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Health Insurance Counseling and Advocacy Program (HICAP)SFY 2005-06 Annual Detailed HICAP Data Reports

Aggregated Client Contact & Counseling Activities

	SEP 2005	DEC 2005	MAR 2006	JUN 2006	TOTAL
	Q1	Q2	Q3	Q4
SECTION 1 - Client Contacts
Total Number of Clients Counseled	6,340	18,420	19,094	19,309	63,163
Assistance Requested By
Beneficiary	4,922	14,857	15,430	15,896	51,105
Family Caregiver	758	1,804	1,925	1,848	6,335
Client Representative	319	501	617	776	2,213
Agency	92	133	287	338	850
Total Contacts	10,801	24,380	27,207	29,480	91,868
Contact Modes
Telephone	6,179	14,872	14,846	15,346	51,243
In Person (site)	3,453	6,832	8,144	10,454	28,883
In Person (home visit)	131	235	264	348	978
E-mail, Fax, Postal Mail	1,038	2,441	3,953	3,332	10,764
Contact Frequency
1 Contact	5,979	14,220	12,912	11,914	45,025
2 Contact	898	2,551	3,631	3,694	10,774
3 or More Contacts	624	1,129	2,116	3,408	7,277
Total Recorded Counseling Hours	12,560	21,149	21,918	30,883	86,510
Quick Call	15,964	53,776	36,091	34,059	139,890
* How did client learn about SHIP/HICAP?
CMS	Previously Not Collected	77	1,119	1,391	2,587
Presentations/Fair		418	1,086	1,811	3,315
State Specific (HICAP) Mailings		49	261	1,608	1,918
Agency (i.e., PSA, ad, newspaper, radio, etc.)		1,000	1,914	3,175	6,089
Friend/Relative		86	672	1,600	2,358
Media (i.e., senior organization, Social Security)		112	643	1,521	2,276
InfoVan		2	70	139	211
Other		112	479	1,013	1,604
Not Collected		16,564	12,850	7,051	42,805
SECTION 2- Beneficiary Demographics
Monthly Income
Below 150% of FPL	1,058	5,110	5,565	4,835	16,568
At or Greater than 150% of FPL	2,806	5,750	7,131	7,883	23,570
Not Collected	2,476	7,560	6,398	6,591	23,025
Age
Under 60	804	2,299	1,949	1,944	6,996
60-64	874	1,266	1,143	1,441	4,724
65-74	2,188	5,765	5,959	6,386	20,298
75-84	1,263	3,895	4,295	4,676	14,129
85 or older	505	1,428	1,707	1,957	5,597
Not Collected	706	3,767	4,041	2,905	11,419
Gender
Female	3,448	9,800	11,574	11,282	36,104
Male	2,047	5,112	6,066	6,383	19,608
Not Collected	845	3,508	1,454	1,644	7,451
Medicare Status Due to Disability
Yes	888	2,779	2,848	2,769	9,284
No	3,867	9,380	11,394	13,425	38,066
Not Collected	1,585	6,261	4,852	3,115	15,813
Ethnicity (Hispanic/Latino)	714	2,278	2,532	2,657	8,181
Race
American Indian	23	55	48	164	290
Asian	477	1,386	1,602	1,153	4,618
African American	278	528	553	490	1,849
Native Hawaiian/Pacific Islander	8	20	40	27	95
Caucasian	4190	10,824	10,721	11,310	37,045
Other Race	107	101	493	228	929
Two or More Race	1	0	0	5	6
Not Collected	1,256	5,506	5,637	5,932	18,331
Marital Status
Married	2,128	5,577	5,930	6,679	20,314
Never Married	556	1,687	1,668	1,522	5,333
Separated	80	286	296	226	888
Divorced	725	1,665	1,616	1,786	5,792
Domestic Partner	7	37	33	2,739	2,816
Widowed	1,267	3,460	3,739	1,245	9,711
Not Collected	1,577	5,808	5,812	5,112	18,309
Veteran
Yes	422	863	822	1,784	3,891
No	2,242	5,726	6,988	9,867	24,823
Not Collected	3,676	11,831	11,284	7,658	34,449

* State Fiscal Year 2005-06 changes were implemented in the required data reporting requirements during the fiscal year.

Link to: SFY 2005-06 Aggregated Client Contact (Section 1 and 2) Report by PSA (pdf)

	SEP 2005	DEC 2005	MAR 2006	JUN 2006	TOTAL
	Q1	Q2	Q3	Q4
SECTION 3-Topics Discussed
Medicare Prescription Drug Coverage (PDP/MA-PD)
Plan Eligibility & Benefit Comparisons	Previously Not Collected	4,043	7,894	11,989	23,926
Low-income assistance		2,953	3,791	4,603	11,347
Enrollment/application assistance		2,634	5,903	7,008	15,545
Claims/billings		215	438	764	1,417
Appeals/quality of care/ complaints		30	170	439	639
Other sources of Prescription Drug Coverage
Union/employer plans	0	134	96	628	858
Manufacture Assistance Program	0	34	33	197	264
Discount plans	4	0	31	123	158
Federal Employee Health Benefits Program	0	0	7	134	141
Other	4	253	567	617	1,441
Medicare (Part A & B)
Enrollment/Eligibility/Benefit Comparisons	2,758	4,912	5,049	7,085	19,804
Billings/claims	421	248	416	643	1,728
Appeals/grievances	56	31	83	167	337
LTC
Enrollment/Eligibility/ Comparisons	393	330	253	329	1,305
Billings/claims	9	14	19	29	71
Appeals/grievances	2	8	10	17	37
Medicare Health Plans (PPO, PFFS, Specialty plans, managed)
Enrollment/Eligibility/ Comparisons	2,087	2,987	2,007	3,854	10,935
Disenrollment	76	51	6	36	169
Coverage Changes	104	356	10	648	1,118
Non-renewals	0	0	260	0	260
Claims/billings	117	91	168	219	595
Appeals/quality of care/complaints	50	34	64	106	254
Medicaid/Medi-Cal (Enrollment, eligibility, benefits)
QMB	221	225	277	366	1,089
SLMB	131	131	127	144	533
QI-1	63	32	43	78	216
SSI	153	175	416	845	1,589
Other Medicaid/Medi-Cal	1,482	3,165	2,179	2,876	9,702
Medigap/Supplement/ SELECT
Enrollment, eligibility, comparisons	2,327	2,460	1,978	2,955	9,720
Change coverage	82	272	206	589	1,149
Appeals	16	8	10	30	64
Billings/Claims	106	74	106	152	438
Other
Employer Health Plan or FEHB program	217	582	611	1,112	2,522
Military Health Benefits	54	232	264	567	1,117
Customer Service Issues/ Complaints	9	73	96	288	466
COBRA	41	108	101	176	426
* Fraud/Abuse	79	90	604	25	609
Other Topic	611	9,229	2,789	3,810	16,439
HICAP Legal Services
Referrals to HICAP Legal	144	117	112	127	500
Total Number of Legal Clients Served	548	435	431	578	1,992
Number of Cases Opened	158	128	554	250	1,090
Number of Cases Closed	167	123	583	217	1,090
# of Favorable Closed Case Results	127	100	120	194	541
Legal Client Representation Hours	1,211	1,245	2,008	1,512	5,976
Legal Consultation to Program Hours	558	724	671	700	2,653
Number of Clients that Saved	50	37	50	60	197
Estimated Financial Savings	$136,794	$110,431	$154,793	$281,152	$683,170

* Required reporting forms were revised during the fiscal year and either excluded Fraud/Abuse category by topic or included. Therefore, All Fraud/Abuse totals are reported as a whole under "Other."

Link to: SFY 2005-06 Aggregated Client Contact Report (Section 3) by PSA (pdf)