Spreadsheet: 220ee8d6-1865-48ac-b421-82d9a6e5b9d2
Sheet: SFY 2014 Reg 7 Budget For BP

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 |  |  |  |  |  | Claims  Report* | % of Year Complete |  |  |  |  | 2013-07-01 00:00:00
[NAME] as of 8/30/2013 | Region 7 |  |  |  |  | 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 | 0 | 0 |  |  | DHW - IDHW - Adolescent - Medicaid
DHW - IDHW - ATR-III Adolescent Benefit |  |  | 1 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - Adult | 4 | 7395.89 |  |  | DHW - IDHW - Adult |  |  |  | DHW - IDHW - Adult | 4 | DHW - IDHW - Adult | 7395.89 |  |  | DHW - IDHW - Adult | 4 | DHW - IDHW - Adult | 7395.89
DHW - IDHW - ATR-III Adolescent Benefit - Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - Adult - Medicaid | 0 | 0 |  |  | DHW - IDHW - Adult - Medicaid
DHW - IDHW - ATR-III Military Benefit |  |  | 1 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III - Administrative | 4 | 257.66 |  |  | DHW - IDHW - ATR-III - Administrative |  |  |  | DHW - IDHW - ATR-III - Administrative | 4 | DHW - IDHW - ATR-III - Administrative | 257.66 |  |  | DHW - IDHW - ATR-III - Administrative | 4 | DHW - IDHW - ATR-III - Administrative | 257.66
DHW - IDHW - ATR-III Military Benefit - Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Adolescent Benefit | 0 | 0 |  |  | DHW - IDHW - ATR-III Adolescent Benefit
DHW - IDHW - ATR-III Misdemeanor |  |  | 1 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid | 1 | 11.81 |  |  | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid |  |  |  | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid | 1 | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid | 11.81 |  |  | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid | 1 | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid | 11.81
DHW - IDHW - ATR-III Misdemeanor - Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Military Benefit | 12 | 8231.68 |  |  | DHW - IDHW - ATR-III Military Benefit |  |  |  | DHW - IDHW - ATR-III Military Benefit | 12 | DHW - IDHW - ATR-III Military Benefit | 8231.68 |  |  | DHW - IDHW - ATR-III Military Benefit | 12 | DHW - IDHW - ATR-III Military Benefit | 8231.68
ATR Total |  |  |  |  |  | 2724921 |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Military Benefit - Medicaid | 0 | 0 |  |  | DHW - IDHW - ATR-III Military Benefit - Medicaid
 |  |  |  |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Misdemeanor | 241 | 90111.0399999999 |  |  | DHW - IDHW - ATR-III Misdemeanor |  |  |  | DHW - IDHW - ATR-III Misdemeanor | 241 | DHW - IDHW - ATR-III Misdemeanor | 90111.0399999999 |  |  | DHW - IDHW - ATR-III Misdemeanor | 241 | DHW - IDHW - ATR-III Misdemeanor | 90111.0399999999
[NAME] |  |  | 1 |  | 0 |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Misdemeanor - Medicaid | 35 | 17519.89 |  |  | DHW - IDHW - ATR-III Misdemeanor - Medicaid |  |  |  | DHW - IDHW - ATR-III Misdemeanor - Medicaid | 35 | DHW - IDHW - ATR-III Misdemeanor - Medicaid | 17519.89 |  |  | DHW - IDHW - ATR-III Misdemeanor - Medicaid | 35 | DHW - IDHW - ATR-III Misdemeanor - Medicaid | 17519.89
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 | 14 | 2515.23 |  |  | DHW - IDHW - CP/SUD |  |  |  | DHW - IDHW - CP/SUD | 14 | DHW - IDHW - CP/SUD | 2515.23 |  |  | DHW - IDHW - CP/SUD | 14 | DHW - IDHW - CP/SUD | 2515.23
 |  |  |  |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - CP/SUD - Medicaid | 0 | 0 |  |  | DHW - IDHW - CP/SUD - Medicaid
Adolescent |  |  | 1 |  | 0 |  |  |  |  |  |  |  |  | DHW - IDHW - DV Court Misdemeanant | 32 | 14730.47 |  |  | DHW - IDHW - DV Court Misdemeanant |  |  |  | DHW - IDHW - DV Court Misdemeanant | 32 | DHW - IDHW - DV Court Misdemeanant | 14730.47 |  |  | DHW - IDHW - DV Court Misdemeanant | 32 | DHW - IDHW - DV Court Misdemeanant | 14730.47
Adolescent-Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - DV Court Misdemeanant - Medicaid | 5 | 3255.69 |  |  | DHW - IDHW - DV Court Misdemeanant - Medicaid |  |  |  | DHW - IDHW - DV Court Misdemeanant - Medicaid | 5 | DHW - IDHW - DV Court Misdemeanant - Medicaid | 3255.69 |  |  | DHW - IDHW - DV Court Misdemeanant - Medicaid | 5 | DHW - IDHW - DV Court Misdemeanant - Medicaid | 3255.69
Adolescent Total |  |  |  |  |  | 100000 |  |  | 1210.408307962904 | -399744.5916920371 |  |  |  | DHW - IDHW - IVDU | 50 | 22462.39000000001 |  |  | DHW - IDHW - IVDU |  |  |  | DHW - IDHW - IVDU | 50 | DHW - IDHW - IVDU | 22462.39000000001 |  |  | DHW - IDHW - IVDU | 50 | DHW - IDHW - IVDU | 22462.39000000001
 |  |  |  |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - IVDU - Medicaid | 9 | 4823.529999999999 |  |  | DHW - IDHW - IVDU - Medicaid |  |  |  | DHW - IDHW - IVDU - Medicaid | 9 | DHW - IDHW - IVDU - Medicaid | 4823.529999999999 |  |  | DHW - IDHW - IVDU - Medicaid | 9 | DHW - IDHW - IVDU - Medicaid | 4823.529999999999
CP-SUD |  |  | 1 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - Medicaid Only | 86 | 25961.44000000001 |  |  | DHW - IDHW - Medicaid Only |  |  |  | DHW - IDHW - Medicaid Only | 86 | DHW - IDHW - Medicaid Only | 25961.44000000001 |  |  | DHW - IDHW - Medicaid Only | 86 | DHW - IDHW - Medicaid Only | 25961.44000000001
CP-SUD - Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - PWWC | 12 | 6225.65 |  |  | DHW - IDHW - PWWC |  |  |  | DHW - IDHW - PWWC | 12 | DHW - IDHW - PWWC | 6225.65 |  |  | DHW - IDHW - PWWC | 12 | DHW - IDHW - PWWC | 6225.65
CP-SUD Total |  |  |  |  |  | 750000 |  |  |  |  |  |  |  | DHW - IDHW - PWWC - Medicaid | 12 | 9239.499999999998 |  |  | DHW - IDHW - PWWC - Medicaid |  |  |  | DHW - IDHW - PWWC - Medicaid | 12 | DHW - IDHW - PWWC - Medicaid | 9239.499999999998 |  |  | DHW - IDHW - PWWC - Medicaid | 12 | DHW - IDHW - PWWC - Medicaid | 9239.499999999998
 |  |  |  |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - State Hospital | 8 | 4668.69 |  |  | DHW - IDHW - State Hospital |  |  |  | DHW - IDHW - State Hospital | 8 | DHW - IDHW - State Hospital | 4668.69 |  |  | DHW - IDHW - State Hospital | 8 | DHW - IDHW - State Hospital | 4668.69
DV Court |  |  | 1 |  | 0 |  |  |  |  |  |  |  |  | DHW - IDHW - State Hospital - Medicaid | 3 | 1161.01 |  |  | DHW - IDHW - State Hospital - Medicaid |  |  |  | DHW - IDHW - State Hospital - Medicaid | 3 | DHW - IDHW - State Hospital - Medicaid | 1161.01 |  |  | DHW - IDHW - State Hospital - Medicaid | 3 | DHW - IDHW - State Hospital - Medicaid | 1161.01
DV Court- Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - Unknown / Ineligible | 101 | 1351.699999999998 |  |  | DHW - IDHW - Unknown / Ineligible |  |  |  | DHW - IDHW - Unknown / Ineligible | 101 | DHW - IDHW - Unknown / Ineligible | 1351.699999999998 |  |  | DHW - IDHW - Unknown / Ineligible | 101 | DHW - IDHW - Unknown / Ineligible | 1351.699999999998
DV Court Misdemeanant Total |  |  |  |  |  | 429000 |  |  |  |  |  |  |  | DHW - PSC - Mental Health Court | 1 | 65 |  |  | DHW - PSC - Mental Health Court |  |  |  | DHW - PSC - Mental Health Court | 1 | DHW - PSC - Mental Health Court | 65 |  |  | DHW - PSC - Mental Health Court | 1 | DHW - PSC - Mental Health Court | 65
 |  |  |  |  |  |  |  |  |  |  |  |  |  | DHW - PSC - Mental Health Court - Medicaid | 4 | 18364.19999999999 |  |  | DHW - PSC - Mental Health Court - Medicaid |  |  |  | DHW - PSC - Mental Health Court - Medicaid | 4 | DHW - PSC - Mental Health Court - Medicaid | 18364.19999999999 |  |  | DHW - PSC - Mental Health Court - Medicaid | 4 | DHW - PSC - Mental Health Court - Medicaid | 18364.19999999999
IVDU |  |  | 1 |  |  |  |  |  |  |  |  |  |  | Grand Total | 634 | 238352.4699999999 |  |  | Grand Total |  |  |  | Grand Total | 634 | Grand Total | 238352.4699999999 |  |  | Grand Total | 634 | Grand Total | 238352.4699999999
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