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 

MEDICAID CASELOAD

COLORADO HEALTHCARE AFFORDABILITY AND SUSTAINABILITY ENTERPRISE UPDATE