FY 2019-20 Supplemental Requests and FY 2020-21 Budget Amendments- (INFORMATIONAL ONLY) Caseload and Per Capita Cost Adjustments
Submitted February 14, 2020.
S-1A, BA-1: MEDICAL SERVICE PREMIUMS
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 and Special Bills |
Exhibit F | Acute Care, Breast and Cervical Cancer Program Per Capita Detail, Dental, 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, Private Duty Nursing, Colorado Choice Transitions |
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; Accountable Care Collaborative and 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 Requests, Appropriations and Expenditure for Prior Years |
Exhibit P | Global Reasonableness; Expenditure and Caseload History (Reference Only) |
Exhibit Q | Total Cost of Care Title XIX and Title XXI, Total Title XIX and Title XXI Services Per Capita Costs |
Exhibit R | Estimate of Federal Medicaid Assistance Percentage (FMAP) |
S-2A, BA-2: BEHAVIORAL HEALTH COMMUNITY PROGRAMS
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 Behavioral Health Retroactivity Adjustment; Partial Month Adjustment Multiplier |
Exhibit GG | Medicaid Behavioral Health Capitation Rate Trends and Forecasts |
Exhibit HH | Forecast Model Comparisons - Final Forecasts & Capitation Trend Models |
Exhibit II | Reconciliations for MAGI Adults |
Exhibit JJ | Alternative Financing Populations |
Exhibit KK | Medicaid Behavioral Health Fee For Service Forecast |
Exhibit LL | Global Reasonableness Test for Medicaid Behavioral Health Capitation Payments |
S-3A, BA-3: CHILDREN'S BASIC HEALTH PLAN MEDICAL AND DENTAL COSTS
C.1 | Calculation of Current Total Long Bill Group Impact |
C.2 | Calculation of Fund Splits; Cash Fund Report; Recoveries; Disallowance Repayment Schedule |
C.3 | CBHP Expenditure Summary |
C.4 | CBHP Caseload by Fiscal Year; CBHP Caseload by Month; CBHP Capitation Payments Per Capita Historical Summary; CBHP Historical Expenditure Summary |
C.5 | CBHP Trust Fund Population Exhibit; Hospital Provider Fee Population Exhibit; Enrollment Fees Exhibit |
C.6 | Expenditure Calculations by Eligibility Category; Incurred But Not Reported Runout by Fiscal Period; Incurred But Not Reported Expenditures by Fiscal Period |
C.7 | Bottom Line Impact Summary & Calculations |
C.8 | CBHP Retroactivity Adjustment; CBHP Claims Distribution Adjustment Multiplier |
C.9 | CBHP Capitation Rate Trends and Forecasts |
C.10 | Forecast Model Comparisons - Capitation Trend Models - Final Forecasts |
S-4A, BA-4: MEDICARE MODERNIZATION ACT
S-5A, BA-5: OFFICE OF COMMUNITY LIVING COST AND CASELOAD ADJUSTMENTS
COLORADO HEALTHCARE AFFORDABILITY AND SUSTAINABILITY ENTERPRISE UPDATE