FY 2022-23 Children's Basic Health Plan Exhibits

Submitted on November 1, 2021.

Table of Contents

Exhibit C1	Calculations of Current Total Long Bill Group Impact
Exhibit C2	Calculations of Fund Splits, Cash Fund Report, Disallowance Repayment Schedule
Exhibit C3	CBHP Expenditure Summary
Exhibit C4	CBHP Caseload by Fiscal Year, Caseload by Month, Capitation Payments Per Capita Historical Summary, Historical Expenditure Summary
Exhibit C5	CBHP Trust Fund Population, Hospital Provider Fee Population, Enrollment Fees
Exhibit C6	Expenditure Calculations by Eligibility Category, Incurred But Not Reported Runout by Fiscal Period, Incurred But Not Reported Expenditures by Fiscal Period
Exhibit C7	Bottom Line Impact Summary, Bottom Line Impact Calculations
Exhibit C8	CBHP Retroactivity Adjustments, Claims Distribution Adjustment Multiplier
Exhibit C9	CBHP Capitation Rate Trends and Forecasts
Exhibit C10	Forecast Model Comparisons, Capitation Trend Models, Final Forecasts