FY 2021-22 Supplemental Requests and FY 2022-23 Budget Amendments- (INFORMATIONAL ONLY) Caseload and Per Capita Cost Adjustments

Exhibit A

Calculation of Request, Calculation of Fund Splits

Exhibit B

Medicaid Caseload Forecast

Exhibit C

History & Projections of Per Capita Costs

Exhibit D

Cash Funds Reports

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, Dental, 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, Hospice Request and Footnotes, Private Duty Nursing, Colorado Choice Transitions

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 and 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

Estimates of Federal Medicaid Assistance Percentage (FMAP)

Exhibit AA

Calculation of Current Total Long Bill Group Impact

Exhibit BB

Calculation of Fund Splits

Exhibit CC

Behavioral Health Community Programs Summary

Exhibit DD

Behavioral Health Community Programs, Caseload, Behavioral Health Capitation Payments Per Capita Historical Summary, Expenditures Historical Summary

Exhibit EE

Expenditure Calculations by Eligibility Category, Incurred but not Reported Runout by Fiscal Period, Incurred but not Reported Expenditures by Fiscal Period

Exhibit FF

Medicaid Behavioral Health Retroactivity Adjustment, Partial Month Adjustment Multiplier

Exhibit GG

Medicaid Behavioral Health Capitation Rate Trends and Forecasts

Exhibit HH

Forecast Model Comparisons - Final Forecasts & Capitation Trend Models

Exhibit II

Reconciliations for MAGI Adults

Exhibit JJ

Alternative Financing Populations

Exhibit KK

Medicaid Behavioral Health Fee For Service Forecast

Exhibit LL

Global Reasonableness Test for Medicaid Behavioral Health Capitation Payments

C.1

Calculation of Current Total Long Bill Group Impact

C.2

Calculation of Fund Splits, Cash Fund Report, Recoveries, Disallowance Repayment Schedule

C.3

CBHP Expenditure Summary

C.4

CBHP Caseload by Fiscal Year, CBHP Caseload by Month, CBHP Capitation Payments Per Capita Historical Summary, CBHP Historical Expenditure Summary

C.5

CBHP Trust Fund Population Exhibit, Hospital Provider Fee Population Exhibit, Enrollment Fees Exhibit

C.6

Expenditure Calculations by Eligibility Category, Incurred But Not Reported Runout by Fiscal Period, Incurred But Not Reported Expenditures by Fiscal Period

C.7

Bottom Line Impact Summary & Calculations

C.8

CBHP Retroactivity Adjustment, CBHP Claims Distribution Adjustment Multiplier

C.9

CBHP Capitation Rate Trends and Forecasts

C.10

Forecast Model Comparisons - Capitation Trend Models - Final Forecasts