Spreadsheet: 220ee8d6-1865-48ac-b421-82d9a6e5b9d2
Sheet: SFY 2014 Budget tmplt src

 |  |  |  |  |  |  |  |  |  |  |  | Collapse
 |  |  |  |  |  | Claims  Report* | % of Year Complete |  |  |  |  | 2013-07-01 00:00:00
[NAME] as of 7/15/2013 |  |  |  |  |  | 2013-07-15 00:00:00
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
DHW - IDHW - ATR-III - Administrative |  |  | 1
DHW - IDHW - ATR-III Adolescent Benefit | 1 | 86.84 | 1 |  |  |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Adolescent Benefit | 1 | 86.84
DHW - IDHW - ATR-III Adolescent Benefit - Medicaid | 6 | 563.54 | 0.3 |  |  |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid | 6 | 563.54
DHW - IDHW - ATR-III Military Benefit | 48 | 3824.449999999999 | 1 |  |  |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Military Benefit | 48 | 3824.449999999999
DHW - IDHW - ATR-III Military Benefit - Medicaid | 12 | 1254.62 | 0.3 |  |  |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Military Benefit - Medicaid | 12 | 1254.62
DHW - IDHW - ATR-III Misdemeanor | 209 | 16082.03 | 1 |  |  |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Misdemeanor | 209 | 16082.03
DHW - IDHW - ATR-III Misdemeanor - Medicaid | 28 | 2283.6 | 0.3 |  |  |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Misdemeanor - Medicaid | 28 | 2283.6
ATR Total |  |  |  |  |  | 2724921 |  |  |  |  |  | 3360000
[NAME] | 1 | 23.62 | 1 |  | 0 |  |  |  |  |  |  | 340000 |  |  |  | DHW - IDHW - Adult | 1 | 23.62
Adult-Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  | 340000
Adult Total |  |  |  |  |  | 100000 |  |  |  |  |  | 3360000
Adolescent |  |  | 1 |  | 0 |  |  |  |  |  |  | 340000
Adolescent-Medicaid | 1 | 408.71 | 0.3 |  |  |  |  |  |  |  |  | 340000 |  |  |  | DHW - IDHW - Adolescent - Medicaid | 1 | 408.71
Adolescent Total |  |  |  |  |  | 100000 |  |  | 1210.408307962904 | -399744.5916920371 |  | 3360000
CP-SUD | 50 | 4756.82 | 1 |  |  |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - CP/SUD | 50 | 4756.82
CP-SUD - Medicaid | 21 | 2218.4 | 0.3 |  |  |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - CP/SUD - Medicaid | 21 | 2218.4
CP-SUD Total |  |  |  |  |  | 750000 |  |  |  |  |  | 3360000
DV Court | 46 | 3155.26 | 1 |  | 0 |  |  |  |  |  |  | 340000 |  |  |  | DHW - IDHW - DV Court Misdemeanant | 46 | 3155.26
DV Court- Medicaid | 8 | 567.41 | 0.3 |  |  |  |  |  |  |  |  | 340000 |  |  |  | DHW - IDHW - DV Court Misdemeanant - Medicaid | 8 | 567.41
DV Court Misdemeanant Total |  |  |  |  |  | 429000 |  |  |  |  |  | 3360000
IVDU | 52 | 4567.440000000001 | 1 |  |  |  |  |  |  |  |  | 600000 |  |  |  | DHW - IDHW - IVDU | 52 | 4567.440000000001
IVDU - Medicaid | 9 | 2376.05 | 0.3 |  |  |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - IVDU - Medicaid | 9 | 2376.05
IVDU Total |  |  |  |  |  | 1000000 |  |  |  |  |  | 3360000
PWWC | 37 | 8503.710000000001 | 1 |  |  |  |  |  |  |  |  | 650000 |  |  |  | DHW - IDHW - PWWC | 37 | 8503.710000000001
PWWC - Medicaid | 46 | 10136.81999999999 | 0.3 |  |  |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - PWWC - Medicaid | 46 | 10136.81999999999
PWWC Total |  |  |  |  |  | 450000 |  |  |  |  |  | 3360000
State Hospital | 22 | 3206.51 | 1 |  |  |  |  |  |  |  |  | 250000 |  |  |  | DHW - IDHW - State Hospital | 22 | 3206.51
State Hospital - Medicaid | 5 | 350.43 | 0.3 |  |  |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - State Hospital - Medicaid | 5 | 350.43
State Hospital Total |  |  |  |  |  | 325000 |  |  |  |  |  | 3360000
Mental Health Court | 16 | 1426.84 | 1 |  |  |  |  |  |  |  |  | 340000 |  |  |  | DHW - PSC - Mental Health Court | 16 | 1426.84
Mental Health Court - Medicaid | 12 | 582.28 | 0.3 |  |  |  |  |  |  |  |  |  |  |  |  | DHW - PSC - Mental Health Court - Medicaid | 12 | 582.28
Mental Health Court Total |  |  |  |  |  | 300000 |  |  |  |  |  | 3360000
Misdemeanant PSC |  |  | 1 |  |  |  |  |  |  |  |  | 340000
Misdemeanant PSC - Medicaid |  |  | 0.3
Misdemeanant PSC Total |  |  |  |  |  | 275000 |  |  |  |  |  | 3360000
Medicaid Only | 240 | 20446.74 | 0.3 |  |  |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - Medicaid Only | 240 | 20446.74
Medicaid Only Total |  |  |  |  |  | 916667 |  |  |  |  |  | 3360000
Unknown / Ineligible / Reserve | 47 | 597.06 | 1 |  |  | 546455 |  |  |  |  |  |  |  |  |  | DHW - IDHW - Unknown / Ineligible | 47 | 597.06
Non-Medicaid Total
Medicaid Total
Grand Total
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Grand Total | 917 | 87419.18
[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