Spreadsheet: 1cf83caf-9d11-4c9f-b938-fe42fd228e87
Sheet: SFY 2014 Budget for 20140121

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 |  |  |  |  |  | Claims  Report* | % of Year Complete |  |  |  |  | 2013-07-01 00:00:00
[NAME] as of 1/17/2014 |  |  |  |  |  | 2014-01-17 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 - Adolescent - Medicaid | 1 | 14578.98000000002
DHW - IDHW - ATR-III Adolescent Benefit |  |  | 1 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - Adult | 46 | 52267.18000000001 |  |  | DHW - IDHW - Adult |  |  |  | DHW - IDHW - Adult | 46 | DHW - IDHW - Adult | 52267.18000000001 |  |  | DHW - IDHW - Adult | 46 | DHW - IDHW - Adult | 52267.18000000001 |  | DHW - IDHW - Adult | 46 | 52267.18000000001
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 - Adult - Medicaid | 1 | 2781.259999999998
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 - Administrative | 97 | 4101.939999999996
DHW - IDHW - ATR-III Military Benefit - Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Adolescent Benefit | 35 | 4156.799999999998 |  |  | DHW - IDHW - ATR-III Adolescent Benefit |  |  |  | DHW - IDHW - ATR-III Adolescent Benefit | 35 | DHW - IDHW - ATR-III Adolescent Benefit | 4156.799999999998 |  |  | DHW - IDHW - ATR-III Adolescent Benefit | 35 | DHW - IDHW - ATR-III Adolescent Benefit | 4156.799999999998 |  | DHW - IDHW - ATR-III Adolescent Benefit | 35 | 4156.799999999998
DHW - IDHW - ATR-III Misdemeanor |  |  | 1 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid | 28 | 6021.910000000001 |  |  | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid |  |  |  | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid | 28 | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid | 6021.910000000001 |  |  | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid | 28 | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid | 6021.910000000001 |  | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid | 28 | 6021.910000000001
DHW - IDHW - ATR-III Misdemeanor - Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Military Benefit | 281 | 227772.8099999999 |  |  | DHW - IDHW - ATR-III Military Benefit |  |  |  | DHW - IDHW - ATR-III Military Benefit | 281 | DHW - IDHW - ATR-III Military Benefit | 227772.8099999999 |  |  | DHW - IDHW - ATR-III Military Benefit | 281 | DHW - IDHW - ATR-III Military Benefit | 227772.8099999999 |  | DHW - IDHW - ATR-III Military Benefit | 281 | 227772.8099999999
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 Military Benefit - Medicaid | 27 | 27229.47
 |  |  |  |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Misdemeanor | 1503 | 1081526.130000002 |  |  | DHW - IDHW - ATR-III Misdemeanor |  |  |  | DHW - IDHW - ATR-III Misdemeanor | 1503 | DHW - IDHW - ATR-III Misdemeanor | 1081526.130000002 |  |  | DHW - IDHW - ATR-III Misdemeanor | 1503 | DHW - IDHW - ATR-III Misdemeanor | 1081526.130000002 |  | DHW - IDHW - ATR-III Misdemeanor | 1503 | 1081526.130000002
[NAME] |  |  | 1 |  | 0 |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Misdemeanor - Medicaid | 106 | 62703.18 |  |  | DHW - IDHW - ATR-III Misdemeanor - Medicaid |  |  |  | DHW - IDHW - ATR-III Misdemeanor - Medicaid | 106 | DHW - IDHW - ATR-III Misdemeanor - Medicaid | 62703.18 |  |  | DHW - IDHW - ATR-III Misdemeanor - Medicaid | 106 | DHW - IDHW - ATR-III Misdemeanor - Medicaid | 62703.18 |  | DHW - IDHW - ATR-III Misdemeanor - Medicaid | 106 | 62703.18
Adult-Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - Child Protection Drug Court | 41 | 55641.69 |  |  | DHW - IDHW - Child Protection Drug Court | 41 | 55641.69 |  |  | 42 |  | 58187.92999999999 |  |  |  | 42 |  | 58187.92999999999 |  | DHW - IDHW - Child Protection Drug Court | 42 | 58187.92999999999
Adult Total |  |  |  |  |  | 100000 |  |  |  |  |  |  |  | DHW - IDHW - CP/SUD | 428 | 426090.1099999999 |  |  | DHW - IDHW - CP/SUD |  |  |  | DHW - IDHW - CP/SUD | 428 | DHW - IDHW - CP/SUD | 426090.1099999999 |  |  | DHW - IDHW - CP/SUD | 428 | DHW - IDHW - CP/SUD | 426090.1099999999 |  | DHW - IDHW - CP/SUD | 428 | 426090.1099999999
 |  |  |  |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - CP/SUD - Medicaid | 80 | 43782.27 |  |  | DHW - IDHW - CP/SUD - Medicaid |  |  |  | DHW - IDHW - CP/SUD - Medicaid | 80 | DHW - IDHW - CP/SUD - Medicaid | 43782.27 |  |  | DHW - IDHW - CP/SUD - Medicaid | 80 | DHW - IDHW - CP/SUD - Medicaid | 43782.27 |  | DHW - IDHW - CP/SUD - Medicaid | 80 | 43782.27
Adolescent |  |  | 1 |  | 0 |  |  |  |  |  |  |  |  | DHW - IDHW - DV Court Misdemeanant | 257 | 265958.3599999999 |  |  | DHW - IDHW - DV Court Misdemeanant |  |  |  | DHW - IDHW - DV Court Misdemeanant | 257 | DHW - IDHW - DV Court Misdemeanant | 265958.3599999999 |  |  | DHW - IDHW - DV Court Misdemeanant | 257 | DHW - IDHW - DV Court Misdemeanant | 265958.3599999999 |  | DHW - IDHW - DV Court Misdemeanant | 257 | 265958.3599999999
Adolescent-Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - DV Court Misdemeanant - Medicaid | 22 | 20886.61 |  |  | DHW - IDHW - DV Court Misdemeanant - Medicaid |  |  |  | DHW - IDHW - DV Court Misdemeanant - Medicaid | 22 | DHW - IDHW - DV Court Misdemeanant - Medicaid | 20886.61 |  |  | DHW - IDHW - DV Court Misdemeanant - Medicaid | 22 | DHW - IDHW - DV Court Misdemeanant - Medicaid | 20886.61 |  | DHW - IDHW - DV Court Misdemeanant - Medicaid | 22 | 20886.61
Adolescent Total |  |  |  |  |  | 100000 |  |  |  |  |  |  |  | DHW - IDHW - IVDU | 643 | 621624.1699999996 |  |  | DHW - IDHW - IVDU |  |  |  | DHW - IDHW - IVDU | 643 | DHW - IDHW - IVDU | 621624.1699999996 |  |  | DHW - IDHW - IVDU | 643 | DHW - IDHW - IVDU | 621624.1699999996 |  | DHW - IDHW - IVDU | 643 | 621624.1699999996
 |  |  |  |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - IVDU - Medicaid | 53 | 75178.76000000001 |  |  | DHW - IDHW - IVDU - Medicaid |  |  |  | DHW - IDHW - IVDU - Medicaid | 53 | DHW - IDHW - IVDU - Medicaid | 75178.76000000001 |  |  | DHW - IDHW - IVDU - Medicaid | 53 | DHW - IDHW - IVDU - Medicaid | 75178.76000000001 |  | DHW - IDHW - IVDU - Medicaid | 53 | 75178.76000000001
CP-SUD |  |  | 1 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - Medicaid Only | 920 | 480387.7499999992 |  |  | DHW - IDHW - Medicaid Only |  |  |  | DHW - IDHW - Medicaid Only | 920 | DHW - IDHW - Medicaid Only | 480387.7499999992 |  |  | DHW - IDHW - Medicaid Only | 920 | DHW - IDHW - Medicaid Only | 480387.7499999992 |  | DHW - IDHW - Medicaid Only | 920 | 480387.7499999992
CP-SUD - Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - PWWC | 247 | 370538.92 |  |  | DHW - IDHW - PWWC |  |  |  | DHW - IDHW - PWWC | 247 | DHW - IDHW - PWWC | 370538.92 |  |  | DHW - IDHW - PWWC | 247 | DHW - IDHW - PWWC | 370538.92 |  | DHW - IDHW - PWWC | 247 | 370538.92
CP-SUD Total |  |  |  |  |  | 750000 |  |  |  |  |  |  |  | DHW - IDHW - PWWC - Medicaid | 155 | 214224.6300000002 |  |  | DHW - IDHW - PWWC - Medicaid |  |  |  | DHW - IDHW - PWWC - Medicaid | 155 | DHW - IDHW - PWWC - Medicaid | 214224.6300000002 |  |  | DHW - IDHW - PWWC - Medicaid | 155 | DHW - IDHW - PWWC - Medicaid | 214224.6300000002 |  | DHW - IDHW - PWWC - Medicaid | 155 | 214224.6300000002
 |  |  |  |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - State Hospital | 160 | 191385.23 |  |  | DHW - IDHW - State Hospital |  |  |  | DHW - IDHW - State Hospital | 160 | DHW - IDHW - State Hospital | 191385.23 |  |  | DHW - IDHW - State Hospital | 160 | DHW - IDHW - State Hospital | 191385.23 |  | DHW - IDHW - State Hospital | 160 | 191385.23
DV Court |  |  | 1 |  | 0 |  |  |  |  |  |  |  |  | DHW - IDHW - State Hospital - Medicaid | 25 | 18448.8 |  |  | DHW - IDHW - State Hospital - Medicaid |  |  |  | DHW - IDHW - State Hospital - Medicaid | 25 | DHW - IDHW - State Hospital - Medicaid | 18448.8 |  |  | DHW - IDHW - State Hospital - Medicaid | 25 | DHW - IDHW - State Hospital - Medicaid | 18448.8 |  | DHW - IDHW - State Hospital - Medicaid | 25 | 18448.8
DV Court- Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - Unknown / Ineligible | 1297 | 24116.36000000003 |  |  | DHW - IDHW - Unknown / Ineligible |  |  |  | DHW - IDHW - Unknown / Ineligible | 1297 | DHW - IDHW - Unknown / Ineligible | 24116.36000000003 |  |  | DHW - IDHW - Unknown / Ineligible | 1297 | DHW - IDHW - Unknown / Ineligible | 24116.36000000003 |  | DHW - IDHW - Unknown / Ineligible | 1297 | 24116.36000000003
DV Court Misdemeanant Total |  |  |  |  |  | 429000 |  |  |  |  |  |  |  | DHW - PSC - Mental Health Court | 49 | 49815.99999999999 |  |  | DHW - PSC - Mental Health Court |  |  |  | DHW - PSC - Mental Health Court | 49 | DHW - PSC - Mental Health Court | 49815.99999999999 |  |  | DHW - PSC - Mental Health Court | 49 | DHW - PSC - Mental Health Court | 49815.99999999999 |  | DHW - PSC - Mental Health Court | 49 | 49815.99999999999
 |  |  |  |  |  |  |  |  |  |  |  |  |  | DHW - PSC - Mental Health Court - Medicaid | 29 | 44477.89999999999 |  |  | DHW - PSC - Mental Health Court - Medicaid |  |  |  | DHW - PSC - Mental Health Court - Medicaid | 29 | DHW - PSC - Mental Health Court - Medicaid | 44477.89999999999 |  |  | DHW - PSC - Mental Health Court - Medicaid | 29 | DHW - PSC - Mental Health Court - Medicaid | 44477.89999999999 |  | DHW - PSC - Mental Health Court - Medicaid | 29 | 44477.89999999999
IVDU |  |  | 1 |  |  |  |  |  |  |  |  |  |  | DHW - PSC - Misdemeanor / DUI Court | 53 | 48944.53 |  |  | DHW - PSC - Misdemeanor / DUI Court |  |  |  | DHW - PSC - Misdemeanor / DUI Court | 53 | DHW - PSC - Misdemeanor / DUI Court | 48944.53 |  |  | DHW - PSC - Misdemeanor / DUI Court | 53 |  | 48944.53 |  | DHW - PSC - Misdemeanor / DUI Court | 53 | 48944.53
IVDU - Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | Grand Total | 6585 | 4437187.990000001 |  |  | Grand Total |  |  |  | Grand Total | 6585 | Grand Total | 4437187.990000001 |  |  | Grand Total | 6585 | Grand Total | 4437187.990000001 |  | Grand Total | 6585 | 4437187.990000001
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
Direct Client Treatment Delivery Services |  | 178034 |  |  |  | 546455
Non-Medicaid Total
Medicaid Total
Grand Total
V:\BPA Invoices New\2014\20140117\Claims Reports\DHW SR056_SFY14_6-7-13 - 1-16-14_Claims Report_20140117.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