Spreadsheet: 220ee8d6-1865-48ac-b421-82d9a6e5b9d2
Sheet: SFY 2014 Budget From 20130903

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 |  |  |  |  |  | Claims  Report* | % of Year Complete |  |  |  |  | 2013-07-01 00:00:00
[NAME] as of 8/30/2013 |  |  |  |  |  | 2013-08-30 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 | 14480.94000000002 |  |  | DHW - IDHW - Adolescent - Medicaid |  |  |  | DHW - IDHW - Adolescent - Medicaid | 1 | DHW - IDHW - Adolescent - Medicaid | 14480.94000000002 |  |  | DHW - IDHW - Adolescent - Medicaid | 1 | DHW - IDHW - Adolescent - Medicaid | 14480.94000000002
DHW - IDHW - ATR-III Adolescent Benefit |  |  | 1 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - Adult | 21 | 19071.85 |  |  | DHW - IDHW - Adult |  |  |  | DHW - IDHW - Adult | 21 | DHW - IDHW - Adult | 19071.85 |  |  | DHW - IDHW - Adult | 21 | DHW - IDHW - Adult | 19071.85
DHW - IDHW - ATR-III Adolescent Benefit - Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - Adult - Medicaid | 1 | 2570.909999999999 |  |  | DHW - IDHW - Adult - Medicaid |  |  |  | DHW - IDHW - Adult - Medicaid | 1 | DHW - IDHW - Adult - Medicaid | 2570.909999999999 |  |  | DHW - IDHW - Adult - Medicaid | 1 | DHW - IDHW - Adult - Medicaid | 2570.909999999999
DHW - IDHW - ATR-III Military Benefit |  |  | 1 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III - Administrative | 38 | 2426.37 |  |  | DHW - IDHW - ATR-III - Administrative |  |  |  | DHW - IDHW - ATR-III - Administrative | 38 | DHW - IDHW - ATR-III - Administrative | 2426.37 |  |  | DHW - IDHW - ATR-III - Administrative | 38 | DHW - IDHW - ATR-III - Administrative | 2426.37
DHW - IDHW - ATR-III Military Benefit - Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Adolescent Benefit | 24 | 2491.509999999999 |  |  | DHW - IDHW - ATR-III Adolescent Benefit |  |  |  | DHW - IDHW - ATR-III Adolescent Benefit | 24 | DHW - IDHW - ATR-III Adolescent Benefit | 2491.509999999999 |  |  | DHW - IDHW - ATR-III Adolescent Benefit | 24 | DHW - IDHW - ATR-III Adolescent Benefit | 2491.509999999999
DHW - IDHW - ATR-III Misdemeanor |  |  | 1 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid | 26 | 4984.309999999998 |  |  | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid |  |  |  | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid | 26 | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid | 4984.309999999998 |  |  | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid | 26 | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid | 4984.309999999998
DHW - IDHW - ATR-III Misdemeanor - Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Military Benefit | 173 | 101008.38 |  |  | DHW - IDHW - ATR-III Military Benefit |  |  |  | DHW - IDHW - ATR-III Military Benefit | 173 | DHW - IDHW - ATR-III Military Benefit | 101008.38 |  |  | DHW - IDHW - ATR-III Military Benefit | 173 | DHW - IDHW - ATR-III Military Benefit | 101008.38
ATR Total |  |  |  |  |  | 2724921 |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Military Benefit - Medicaid | 27 | 23124.48999999999 |  |  | DHW - IDHW - ATR-III Military Benefit - Medicaid |  |  |  | DHW - IDHW - ATR-III Military Benefit - Medicaid | 27 | DHW - IDHW - ATR-III Military Benefit - Medicaid | 23124.48999999999 |  |  | DHW - IDHW - ATR-III Military Benefit - Medicaid | 27 | DHW - IDHW - ATR-III Military Benefit - Medicaid | 23124.48999999999
 |  |  |  |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Misdemeanor | 834 | 380072.8699999988 |  |  | DHW - IDHW - ATR-III Misdemeanor |  |  |  | DHW - IDHW - ATR-III Misdemeanor | 834 | DHW - IDHW - ATR-III Misdemeanor | 380072.8699999988 |  |  | DHW - IDHW - ATR-III Misdemeanor | 834 | DHW - IDHW - ATR-III Misdemeanor | 380072.8699999988
[NAME] |  |  | 1 |  | 0 |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Misdemeanor - Medicaid | 97 | 53024.74999999999 |  |  | DHW - IDHW - ATR-III Misdemeanor - Medicaid |  |  |  | DHW - IDHW - ATR-III Misdemeanor - Medicaid | 97 | DHW - IDHW - ATR-III Misdemeanor - Medicaid | 53024.74999999999 |  |  | DHW - IDHW - ATR-III Misdemeanor - Medicaid | 97 | DHW - IDHW - ATR-III Misdemeanor - Medicaid | 53024.74999999999
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 | 214 | 105432.8999999999 |  |  | DHW - IDHW - CP/SUD |  |  |  | DHW - IDHW - CP/SUD | 214 | DHW - IDHW - CP/SUD | 105432.8999999999 |  |  | DHW - IDHW - CP/SUD | 214 | DHW - IDHW - CP/SUD | 105432.8999999999
 |  |  |  |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - CP/SUD - Medicaid | 73 | 37833.52000000001 |  |  | DHW - IDHW - CP/SUD - Medicaid |  |  |  | DHW - IDHW - CP/SUD - Medicaid | 73 | DHW - IDHW - CP/SUD - Medicaid | 37833.52000000001 |  |  | DHW - IDHW - CP/SUD - Medicaid | 73 | DHW - IDHW - CP/SUD - Medicaid | 37833.52000000001
Adolescent |  |  | 1 |  | 0 |  |  |  |  |  |  |  |  | DHW - IDHW - DV Court Misdemeanant | 132 | 93443.91 |  |  | DHW - IDHW - DV Court Misdemeanant |  |  |  | DHW - IDHW - DV Court Misdemeanant | 132 | DHW - IDHW - DV Court Misdemeanant | 93443.91 |  |  | DHW - IDHW - DV Court Misdemeanant | 132 | DHW - IDHW - DV Court Misdemeanant | 93443.91
Adolescent-Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - DV Court Misdemeanant - Medicaid | 22 | 16649.4 |  |  | DHW - IDHW - DV Court Misdemeanant - Medicaid |  |  |  | DHW - IDHW - DV Court Misdemeanant - Medicaid | 22 | DHW - IDHW - DV Court Misdemeanant - Medicaid | 16649.4 |  |  | DHW - IDHW - DV Court Misdemeanant - Medicaid | 22 | DHW - IDHW - DV Court Misdemeanant - Medicaid | 16649.4
Adolescent Total |  |  |  |  |  | 100000 |  |  | 1210.408307962904 | -399744.5916920371 |  |  |  | DHW - IDHW - IVDU | 389 | 140192.5799999998 |  |  | DHW - IDHW - IVDU |  |  |  | DHW - IDHW - IVDU | 389 | DHW - IDHW - IVDU | 140192.5799999998 |  |  | DHW - IDHW - IVDU | 389 | DHW - IDHW - IVDU | 140192.5799999998
 |  |  |  |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - IVDU - Medicaid | 53 | 51846.58000000002 |  |  | DHW - IDHW - IVDU - Medicaid |  |  |  | DHW - IDHW - IVDU - Medicaid | 53 | DHW - IDHW - IVDU - Medicaid | 51846.58000000002 |  |  | DHW - IDHW - IVDU - Medicaid | 53 | DHW - IDHW - IVDU - Medicaid | 51846.58000000002
CP-SUD |  |  | 1 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - Medicaid Only | 895 | 412182.319999999 |  |  | DHW - IDHW - Medicaid Only |  |  |  | DHW - IDHW - Medicaid Only | 895 | DHW - IDHW - Medicaid Only | 412182.319999999 |  |  | DHW - IDHW - Medicaid Only | 895 | DHW - IDHW - Medicaid Only | 412182.319999999
CP-SUD - Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - PWWC | 129 | 135627.86 |  |  | DHW - IDHW - PWWC |  |  |  | DHW - IDHW - PWWC | 129 | DHW - IDHW - PWWC | 135627.86 |  |  | DHW - IDHW - PWWC | 129 | DHW - IDHW - PWWC | 135627.86
CP-SUD Total |  |  |  |  |  | 750000 |  |  |  |  |  |  |  | DHW - IDHW - PWWC - Medicaid | 149 | 183415.5800000001 |  |  | DHW - IDHW - PWWC - Medicaid |  |  |  | DHW - IDHW - PWWC - Medicaid | 149 | DHW - IDHW - PWWC - Medicaid | 183415.5800000001 |  |  | DHW - IDHW - PWWC - Medicaid | 149 | DHW - IDHW - PWWC - Medicaid | 183415.5800000001
 |  |  |  |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - State Hospital | 74 | 60519 |  |  | DHW - IDHW - State Hospital |  |  |  | DHW - IDHW - State Hospital | 74 | DHW - IDHW - State Hospital | 60519 |  |  | DHW - IDHW - State Hospital | 74 | DHW - IDHW - State Hospital | 60519
DV Court |  |  | 1 |  | 0 |  |  |  |  |  |  |  |  | DHW - IDHW - State Hospital - Medicaid | 24 | 13355.93 |  |  | DHW - IDHW - State Hospital - Medicaid |  |  |  | DHW - IDHW - State Hospital - Medicaid | 24 | DHW - IDHW - State Hospital - Medicaid | 13355.93 |  |  | DHW - IDHW - State Hospital - Medicaid | 24 | DHW - IDHW - State Hospital - Medicaid | 13355.93
DV Court- Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - Unknown / Ineligible | 881 | 11630.86000000004 |  |  | DHW - IDHW - Unknown / Ineligible |  |  |  | DHW - IDHW - Unknown / Ineligible | 881 | DHW - IDHW - Unknown / Ineligible | 11630.86000000004 |  |  | DHW - IDHW - Unknown / Ineligible | 881 | DHW - IDHW - Unknown / Ineligible | 11630.86000000004
DV Court Misdemeanant Total |  |  |  |  |  | 429000 |  |  |  |  |  |  |  | DHW - PSC - Mental Health Court | 41 | 36070.06 |  |  | DHW - PSC - Mental Health Court |  |  |  | DHW - PSC - Mental Health Court | 41 | DHW - PSC - Mental Health Court | 36070.06 |  |  | DHW - PSC - Mental Health Court | 41 | DHW - PSC - Mental Health Court | 36070.06
 |  |  |  |  |  |  |  |  |  |  |  |  |  | DHW - PSC - Mental Health Court - Medicaid | 28 | 39054.69999999999 |  |  | DHW - PSC - Mental Health Court - Medicaid |  |  |  | DHW - PSC - Mental Health Court - Medicaid | 28 | DHW - PSC - Mental Health Court - Medicaid | 39054.69999999999 |  |  | DHW - PSC - Mental Health Court - Medicaid | 28 | DHW - PSC - Mental Health Court - Medicaid | 39054.69999999999
IVDU |  |  | 1 |  |  |  |  |  |  |  |  |  |  | Grand Total | 4346 | 1940511.579999998 |  |  | Grand Total |  |  |  | Grand Total | 4346 | Grand Total | 1940511.579999998 |  |  | Grand Total | 4346 | Grand Total | 1940511.579999998
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\20140830\Claims Reports\DHW SR056_SFY14_6-7-13 - 8-29-13_Claims Report_20130830.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