Spreadsheet: 220ee8d6-1865-48ac-b421-82d9a6e5b9d2
Sheet: SFY 2014 Budget From 20131028

 |  |  |  |  |  |  |  |  |  |  |  | Collapse
 |  |  |  |  |  | Claims  Report* | % of Year Complete |  |  |  |  | 2013-07-01 00:00:00
[NAME] as of 11/8/2013 |  |  |  |  |  | 2013-11-08 00:00:00
 |  |  |  |  |  |  |  |  |  |  |  |  |  | Paste Reduction Table Here- If it matches |  |  |  |  | Rection Table |  |  |  | Paste Claims PT Here
Insurer | Client Count  (YTD) | Sum of Paid  Plus Incentive | %  of Non-Medicaid | Non-Medicaid Total | Medicaid Total | Budget | % of Budget |  | Projected EOY Total GF Spending | Amount Over (Under) GF Budget |  |  |  | Row Labels | Count of Sum of Paid Plus Incentive | Sum of Sum of Paid Plus Incentive |  |  | Row Labels | Count of Sum of Paid Plus Incentive | Sum of Sum of Paid Plus Incentive |  | Row Labels | Count of Sum of Paid Plus Incentive | Row Labels | Sum of Sum of Paid Plus Incentive |  |  | Row Labels | Count of Sum of Paid Plus Incentive | Row Labels | Sum of Sum of Paid Plus Incentive
DHW - IDHW - ATR-III - Administrative |  |  | 1 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - Adolescent - Medicaid | 1 | 149 |  |  | DHW - IDHW - Adolescent - Medicaid |  |  |  | DHW - IDHW - Adolescent - Medicaid | 1 | DHW - IDHW - Adolescent - Medicaid | 14578.98000000002 |  |  | DHW - IDHW - Adolescent - Medicaid | 1 | DHW - IDHW - Adolescent - Medicaid | 14578.98000000002
DHW - IDHW - ATR-III Adolescent Benefit |  |  | 1 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - Adult | 24 | 39956.14 | 6124.91 |  | DHW - IDHW - Adult |  |  |  | DHW - IDHW - Adult | 24 | DHW - IDHW - Adult | 33474.59000000001 |  |  | DHW - IDHW - Adult | 24 | DHW - IDHW - Adult | 33474.59000000001
DHW - IDHW - ATR-III Adolescent Benefit - Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - Adult - Medicaid | 1 | 2722 |  |  | DHW - IDHW - Adult - Medicaid |  |  |  | DHW - IDHW - Adult - Medicaid | 1 | DHW - IDHW - Adult - Medicaid | 2781.259999999999 |  |  | DHW - IDHW - Adult - Medicaid | 1 | DHW - IDHW - Adult - Medicaid | 2781.259999999999
DHW - IDHW - ATR-III Military Benefit |  |  | 1 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III - Administrative | 97 | 4101.939999999996 |  |  | DHW - IDHW - ATR-III - Administrative |  |  |  | DHW - IDHW - ATR-III - Administrative | 97 | DHW - IDHW - ATR-III - Administrative | 4101.939999999996 |  |  | DHW - IDHW - ATR-III - Administrative | 97 | DHW - IDHW - ATR-III - Administrative | 4101.939999999996
DHW - IDHW - ATR-III Military Benefit - Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Adolescent Benefit | 36 | 5586.66 | 99.73 |  | DHW - IDHW - ATR-III Adolescent Benefit |  |  |  | DHW - IDHW - ATR-III Adolescent Benefit | 36 | DHW - IDHW - ATR-III Adolescent Benefit | 3866.929999999998 |  |  | DHW - IDHW - ATR-III Adolescent Benefit | 36 | DHW - IDHW - ATR-III Adolescent Benefit | 3866.929999999998
DHW - IDHW - ATR-III Misdemeanor |  |  | 1 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid | 28 | 4246 |  |  | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid |  |  |  | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid | 28 | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid | 5841.909999999999 |  |  | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid | 28 | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid | 5841.909999999999
DHW - IDHW - ATR-III Misdemeanor - Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Military Benefit | 199 | 187244.64 | 14693.4 |  | DHW - IDHW - ATR-III Military Benefit |  |  |  | DHW - IDHW - ATR-III Military Benefit | 199 | DHW - IDHW - ATR-III Military Benefit | 166250.2399999998 |  |  | DHW - IDHW - ATR-III Military Benefit | 199 | DHW - IDHW - ATR-III Military Benefit | 166250.2399999998
ATR Total |  |  |  |  |  | 2724921 |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Military Benefit - Medicaid | 27 | 20928 |  |  | DHW - IDHW - ATR-III Military Benefit - Medicaid |  |  |  | DHW - IDHW - ATR-III Military Benefit - Medicaid | 27 | DHW - IDHW - ATR-III Military Benefit - Medicaid | 27229.47 |  |  | DHW - IDHW - ATR-III Military Benefit - Medicaid | 27 | DHW - IDHW - ATR-III Military Benefit - Medicaid | 27229.47
 |  |  |  |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Misdemeanor | 971 | 735365.04 | 73068.22 |  | DHW - IDHW - ATR-III Misdemeanor |  |  |  | DHW - IDHW - ATR-III Misdemeanor | 971 | DHW - IDHW - ATR-III Misdemeanor | 652639.8599999993 |  |  | DHW - IDHW - ATR-III Misdemeanor | 971 | DHW - IDHW - ATR-III Misdemeanor | 652639.8599999993
[NAME] |  |  | 1 |  | 0 |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Misdemeanor - Medicaid | 105 | 53001.34 | 377.34 |  | DHW - IDHW - ATR-III Misdemeanor - Medicaid |  |  |  | DHW - IDHW - ATR-III Misdemeanor - Medicaid | 105 | DHW - IDHW - ATR-III Misdemeanor - Medicaid | 62281.15999999997 |  |  | DHW - IDHW - ATR-III Misdemeanor - Medicaid | 105 | DHW - IDHW - ATR-III Misdemeanor - Medicaid | 62281.15999999997
Adult-Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - Child Protection Drug Court | 41 | 55641.69 |  |  | DHW - IDHW - Child Protection Drug Court | 41 | 55641.69
Adult Total |  |  |  |  |  | 100000 |  |  |  |  |  |  |  | DHW - IDHW - CP/SUD | 251 | 263430.49 | 64321.62 |  | DHW - IDHW - CP/SUD |  |  |  | DHW - IDHW - CP/SUD | 251 | DHW - IDHW - CP/SUD | 191396.3699999998 |  |  | DHW - IDHW - CP/SUD | 251 | DHW - IDHW - CP/SUD | 191396.3699999998
 |  |  |  |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - CP/SUD - Medicaid | 80 | 36852 |  |  | DHW - IDHW - CP/SUD - Medicaid |  |  |  | DHW - IDHW - CP/SUD - Medicaid | 80 | DHW - IDHW - CP/SUD - Medicaid | 43829.51 |  |  | DHW - IDHW - CP/SUD - Medicaid | 80 | DHW - IDHW - CP/SUD - Medicaid | 43829.51
Adolescent |  | 14430 | 1 |  | 0 |  |  |  |  |  |  |  |  | DHW - IDHW - DV Court Misdemeanant | 146 | 185087.55 | 26075.17 |  | DHW - IDHW - DV Court Misdemeanant |  |  |  | DHW - IDHW - DV Court Misdemeanant | 146 | DHW - IDHW - DV Court Misdemeanant | 155321.4399999999 |  |  | DHW - IDHW - DV Court Misdemeanant | 146 | DHW - IDHW - DV Court Misdemeanant | 155321.4399999999
Adolescent-Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - DV Court Misdemeanant - Medicaid | 22 | 17530 |  |  | DHW - IDHW - DV Court Misdemeanant - Medicaid |  |  |  | DHW - IDHW - DV Court Misdemeanant - Medicaid | 22 | DHW - IDHW - DV Court Misdemeanant - Medicaid | 20925.06 |  |  | DHW - IDHW - DV Court Misdemeanant - Medicaid | 22 | DHW - IDHW - DV Court Misdemeanant - Medicaid | 20925.06
Adolescent Total |  |  |  |  |  | 100000 |  |  |  |  |  |  |  | DHW - IDHW - IVDU | 458 | 391108.05 | 9599.94 |  | DHW - IDHW - IVDU |  |  |  | DHW - IDHW - IVDU | 458 | DHW - IDHW - IVDU | 254118.9499999995 |  |  | DHW - IDHW - IVDU | 458 | DHW - IDHW - IVDU | 254118.9499999995
 |  |  |  |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - IVDU - Medicaid | 53 | 26851 |  |  | DHW - IDHW - IVDU - Medicaid |  |  |  | DHW - IDHW - IVDU - Medicaid | 53 | DHW - IDHW - IVDU - Medicaid | 76883.58 |  |  | DHW - IDHW - IVDU - Medicaid | 53 | DHW - IDHW - IVDU - Medicaid | 76883.58
CP-SUD |  |  | 1 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - Medicaid Only | 921 | 480075.08 | 496.02 |  | DHW - IDHW - Medicaid Only |  |  |  | DHW - IDHW - Medicaid Only | 921 | DHW - IDHW - Medicaid Only | 479579.0599999987 |  |  | DHW - IDHW - Medicaid Only | 921 | DHW - IDHW - Medicaid Only | 479579.0599999987
CP-SUD - Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - PWWC | 151 | 387132.91 | 47278.22 |  | DHW - IDHW - PWWC |  |  |  | DHW - IDHW - PWWC | 151 | DHW - IDHW - PWWC | 213152.8 |  |  | DHW - IDHW - PWWC | 151 | DHW - IDHW - PWWC | 213152.8
CP-SUD Total |  |  |  |  |  | 750000 |  |  |  |  |  |  |  | DHW - IDHW - PWWC - Medicaid | 155 | 90505.88 | 168.88 |  | DHW - IDHW - PWWC - Medicaid |  |  |  | DHW - IDHW - PWWC - Medicaid | 155 | DHW - IDHW - PWWC - Medicaid | 216227.19 |  |  | DHW - IDHW - PWWC - Medicaid | 155 | DHW - IDHW - PWWC - Medicaid | 216227.19
 |  |  |  |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - State Hospital | 83 | 134011.82 | 24610.25 |  | DHW - IDHW - State Hospital |  |  |  | DHW - IDHW - State Hospital | 83 | DHW - IDHW - State Hospital | 100306.34 |  |  | DHW - IDHW - State Hospital | 83 | DHW - IDHW - State Hospital | 100306.34
DV Court |  |  | 1 |  | 0 |  |  |  |  |  |  |  |  | DHW - IDHW - State Hospital - Medicaid | 25 | 10135 |  |  | DHW - IDHW - State Hospital - Medicaid |  |  |  | DHW - IDHW - State Hospital - Medicaid | 25 | DHW - IDHW - State Hospital - Medicaid | 18509.68999999999 |  |  | DHW - IDHW - State Hospital - Medicaid | 25 | DHW - IDHW - State Hospital - Medicaid | 18509.68999999999
DV Court- Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - Unknown / Ineligible | 1331 | 18693 |  |  | DHW - IDHW - Unknown / Ineligible |  |  |  | DHW - IDHW - Unknown / Ineligible | 1331 | DHW - IDHW - Unknown / Ineligible | 18458.92999999999 |  |  | DHW - IDHW - Unknown / Ineligible | 1331 | DHW - IDHW - Unknown / Ineligible | 18458.92999999999
DV Court Misdemeanant Total |  |  |  |  |  | 429000 |  |  |  |  |  |  |  | DHW - PSC - Mental Health Court | 47 | 81433.73 | 11273.38 |  | DHW - PSC - Mental Health Court |  |  |  | DHW - PSC - Mental Health Court | 47 | DHW - PSC - Mental Health Court | 49350.35000000002 |  |  | DHW - PSC - Mental Health Court | 47 | DHW - PSC - Mental Health Court | 49350.35000000002
 |  |  |  |  |  |  |  |  |  |  |  |  |  | DHW - PSC - Mental Health Court - Medicaid | 29 | 24455.64 | 134.64 |  | DHW - PSC - Mental Health Court - Medicaid |  |  |  | DHW - PSC - Mental Health Court - Medicaid | 29 | DHW - PSC - Mental Health Court - Medicaid | 44584.75999999999 |  |  | DHW - PSC - Mental Health Court - Medicaid | 29 | DHW - PSC - Mental Health Court - Medicaid | 44584.75999999999
IVDU |  |  | 1 |  |  |  |  |  |  |  |  |  |  | Grand Total | 5241 | 2855690.369999996 |  |  | Grand Total |  |  |  | Grand Total | 5241 | Grand Total | 2855690.369999996 |  |  | Grand Total | 5241 | Grand Total | 2855690.369999996
IVDU - Medicaid |  |  | 0.3
IVDU Total |  |  |  |  |  | 1000000
PWWC |  |  | 1
PWWC - Medicaid |  |  | 0.3
PWWC Total |  |  |  |  |  | 450000
State Hospital |  |  | 1
State Hospital - Medicaid |  |  | 0.3
State Hospital Total |  |  |  |  |  | 325000
Mental Health Court |  |  | 1
Mental Health Court - Medicaid |  |  | 0.3
Mental Health Court Total |  |  |  |  |  | 300000
Misdemeanant PSC |  | 1203.78 | 1
Misdemeanant PSC - Medicaid |  |  | 0.3
Misdemeanant PSC Total |  |  |  |  |  | 275000
Medicaid Only |  |  | 0.3
Medicaid Only Total |  |  |  |  |  | 916667
Unknown / Ineligible / Reserve |  |  | 1
Direct Client Treatment Delivery Services |  | 46776.43 |  |  |  | 546455
Non-Medicaid Total
Medicaid Total
Grand Total
V:\BPA Invoices New\2014\20131011\Claims Reports\DHW SR056_SFY14_6-7-13 - 10-10-13_Claims Report_20131011.xlsx
[NAME]
Grand Total | 6196 | 3871765.830000111 | 0.786960501172644 | 3046926.778000006 | 824839.0519999991 | 7182150.000000001 | 0.4242360265380151 |  | 7493792.886432447 | 311642.8864324456
GF |  |  |  | 3046926.778000006 |  | 7182150.000000001 | 0.4242360265380151 |  | 7493792.886432447 | 311642.8864324456
Medicaid |  |  |  |  | 824839.0519999991 |  | 0.2914625625441693 |  | 2028658.208972971 | -801341.7910270293
GF Plus Medicaid |  | 3871765.830000005 |  |  |  |  | 0.3867067343178043 |  | 9522451.095405417 | -489698.9045945834
 | 6196 | 3871765.830000005 |  |  |  | 7182150.000000001 |  |  | 7423408.469135149 | 241258.469135149