Spreadsheet: 220ee8d6-1865-48ac-b421-82d9a6e5b9d2
Sheet: SFY 2014 Budget From 20130724

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 |  |  |  |  |  | Claims  Report* | % of Year Complete |  |  |  |  | 2013-07-01 00:00:00
[NAME] as of 7/19/2013 |  |  |  |  |  | 2013-07-19 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 | 6794.539999999997 |  |  | DHW - IDHW - Adolescent - Medicaid |  |  |  | DHW - IDHW - Adolescent - Medicaid | 1 | DHW - IDHW - Adolescent - Medicaid | 6794.539999999997
DHW - IDHW - ATR-III Adolescent Benefit |  |  | 1 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - Adult | 13 | 4020.53 |  |  | DHW - IDHW - Adult |  |  |  | DHW - IDHW - Adult | 13 | DHW - IDHW - Adult | 4020.53
DHW - IDHW - ATR-III Adolescent Benefit - Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - Adult - Medicaid | 1 | 1238.41 |  |  | DHW - IDHW - Adult - Medicaid |  |  |  | DHW - IDHW - Adult - Medicaid | 1 | DHW - IDHW - Adult - Medicaid | 1238.41
DHW - IDHW - ATR-III Military Benefit |  |  | 1 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III - Administrative | 14 | 438.4400000000001 |  |  | DHW - IDHW - ATR-III - Administrative |  |  |  | DHW - IDHW - ATR-III - Administrative | 14 | DHW - IDHW - ATR-III - Administrative | 438.4400000000001
DHW - IDHW - ATR-III Military Benefit - Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Adolescent Benefit | 14 | 1243.799999999999 |  |  | DHW - IDHW - ATR-III Adolescent Benefit |  |  |  | DHW - IDHW - ATR-III Adolescent Benefit | 14 | DHW - IDHW - ATR-III Adolescent Benefit | 1243.799999999999
DHW - IDHW - ATR-III Misdemeanor |  |  | 1 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid | 16 | 2057.119999999999 |  |  | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid |  |  |  | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid | 16 | DHW - IDHW - ATR-III Adolescent Benefit - Medicaid | 2057.119999999999
DHW - IDHW - ATR-III Misdemeanor - Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Military Benefit | 129 | 38447.40000000002 |  |  | DHW - IDHW - ATR-III Military Benefit |  |  |  | DHW - IDHW - ATR-III Military Benefit | 129 | DHW - IDHW - ATR-III Military Benefit | 38447.40000000002
ATR Total |  |  |  |  |  | 2724921 |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Military Benefit - Medicaid | 20 | 8067.299999999999 |  |  | DHW - IDHW - ATR-III Military Benefit - Medicaid |  |  |  | DHW - IDHW - ATR-III Military Benefit - Medicaid | 20 | DHW - IDHW - ATR-III Military Benefit - Medicaid | 8067.299999999999
 |  |  |  |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Misdemeanor | 602 | 149970.0099999997 |  |  | DHW - IDHW - ATR-III Misdemeanor |  |  |  | DHW - IDHW - ATR-III Misdemeanor | 602 | DHW - IDHW - ATR-III Misdemeanor | 149970.0099999997
[NAME] |  |  | 1 |  | 0 |  |  |  |  |  |  |  |  | DHW - IDHW - ATR-III Misdemeanor - Medicaid | 70 | 19920.89 |  |  | DHW - IDHW - ATR-III Misdemeanor - Medicaid |  |  |  | DHW - IDHW - ATR-III Misdemeanor - Medicaid | 70 | DHW - IDHW - ATR-III Misdemeanor - Medicaid | 19920.89
Adult-Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - Child Protection Drug Court | 31 | 15701.57 |  |  | DHW - IDHW - Child Protection Drug Court |  |  |  | DHW - IDHW - Child Protection Drug Court | 31 | DHW - IDHW - Child Protection Drug Court | 15701.57
Adult Total |  |  |  |  |  | 100000 |  |  |  |  |  |  |  | DHW - IDHW - CP/SUD | 152 | 34615.11000000002 |  |  | DHW - IDHW - CP/SUD |  |  |  | DHW - IDHW - CP/SUD | 152 | DHW - IDHW - CP/SUD | 34615.11000000002
 |  |  |  |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - CP/SUD - Medicaid | 56 | 14359.97 |  |  | DHW - IDHW - CP/SUD - Medicaid |  |  |  | DHW - IDHW - CP/SUD - Medicaid | 56 | DHW - IDHW - CP/SUD - Medicaid | 14359.97
Adolescent |  |  | 1 |  | 0 |  |  |  |  |  |  |  |  | DHW - IDHW - DV Court Misdemeanant | 101 | 34280.80000000002 |  |  | DHW - IDHW - DV Court Misdemeanant |  |  |  | DHW - IDHW - DV Court Misdemeanant | 101 | DHW - IDHW - DV Court Misdemeanant | 34280.80000000002
Adolescent-Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - DV Court Misdemeanant - Medicaid | 14 | 5501.24 |  |  | DHW - IDHW - DV Court Misdemeanant - Medicaid |  |  |  | DHW - IDHW - DV Court Misdemeanant - Medicaid | 14 | DHW - IDHW - DV Court Misdemeanant - Medicaid | 5501.24
Adolescent Total |  |  |  |  |  | 100000 |  |  | 1210.408307962904 | -399744.5916920371 |  |  |  | DHW - IDHW - IVDU | 259 | 41427.62 |  |  | DHW - IDHW - IVDU |  |  |  | DHW - IDHW - IVDU | 259 | DHW - IDHW - IVDU | 41427.62
 |  |  |  |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - IVDU - Medicaid | 30 | 14868.08999999999 |  |  | DHW - IDHW - IVDU - Medicaid |  |  |  | DHW - IDHW - IVDU - Medicaid | 30 | DHW - IDHW - IVDU - Medicaid | 14868.08999999999
CP-SUD |  |  | 1 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - Medicaid Only | 682 | 158585.6499999997 |  |  | DHW - IDHW - Medicaid Only |  |  |  | DHW - IDHW - Medicaid Only | 682 | DHW - IDHW - Medicaid Only | 158585.6499999997
CP-SUD - Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - PWWC | 89 | 59511.89999999997 |  |  | DHW - IDHW - PWWC |  |  |  | DHW - IDHW - PWWC | 89 | DHW - IDHW - PWWC | 59511.89999999997
CP-SUD Total |  |  |  |  |  | 750000 |  |  |  |  |  |  |  | DHW - IDHW - PWWC - Medicaid | 112 | 72553.58 |  |  | DHW - IDHW - PWWC - Medicaid |  |  |  | DHW - IDHW - PWWC - Medicaid | 112 | DHW - IDHW - PWWC - Medicaid | 72553.58
 |  |  |  |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - State Hospital | 47 | 23080.72 |  |  | DHW - IDHW - State Hospital |  |  |  | DHW - IDHW - State Hospital | 47 | DHW - IDHW - State Hospital | 23080.72
DV Court |  |  | 1 |  | 0 |  |  |  |  |  |  |  |  | DHW - IDHW - State Hospital - Medicaid | 15 | 3663.279999999999 |  |  | DHW - IDHW - State Hospital - Medicaid |  |  |  | DHW - IDHW - State Hospital - Medicaid | 15 | DHW - IDHW - State Hospital - Medicaid | 3663.279999999999
DV Court- Medicaid |  |  | 0.3 |  |  |  |  |  |  |  |  |  |  | DHW - IDHW - Unknown / Ineligible | 326 | 4210.709999999993 |  |  | DHW - IDHW - Unknown / Ineligible |  |  |  | DHW - IDHW - Unknown / Ineligible | 326 | DHW - IDHW - Unknown / Ineligible | 4210.709999999993
DV Court Misdemeanant Total |  |  |  |  |  | 429000 |  |  |  |  |  |  |  | DHW - PSC - Mental Health Court | 20 | 14766.12 |  |  | DHW - PSC - Mental Health Court |  |  |  | DHW - PSC - Mental Health Court - Medicaid | 20 | DHW - PSC - Mental Health Court - Medicaid | 14766.12
 |  |  |  |  |  |  |  |  |  |  |  |  |  | DHW - PSC - Mental Health Court - Medicaid | 36 | 15300.62 |  |  | DHW - PSC - Mental Health Court - Medicaid |  |  |  | DHW - PSC - Mental Health Court | 36 | DHW - PSC - Mental Health Court | 15300.62
IVDU |  |  | 1 |  |  |  |  |  |  |  |  |  |  | Grand Total | 2850 | 744625.4199999993 |  |  | Grand Total |  |  |  | Grand Total | 2850 | Grand Total | 744625.4199999993
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\20140719\Claims Reports\DHW SR056_SFY13_7-6-12 - 7-18-13_Claims Report_20130719.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