Spreadsheet: 220ee8d6-1865-48ac-b421-82d9a6e5b9d2
Sheet: SFY 2014 Budget From 20130930

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 |  |  |  |  |  | Claims  Report* | % of Year Complete |  |  |  |  | 2013-07-01 00:00:00
[NAME] as of 9/30/2013 |  |  |  |  |  | 2013-09-30 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 | 14578.98000000002 |  |  | 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 | 25185.86 |  |  | DHW - IDHW - Adult |  |  |  | DHW - IDHW - Adult | 24 | DHW - IDHW - Adult | 25185.86 |  |  | DHW - IDHW - Adult | 24 | DHW - IDHW - Adult | 25185.86
DHW - IDHW - ATR-III Adolescent Benefit - Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - Adult - Medicaid | 1 | 2781.259999999998 |  |  | DHW - IDHW - Adult - Medicaid |  |  |  | DHW - IDHW - Adult - Medicaid | 1 | DHW - IDHW - Adult - Medicaid | 2781.259999999998 |  |  | DHW - IDHW - Adult - Medicaid | 1 | DHW - IDHW - Adult - Medicaid | 2781.259999999998
DHW - IDHW - ATR-III Military Benefit |  |  | 1 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III - Administrative | 58 | 2912.049999999999 |  |  | DHW - IDHW - ATR-III - Administrative |  |  |  | DHW - IDHW - ATR-III - Administrative | 58 | DHW - IDHW - ATR-III - Administrative | 2912.049999999999 |  |  | DHW - IDHW - ATR-III - Administrative | 58 | DHW - IDHW - ATR-III - Administrative | 2912.049999999999
DHW - IDHW - ATR-III Military Benefit - Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Adolescent Benefit | 28 | 3062.789999999998 |  |  | DHW - IDHW - ATR-III Adolescent Benefit |  |  |  | DHW - IDHW - ATR-III Adolescent Benefit | 28 | DHW - IDHW - ATR-III Adolescent Benefit | 3062.789999999998 |  |  | DHW - IDHW - ATR-III Adolescent Benefit | 28 | DHW - IDHW - ATR-III Adolescent Benefit | 3062.789999999998
DHW - IDHW - ATR-III Misdemeanor |  |  | 1 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid | 27 | 5818.170000000001 |  |  | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid |  |  |  | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid | 27 | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid | 5818.170000000001 |  |  | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid | 27 | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid | 5818.170000000001
DHW - IDHW - ATR-III Misdemeanor - Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Military Benefit | 192 | 130712.67 |  |  | DHW - IDHW - ATR-III Military Benefit |  |  |  | DHW - IDHW - ATR-III Military Benefit | 192 | DHW - IDHW - ATR-III Military Benefit | 130712.67 |  |  | DHW - IDHW - ATR-III Military Benefit | 192 | DHW - IDHW - ATR-III Military Benefit | 130712.67
ATR Total |  |  |  |  |  | 2724921 |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Military Benefit - Medicaid | 27 | 27229.47 |  |  | 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 | 913 | 504659.5099999992 |  |  | DHW - IDHW - ATR-III Misdemeanor |  |  |  | DHW - IDHW - ATR-III Misdemeanor | 913 | DHW - IDHW - ATR-III Misdemeanor | 504659.5099999992 |  |  | DHW - IDHW - ATR-III Misdemeanor | 913 | DHW - IDHW - ATR-III Misdemeanor | 504659.5099999992
[NAME] |  |  | 1 |  | 0 |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Misdemeanor - Medicaid | 102 | 62189.90999999998 |  |  | DHW - IDHW - ATR-III Misdemeanor - Medicaid |  |  |  | DHW - IDHW - ATR-III Misdemeanor - Medicaid | 102 | DHW - IDHW - ATR-III Misdemeanor - Medicaid | 62189.90999999998 |  |  | DHW - IDHW - ATR-III Misdemeanor - Medicaid | 102 | DHW - IDHW - ATR-III Misdemeanor - Medicaid | 62189.90999999998
Adult-Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - Child Protection Drug Court | 0 | 0 |  |  | DHW - IDHW - Child Protection Drug Court
Adult Total |  |  |  |  |  | 100000 |  |  |  |  |  |  |  | DHW - IDHW - CP/SUD | 242 | 152060.1499999998 |  |  | DHW - IDHW - CP/SUD |  |  |  | DHW - IDHW - CP/SUD | 242 | DHW - IDHW - CP/SUD | 152060.1499999998 |  |  | DHW - IDHW - CP/SUD | 242 | DHW - IDHW - CP/SUD | 152060.1499999998
 |  |  |  |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - CP/SUD - Medicaid | 77 | 43211.89 |  |  | DHW - IDHW - CP/SUD - Medicaid |  |  |  | DHW - IDHW - CP/SUD - Medicaid | 77 | DHW - IDHW - CP/SUD - Medicaid | 43211.89 |  |  | DHW - IDHW - CP/SUD - Medicaid | 77 | DHW - IDHW - CP/SUD - Medicaid | 43211.89
Adolescent |  |  | 1 |  | 0 |  |  |  |  |  |  |  |  | DHW - IDHW - DV Court Misdemeanant | 143 | 128426.07 |  |  | DHW - IDHW - DV Court Misdemeanant |  |  |  | DHW - IDHW - DV Court Misdemeanant | 143 | DHW - IDHW - DV Court Misdemeanant | 128426.07 |  |  | DHW - IDHW - DV Court Misdemeanant | 143 | DHW - IDHW - DV Court Misdemeanant | 128426.07
Adolescent-Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - DV Court Misdemeanant - Medicaid | 22 | 20862.99 |  |  | DHW - IDHW - DV Court Misdemeanant - Medicaid |  |  |  | DHW - IDHW - DV Court Misdemeanant - Medicaid | 22 | DHW - IDHW - DV Court Misdemeanant - Medicaid | 20862.99 |  |  | DHW - IDHW - DV Court Misdemeanant - Medicaid | 22 | DHW - IDHW - DV Court Misdemeanant - Medicaid | 20862.99
Adolescent Total |  |  |  |  |  | 100000 |  |  | 1210.408307962904 | -399744.5916920371 |  |  |  | DHW - IDHW - IVDU | 440 | 201548.1299999996 |  |  | DHW - IDHW - IVDU |  |  |  | DHW - IDHW - IVDU | 440 | DHW - IDHW - IVDU | 201548.1299999996 |  |  | DHW - IDHW - IVDU | 440 | DHW - IDHW - IVDU | 201548.1299999996
 |  |  |  |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - IVDU - Medicaid | 53 | 71174.32999999999 |  |  | DHW - IDHW - IVDU - Medicaid |  |  |  | DHW - IDHW - IVDU - Medicaid | 53 | DHW - IDHW - IVDU - Medicaid | 71174.32999999999 |  |  | DHW - IDHW - IVDU - Medicaid | 53 | DHW - IDHW - IVDU - Medicaid | 71174.32999999999
CP-SUD |  |  | 1 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - Medicaid Only | 912 | 477522.6099999988 |  |  | DHW - IDHW - Medicaid Only |  |  |  | DHW - IDHW - Medicaid Only | 912 | DHW - IDHW - Medicaid Only | 477522.6099999988 |  |  | DHW - IDHW - Medicaid Only | 912 | DHW - IDHW - Medicaid Only | 477522.6099999988
CP-SUD - Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - PWWC | 146 | 175584 |  |  | DHW - IDHW - PWWC |  |  |  | DHW - IDHW - PWWC | 146 | DHW - IDHW - PWWC | 175584 |  |  | DHW - IDHW - PWWC | 146 | DHW - IDHW - PWWC | 175584
CP-SUD Total |  |  |  |  |  | 750000 |  |  |  |  |  |  |  | DHW - IDHW - PWWC - Medicaid | 154 | 211809.66 |  |  | DHW - IDHW - PWWC - Medicaid |  |  |  | DHW - IDHW - PWWC - Medicaid | 154 | DHW - IDHW - PWWC - Medicaid | 211809.66 |  |  | DHW - IDHW - PWWC - Medicaid | 154 | DHW - IDHW - PWWC - Medicaid | 211809.66
 |  |  |  |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - State Hospital | 79 | 79558.02999999997 |  |  | DHW - IDHW - State Hospital |  |  |  | DHW - IDHW - State Hospital | 79 | DHW - IDHW - State Hospital | 79558.02999999997 |  |  | DHW - IDHW - State Hospital | 79 | DHW - IDHW - State Hospital | 79558.02999999997
DV Court |  |  | 1 |  | 0 |  |  |  |  |  |  |  |  | DHW - IDHW - State Hospital - Medicaid | 24 | 16324.93 |  |  | DHW - IDHW - State Hospital - Medicaid |  |  |  | DHW - IDHW - State Hospital - Medicaid | 24 | DHW - IDHW - State Hospital - Medicaid | 16324.93 |  |  | DHW - IDHW - State Hospital - Medicaid | 24 | DHW - IDHW - State Hospital - Medicaid | 16324.93
DV Court- Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - Unknown / Ineligible | 1192 | 16074.39999999997 |  |  | DHW - IDHW - Unknown / Ineligible |  |  |  | DHW - IDHW - Unknown / Ineligible | 1192 | DHW - IDHW - Unknown / Ineligible | 16074.39999999997 |  |  | DHW - IDHW - Unknown / Ineligible | 1192 | DHW - IDHW - Unknown / Ineligible | 16074.39999999997
DV Court Misdemeanant Total |  |  |  |  |  | 429000 |  |  |  |  |  |  |  | DHW - PSC - Mental Health Court | 44 | 45181.5 |  |  | DHW - PSC - Mental Health Court |  |  |  | DHW - PSC - Mental Health Court | 44 | DHW - PSC - Mental Health Court | 45181.5 |  |  | DHW - PSC - Mental Health Court | 44 | DHW - PSC - Mental Health Court | 45181.5
 |  |  |  |  |  |  |  |  |  |  |  |  |  | DHW - PSC - Mental Health Court - Medicaid | 29 | 44343.25999999999 |  |  | DHW - PSC - Mental Health Court - Medicaid |  |  |  | DHW - PSC - Mental Health Court - Medicaid | 29 | DHW - PSC - Mental Health Court - Medicaid | 44343.25999999999 |  |  | DHW - PSC - Mental Health Court - Medicaid | 29 | DHW - PSC - Mental Health Court - Medicaid | 44343.25999999999
IVDU |  |  | 1 |  |  |  |  |  |  |  |  |  |  | Grand Total | 4930 | 2462812.619999997 |  |  | Grand Total |  |  |  | Grand Total | 4930 | Grand Total | 2462812.619999997 |  |  | Grand Total | 4930 | Grand Total | 2462812.619999997
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 |  |  | 1
Misdemeanant PSC - Medicaid |  |  | 0.3
Misdemeanant PSC Total |  |  |  |  |  | 275000
Medicaid Only |  |  | 0.3
Medicaid Only Total |  |  |  |  |  | 916667
Unknown / Ineligible / Reserve |  |  | 1 |  |  | 546455
Non-Medicaid Total
Medicaid Total
Grand Total
V:\BPA Invoices New\2014\20130927\Claims Reports\DHW SR056_SFY14_6-7-13 - 9-26-13_Claims Report_20130927.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