FY 2013-14 Supplementals and FY 2014-15 Budget Amendments - Caseload and Per Capita Cost Adjustments

Submitted February 7th, 2014.

 

S-1, BA-1: MEDICAL SERVICE PREMIUMS 

SCHEDULE 13

Exhibit A Calculation of Request, Calculation of Fund Splits
Exhibit B  Medicaid Caseload Forecast
Exhibit C History & Projections of Per Capita Costs
Exhibit D Cash Funds Reports
Exhibit E Summary of Total Requested Expenditure by Service Group, Comparison of Request to Long Bill Appropriation & Special Bills
Exhibit F Acute Care, Breast & Cervical Cancer Program Per Capita Detail, Antipsychotic Drug Expenditure and Pharmacy Enhanced Rebates, Family Planning Enhanced Match Calculation, Indian Health Services
Exhibit G Community Based Long Term Care, Half-Year Expenditure Split, Hospice Request and Footnotes, and Supplemental Payments; Class II Nursing Facilities; Program for All-Inclusive Care for the Elderly (PACE)' Supplemental Medicare Insurance Benefit (SMIB); Health Insurance Buy-In (HIBI)
Exhibit H Long Term Care and Insurance Summary; Class I Nursing Facilities Request, Footnotes and Supplemental Payments; Class II Nursing Facilities; Program for All-Inclusive Care for the Elderly (PACE)' Supplemental Medicare Insurance Benefit (SMIB); Health Insurance Buy-In (HIBI)
Exhibit I Service Management - Summary, Single Entry Points, Disease Management; Prepaid Inpatient Health Plan Administration
Exhibit J Hospital Provider Fee Financing
Exhibit K Upper Payment Limit Financing
Exhibit L Department Recoveries
Exhibit M Expenditure History by Aid Category and Service Category
Exhibit N Expenditure History by Service Category
Exhibit O Comparison of Budget Request, Appropriations and Expenditure for Prior Years
Exhibit P Global Reasonableness; Expenditure and Caseload History; Estimate of Expenditures with Prior Year Cash Flow Pattern (Reference Only)

 

S-2, BA-2: BEHAVIORAL HEALTH COMMUNITY PROGRAMS

SCHEDULE 13

Exhibit AA Calculation of Current Total Long Bill Group Impact
Exhibit BB Calculation of Fund Splits
Exhibit CC Behavioral Health Community Programs Summary
Exhibit DD Behavioral Health Community Programs, Caseload; Behavioral Health Capitation Payments Per Capita Historical Summary; Expenditures Historical Summary
Exhibit EE Expenditure Calculations by Eligibility Category; Incurred but not Reported Runout by Fiscal Period; Incurred but not Reported Expenditures by Fiscal Period
Exhibit FF Medicaid Mental Health Retroactivity Adjustment; Partial Month Adjustment Multiplier
Exhibit GG Medicaid Mental Health Capitation Rate Trends and Forecasts
Exhibit HH Forecast Model Comparisons - Final Forecasts & Capitation Trend Models
Exhibit II Recoupment of Payments Made for Clients Found to be Ineligible for Medicaid and Reconcilliations for Adults Without Dependant Children
Exhibit JJ Expansion Populations
Exhibit KK Medicaid Mental Health Fee for Service Forecast
Exhibit LL Global Reasonableness Test for Medicaid Health Capitation Payments

 

 

S-3, BA-3: CHILDREN'S BASIC HEALTH PLAN MEDICAL AND DENTAL COSTS

SCHEDULE 13

C.1 Calculation of Current Total Long Bill Group Impact
C.2 Calculation of Fund Splits; Cash Fund Report; Recoveries
C.3 CBHP Expenditure Summary
C.4 CBHP Caseload by Fiscal Year; Caseload by Month; Capitaiton Payments Per Capita Historical Summary; Historical Expenditure Summary
C.5 Expenditure Calculations by Eligibility Category; Incurred but not Reported Runout by Fiscal Period; Incurred but not Reported Expenditures by Fiscal Period
C.6 CBHP Retroactivity Adjustment; CBHP Partial Month Adjustment Multiplier
C.7 CBHP Reconciliation Adjustment Calculation
C.8 CBHP Capitation Rate Trends and Forecast
C.9 Forecast Model Comparisons - Capitation Trend Models - Final Forecasts

 

S-4A, BA-4: MEDICARE MODERNIZATION ACT

MEDICAID CASELOAD NARRATIVE

HEALTH CARE AFFORDABILITY ACT UPDATE