ST MARY Legacy Medicaid Family and Children 14 0 56 0 0 0 0 701 Gulf 3 Thibodaux ST MARY Legacy Medicaid Foster Care Children 0 0 4 0 0 0 0 41 Gulf 3 Thibodaux ST MARY Legacy Medicaid Pregnant Women 4 0 2 0 0 0 0 61 Gulf 3 Thibodaux ST MARY Legacy Medicaid Breast and Cervical Cancer 3 0 0 0 0 0 0 31 Gulf 3 Thibodaux ST MARY UnitedHealthcare Community Plan-2015 SSI 3 15 280 0 0 1 6 3041 Gulf 3 Thibodaux ST MARY UnitedHealthcare Community Plan-2015 Family and Children 109 106 2,689 56 85 22 22 2,9261 Gulf 3 Thibodaux ST MARY UnitedHealthcare Community Plan-2015 LaChip 0 0 3 0 0 0 0 31 Gulf 3 Thibodaux ST MARY UnitedHealthcare Community Plan-2015 Foster Care Children 1 0 8 0 0 1 0 91 Gulf 3 Thibodaux ST MARY UnitedHealthcare Community Plan-2015 Pregnant Women 1 0 0 0 0 0 0 11 Gulf 3 Thibodaux ST MARY UnitedHealthcare Community Plan-2015 Breast and Cervical Cancer 0 0 1 0 0 0 0 11 Gulf 3 Thibodaux TERREBONNE Aetna SSI 4 93 26 0 0 2 6 1291 Gulf 3 Thibodaux TERREBONNE Aetna Family and Children 14 375 65 7 58 0 5 4591 Gulf 3 Thibodaux TERREBONNE Aetna LaChip 0 2 0 0 0 0 0 2




1 Gulf 3 Thibodaux TERREBONNE Aetna Foster Care Children 0 0 6 0 0 0 0 61 Gulf 3 Thibodaux TERREBONNE Aetna Breast and Cervical Cancer 0 3 0 0 0 0 0 31 Gulf 3 Thibodaux TERREBONNE AmeriHealth Caritas SSI 204 396 110 0 0 18 12 7221 Gulf 3 Thibodaux TERREBONNE AmeriHealth Caritas Family and Children 463 1,176 192 56 37 86 21 1,8521 Gulf 3 Thibodaux TERREBONNE AmeriHealth Caritas LaChip 6 3 0 0 0 0 0 91 Gulf 3 Thibodaux TERREBONNE AmeriHealth Caritas Foster Care Children 4 4 5 0 0 4 0 131 Gulf 3 Thibodaux TERREBONNE AmeriHealth Caritas Pregnant Women 2 0 0 0 0 0 0 21 Gulf 3 Thibodaux TERREBONNE AmeriHealth Caritas Breast and Cervical Cancer 0 3 0 0 0 0 0 31 Gulf 3 Thibodaux TERREBONNE Amerigroup SSI 87 216 72 1 0 11 6 3811 Gulf 3 Thibodaux TERREBONNE Amerigroup Family and Children 578 783 380 204 117 83 23 1,7641 Gulf 3 Thibodaux TERREBONNE Amerigroup LaChip 1 2 1 0 0 0 0 41 Gulf 3 Thibodaux TERREBONNE Amerigroup Foster Care Children 4 3 4 0 0 4 0 111 Gulf 3 Thibodaux TERREBONNE Amerigroup Breast and Cervical Cancer 1 1 2 0 0 0 0 41 Gulf 3 Thibodaux TERREBONNE Community Health Solutions SSI 0 2 0 0 0 0 0 21 Gulf 3 Thibodaux TERREBONNE Community Health Solutions Family and Children 3 0 0 2 0 1 0 31 Gulf 3 Thibodaux TERREBONNE Community Health Solutions Pregnant Women 1 0 0 0 0 0 0 11 Gulf 3 Thibodaux TERREBONNE LA Healthcare Connections SSI 123 235 459 0 0 11 9 8261 Gulf 3 Thibodaux TERREBONNE LA Healthcare Connections Family and Children 471 998 3,991 127 180 82 53 5,5131 Gulf 3 Thibodaux TERREBONNE LA Healthcare Connections LaChip 1 2 2 0 0 0 0 51 Gulf 3 Thibodaux TERREBONNE LA Healthcare Connections Foster Care Children 4 5 14 0 0 4 0 231 Gulf 3 Thibodaux TERREBONNE LA Healthcare Connections Pregnant Women 0 0 2 0 0 0 0 21 Gulf 3 Thibodaux TERREBONNE LA Healthcare Connections Breast and Cervical Cancer 1 1 6 0 0 0 0 81 Gulf 3 Thibodaux TERREBONNE Legacy Medicaid SSI 34 0 35 0 0 0 0 691 Gulf 3 Thibodaux TERREBONNE Legacy Medicaid Family and Children 15 0 14 0 0 0 0 291 Gulf 3 Thibodaux TERREBONNE Legacy Medicaid Pregnant Women 5 0 4 0 0 0 0 91 Gulf 3 Thibodaux TERREBONNE Legacy Medicaid Breast and Cervical Cancer 5 0 4 0 0 0 0 91 Gulf 3 Thibodaux TERREBONNE UnitedHealthcare Family and Children 6 0 1 5 0 0 0 71 Gulf 3 Thibodaux TERREBONNE UnitedHealthcare Community Plan-2015 SSI 12 26 1,062 0 0 9 15 1,1151 Gulf 3 Thibodaux TERREBONNE UnitedHealthcare Community Plan-2015 Family and Children 621 401 11,359 371 571 86 105 12,4861 Gulf 3 Thibodaux TERREBONNE UnitedHealthcare Community Plan-2015 LaChip 0 0 4 0 0 0 0 41 Gulf 3 Thibodaux TERREBONNE UnitedHealthcare Community Plan-2015 Foster Care Children 5 0 42 0 0 5 0 471 Gulf 3 Thibodaux TERREBONNE UnitedHealthcare Community Plan-2015 Pregnant Women 2 0 4 0 0 0 0 61 Gulf 3 Thibodaux TERREBONNE UnitedHealthcare Community Plan-2015 Breast and Cervical Cancer 2 0 6 0 0 0 0 82 Capital 9 North Shore LIVINGSTON Aetna SSI 1 65 24 0 0 0 4 942 Capital 9 North Shore LIVINGSTON Aetna Family and Children 18 491 146 12 75 1 8 6632 Capital 9 North Shore LIVINGSTON Aetna LaChip 0 1 0 0 0 0 0 12 Capital 9 North Shore LIVINGSTON Aetna Foster Care Children 0 4 9 0 0 0 3 162 Capital 9 North Shore LIVINGSTON Aetna Breast and Cervical Cancer 1 0 0 0 0 0 0 12 Capital 9 North Shore LIVINGSTON AmeriHealth Caritas SSI 97 172 91 0 0 10 11 3712 Capital 9 North Shore LIVINGSTON AmeriHealth Caritas Family and Children 1,120 2,062 525 265 94 214 25 3,7322 Capital 9 North Shore LIVINGSTON AmeriHealth Caritas LaChip 6 3 4 0 0 1 0 132 Capital 9 North Shore LIVINGSTON AmeriHealth Caritas Foster Care Children 19 6 7 0 0 13 0 322 Capital 9 North Shore LIVINGSTON AmeriHealth Caritas Pregnant Women 4 0 1 0 0 1 0 52 Capital 9 North Shore LIVINGSTON Amerigroup SSI 118 193 111 1 0 18 15 4372 Capital 9 North Shore LIVINGSTON Amerigroup Family and Children 892 1,316 513 243 205 166 37 2,7582 Capital 9 North Shore LIVINGSTON Amerigroup LaChip 3 6 2 0 0 1 0 112 Capital 9 North Shore LIVINGSTON Amerigroup Foster Care Children 9 6 5 0 0 4 0 202 Capital 9 North Shore LIVINGSTON Amerigroup Pregnant Women 2 0 1 0 0 1 0 32 Capital 9 North Shore LIVINGSTON Amerigroup Breast and Cervical Cancer 1 0 0 0 0 0 0 12 Capital 9 North Shore LIVINGSTON Amerigroup Excluded COA 1 0 0 0 0 1 0 12 Capital 9 North Shore LIVINGSTON Community Health Solutions Family and Children 1 0 0 1 0 0 0 12 Capital 9 North Shore LIVINGSTON LA Healthcare Connections SSI 76 99 252 1 0 8 12 4392 Capital 9 North Shore LIVINGSTON LA Healthcare Connections Family and Children 904 1,010 4,786 180 191 139 57 6,7572 Capital 9 North Shore LIVINGSTON LA Healthcare Connections LaChip 3 5 4 0 0 1 0 122 Capital 9 North Shore LIVINGSTON LA Healthcare Connections Foster Care Children 10 4 15 0 0 7 0 292 Capital 9 North Shore LIVINGSTON LA Healthcare Connections Pregnant Women 3 0 0 0 0 1 0 32 Capital 9 North Shore LIVINGSTON LA Healthcare Connections Breast and Cervical Cancer 2 0 0 0 0 0 0 22 Capital 9 North Shore LIVINGSTON Legacy Medicaid SSI 32 0 14 0 0 0 0 46




2 Capital 9 North Shore LIVINGSTON Legacy Medicaid Family and Children 16 0 26 0 0 0 0 422 Capital 9 North Shore LIVINGSTON Legacy Medicaid Pregnant Women 9 0 1 0 0 0 0 102 Capital 9 North Shore LIVINGSTON Legacy Medicaid Breast and Cervical Cancer 5 0 1 0 0 0 0 62 Capital 9 North Shore LIVINGSTON UnitedHealthcare Family and Children 2 0 0 2 0 0 0 22 Capital 9 North Shore LIVINGSTON UnitedHealthcare Pregnant Women 1 0 0 0 0 1 0 12 Capital 9 North Shore LIVINGSTON UnitedHealthcare Community Plan-2015 SSI 7 18 455 0 0 3 8 4882 Capital 9 North Shore LIVINGSTON UnitedHealthcare Community Plan-2015 Family and Children 328 287 7,852 150 277 80 66 8,5332 Capital 9 North Shore LIVINGSTON UnitedHealthcare Community Plan-2015 LaChip 2 5 12 0 0 0 0 192 Capital 9 North Shore LIVINGSTON UnitedHealthcare Community Plan-2015 Foster Care Children 8 5 49 0 0 8 0 622 Capital 9 North Shore LIVINGSTON UnitedHealthcare Community Plan-2015 Pregnant Women 2 0 2 0 0 0 0 42 Capital 9 North Shore LIVINGSTON UnitedHealthcare Community Plan-2015 Breast and Cervical Cancer 2 0 2 0 0 0 0 42 Capital 9 North Shore ST HELENA Aetna SSI 0 8 0 0 0 0 1 92 Capital 9 North Shore ST HELENA Aetna Family and Children 0 20 3 0 5 0 0 232 Capital 9 North Shore ST HELENA Aetna LaChip 0 0 1 0 0 0 0 12 Capital 9 North Shore ST HELENA AmeriHealth Caritas SSI 6 26 6 0 0 0 1 392 Capital 9 North Shore ST HELENA AmeriHealth Caritas Family and Children 48 114 35 11 9 10 2 1992 Capital 9 North Shore ST HELENA AmeriHealth Caritas LaChip 1 1 1 0 0 0 0 32 Capital 9 North Shore ST HELENA Amerigroup SSI 4 31 5 0 0 1 0 402 Capital 9 North Shore ST HELENA Amerigroup Family and Children 47 97 25 15 12 15 4 1732 Capital 9 North Shore ST HELENA Amerigroup LaChip 2 0 0 0 0 0 0 22 Capital 9 North Shore ST HELENA Amerigroup Foster Care Children 0 0 1 0 0 0 0 12 Capital 9 North Shore ST HELENA Amerigroup Pregnant Women 1 0 0 0 0 0 0 12 Capital 9 North Shore ST HELENA LA Healthcare Connections SSI 3 18 70 0 0 0 0 912 Capital 9 North Shore ST HELENA LA Healthcare Connections Family and Children 85 105 724 27 34 13 4 9182 Capital 9 North Shore ST HELENA LA Healthcare Connections LaChip 0 1 0 0 0 0 0 12 Capital 9 North Shore ST HELENA LA Healthcare Connections Pregnant Women 1 0 0 0 0 0 0 12 Capital 9 North Shore ST HELENA LA Healthcare Connections Breast and Cervical Cancer 1 0 1 0 0 0 0 22 Capital 9 North Shore ST HELENA Legacy Medicaid SSI 2 0 0 0 0 0 0 22 Capital 9 North Shore ST HELENA Legacy Medicaid Family and Children 0 0 5 0 0 0 0 52 Capital 9 North Shore ST HELENA Legacy Medicaid Breast and Cervical Cancer 1 0 0 0 0 0 0 12 Capital 9 North Shore ST HELENA UnitedHealthcare Community Plan-2015 SSI 0 2 60 0 0 0 0 622 Capital 9 North Shore ST HELENA UnitedHealthcare Community Plan-2015 Family and Children 7 3 300 5 8 0 0 3102 Capital 9 North Shore ST HELENA UnitedHealthcare Community Plan-2015 LaChip 0 0 1 0 0 0 0 12 Capital 9 North Shore ST HELENA UnitedHealthcare Community Plan-2015 Pregnant Women 0 0 1 0 0 0 0 12 Capital 9 North Shore ST TAMMANY Aetna SSI 1 165 49 0 0 0 12 2272 Capital 9 North Shore ST TAMMANY Aetna Family and Children 88 883 650 39 238 4 21 1,6422 Capital 9 North Shore ST TAMMANY Aetna LaChip 0 3 0 0 0 0 0 32 Capital 9 North Shore ST TAMMANY Aetna Foster Care Children 3 20 8 0 0 3 2 332 Capital 9 North Shore ST TAMMANY Aetna Breast and Cervical Cancer 1 1 1 0 0 0 0 32 Capital 9 North Shore ST TAMMANY AmeriHealth Caritas SSI 142 279 117 0 0 16 14 5522 Capital 9 North Shore ST TAMMANY AmeriHealth Caritas Family and Children 1,277 2,083 900 462 199 204 53 4,3132 Capital 9 North Shore ST TAMMANY AmeriHealth Caritas LaChip 5 5 0 0 0 0 0 102 Capital 9 North Shore ST TAMMANY AmeriHealth Caritas Foster Care Children 10 6 11 0 0 8 2 292 Capital 9 North Shore ST TAMMANY AmeriHealth Caritas Breast and Cervical Cancer 0 1 1 0 0 0 0 22 Capital 9 North Shore ST TAMMANY Amerigroup SSI 144 249 179 0 0 25 12 5842 Capital 9 North Shore ST TAMMANY Amerigroup Family and Children 2,279 2,999 1,671 651 294 301 70 7,0192 Capital 9 North Shore ST TAMMANY Amerigroup LaChip 9 3 2 0 0 1 2 162 Capital 9 North Shore ST TAMMANY Amerigroup Foster Care Children 31 13 10 0 0 18 1 552 Capital 9 North Shore ST TAMMANY Amerigroup Pregnant Women 1 0 0 0 0 0 0 12 Capital 9 North Shore ST TAMMANY Amerigroup Breast and Cervical Cancer 2 2 2 0 0 0 0 62 Capital 9 North Shore ST TAMMANY Community Health Solutions SSI 1 0 0 0 0 1 0 12 Capital 9 North Shore ST TAMMANY Community Health Solutions Family and Children 2 0 0 2 0 0 0 22 Capital 9 North Shore ST TAMMANY LA Healthcare Connections SSI 154 305 467 1 0 25 12 9382 Capital 9 North Shore ST TAMMANY LA Healthcare Connections Family and Children 2,314 2,941 8,628 668 366 335 109 13,9922 Capital 9 North Shore ST TAMMANY LA Healthcare Connections LaChip 4 4 1 0 0 1 0 92 Capital 9 North Shore ST TAMMANY LA Healthcare Connections Foster Care Children 37 9 55 0 0 14 6 1072 Capital 9 North Shore ST TAMMANY LA Healthcare Connections Pregnant Women 2 1 2 0 0 0 0 52 Capital 9 North Shore ST TAMMANY LA Healthcare Connections Breast and Cervical Cancer 6 0 3 0 0 0 0 9




2 Capital 9 North Shore ST TAMMANY Legacy Medicaid SSI 45 0 36 0 0 0 0 812 Capital 9 North Shore ST TAMMANY Legacy Medicaid Family and Children 43 0 39 0 0 0 0 822 Capital 9 North Shore ST TAMMANY Legacy Medicaid Pregnant Women 45 0 4 0 0 0 0 492 Capital 9 North Shore ST TAMMANY Legacy Medicaid Breast and Cervical Cancer 9 0 5 0 0 0 0 142 Capital 9 North Shore ST TAMMANY UnitedHealthcare SSI 0 1 0 0 0 0 0 12 Capital 9 North Shore ST TAMMANY UnitedHealthcare Family and Children 3 0 0 2 0 1 0 32 Capital 9 North Shore ST TAMMANY UnitedHealthcare Pregnant Women 2 0 0 0 0 1 0 22 Capital 9 North Shore ST TAMMANY UnitedHealthcare Community Plan-2015 SSI 8 33 722 0 0 3 13 7762 Capital 9 North Shore ST TAMMANY UnitedHealthcare Community Plan-2015 Family and Children 252 294 5,400 86 177 49 59 6,0052 Capital 9 North Shore ST TAMMANY UnitedHealthcare Community Plan-2015 LaChip 0 0 11 0 0 0 0 112 Capital 9 North Shore ST TAMMANY UnitedHealthcare Community Plan-2015 Foster Care Children 4 2 29 0 0 4 1 362 Capital 9 North Shore ST TAMMANY UnitedHealthcare Community Plan-2015 Pregnant Women 3 0 4 0 0 0 0 72 Capital 9 North Shore ST TAMMANY UnitedHealthcare Community Plan-2015 Breast and Cervical Cancer 2 0 1 0 0 0 0 32 Capital 9 North Shore TANGIPAHOA Aetna SSI 0 111 18 0 0 0 8 1372 Capital 9 North Shore TANGIPAHOA Aetna Family and Children 40 497 92 17 142 4 9 6382 Capital 9 North Shore TANGIPAHOA Aetna LaChip 0 1 1 0 0 0 0 22 Capital 9 North Shore TANGIPAHOA Aetna Foster Care Children 0 1 3 0 0 0 1 52 Capital 9 North Shore TANGIPAHOA Aetna Pregnant Women 0 1 0 0 0 0 0 12 Capital 9 North Shore TANGIPAHOA AmeriHealth Caritas SSI 155 404 148 0 0 23 13 7202 Capital 9 North Shore TANGIPAHOA AmeriHealth Caritas Family and Children 681 1,282 381 150 118 136 33 2,3772 Capital 9 North Shore TANGIPAHOA AmeriHealth Caritas LaChip 9 9 2 0 0 0 0 202 Capital 9 North Shore TANGIPAHOA AmeriHealth Caritas Foster Care Children 3 3 0 0 0 3 0 62 Capital 9 North Shore TANGIPAHOA AmeriHealth Caritas Pregnant Women 4 0 1 0 0 0 0 52 Capital 9 North Shore TANGIPAHOA AmeriHealth Caritas Excluded COA 1 1 0 0 0 0 0 22 Capital 9 North Shore TANGIPAHOA Amerigroup SSI 171 358 184 0 0 26 12 7252 Capital 9 North Shore TANGIPAHOA Amerigroup Family and Children 1,117 1,621 944 318 255 164 59 3,7412 Capital 9 North Shore TANGIPAHOA Amerigroup LaChip 9 5 5 0 0 3 0 192 Capital 9 North Shore TANGIPAHOA Amerigroup Foster Care Children 4 0 2 0 0 3 0 62 Capital 9 North Shore TANGIPAHOA Amerigroup Pregnant Women 5 0 1 0 0 0 0 62 Capital 9 North Shore TANGIPAHOA Amerigroup Breast and Cervical Cancer 1 0 2 0 0 0 0 32 Capital 9 North Shore TANGIPAHOA Community Health Solutions Family and Children 1 0 0 1 0 0 0 12 Capital 9 North Shore TANGIPAHOA LA Healthcare Connections SSI 113 238 1,039 4 0 22 20 1,4102 Capital 9 North Shore TANGIPAHOA LA Healthcare Connections Family and Children 1,452 2,047 16,674 515 522 260 189 20,3622 Capital 9 North Shore TANGIPAHOA LA Healthcare Connections LaChip 6 3 8 0 0 1 1 182 Capital 9 North Shore TANGIPAHOA LA Healthcare Connections Foster Care Children 16 3 62 0 0 11 1 822 Capital 9 North Shore TANGIPAHOA LA Healthcare Connections Pregnant Women 4 0 5 0 0 0 0 92 Capital 9 North Shore TANGIPAHOA LA Healthcare Connections Breast and Cervical Cancer 8 1 2 0 0 0 0 112 Capital 9 North Shore TANGIPAHOA Legacy Medicaid SSI 23 0 38 0 0 0 0 612 Capital 9 North Shore TANGIPAHOA Legacy Medicaid Family and Children 18 0 14 0 0 0 0 322 Capital 9 North Shore TANGIPAHOA Legacy Medicaid Pregnant Women 10 0 4 0 0 0 0 142 Capital 9 North Shore TANGIPAHOA Legacy Medicaid Breast and Cervical Cancer 6 0 1 0 0 0 0 72 Capital 9 North Shore TANGIPAHOA UnitedHealthcare Family and Children 2 0 0 2 0 0 0 22 Capital 9 North Shore TANGIPAHOA UnitedHealthcare Pregnant Women 1 0 0 0 0 0 0 12 Capital 9 North Shore TANGIPAHOA UnitedHealthcare Community Plan-2015 SSI 3 25 335 0 0 3 4 3672 Capital 9 North Shore TANGIPAHOA UnitedHealthcare Community Plan-2015 Family and Children 108 140 1,698 31 113 19 23 1,9692 Capital 9 North Shore TANGIPAHOA UnitedHealthcare Community Plan-2015 LaChip 0 1 7 0 0 0 1 92 Capital 9 North Shore TANGIPAHOA UnitedHealthcare Community Plan-2015 Foster Care Children 0 0 3 0 0 0 0 32 Capital 9 North Shore TANGIPAHOA UnitedHealthcare Community Plan-2015 Pregnant Women 2 0 4 0 0 0 0 62 Capital 9 North Shore WASHINGTON Aetna SSI 0 56 6 0 0 0 3 652 Capital 9 North Shore WASHINGTON Aetna Family and Children 9 203 30 8 69 0 3 2452 Capital 9 North Shore WASHINGTON Aetna LaChip 0 1 0 0 0 0 0 12 Capital 9 North Shore WASHINGTON Aetna Breast and Cervical Cancer 0 2 0 0 0 0 0 22 Capital 9 North Shore WASHINGTON AmeriHealth Caritas SSI 98 201 89 0 0 14 4 3922 Capital 9 North Shore WASHINGTON AmeriHealth Caritas Family and Children 535 1,194 184 201 88 99 21 1,9342 Capital 9 North Shore WASHINGTON AmeriHealth Caritas LaChip 1 1 1 0 0 0 0 32 Capital 9 North Shore WASHINGTON AmeriHealth Caritas Foster Care Children 5 2 1 0 0 3 0 82 Capital 9 North Shore WASHINGTON AmeriHealth Caritas Pregnant Women 1 0 0 0 0 1 0 12 Capital 9 North Shore WASHINGTON Amerigroup SSI 54 298 74 0 0 10 6 432




2 Capital 9 North Shore WASHINGTON Amerigroup Family and Children 701 1,073 370 239 107 103 16 2,1602 Capital 9 North Shore WASHINGTON Amerigroup LaChip 3 3 0 0 0 0 0 62 Capital 9 North Shore WASHINGTON Amerigroup Foster Care Children 6 0 0 0 0 4 0 62 Capital 9 North Shore WASHINGTON Amerigroup Breast and Cervical Cancer 1 0 0 0 0 0 0 12 Capital 9 North Shore WASHINGTON Community Health Solutions Family and Children 1 0 0 1 0 0 0 12 Capital 9 North Shore WASHINGTON Community Health Solutions Pregnant Women 1 0 0 0 0 0 0 12 Capital 9 North Shore WASHINGTON LA Healthcare Connections SSI 85 137 282 0 0 12 6 5102 Capital 9 North Shore WASHINGTON LA Healthcare Connections Family and Children 863 951 2,747 240 145 131 36 4,5972 Capital 9 North Shore WASHINGTON LA Healthcare Connections LaChip 1 2 1 0 0 0 0 42 Capital 9 North Shore WASHINGTON LA Healthcare Connections Foster Care Children 4 1 10 0 0 1 0 152 Capital 9 North Shore WASHINGTON LA Healthcare Connections Pregnant Women 2 0 0 0 0 0 0 22 Capital 9 North Shore WASHINGTON LA Healthcare Connections Breast and Cervical Cancer 1 0 0 0 0 0 0 12 Capital 9 North Shore WASHINGTON Legacy Medicaid SSI 13 0 8 0 0 0 0 212 Capital 9 North Shore WASHINGTON Legacy Medicaid Family and Children 17 0 22 0 0 0 0 392 Capital 9 North Shore WASHINGTON Legacy Medicaid Pregnant Women 2 0 0 0 0 0 0 22 Capital 9 North Shore WASHINGTON Legacy Medicaid Breast and Cervical Cancer 1 0 1 0 0 0 0 22 Capital 9 North Shore WASHINGTON UnitedHealthcare Family and Children 2 0 0 2 0 0 0 22 Capital 9 North Shore WASHINGTON UnitedHealthcare Community Plan-2015 SSI 3 11 330 0 0 2 2 3462 Capital 9 North Shore WASHINGTON UnitedHealthcare Community Plan-2015 Family and Children 58 61 996 27 30 11 9 1,1242 Capital 9 North Shore WASHINGTON UnitedHealthcare Community Plan-2015 LaChip 0 0 2 0 0 0 0 22 Capital 9 North Shore WASHINGTON UnitedHealthcare Community Plan-2015 Foster Care Children 0 0 5 0 0 0 1 62 Capital 9 North Shore WASHINGTON UnitedHealthcare Community Plan-2015 Excluded COA 1 0 0 0 0 1 0 12 Capital 2 Baton Rouge ASCENSION Aetna SSI 1 53 14 0 0 1 2 702 Capital 2 Baton Rouge ASCENSION Aetna Family and Children 18 359 120 10 46 3 9 5062 Capital 2 Baton Rouge ASCENSION Aetna Foster Care Children 0 5 6 0 0 0 0 112 Capital 2 Baton Rouge ASCENSION Aetna Breast and Cervical Cancer 0 1 1 0 0 0 0 22 Capital 2 Baton Rouge ASCENSION AmeriHealth Caritas SSI 163 189 75 0 0 9 6 4332 Capital 2 Baton Rouge ASCENSION AmeriHealth Caritas Family and Children 1,624 2,510 577 321 115 194 56 4,7672 Capital 2 Baton Rouge ASCENSION AmeriHealth Caritas LaChip 5 0 2 0 0 0 0 72 Capital 2 Baton Rouge ASCENSION AmeriHealth Caritas Foster Care Children 13 8 6 0 0 8 2 292 Capital 2 Baton Rouge ASCENSION AmeriHealth Caritas Pregnant Women 2 0 0 0 0 0 0 22 Capital 2 Baton Rouge ASCENSION AmeriHealth Caritas Breast and Cervical Cancer 2 0 0 0 0 0 0 22 Capital 2 Baton Rouge ASCENSION Amerigroup SSI 43 90 31 0 0 4 3 1672 Capital 2 Baton Rouge ASCENSION Amerigroup Family and Children 514 745 293 152 137 53 27 1,5792 Capital 2 Baton Rouge ASCENSION Amerigroup LaChip 1 2 0 0 0 1 0 32 Capital 2 Baton Rouge ASCENSION Amerigroup Foster Care Children 2 0 1 0 0 2 0 32 Capital 2 Baton Rouge ASCENSION Amerigroup Pregnant Women 1 0 0 0 0 0 0 12 Capital 2 Baton Rouge ASCENSION Amerigroup Breast and Cervical Cancer 0 1 0 0 0 0 0 12 Capital 2 Baton Rouge ASCENSION Community Health Solutions SSI 1 0 0 0 0 1 0 12 Capital 2 Baton Rouge ASCENSION Community Health Solutions Family and Children 1 1 0 0 2 0 0 22 Capital 2 Baton Rouge ASCENSION LA Healthcare Connections SSI 35 77 157 1 0 3 2 2712 Capital 2 Baton Rouge ASCENSION LA Healthcare Connections Family and Children 416 617 1,847 134 107 51 17 2,8972 Capital 2 Baton Rouge ASCENSION LA Healthcare Connections LaChip 4 2 3 0 0 0 1 102 Capital 2 Baton Rouge ASCENSION LA Healthcare Connections Foster Care Children 2 3 10 0 0 2 0 152 Capital 2 Baton Rouge ASCENSION LA Healthcare Connections Pregnant Women 0 1 0 0 0 0 0 12 Capital 2 Baton Rouge ASCENSION LA Healthcare Connections Breast and Cervical Cancer 0 0 1 0 0 0 0 12 Capital 2 Baton Rouge ASCENSION Legacy Medicaid SSI 20 0 10 0 0 0 0 302 Capital 2 Baton Rouge ASCENSION Legacy Medicaid Family and Children 4 0 2 0 0 0 0 62 Capital 2 Baton Rouge ASCENSION Legacy Medicaid Pregnant Women 9 0 2 0 0 0 0 112 Capital 2 Baton Rouge ASCENSION Legacy Medicaid Breast and Cervical Cancer 4 0 2 0 0 0 0 62 Capital 2 Baton Rouge ASCENSION UnitedHealthcare Family and Children 2 0 1 2 0 0 0 32 Capital 2 Baton Rouge ASCENSION UnitedHealthcare Community Plan-2015 SSI 4 9 432 0 0 2 8 4532 Capital 2 Baton Rouge ASCENSION UnitedHealthcare Community Plan-2015 Family and Children 269 203 6,702 115 243 38 76 7,2502 Capital 2 Baton Rouge ASCENSION UnitedHealthcare Community Plan-2015 LaChip 0 1 17 0 0 0 0 182 Capital 2 Baton Rouge ASCENSION UnitedHealthcare Community Plan-2015 Foster Care Children 5 1 17 0 0 2 0 232 Capital 2 Baton Rouge ASCENSION UnitedHealthcare Community Plan-2015 Pregnant Women 1 0 3 0 0 0 0 42 Capital 2 Baton Rouge ASCENSION UnitedHealthcare Community Plan-2015 Breast and Cervical Cancer 5 0 3 0 0 0 0 82 Capital 2 Baton Rouge EAST BATON ROUGE Aetna SSI 3 335 103 0 0 2 20 461




2 Capital 2 Baton Rouge EAST BATON ROUGE Aetna Family and Children 100 1,509 490 49 302 11 18 2,1172 Capital 2 Baton Rouge EAST BATON ROUGE Aetna LaChip 0 3 1 0 0 0 0 42 Capital 2 Baton Rouge EAST BATON ROUGE Aetna Foster Care Children 3 14 12 0 0 3 4 332 Capital 2 Baton Rouge EAST BATON ROUGE Aetna Pregnant Women 0 2 1 0 0 0 0 32 Capital 2 Baton Rouge EAST BATON ROUGE Aetna Breast and Cervical Cancer 1 2 0 0 0 0 0 32 Capital 2 Baton Rouge EAST BATON ROUGE AmeriHealth Caritas SSI 647 794 352 8 0 47 33 1,8262 Capital 2 Baton Rouge EAST BATON ROUGE AmeriHealth Caritas Family and Children 4,922 6,626 2,026 1,155 485 527 125 13,6992 Capital 2 Baton Rouge EAST BATON ROUGE AmeriHealth Caritas LaChip 16 4 1 0 0 2 1 222 Capital 2 Baton Rouge EAST BATON ROUGE AmeriHealth Caritas Foster Care Children 29 5 9 0 0 17 0 432 Capital 2 Baton Rouge EAST BATON ROUGE AmeriHealth Caritas Pregnant Women 7 0 2 0 0 1 0 92 Capital 2 Baton Rouge EAST BATON ROUGE AmeriHealth Caritas Breast and Cervical Cancer 8 5 3 1 0 1 0 162 Capital 2 Baton Rouge EAST BATON ROUGE AmeriHealth Caritas Excluded COA 1 0 0 0 0 0 0 12 Capital 2 Baton Rouge EAST BATON ROUGE Amerigroup SSI 311 748 270 4 0 36 24 1,3532 Capital 2 Baton Rouge EAST BATON ROUGE Amerigroup Family and Children 2,131 2,886 1,365 712 554 269 105 6,4872 Capital 2 Baton Rouge EAST BATON ROUGE Amerigroup LaChip 7 8 3 0 0 1 1 192 Capital 2 Baton Rouge EAST BATON ROUGE Amerigroup Foster Care Children 14 6 17 0 0 7 2 392 Capital 2 Baton Rouge EAST BATON ROUGE Amerigroup Pregnant Women 7 1 1 0 0 0 1 102 Capital 2 Baton Rouge EAST BATON ROUGE Amerigroup Breast and Cervical Cancer 3 3 0 0 0 0 0 62 Capital 2 Baton Rouge EAST BATON ROUGE Community Health Solutions Family and Children 3 0 0 2 0 0 0 32 Capital 2 Baton Rouge EAST BATON ROUGE LA Healthcare Connections SSI 415 994 1,380 6 0 66 36 2,8252 Capital 2 Baton Rouge EAST BATON ROUGE LA Healthcare Connections Family and Children 3,176 5,201 13,564 1,113 794 493 227 22,1682 Capital 2 Baton Rouge EAST BATON ROUGE LA Healthcare Connections LaChip 9 7 11 0 0 1 1 282 Capital 2 Baton Rouge EAST BATON ROUGE LA Healthcare Connections Foster Care Children 9 4 20 0 0 7 0 332 Capital 2 Baton Rouge EAST BATON ROUGE LA Healthcare Connections Pregnant Women 5 1 6 0 0 0 0 122 Capital 2 Baton Rouge EAST BATON ROUGE LA Healthcare Connections Breast and Cervical Cancer 7 1 13 0 0 1 0 212 Capital 2 Baton Rouge EAST BATON ROUGE Legacy Medicaid SSI 129 0 99 0 0 0 0 2282 Capital 2 Baton Rouge EAST BATON ROUGE Legacy Medicaid Family and Children 23 0 5 0 0 0 0 282 Capital 2 Baton Rouge EAST BATON ROUGE Legacy Medicaid Pregnant Women 16 0 11 0 0 0 0 272 Capital 2 Baton Rouge EAST BATON ROUGE Legacy Medicaid Breast and Cervical Cancer 17 0 20 0 0 0 0 372 Capital 2 Baton Rouge EAST BATON ROUGE UnitedHealthcare SSI 2 0 0 0 0 1 0 22 Capital 2 Baton Rouge EAST BATON ROUGE UnitedHealthcare Family and Children 7 1 0 6 0 0 0 82 Capital 2 Baton Rouge EAST BATON ROUGE UnitedHealthcare Pregnant Women 2 0 0 0 0 2 0 22 Capital 2 Baton Rouge EAST BATON ROUGE UnitedHealthcare Community Plan-2015 SSI 29 51 2,673 4 0 7 41 2,7942 Capital 2 Baton Rouge EAST BATON ROUGE UnitedHealthcare Community Plan-2015 Family and Children 1,295 1,064 31,468 662 1,163 203 308 34,1352 Capital 2 Baton Rouge EAST BATON ROUGE UnitedHealthcare Community Plan-2015 LaChip 6 1 27 0 0 0 0 342 Capital 2 Baton Rouge EAST BATON ROUGE UnitedHealthcare Community Plan-2015 Foster Care Children 16 4 55 0 0 15 3 782 Capital 2 Baton Rouge EAST BATON ROUGE UnitedHealthcare Community Plan-2015 Pregnant Women 4 1 13 0 0 0 0 182 Capital 2 Baton Rouge EAST BATON ROUGE UnitedHealthcare Community Plan-2015 Breast and Cervical Cancer 12 0 27 0 0 0 0 392 Capital 2 Baton Rouge EAST BATON ROUGE UnitedHealthcare Community Plan-2015 Excluded COA 0 0 0 0 0 0 2 22 Capital 2 Baton Rouge EAST FELICIANA Aetna SSI 1 53 3 0 0 0 0 572 Capital 2 Baton Rouge EAST FELICIANA Aetna Family and Children 4 66 7 3 12 0 2 792 Capital 2 Baton Rouge EAST FELICIANA AmeriHealth Caritas SSI 67 63 25 0 0 6 1 1562 Capital 2 Baton Rouge EAST FELICIANA AmeriHealth Caritas Family and Children 212 277 79 62 21 25 5 5732 Capital 2 Baton Rouge EAST FELICIANA AmeriHealth Caritas LaChip 0 1 0 0 0 0 0 12 Capital 2 Baton Rouge EAST FELICIANA Amerigroup SSI 17 63 11 1 0 5 2 932 Capital 2 Baton Rouge EAST FELICIANA Amerigroup Family and Children 113 219 36 43 24 14 5 3732 Capital 2 Baton Rouge EAST FELICIANA Amerigroup LaChip 0 2 0 0 0 0 0 22 Capital 2 Baton Rouge EAST FELICIANA LA Healthcare Connections SSI 30 42 92 0 0 1 2 1662 Capital 2 Baton Rouge EAST FELICIANA LA Healthcare Connections Family and Children 202 210 845 44 37 22 5 1,2622 Capital 2 Baton Rouge EAST FELICIANA LA Healthcare Connections LaChip 0 0 2 0 0 0 0 22 Capital 2 Baton Rouge EAST FELICIANA LA Healthcare Connections Foster Care Children 1 0 4 0 0 1 0 52 Capital 2 Baton Rouge EAST FELICIANA LA Healthcare Connections Breast and Cervical Cancer 1 0 0 0 0 0 0 12 Capital 2 Baton Rouge EAST FELICIANA Legacy Medicaid SSI 2 0 2 0 0 0 0 42 Capital 2 Baton Rouge EAST FELICIANA Legacy Medicaid Pregnant Women 7 0 1 0 0 0 0 82 Capital 2 Baton Rouge EAST FELICIANA Legacy Medicaid Breast and Cervical Cancer 0 0 1 0 0 0 0 12 Capital 2 Baton Rouge EAST FELICIANA UnitedHealthcare Family and Children 1 0 0 1 0 0 0 12 Capital 2 Baton Rouge EAST FELICIANA UnitedHealthcare Community Plan-2015 SSI 2 20 100 0 0 1 1 1232 Capital 2 Baton Rouge EAST FELICIANA UnitedHealthcare Community Plan-2015 Family and Children 40 57 1,077 16 43 5 5 1,179




2 Capital 2 Baton Rouge EAST FELICIANA UnitedHealthcare Community Plan-2015 LaChip 0 0 2 0 0 0 0 22 Capital 2 Baton Rouge EAST FELICIANA UnitedHealthcare Community Plan-2015 Foster Care Children 2 0 3 0 0 1 0 52 Capital 2 Baton Rouge EAST FELICIANA UnitedHealthcare Community Plan-2015 Pregnant Women 0 0 1 0 0 0 0 12 Capital 2 Baton Rouge IBERVILLE Aetna SSI 0 36 9 0 0 0 1 462 Capital 2 Baton Rouge IBERVILLE Aetna Family and Children 13 109 56 8 20 0 1 1792 Capital 2 Baton Rouge IBERVILLE Aetna Foster Care Children 0 2 0 0 0 0 0 22 Capital 2 Baton Rouge IBERVILLE Aetna Breast and Cervical Cancer 0 2 0 0 0 0 0 22 Capital 2 Baton Rouge IBERVILLE AmeriHealth Caritas SSI 71 72 28 2 0 2 3 1742 Capital 2 Baton Rouge IBERVILLE AmeriHealth Caritas Family and Children 499 629 150 99 36 56 10 1,2882 Capital 2 Baton Rouge IBERVILLE AmeriHealth Caritas LaChip 1 2 0 0 0 0 0 32 Capital 2 Baton Rouge IBERVILLE AmeriHealth Caritas Foster Care Children 12 0 3 0 0 11 2 172 Capital 2 Baton Rouge IBERVILLE Amerigroup SSI 25 72 40 0 0 3 3 1402 Capital 2 Baton Rouge IBERVILLE Amerigroup Family and Children 300 674 184 112 57 37 11 1,1692 Capital 2 Baton Rouge IBERVILLE Amerigroup LaChip 2 2 0 0 0 1 0 42 Capital 2 Baton Rouge IBERVILLE Amerigroup Pregnant Women 0 0 1 0 0 0 0 12 Capital 2 Baton Rouge IBERVILLE Amerigroup Excluded COA 1 0 0 0 0 0 0 12 Capital 2 Baton Rouge IBERVILLE LA Healthcare Connections SSI 40 75 110 0 0 7 5 2302 Capital 2 Baton Rouge IBERVILLE LA Healthcare Connections Family and Children 269 352 819 66 45 40 10 1,4502 Capital 2 Baton Rouge IBERVILLE LA Healthcare Connections LaChip 0 2 0 0 0 0 0 22 Capital 2 Baton Rouge IBERVILLE LA Healthcare Connections Foster Care Children 3 1 5 0 0 1 0 92 Capital 2 Baton Rouge IBERVILLE LA Healthcare Connections Pregnant Women 1 0 2 0 0 0 0 32 Capital 2 Baton Rouge IBERVILLE Legacy Medicaid SSI 7 0 9 0 0 0 0 162 Capital 2 Baton Rouge IBERVILLE Legacy Medicaid Pregnant Women 2 0 0 0 0 0 0 22 Capital 2 Baton Rouge IBERVILLE Legacy Medicaid Breast and Cervical Cancer 1 0 0 0 0 0 0 12 Capital 2 Baton Rouge IBERVILLE UnitedHealthcare Pregnant Women 2 0 0 0 0 2 0 22 Capital 2 Baton Rouge IBERVILLE UnitedHealthcare Community Plan-2015 SSI 3 6 237 0 0 2 3 2492 Capital 2 Baton Rouge IBERVILLE UnitedHealthcare Community Plan-2015 Family and Children 93 95 2,544 45 89 21 24 2,7562 Capital 2 Baton Rouge IBERVILLE UnitedHealthcare Community Plan-2015 LaChip 0 0 3 0 0 0 0 32 Capital 2 Baton Rouge IBERVILLE UnitedHealthcare Community Plan-2015 Foster Care Children 2 1 1 0 0 2 0 42 Capital 2 Baton Rouge IBERVILLE UnitedHealthcare Community Plan-2015 Pregnant Women 1 0 4 0 0 0 0 52 Capital 2 Baton Rouge IBERVILLE UnitedHealthcare Community Plan-2015 Breast and Cervical Cancer 0 0 2 0 0 0 0 22 Capital 2 Baton Rouge POINTE COUPEE Aetna SSI 1 10 3 0 0 0 1 152 Capital 2 Baton Rouge POINTE COUPEE Aetna Family and Children 4 66 22 4 9 0 0 922 Capital 2 Baton Rouge POINTE COUPEE AmeriHealth Caritas SSI 79 99 60 0 0 3 7 2452 Capital 2 Baton Rouge POINTE COUPEE AmeriHealth Caritas Family and Children 546 935 171 118 41 54 15 1,6672 Capital 2 Baton Rouge POINTE COUPEE AmeriHealth Caritas LaChip 1 0 1 0 0 0 0 22 Capital 2 Baton Rouge POINTE COUPEE AmeriHealth Caritas Foster Care Children 0 1 0 0 0 0 0 12 Capital 2 Baton Rouge POINTE COUPEE AmeriHealth Caritas Pregnant Women 1 0 0 0 0 0 0 12 Capital 2 Baton Rouge POINTE COUPEE Amerigroup SSI 10 30 13 0 0 0 2 552 Capital 2 Baton Rouge POINTE COUPEE Amerigroup Family and Children 83 114 72 25 25 8 3 2722 Capital 2 Baton Rouge POINTE COUPEE Amerigroup LaChip 1 1 0 0 0 0 0 22 Capital 2 Baton Rouge POINTE COUPEE Amerigroup Pregnant Women 1 0 0 0 0 1 0 12 Capital 2 Baton Rouge POINTE COUPEE Amerigroup Excluded COA 1 0 0 0 0 0 0 12 Capital 2 Baton Rouge POINTE COUPEE LA Healthcare Connections SSI 17 40 52 1 0 1 5 1142 Capital 2 Baton Rouge POINTE COUPEE LA Healthcare Connections Family and Children 97 150 247 41 31 6 7 5012 Capital 2 Baton Rouge POINTE COUPEE LA Healthcare Connections LaChip 0 0 1 0 0 0 0 12 Capital 2 Baton Rouge POINTE COUPEE LA Healthcare Connections Pregnant Women 0 0 1 0 0 0 0 12 Capital 2 Baton Rouge POINTE COUPEE LA Healthcare Connections Breast and Cervical Cancer 0 0 1 0 0 0 0 12 Capital 2 Baton Rouge POINTE COUPEE Legacy Medicaid SSI 4 0 4 0 0 0 0 82 Capital 2 Baton Rouge POINTE COUPEE Legacy Medicaid Family and Children 1 0 0 0 0 0 0 12 Capital 2 Baton Rouge POINTE COUPEE Legacy Medicaid Pregnant Women 0 0 1 0 0 0 0 12 Capital 2 Baton Rouge POINTE COUPEE Legacy Medicaid Breast and Cervical Cancer 3 0 2 0 0 0 0 52 Capital 2 Baton Rouge POINTE COUPEE UnitedHealthcare Community Plan-2015 SSI 2 0 188 0 0 1 2 1922 Capital 2 Baton Rouge POINTE COUPEE UnitedHealthcare Community Plan-2015 Family and Children 72 47 1,429 39 63 6 14 1,5622 Capital 2 Baton Rouge POINTE COUPEE UnitedHealthcare Community Plan-2015 LaChip 0 0 1 0 0 0 0 12 Capital 2 Baton Rouge POINTE COUPEE UnitedHealthcare Community Plan-2015 Foster Care Children 0 0 6 0 0 0 0 62 Capital 2 Baton Rouge POINTE COUPEE UnitedHealthcare Community Plan-2015 Pregnant Women 0 0 1 0 0 0 0 12 Capital 2 Baton Rouge POINTE COUPEE UnitedHealthcare Community Plan-2015 Breast and Cervical Cancer 1 0 1 0 0 0 0 2




2 Capital 2 Baton Rouge WEST BATON ROUGE Aetna SSI 0 13 4 0 0 0 2 192 Capital 2 Baton Rouge WEST BATON ROUGE Aetna Family and Children 3 71 25 3 14 0 2 1012 Capital 2 Baton Rouge WEST BATON ROUGE Aetna Foster Care Children 1 0 0 0 0 1 0 12 Capital 2 Baton Rouge WEST BATON ROUGE AmeriHealth Caritas SSI 30 59 17 0 0 1 1 1072 Capital 2 Baton Rouge WEST BATON ROUGE AmeriHealth Caritas Family and Children 298 394 102 54 23 41 3 7972 Capital 2 Baton Rouge WEST BATON ROUGE AmeriHealth Caritas Foster Care Children 1 0 0 0 0 1 0 12 Capital 2 Baton Rouge WEST BATON ROUGE Amerigroup SSI 21 36 19 0 0 1 3 792 Capital 2 Baton Rouge WEST BATON ROUGE Amerigroup Family and Children 176 291 94 56 34 19 8 5692 Capital 2 Baton Rouge WEST BATON ROUGE Amerigroup LaChip 0 1 0 0 0 0 0 12 Capital 2 Baton Rouge WEST BATON ROUGE Amerigroup Pregnant Women 0 0 1 0 0 0 0 12 Capital 2 Baton Rouge WEST BATON ROUGE LA Healthcare Connections SSI 17 53 55 1 0 0 4 1292 Capital 2 Baton Rouge WEST BATON ROUGE LA Healthcare Connections Family and Children 217 339 511 67 48 25 9 1,0762 Capital 2 Baton Rouge WEST BATON ROUGE LA Healthcare Connections LaChip 0 3 1 0 0 0 0 42 Capital 2 Baton Rouge WEST BATON ROUGE LA Healthcare Connections Foster Care Children 5 0 1 0 0 0 1 72 Capital 2 Baton Rouge WEST BATON ROUGE LA Healthcare Connections Pregnant Women 0 0 1 0 0 0 0 12 Capital 2 Baton Rouge WEST BATON ROUGE Legacy Medicaid SSI 4 0 4 0 0 0 0 82 Capital 2 Baton Rouge WEST BATON ROUGE Legacy Medicaid Pregnant Women 4 0 1 0 0 0 0 52 Capital 2 Baton Rouge WEST BATON ROUGE Legacy Medicaid Breast and Cervical Cancer 1 0 1 0 0 0 0 22 Capital 2 Baton Rouge WEST BATON ROUGE UnitedHealthcare Family and Children 2 0 0 2 0 0 0 22 Capital 2 Baton Rouge WEST BATON ROUGE UnitedHealthcare Community Plan-2015 SSI 1 2 157 1 0 0 1 1612 Capital 2 Baton Rouge WEST BATON ROUGE UnitedHealthcare Community Plan-2015 Family and Children 68 46 1,672 38 51 12 17 1,8032 Capital 2 Baton Rouge WEST BATON ROUGE UnitedHealthcare Community Plan-2015 LaChip 1 0 1 0 0 0 0 22 Capital 2 Baton Rouge WEST BATON ROUGE UnitedHealthcare Community Plan-2015 Foster Care Children 1 0 3 0 0 0 2 62 Capital 2 Baton Rouge WEST BATON ROUGE UnitedHealthcare Community Plan-2015 Breast and Cervical Cancer 0 0 1 0 0 0 0 12 Capital 2 Baton Rouge WEST FELICIANA Aetna SSI 0 9 0 0 0 0 0 92 Capital 2 Baton Rouge WEST FELICIANA Aetna Family and Children 1 26 4 1 6 0 0 312 Capital 2 Baton Rouge WEST FELICIANA Aetna LaChip 0 1 0 0 0 0 0 12 Capital 2 Baton Rouge WEST FELICIANA AmeriHealth Caritas SSI 13 22 3 0 0 2 2 402 Capital 2 Baton Rouge WEST FELICIANA AmeriHealth Caritas Family and Children 80 137 11 22 3 3 3 2312 Capital 2 Baton Rouge WEST FELICIANA AmeriHealth Caritas Foster Care Children 1 0 0 0 0 0 0 12 Capital 2 Baton Rouge WEST FELICIANA Amerigroup SSI 2 23 4 0 0 0 0 292 Capital 2 Baton Rouge WEST FELICIANA Amerigroup Family and Children 61 66 15 29 11 3 1 1432 Capital 2 Baton Rouge WEST FELICIANA Amerigroup Foster Care Children 2 0 0 0 0 2 0 22 Capital 2 Baton Rouge WEST FELICIANA LA Healthcare Connections SSI 16 12 58 0 0 1 2 882 Capital 2 Baton Rouge WEST FELICIANA LA Healthcare Connections Family and Children 115 99 395 25 20 11 3 6122 Capital 2 Baton Rouge WEST FELICIANA LA Healthcare Connections LaChip 0 0 1 0 0 0 0 12 Capital 2 Baton Rouge WEST FELICIANA LA Healthcare Connections Foster Care Children 0 2 0 0 0 0 0 22 Capital 2 Baton Rouge WEST FELICIANA LA Healthcare Connections Pregnant Women 0 0 2 0 0 0 0 22 Capital 2 Baton Rouge WEST FELICIANA Legacy Medicaid SSI 3 0 4 0 0 0 0 72 Capital 2 Baton Rouge WEST FELICIANA Legacy Medicaid Family and Children 0 0 1 0 0 0 0 12 Capital 2 Baton Rouge WEST FELICIANA UnitedHealthcare Community Plan-2015 SSI 2 0 35 0 0 1 0 372 Capital 2 Baton Rouge WEST FELICIANA UnitedHealthcare Community Plan-2015 Family and Children 14 16 428 4 16 3 4 4622 Capital 2 Baton Rouge WEST FELICIANA UnitedHealthcare Community Plan-2015 LaChip 0 0 1 0 0 0 0 12 Capital 2 Baton Rouge WEST FELICIANA UnitedHealthcare Community Plan-2015 Foster Care Children 0 0 1 0 0 0 0 12 Capital 2 Baton Rouge WEST FELICIANA UnitedHealthcare Community Plan-2015 Pregnant Women 0 0 1 0 0 0 0 13 South Centr 4 Lafayette ACADIA Aetna SSI 2 49 8 0 0 2 5 643 South Centr 4 Lafayette ACADIA Aetna Family and Children 19 272 21 13 69 3 5 3173 South Centr 4 Lafayette ACADIA Aetna LaChip 0 1 1 0 0 0 0 23 South Centr 4 Lafayette ACADIA Aetna Foster Care Children 0 5 0 0 0 0 0 53 South Centr 4 Lafayette ACADIA Aetna Breast and Cervical Cancer 0 2 0 0 0 0 0 23 South Centr 4 Lafayette ACADIA AmeriHealth Caritas SSI 114 124 43 0 0 3 3 2843 South Centr 4 Lafayette ACADIA AmeriHealth Caritas Family and Children 633 971 186 208 75 65 27 1,8173 South Centr 4 Lafayette ACADIA AmeriHealth Caritas LaChip 2 0 0 0 0 0 0 23 South Centr 4 Lafayette ACADIA AmeriHealth Caritas Foster Care Children 2 2 0 0 0 2 0 43 South Centr 4 Lafayette ACADIA AmeriHealth Caritas Pregnant Women 1 1 0 0 0 0 0 23 South Centr 4 Lafayette ACADIA AmeriHealth Caritas Breast and Cervical Cancer 1 0 1 0 0 1 0 23 South Centr 4 Lafayette ACADIA Amerigroup SSI 47 154 45 2 0 10 5 2513 South Centr 4 Lafayette ACADIA Amerigroup Family and Children 592 1,223 261 196 80 79 25 2,101




3 South Centr 4 Lafayette ACADIA Amerigroup LaChip 0 0 1 0 0 0 0 13 South Centr 4 Lafayette ACADIA Amerigroup Foster Care Children 4 1 1 0 0 4 0 63 South Centr 4 Lafayette ACADIA Amerigroup Pregnant Women 1 0 0 0 0 0 0 13 South Centr 4 Lafayette ACADIA Amerigroup Breast and Cervical Cancer 1 2 0 0 0 0 0 33 South Centr 4 Lafayette ACADIA Community Health Solutions Family and Children 3 1 0 3 1 0 0 43 South Centr 4 Lafayette ACADIA LA Healthcare Connections SSI 67 131 303 0 0 10 6 5073 South Centr 4 Lafayette ACADIA LA Healthcare Connections Family and Children 947 1,016 2,779 284 130 114 41 4,7833 South Centr 4 Lafayette ACADIA LA Healthcare Connections LaChip 0 2 4 0 0 0 0 63 South Centr 4 Lafayette ACADIA LA Healthcare Connections Foster Care Children 7 5 12 0 0 6 0 243 South Centr 4 Lafayette ACADIA LA Healthcare Connections Breast and Cervical Cancer 1 0 1 0 0 0 0 23 South Centr 4 Lafayette ACADIA Legacy Medicaid SSI 10 0 9 0 0 0 0 193 South Centr 4 Lafayette ACADIA Legacy Medicaid Family and Children 15 0 3 0 0 0 0 183 South Centr 4 Lafayette ACADIA Legacy Medicaid Pregnant Women 6 0 0 0 0 0 0 63 South Centr 4 Lafayette ACADIA Legacy Medicaid Breast and Cervical Cancer 7 0 0 0 0 0 0 73 South Centr 4 Lafayette ACADIA UnitedHealthcare Family and Children 1 0 0 1 0 0 0 13 South Centr 4 Lafayette ACADIA UnitedHealthcare Community Plan-2015 SSI 3 10 380 0 0 2 2 3953 South Centr 4 Lafayette ACADIA UnitedHealthcare Community Plan-2015 Family and Children 170 146 3,648 85 138 30 28 3,9923 South Centr 4 Lafayette ACADIA UnitedHealthcare Community Plan-2015 LaChip 0 0 2 0 0 0 0 23 South Centr 4 Lafayette ACADIA UnitedHealthcare Community Plan-2015 Foster Care Children 1 0 10 0 0 1 0 113 South Centr 4 Lafayette ACADIA UnitedHealthcare Community Plan-2015 Pregnant Women 2 0 4 0 0 0 0 63 South Centr 4 Lafayette ACADIA UnitedHealthcare Community Plan-2015 Breast and Cervical Cancer 0 0 5 0 0 0 0 53 South Centr 4 Lafayette EVANGELINE Aetna SSI 0 20 1 0 0 0 0 213 South Centr 4 Lafayette EVANGELINE Aetna Family and Children 7 129 25 3 20 1 3 1643 South Centr 4 Lafayette EVANGELINE Aetna Foster Care Children 0 2 1 0 0 0 0 33 South Centr 4 Lafayette EVANGELINE AmeriHealth Caritas SSI 61 93 58 0 0 4 4 2163 South Centr 4 Lafayette EVANGELINE AmeriHealth Caritas Family and Children 397 626 148 117 59 49 7 1,1783 South Centr 4 Lafayette EVANGELINE AmeriHealth Caritas LaChip 2 0 0 0 0 1 0 23 South Centr 4 Lafayette EVANGELINE AmeriHealth Caritas Foster Care Children 7 0 0 0 0 6 0 73 South Centr 4 Lafayette EVANGELINE AmeriHealth Caritas Pregnant Women 1 0 0 0 0 0 0 13 South Centr 4 Lafayette EVANGELINE Amerigroup SSI 19 76 23 0 0 2 2 1203 South Centr 4 Lafayette EVANGELINE Amerigroup Family and Children 490 1,026 145 151 66 81 17 1,6783 South Centr 4 Lafayette EVANGELINE Amerigroup LaChip 0 1 0 0 0 0 0 13 South Centr 4 Lafayette EVANGELINE Amerigroup Foster Care Children 1 0 2 0 0 1 0 33 South Centr 4 Lafayette EVANGELINE Amerigroup Breast and Cervical Cancer 0 4 0 0 0 0 0 43 South Centr 4 Lafayette EVANGELINE Community Health Solutions Pregnant Women 1 0 0 0 0 1 0 13 South Centr 4 Lafayette EVANGELINE LA Healthcare Connections SSI 40 118 226 1 0 7 5 3893 South Centr 4 Lafayette EVANGELINE LA Healthcare Connections Family and Children 399 531 1,201 137 72 72 29 2,1603 South Centr 4 Lafayette EVANGELINE LA Healthcare Connections Foster Care Children 0 0 6 0 0 0 0 63 South Centr 4 Lafayette EVANGELINE LA Healthcare Connections Pregnant Women 1 0 2 0 0 0 0 33 South Centr 4 Lafayette EVANGELINE LA Healthcare Connections Breast and Cervical Cancer 1 0 0 0 0 1 0 13 South Centr 4 Lafayette EVANGELINE Legacy Medicaid SSI 7 0 6 0 0 0 0 133 South Centr 4 Lafayette EVANGELINE Legacy Medicaid Family and Children 5 0 3 0 0 0 0 83 South Centr 4 Lafayette EVANGELINE Legacy Medicaid Pregnant Women 3 0 0 0 0 0 0 33 South Centr 4 Lafayette EVANGELINE Legacy Medicaid Breast and Cervical Cancer 0 0 2 0 0 0 0 23 South Centr 4 Lafayette EVANGELINE UnitedHealthcare Community Plan-2015 SSI 1 7 466 0 0 1 8 4823 South Centr 4 Lafayette EVANGELINE UnitedHealthcare Community Plan-2015 Family and Children 101 87 2,488 51 83 12 24 2,7003 South Centr 4 Lafayette EVANGELINE UnitedHealthcare Community Plan-2015 LaChip 0 0 2 0 0 0 0 23 South Centr 4 Lafayette EVANGELINE UnitedHealthcare Community Plan-2015 Foster Care Children 0 0 8 0 0 0 0 83 South Centr 4 Lafayette EVANGELINE UnitedHealthcare Community Plan-2015 Pregnant Women 1 0 3 0 0 0 0 43 South Centr 4 Lafayette EVANGELINE UnitedHealthcare Community Plan-2015 Breast and Cervical Cancer 0 0 1 0 0 0 0 13 South Centr 4 Lafayette IBERIA Aetna SSI 0 81 10 0 0 0 2 933 South Centr 4 Lafayette IBERIA Aetna Family and Children 15 325 69 7 62 0 6 4153 South Centr 4 Lafayette IBERIA Aetna LaChip 0 3 2 0 0 0 0 53 South Centr 4 Lafayette IBERIA Aetna Foster Care Children 0 0 1 0 0 0 0 13 South Centr 4 Lafayette IBERIA Aetna Pregnant Women 0 1 0 0 0 0 0 13 South Centr 4 Lafayette IBERIA AmeriHealth Caritas SSI 102 85 54 1 0 6 3 2443 South Centr 4 Lafayette IBERIA AmeriHealth Caritas Family and Children 799 1,044 233 200 79 82 18 2,0943 South Centr 4 Lafayette IBERIA AmeriHealth Caritas LaChip 2 0 1 0 0 0 0 3




3 South Centr 4 Lafayette IBERIA AmeriHealth Caritas Foster Care Children 1 2 3 0 0 0 1 73 South Centr 4 Lafayette IBERIA AmeriHealth Caritas Pregnant Women 4 0 0 0 0 0 0 43 South Centr 4 Lafayette IBERIA Amerigroup SSI 68 208 48 2 0 10 10 3343 South Centr 4 Lafayette IBERIA Amerigroup Family and Children 1,136 1,152 457 376 195 113 27 2,7723 South Centr 4 Lafayette IBERIA Amerigroup LaChip 0 1 0 0 0 0 0 13 South Centr 4 Lafayette IBERIA Amerigroup Foster Care Children 9 1 1 0 0 6 2 133 South Centr 4 Lafayette IBERIA Amerigroup Pregnant Women 1 0 1 0 0 0 0 23 South Centr 4 Lafayette IBERIA Amerigroup Breast and Cervical Cancer 1 1 1 0 0 0 0 33 South Centr 4 Lafayette IBERIA Community Health Solutions Family and Children 2 0 0 2 0 0 0 23 South Centr 4 Lafayette IBERIA Community Health Solutions Pregnant Women 1 0 0 0 0 1 0 13 South Centr 4 Lafayette IBERIA LA Healthcare Connections SSI 146 204 489 1 0 19 12 8513 South Centr 4 Lafayette IBERIA LA Healthcare Connections Family and Children 1,689 1,889 4,722 551 248 181 77 8,3773 South Centr 4 Lafayette IBERIA LA Healthcare Connections LaChip 2 4 3 0 0 0 0 93 South Centr 4 Lafayette IBERIA LA Healthcare Connections Foster Care Children 19 2 9 0 0 14 0 303 South Centr 4 Lafayette IBERIA LA Healthcare Connections Pregnant Women 2 1 2 0 0 0 0 53 South Centr 4 Lafayette IBERIA LA Healthcare Connections Breast and Cervical Cancer 3 1 3 0 0 1 0 73 South Centr 4 Lafayette IBERIA Legacy Medicaid SSI 27 0 21 0 0 0 0 483 South Centr 4 Lafayette IBERIA Legacy Medicaid Family and Children 11 0 23 0 1 0 0 343 South Centr 4 Lafayette IBERIA Legacy Medicaid Pregnant Women 9 0 3 0 0 0 0 123 South Centr 4 Lafayette IBERIA Legacy Medicaid Breast and Cervical Cancer 4 0 6 0 0 0 0 103 South Centr 4 Lafayette IBERIA UnitedHealthcare Family and Children 1 0 0 1 0 0 0 13 South Centr 4 Lafayette IBERIA UnitedHealthcare Community Plan-2015 SSI 4 11 289 0 0 1 10 3143 South Centr 4 Lafayette IBERIA UnitedHealthcare Community Plan-2015 Family and Children 113 128 2,932 72 117 13 42 3,2153 South Centr 4 Lafayette IBERIA UnitedHealthcare Community Plan-2015 LaChip 0 0 2 0 0 0 0 23 South Centr 4 Lafayette IBERIA UnitedHealthcare Community Plan-2015 Foster Care Children 2 7 9 0 0 0 0 183 South Centr 4 Lafayette IBERIA UnitedHealthcare Community Plan-2015 Pregnant Women 0 0 1 0 0 0 0 13 South Centr 4 Lafayette IBERIA UnitedHealthcare Community Plan-2015 Breast and Cervical Cancer 2 0 2 0 0 0 0 43 South Centr 4 Lafayette LAFAYETTE Aetna SSI 2 145 19 0 0 2 9 1753 South Centr 4 Lafayette LAFAYETTE Aetna Family and Children 66 1,012 107 41 242 3 14 1,1993 South Centr 4 Lafayette LAFAYETTE Aetna LaChip 0 3 1 0 0 0 0 43 South Centr 4 Lafayette LAFAYETTE Aetna Foster Care Children 0 7 2 0 0 0 0 93 South Centr 4 Lafayette LAFAYETTE Aetna Pregnant Women 0 1 0 0 0 0 0 13 South Centr 4 Lafayette LAFAYETTE Aetna Breast and Cervical Cancer 0 2 1 0 0 0 0 33 South Centr 4 Lafayette LAFAYETTE AmeriHealth Caritas SSI 288 305 127 0 0 27 12 7323 South Centr 4 Lafayette LAFAYETTE AmeriHealth Caritas Family and Children 1,851 2,410 587 567 280 211 49 4,8973 South Centr 4 Lafayette LAFAYETTE AmeriHealth Caritas LaChip 8 3 1 0 0 0 0 123 South Centr 4 Lafayette LAFAYETTE AmeriHealth Caritas Foster Care Children 4 5 16 0 0 2 0 253 South Centr 4 Lafayette LAFAYETTE AmeriHealth Caritas Pregnant Women 3 0 0 0 0 0 0 33 South Centr 4 Lafayette LAFAYETTE AmeriHealth Caritas Breast and Cervical Cancer 2 3 0 0 0 0 0 53 South Centr 4 Lafayette LAFAYETTE Amerigroup SSI 169 358 88 0 0 29 15 6303 South Centr 4 Lafayette LAFAYETTE Amerigroup Family and Children 1,934 2,925 722 504 329 203 68 5,6493 South Centr 4 Lafayette LAFAYETTE Amerigroup LaChip 2 7 1 0 0 0 0 103 South Centr 4 Lafayette LAFAYETTE Amerigroup Foster Care Children 8 2 4 0 0 5 0 143 South Centr 4 Lafayette LAFAYETTE Amerigroup Pregnant Women 0 1 1 0 0 0 0 23 South Centr 4 Lafayette LAFAYETTE Amerigroup Breast and Cervical Cancer 4 2 2 0 0 0 0 83 South Centr 4 Lafayette LAFAYETTE Community Health Solutions Family and Children 2 0 0 2 0 0 0 23 South Centr 4 Lafayette LAFAYETTE LA Healthcare Connections SSI 187 517 583 3 0 33 16 1,3033 South Centr 4 Lafayette LAFAYETTE LA Healthcare Connections Family and Children 2,471 4,132 7,693 657 322 262 136 14,4323 South Centr 4 Lafayette LAFAYETTE LA Healthcare Connections LaChip 5 8 8 0 0 0 0 213 South Centr 4 Lafayette LAFAYETTE LA Healthcare Connections Foster Care Children 51 5 20 0 0 42 2 783 South Centr 4 Lafayette LAFAYETTE LA Healthcare Connections Pregnant Women 5 1 2 0 0 1 0 83 South Centr 4 Lafayette LAFAYETTE LA Healthcare Connections Breast and Cervical Cancer 4 3 5 0 0 0 0 123 South Centr 4 Lafayette LAFAYETTE Legacy Medicaid SSI 46 0 31 0 0 0 0 773 South Centr 4 Lafayette LAFAYETTE Legacy Medicaid Family and Children 43 0 7 0 0 0 0 503 South Centr 4 Lafayette LAFAYETTE Legacy Medicaid Pregnant Women 19 0 6 0 0 0 0 253 South Centr 4 Lafayette LAFAYETTE Legacy Medicaid Breast and Cervical Cancer 9 0 7 0 0 0 0 163 South Centr 4 Lafayette LAFAYETTE UnitedHealthcare Family and Children 5 0 0 4 0 0 0 53 South Centr 4 Lafayette LAFAYETTE UnitedHealthcare Community Plan-2015 SSI 9 29 500 1 0 1 6 544




3 South Centr 4 Lafayette LAFAYETTE UnitedHealthcare Community Plan-2015 Family and Children 478 385 8,187 270 473 67 103 9,1533 South Centr 4 Lafayette LAFAYETTE UnitedHealthcare Community Plan-2015 LaChip 0 1 1 0 0 0 0 23 South Centr 4 Lafayette LAFAYETTE UnitedHealthcare Community Plan-2015 Foster Care Children 6 0 33 0 0 5 4 433 South Centr 4 Lafayette LAFAYETTE UnitedHealthcare Community Plan-2015 Pregnant Women 1 0 5 0 0 0 0 63 South Centr 4 Lafayette LAFAYETTE UnitedHealthcare Community Plan-2015 Breast and Cervical Cancer 0 0 4 0 0 0 0 43 South Centr 4 Lafayette ST LANDRY Aetna SSI 0 83 9 0 0 0 10 1023 South Centr 4 Lafayette ST LANDRY Aetna Family and Children 16 406 26 13 96 1 2 4503 South Centr 4 Lafayette ST LANDRY Aetna Foster Care Children 0 0 3 0 0 0 0 33 South Centr 4 Lafayette ST LANDRY Aetna Breast and Cervical Cancer 0 2 0 0 0 0 0 23 South Centr 4 Lafayette ST LANDRY AmeriHealth Caritas SSI 200 204 109 1 0 10 10 5233 South Centr 4 Lafayette ST LANDRY AmeriHealth Caritas Family and Children 866 1,127 285 249 122 104 29 2,3073 South Centr 4 Lafayette ST LANDRY AmeriHealth Caritas LaChip 10 0 1 0 0 0 0 113 South Centr 4 Lafayette ST LANDRY AmeriHealth Caritas Foster Care Children 1 2 0 0 0 1 3 63 South Centr 4 Lafayette ST LANDRY AmeriHealth Caritas Pregnant Women 3 0 0 0 0 0 0 33 South Centr 4 Lafayette ST LANDRY AmeriHealth Caritas Breast and Cervical Cancer 1 0 0 0 0 0 0 13 South Centr 4 Lafayette ST LANDRY Amerigroup SSI 81 294 67 2 0 14 9 4513 South Centr 4 Lafayette ST LANDRY Amerigroup Family and Children 1,013 1,844 404 332 165 129 45 3,3063 South Centr 4 Lafayette ST LANDRY Amerigroup LaChip 1 2 1 0 0 0 0 43 South Centr 4 Lafayette ST LANDRY Amerigroup Foster Care Children 9 2 9 0 0 7 0 203 South Centr 4 Lafayette ST LANDRY Amerigroup Pregnant Women 0 0 1 0 0 0 0 13 South Centr 4 Lafayette ST LANDRY Amerigroup Breast and Cervical Cancer 2 3 1 0 0 0 0 63 South Centr 4 Lafayette ST LANDRY Community Health Solutions Family and Children 1 0 0 1 0 0 0 13 South Centr 4 Lafayette ST LANDRY LA Healthcare Connections SSI 157 368 343 2 0 21 10 8783 South Centr 4 Lafayette ST LANDRY LA Healthcare Connections Family and Children 1,306 2,182 2,783 418 229 125 47 6,3183 South Centr 4 Lafayette ST LANDRY LA Healthcare Connections LaChip 0 1 1 0 0 0 0 23 South Centr 4 Lafayette ST LANDRY LA Healthcare Connections Foster Care Children 11 2 12 0 0 8 2 273 South Centr 4 Lafayette ST LANDRY LA Healthcare Connections Pregnant Women 5 2 2 0 0 0 0 93 South Centr 4 Lafayette ST LANDRY LA Healthcare Connections Breast and Cervical Cancer 3 0 0 0 0 0 0 33 South Centr 4 Lafayette ST LANDRY Legacy Medicaid SSI 30 0 18 0 0 0 0 483 South Centr 4 Lafayette ST LANDRY Legacy Medicaid Family and Children 14 0 2 0 0 0 0 163 South Centr 4 Lafayette ST LANDRY Legacy Medicaid Pregnant Women 10 0 5 0 0 0 0 153 South Centr 4 Lafayette ST LANDRY Legacy Medicaid Breast and Cervical Cancer 5 0 5 0 0 0 0 103 South Centr 4 Lafayette ST LANDRY UnitedHealthcare Family and Children 2 1 0 2 0 0 0 33 South Centr 4 Lafayette ST LANDRY UnitedHealthcare Community Plan-2015 SSI 7 30 1,034 0 0 4 16 1,0873 South Centr 4 Lafayette ST LANDRY UnitedHealthcare Community Plan-2015 Family and Children 315 275 8,861 182 286 45 73 9,5243 South Centr 4 Lafayette ST LANDRY UnitedHealthcare Community Plan-2015 LaChip 0 0 3 0 0 0 1 43 South Centr 4 Lafayette ST LANDRY UnitedHealthcare Community Plan-2015 Foster Care Children 3 0 26 0 0 2 1 303 South Centr 4 Lafayette ST LANDRY UnitedHealthcare Community Plan-2015 Pregnant Women 3 0 14 0 0 0 0 173 South Centr 4 Lafayette ST LANDRY UnitedHealthcare Community Plan-2015 Breast and Cervical Cancer 5 0 5 0 0 0 0 103 South Centr 4 Lafayette ST MARTIN Aetna SSI 1 32 1 0 0 1 0 343 South Centr 4 Lafayette ST MARTIN Aetna Family and Children 26 199 34 17 55 1 4 2633 South Centr 4 Lafayette ST MARTIN Aetna LaChip 0 1 0 0 0 0 0 13 South Centr 4 Lafayette ST MARTIN Aetna Foster Care Children 0 0 1 0 0 0 0 13 South Centr 4 Lafayette ST MARTIN Aetna Breast and Cervical Cancer 0 1 0 0 0 0 0 13 South Centr 4 Lafayette ST MARTIN AmeriHealth Caritas SSI 75 64 51 0 0 8 4 1943 South Centr 4 Lafayette ST MARTIN AmeriHealth Caritas Family and Children 520 768 177 173 66 63 18 1,4833 South Centr 4 Lafayette ST MARTIN AmeriHealth Caritas LaChip 3 0 1 0 0 1 0 43 South Centr 4 Lafayette ST MARTIN AmeriHealth Caritas Foster Care Children 10 5 0 0 0 8 0 153 South Centr 4 Lafayette ST MARTIN AmeriHealth Caritas Pregnant Women 1 0 0 0 0 0 0 13 South Centr 4 Lafayette ST MARTIN AmeriHealth Caritas Breast and Cervical Cancer 0 0 1 0 0 0 0 13 South Centr 4 Lafayette ST MARTIN Amerigroup SSI 40 86 27 0 0 5 0 1533 South Centr 4 Lafayette ST MARTIN Amerigroup Family and Children 468 837 195 152 76 29 15 1,5153 South Centr 4 Lafayette ST MARTIN Amerigroup LaChip 0 1 2 0 0 0 0 33 South Centr 4 Lafayette ST MARTIN Amerigroup Foster Care Children 7 1 1 0 0 5 0 93 South Centr 4 Lafayette ST MARTIN Amerigroup Pregnant Women 0 1 0 0 0 0 0 13 South Centr 4 Lafayette ST MARTIN Amerigroup Breast and Cervical Cancer 1 2 0 0 0 1 1 43 South Centr 4 Lafayette ST MARTIN Amerigroup Excluded COA 1 0 0 0 0 1 0 13 South Centr 4 Lafayette ST MARTIN Community Health Solutions Family and Children 1 1 0 1 0 0 0 2




3 South Centr 4 Lafayette ST MARTIN LA Healthcare Connections SSI 81 191 165 0 0 6 4 4413 South Centr 4 Lafayette ST MARTIN LA Healthcare Connections Family and Children 901 1,209 2,168 223 116 111 40 4,3183 South Centr 4 Lafayette ST MARTIN LA Healthcare Connections LaChip 1 1 3 0 0 0 0 53 South Centr 4 Lafayette ST MARTIN LA Healthcare Connections Foster Care Children 10 1 4 0 0 6 1 163 South Centr 4 Lafayette ST MARTIN LA Healthcare Connections Pregnant Women 1 0 3 0 0 0 0 43 South Centr 4 Lafayette ST MARTIN LA Healthcare Connections Breast and Cervical Cancer 0 0 2 0 0 0 0 23 South Centr 4 Lafayette ST MARTIN Legacy Medicaid SSI 8 0 4 0 0 0 0 123 South Centr 4 Lafayette ST MARTIN Legacy Medicaid Family and Children 9 0 4 0 0 0 0 133 South Centr 4 Lafayette ST MARTIN Legacy Medicaid Pregnant Women 7 0 0 0 0 0 0 73 South Centr 4 Lafayette ST MARTIN Legacy Medicaid Breast and Cervical Cancer 2 0 0 0 0 0 0 23 South Centr 4 Lafayette ST MARTIN UnitedHealthcare Family and Children 3 0 0 3 0 0 0 33 South Centr 4 Lafayette ST MARTIN UnitedHealthcare Community Plan-2015 SSI 2 6 137 0 0 0 1 1463 South Centr 4 Lafayette ST MARTIN UnitedHealthcare Community Plan-2015 Family and Children 95 87 2,193 57 98 17 20 2,3953 South Centr 4 Lafayette ST MARTIN UnitedHealthcare Community Plan-2015 LaChip 0 0 0 0 0 0 1 13 South Centr 4 Lafayette ST MARTIN UnitedHealthcare Community Plan-2015 Foster Care Children 0 3 6 0 0 0 0 93 South Centr 4 Lafayette ST MARTIN UnitedHealthcare Community Plan-2015 Pregnant Women 0 0 2 0 0 0 0 23 South Centr 4 Lafayette ST MARTIN UnitedHealthcare Community Plan-2015 Breast and Cervical Cancer 0 0 1 0 0 0 0 13 South Centr 4 Lafayette VERMILION Aetna SSI 0 34 9 0 0 0 1 443 South Centr 4 Lafayette VERMILION Aetna Family and Children 20 263 25 11 66 9 2 3103 South Centr 4 Lafayette VERMILION Aetna Foster Care Children 0 1 14 0 0 0 0 153 South Centr 4 Lafayette VERMILION AmeriHealth Caritas SSI 104 56 28 0 0 8 11 1993 South Centr 4 Lafayette VERMILION AmeriHealth Caritas Family and Children 570 626 165 127 53 58 9 1,3703 South Centr 4 Lafayette VERMILION AmeriHealth Caritas LaChip 2 1 0 0 0 0 0 33 South Centr 4 Lafayette VERMILION AmeriHealth Caritas Foster Care Children 3 0 1 0 0 3 0 43 South Centr 4 Lafayette VERMILION AmeriHealth Caritas Pregnant Women 1 0 0 0 0 0 0 13 South Centr 4 Lafayette VERMILION AmeriHealth Caritas Breast and Cervical Cancer 0 0 1 0 0 0 0 13 South Centr 4 Lafayette VERMILION Amerigroup SSI 54 113 35 0 0 4 5 2073 South Centr 4 Lafayette VERMILION Amerigroup Fami

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