FY 2022-23 Medical Services Premiums Exhibits

Submitted on November 1, 2021.

Table of Contents

Exhibit A

Calculation of Request, Calculation of Fund Splits

Exhibit B

Medicaid Caseload Forecast

Exhibit C

History and Projections of Per Capita Costs

Exhibit D

Cash Funds Report

Exhibit E  

Summary of Total Requested Expenditure by Service Group, Comparison of Request to Long Bill Appropriation and Special Bills

Exhibit F

Acute Care, Breast and Cervical Cancer Program Per Capita Detail, Adult Dental Cash Fund-Eligible Dental Services, Antipsychotic Drug Expenditure and Pharmacy Enhanced Rebates, Family Planning Enhanced Match Calculation, Indian Health Services

Exhibit G

Community-Based Long-Term Care, Half-Year Expenditure Split, Private Duty Nursing, Long-Term Home Health, Colorado Choice Transitions, Hospice Request and Footnotes

Exhibit H

Long-Term Care and Insurance Summary, Class I Nursing Facilities Request, Footnotes, and Supplemental Payments, Class II Nursing Facilities, Program for All-Inclusive Care for the Elderly (PACE), Supplemental Medicare Insurance Benefit (SMIB), Health Insurance Buy-In (HIBI)

Exhibit I

Service Management - Summary, Single Entry Points, Disease Management, Accountable Care Collaborative, Prepaid Inpatient Health Plan Administration

Exhibit J

Hospital Provider Fee Financing

Exhibit K

Upper Payment Limit Financing

Exhibit L

Department Recoveries

Exhibit M

Expenditure History by Aid Category and Service Category

Exhibit N

Expenditure History by Service Category

Exhibit O

Comparison of Budget Requests, Appropriations and Expenditure for Prior Years

Exhibit P

Global Reasonableness, Expenditure and Caseload History (Reference Only)

Exhibit Q

Total Cost of Care Title XIX and Title XXI, Total Title XIX and Title XXI Services Per Capita Costs

Exhibit R

Federal Medical Assistance Percentage (FMAP) Estimate