FY 2020-21 Medical Services Premiums Exhibits

Exhibit A

Calculation of Request, Calculation of Fund Splits

Exhibit B

Medicaid Caseload Forecast

Exhibit C

History and Projections of Per Capita Costs

Exhibit D

Cash Funds Report

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; Adult Dental Cash Fund-Eligible Dental Services; 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, Private Duty Nursing; Long-Term Home Health; Colorado Choice Transitions; Hospice Request and Footnotes

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; 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 

Federal Medical Assistance Percentage (FMAP) Estimate