Spreadsheet: 220ee8d6-1865-48ac-b421-82d9a6e5b9d2
Sheet: SFY 2014 Budget From 20131011

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 |  |  |  |  |  | Claims  Report* | % of Year Complete |  |  |  |  | 2013-07-01 00:00:00
[NAME] as of 10/11/2013 |  |  |  |  |  | 2013-10-11 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 | 33295.12 |  |  | DHW - IDHW - Adult |  |  |  | DHW - IDHW - Adult | 24 | DHW - IDHW - Adult | 33295.12 |  |  | DHW - IDHW - Adult | 24 | DHW - IDHW - Adult | 33295.12
DHW - IDHW - ATR-III Adolescent Benefit - Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - Adult - Medicaid | 1 | 2781.259999999999 |  |  | DHW - IDHW - Adult - Medicaid |  |  |  | DHW - IDHW - Adult - Medicaid | 1 | DHW - IDHW - Adult - Medicaid | 2781.259999999999 |  |  | DHW - IDHW - Adult - Medicaid | 1 | DHW - IDHW - Adult - Medicaid | 2781.259999999999
DHW - IDHW - ATR-III Military Benefit |  |  | 1 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III - Administrative | 59 | 2923.859999999997 |  |  | DHW - IDHW - ATR-III - Administrative |  |  |  | DHW - IDHW - ATR-III - Administrative | 59 | DHW - IDHW - ATR-III - Administrative | 2923.859999999997 |  |  | DHW - IDHW - ATR-III - Administrative | 59 | DHW - IDHW - ATR-III - Administrative | 2923.859999999997
DHW - IDHW - ATR-III Military Benefit - Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Adolescent Benefit | 35 | 3659.769999999998 |  |  | DHW - IDHW - ATR-III Adolescent Benefit |  |  |  | DHW - IDHW - ATR-III Adolescent Benefit | 35 | DHW - IDHW - ATR-III Adolescent Benefit | 3659.769999999998 |  |  | DHW - IDHW - ATR-III Adolescent Benefit | 35 | DHW - IDHW - ATR-III Adolescent Benefit | 3659.769999999998
DHW - IDHW - ATR-III Misdemeanor |  |  | 1 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid | 27 | 5867.77 |  |  | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid |  |  |  | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid | 27 | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid | 5867.77 |  |  | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid | 27 | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid | 5867.77
DHW - IDHW - ATR-III Misdemeanor - Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Military Benefit | 198 | 148013.9399999999 |  |  | DHW - IDHW - ATR-III Military Benefit |  |  |  | DHW - IDHW - ATR-III Military Benefit | 198 | DHW - IDHW - ATR-III Military Benefit | 148013.9399999999 |  |  | DHW - IDHW - ATR-III Military Benefit | 198 | DHW - IDHW - ATR-III Military Benefit | 148013.9399999999
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 | 953 | 570846.3799999993 |  |  | DHW - IDHW - ATR-III Misdemeanor |  |  |  | DHW - IDHW - ATR-III Misdemeanor | 953 | DHW - IDHW - ATR-III Misdemeanor | 570846.3799999993 |  |  | DHW - IDHW - ATR-III Misdemeanor | 953 | DHW - IDHW - ATR-III Misdemeanor | 570846.3799999993
[NAME] |  |  | 1 |  | 0 |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Misdemeanor - Medicaid | 102 | 62118.48999999999 |  |  | DHW - IDHW - ATR-III Misdemeanor - Medicaid |  |  |  | DHW - IDHW - ATR-III Misdemeanor - Medicaid | 102 | DHW - IDHW - ATR-III Misdemeanor - Medicaid | 62118.48999999999 |  |  | DHW - IDHW - ATR-III Misdemeanor - Medicaid | 102 | DHW - IDHW - ATR-III Misdemeanor - Medicaid | 62118.48999999999
Adult-Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - Child Protection Drug Court | 41 | 55641.69 |  |  | DHW - IDHW - Child Protection Drug Court |  |  |  | DHW - IDHW - Child Protection Drug Court | 41 | DHW - IDHW - Child Protection Drug Court | 55641.69 |  |  | DHW - IDHW - Child Protection Drug Court | 41 | DHW - IDHW - Child Protection Drug Court | 55641.69
Adult Total |  |  |  |  |  | 100000 |  |  |  |  |  |  |  | DHW - IDHW - CP/SUD | 248 | 182554.1999999997 |  |  | DHW - IDHW - CP/SUD |  |  |  | DHW - IDHW - CP/SUD | 248 | DHW - IDHW - CP/SUD | 182554.1999999997 |  |  | DHW - IDHW - CP/SUD | 248 | DHW - IDHW - CP/SUD | 182554.1999999997
 |  |  |  |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - CP/SUD - Medicaid | 77 | 43711.01 |  |  | DHW - IDHW - CP/SUD - Medicaid |  |  |  | DHW - IDHW - CP/SUD - Medicaid | 77 | DHW - IDHW - CP/SUD - Medicaid | 43711.01 |  |  | DHW - IDHW - CP/SUD - Medicaid | 77 | DHW - IDHW - CP/SUD - Medicaid | 43711.01
Adolescent |  |  | 1 |  | 0 |  |  |  |  |  |  |  |  | DHW - IDHW - DV Court Misdemeanant | 146 | 146533.2499999999 |  |  | DHW - IDHW - DV Court Misdemeanant |  |  |  | DHW - IDHW - DV Court Misdemeanant | 146 | DHW - IDHW - DV Court Misdemeanant | 146533.2499999999 |  |  | DHW - IDHW - DV Court Misdemeanant | 146 | DHW - IDHW - DV Court Misdemeanant | 146533.2499999999
Adolescent-Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - DV Court Misdemeanant - Medicaid | 22 | 20925.06 |  |  | DHW - IDHW - DV Court Misdemeanant - Medicaid |  |  |  | DHW - IDHW - DV Court Misdemeanant - Medicaid | 22 | DHW - IDHW - DV Court Misdemeanant - Medicaid | 20925.06 |  |  | DHW - IDHW - DV Court Misdemeanant - Medicaid | 22 | DHW - IDHW - DV Court Misdemeanant - Medicaid | 20925.06
Adolescent Total |  |  |  |  |  | 100000 |  |  | 1210.408307962904 | -399744.5916920371 |  |  |  | DHW - IDHW - IVDU | 456 | 246483.3799999995 |  |  | DHW - IDHW - IVDU |  |  |  | DHW - IDHW - IVDU | 456 | DHW - IDHW - IVDU | 246483.3799999995 |  |  | DHW - IDHW - IVDU | 456 | DHW - IDHW - IVDU | 246483.3799999995
 |  |  |  |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - IVDU - Medicaid | 53 | 76540.78000000001 |  |  | DHW - IDHW - IVDU - Medicaid |  |  |  | DHW - IDHW - IVDU - Medicaid | 53 | DHW - IDHW - IVDU - Medicaid | 76540.78000000001 |  |  | DHW - IDHW - IVDU - Medicaid | 53 | DHW - IDHW - IVDU - Medicaid | 76540.78000000001
CP-SUD |  |  | 1 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - Medicaid Only | 913 | 478702.7499999991 |  |  | DHW - IDHW - Medicaid Only |  |  |  | DHW - IDHW - Medicaid Only | 913 | DHW - IDHW - Medicaid Only | 478702.7499999991 |  |  | DHW - IDHW - Medicaid Only | 913 | DHW - IDHW - Medicaid Only | 478702.7499999991
CP-SUD - Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - PWWC | 150 | 204265.1699999999 |  |  | DHW - IDHW - PWWC |  |  |  | DHW - IDHW - PWWC | 150 | DHW - IDHW - PWWC | 204265.1699999999 |  |  | DHW - IDHW - PWWC | 150 | DHW - IDHW - PWWC | 204265.1699999999
CP-SUD Total |  |  |  |  |  | 750000 |  |  |  |  |  |  |  | DHW - IDHW - PWWC - Medicaid | 154 | 215942.42 |  |  | DHW - IDHW - PWWC - Medicaid |  |  |  | DHW - IDHW - PWWC - Medicaid | 154 | DHW - IDHW - PWWC - Medicaid | 215942.42 |  |  | DHW - IDHW - PWWC - Medicaid | 154 | DHW - IDHW - PWWC - Medicaid | 215942.42
 |  |  |  |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - State Hospital | 83 | 97547.02999999997 |  |  | DHW - IDHW - State Hospital |  |  |  | DHW - IDHW - State Hospital | 83 | DHW - IDHW - State Hospital | 97547.02999999997 |  |  | DHW - IDHW - State Hospital | 83 | DHW - IDHW - State Hospital | 97547.02999999997
DV Court |  |  | 1 |  | 0 |  |  |  |  |  |  |  |  | DHW - IDHW - State Hospital - Medicaid | 24 | 16810.1 |  |  | DHW - IDHW - State Hospital - Medicaid |  |  |  | DHW - IDHW - State Hospital - Medicaid | 24 | DHW - IDHW - State Hospital - Medicaid | 16810.1 |  |  | DHW - IDHW - State Hospital - Medicaid | 24 | DHW - IDHW - State Hospital - Medicaid | 16810.1
DV Court- Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - Unknown / Ineligible | 1288 | 17635.14999999995 |  |  | DHW - IDHW - Unknown / Ineligible |  |  |  | DHW - IDHW - Unknown / Ineligible | 1288 | DHW - IDHW - Unknown / Ineligible | 17635.14999999995 |  |  | DHW - IDHW - Unknown / Ineligible | 1288 | DHW - IDHW - Unknown / Ineligible | 17635.14999999995
DV Court Misdemeanant Total |  |  |  |  |  | 429000 |  |  |  |  |  |  |  | DHW - PSC - Mental Health Court | 46 | 47989.98 |  |  | DHW - PSC - Mental Health Court |  |  |  | DHW - PSC - Mental Health Court | 46 | DHW - PSC - Mental Health Court | 47989.98 |  |  | DHW - PSC - Mental Health Court | 46 | DHW - PSC - Mental Health Court | 47989.98
 |  |  |  |  |  |  |  |  |  |  |  |  |  | DHW - PSC - Mental Health Court - Medicaid | 29 | 44584.75999999999 |  |  | DHW - PSC - Mental Health Court - Medicaid |  |  |  | DHW - PSC - Mental Health Court - Medicaid | 29 | DHW - PSC - Mental Health Court - Medicaid | 44584.75999999999 |  |  | DHW - PSC - Mental Health Court - Medicaid | 29 | DHW - PSC - Mental Health Court - Medicaid | 44584.75999999999
IVDU |  |  | 1 |  |  |  |  |  |  |  |  |  |  | Grand Total | 5157 | 2767181.769999997 |  |  | Grand Total |  |  |  | Grand Total | 5157 | Grand Total | 2767181.769999997 |  |  | Grand Total | 5157 | Grand Total | 2767181.769999997
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
Direct Client Treatment Delivery Services |  | 6743 |  |  |  | 546455
Non-Medicaid Total
Medicaid Total
Grand Total
V:\BPA Invoices New\2014\20131011\Claims Reports\DHW SR056_SFY14_6-7-13 - 10-10-13_Claims Report_20131011.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