Spreadsheet: 220ee8d6-1865-48ac-b421-82d9a6e5b9d2
Sheet: SFY 2014 Budget From 20130805

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 |  |  |  |  |  | Claims  Report* | % of Year Complete |  |  |  |  | 2013-07-01 00:00:00
[NAME] as of 8/3/2013 |  |  |  |  |  | 2013-08-03 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
DHW - IDHW - ATR-III - Administrative |  |  | 1 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - Adolescent - Medicaid | 1 | 7378.079999999996 |  |  | DHW - IDHW - Adolescent - Medicaid |  |  |  | DHW - IDHW - Adolescent - Medicaid | 1 | DHW - IDHW - Adolescent - Medicaid | 7378.079999999996
DHW - IDHW - ATR-III Adolescent Benefit |  |  | 1 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - Adult | 15 | 4338.550000000001 |  |  | DHW - IDHW - Adult |  |  |  | DHW - IDHW - Adult | 15 | DHW - IDHW - Adult | 4338.550000000001
DHW - IDHW - ATR-III Adolescent Benefit - Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - Adult - Medicaid | 1 | 1262.03 |  |  | DHW - IDHW - Adult - Medicaid |  |  |  | DHW - IDHW - Adult - Medicaid | 1 | DHW - IDHW - Adult - Medicaid | 1262.03
DHW - IDHW - ATR-III Military Benefit |  |  | 1 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III - Administrative | 15 | 623.4300000000001 |  |  | DHW - IDHW - ATR-III - Administrative |  |  |  | DHW - IDHW - ATR-III - Administrative | 15 | DHW - IDHW - ATR-III - Administrative | 623.4300000000001
DHW - IDHW - ATR-III Military Benefit - Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Adolescent Benefit | 14 | 949.5899999999997 |  |  | DHW - IDHW - ATR-III Adolescent Benefit |  |  |  | DHW - IDHW - ATR-III Adolescent Benefit | 14 | DHW - IDHW - ATR-III Adolescent Benefit | 949.5899999999997
DHW - IDHW - ATR-III Misdemeanor |  |  | 1 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid | 19 | 1763.549999999999 |  |  | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid |  |  |  | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid | 19 | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid | 1763.549999999999
DHW - IDHW - ATR-III Misdemeanor - Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Military Benefit | 128 | 44310.16999999999 |  |  | DHW - IDHW - ATR-III Military Benefit |  |  |  | DHW - IDHW - ATR-III Military Benefit | 128 | DHW - IDHW - ATR-III Military Benefit | 44310.16999999999
ATR Total |  |  |  |  |  | 2724921 |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Military Benefit - Medicaid | 20 | 9454.66 |  |  | DHW - IDHW - ATR-III Military Benefit - Medicaid |  |  |  | DHW - IDHW - ATR-III Military Benefit - Medicaid | 20 | DHW - IDHW - ATR-III Military Benefit - Medicaid | 9454.66
 |  |  |  |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Misdemeanor | 579 | 162012.3499999998 |  |  | DHW - IDHW - ATR-III Misdemeanor |  |  |  | DHW - IDHW - ATR-III Misdemeanor | 579 | DHW - IDHW - ATR-III Misdemeanor | 162012.3499999998
[NAME] |  |  | 1 |  | 0 |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Misdemeanor - Medicaid | 77 | 22504.64 |  |  | DHW - IDHW - ATR-III Misdemeanor - Medicaid |  |  |  | DHW - IDHW - ATR-III Misdemeanor - Medicaid | 77 | DHW - IDHW - ATR-III Misdemeanor - Medicaid | 22504.64
Adult-Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - Child Protection Drug Court | 32 | 15988.29 |  |  | DHW - IDHW - Child Protection Drug Court |  |  |  | DHW - IDHW - Child Protection Drug Court | 32 | DHW - IDHW - Child Protection Drug Court | 15988.29
Adult Total |  |  |  |  |  | 100000 |  |  |  |  |  |  |  | DHW - IDHW - CP/SUD | 137 | 46665.99999999999 |  |  | DHW - IDHW - CP/SUD |  |  |  | DHW - IDHW - CP/SUD | 137 | DHW - IDHW - CP/SUD | 46665.99999999999
 |  |  |  |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - CP/SUD - Medicaid | 51 | 14343.88 |  |  | DHW - IDHW - CP/SUD - Medicaid |  |  |  | DHW - IDHW - CP/SUD - Medicaid | 51 | DHW - IDHW - CP/SUD - Medicaid | 14343.88
Adolescent |  |  | 1 |  | 0 |  |  |  |  |  |  |  |  | DHW - IDHW - DV Court Misdemeanant | 107 | 36781.80999999999 |  |  | DHW - IDHW - DV Court Misdemeanant |  |  |  | DHW - IDHW - DV Court Misdemeanant | 107 | DHW - IDHW - DV Court Misdemeanant | 36781.80999999999
Adolescent-Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - DV Court Misdemeanant - Medicaid | 16 | 5945.82 |  |  | DHW - IDHW - DV Court Misdemeanant - Medicaid |  |  |  | DHW - IDHW - DV Court Misdemeanant - Medicaid | 16 | DHW - IDHW - DV Court Misdemeanant - Medicaid | 5945.82
Adolescent Total |  |  |  |  |  | 100000 |  |  | 1210.408307962904 | -399744.5916920371 |  |  |  | DHW - IDHW - IVDU | 222 | 48541.15999999995 |  |  | DHW - IDHW - IVDU |  |  |  | DHW - IDHW - IVDU | 222 | DHW - IDHW - IVDU | 48541.15999999995
 |  |  |  |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - IVDU - Medicaid | 33 | 18987.09 |  |  | DHW - IDHW - IVDU - Medicaid |  |  |  | DHW - IDHW - IVDU - Medicaid | 33 | DHW - IDHW - IVDU - Medicaid | 18987.09
CP-SUD |  |  | 1 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - Medicaid Only | 656 | 180532.2099999998 |  |  | DHW - IDHW - Medicaid Only |  |  |  | DHW - IDHW - Medicaid Only | 656 | DHW - IDHW - Medicaid Only | 180532.2099999998
CP-SUD - Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - PWWC | 93 | 59365.69000000001 |  |  | DHW - IDHW - PWWC |  |  |  | DHW - IDHW - PWWC | 93 | DHW - IDHW - PWWC | 59365.69000000001
CP-SUD Total |  |  |  |  |  | 750000 |  |  |  |  |  |  |  | DHW - IDHW - PWWC - Medicaid | 113 | 80394.40000000004 |  |  | DHW - IDHW - PWWC - Medicaid |  |  |  | DHW - IDHW - PWWC - Medicaid | 113 | DHW - IDHW - PWWC - Medicaid | 80394.40000000004
 |  |  |  |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - State Hospital | 51 | 30218.72 |  |  | DHW - IDHW - State Hospital |  |  |  | DHW - IDHW - State Hospital | 51 | DHW - IDHW - State Hospital | 30218.72
DV Court |  |  | 1 |  | 0 |  |  |  |  |  |  |  |  | DHW - IDHW - State Hospital - Medicaid | 16 | 3789.11 |  |  | DHW - IDHW - State Hospital - Medicaid |  |  |  | DHW - IDHW - State Hospital - Medicaid | 16 | DHW - IDHW - State Hospital - Medicaid | 3789.11
DV Court- Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - Unknown / Ineligible | 396 | 5074.489999999996 |  |  | DHW - IDHW - Unknown / Ineligible |  |  |  | DHW - IDHW - Unknown / Ineligible | 396 | DHW - IDHW - Unknown / Ineligible | 5074.489999999996
DV Court Misdemeanant Total |  |  |  |  |  | 429000 |  |  |  |  |  |  |  | DHW - PSC - Mental Health Court | 34 | 16467.54 |  |  | DHW - PSC - Mental Health Court |  |  |  | DHW - PSC - Mental Health Court | 34 | DHW - PSC - Mental Health Court | 16467.54
 |  |  |  |  |  |  |  |  |  |  |  |  |  | DHW - PSC - Mental Health Court - Medicaid | 20 | 16179.34 |  |  | DHW - PSC - Mental Health Court - Medicaid |  |  |  | DHW - PSC - Mental Health Court - Medicaid | 20 | DHW - PSC - Mental Health Court - Medicaid | 16179.34
IVDU |  |  | 1 |  |  |  |  |  |  |  |  |  |  | Grand Total | 2846 | 833872.5999999995 |  |  | Grand Total |  |  |  | Grand Total | 2846 | Grand Total | 833872.5999999995
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\20140802\Claims Reports\DHW SR056_SFY13_1-1-13 - 9-30-13_Claims Report_20130802.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