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FY 2023-24 Supplemental Requests and FY 2024-25 Budget Amendments- (INFORMATIONAL ONLY) Caseload and Per Capita Cost Adjustments

Submitted February 15, 2024.

 

S-1A, BA-1: MEDICAL SERVICE PREMIUMS Narrative

Exhibit ACalculation of Request, Calculation of Fund Splits
Exhibit BMedicaid Caseload Forecast
Exhibit CHistory & Projections of Per Capita Costs
Exhibit DCash Funds Reports
Exhibit ESummary of Total Requested Expenditure by Service Group, Comparison of Request to Long Bill Appropriation and Special Bills
Exhibit FAcute 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 GCommunity-Based Long-Term Care, Half-Year Expenditure Split, Hospice Request and Footnotes, Private Duty Nursing, Colorado Choice Transitions
Exhibit HLong-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 IService Management - Summary, Single Entry Points, Disease Management, Accountable Care Collaborative and Prepaid Inpatient Health Plan Administration
Exhibit JHospital Provider Fee Financing
Exhibit KUpper Payment Limit Financing
Exhibit LDepartment Recoveries
Exhibit MExpenditure History by Aid Category and Service Category
Exhibit NExpenditure History by Service Category
Exhibit OComparison of Budget Requests, Appropriations and Expenditure for Prior Years
Exhibit PGlobal Reasonableness, Expenditure and Caseload History (Reference Only)
Exhibit QTotal Cost of Care Title XIX and Title XXI, Total Title XIX and Title XXI Services Per Capita Costs
Exhibit REstimates of Federal Medicaid Assistance Percentage (FMAP)


S-2A, BA-2: BEHAVIORAL HEALTH COMMUNITY PROGRAMS Narrative 

Exhibit ACalculation of Current Total Long Bill Group Impact
Exhibit BCalculation of Fund Splits
Exhibit CBehavioral Health Community Programs Summary
Exhibit DBehavioral Health Community Programs, Caseload, Behavioral Health Capitation Payments Per Capita Historical Summary, Expenditures Historical Summary
Exhibit EExpenditure Calculations by Eligibility Category, Incurred but not Reported Runout by Fiscal Period, Incurred but not Reported Expenditures by Fiscal Period
Exhibit FMedicaid Behavioral Health Retroactivity Adjustment, Partial Month Adjustment Multiplier
Exhibit GMedicaid Behavioral Health Capitation Rate Trends and Forecasts
Exhibit HForecast Model Comparisons - Final Forecasts & Capitation Trend Models
Exhibit IReconciliations for MAGI Adults
Exhibit JAlternative Financing Populations
Exhibit KMedicaid Behavioral Health Fee For Service Forecast
Exhibit LGlobal Reasonableness Test for Medicaid Behavioral Health Capitation Payments


S-3A, BA-3: CHILDREN'S BASIC HEALTH PLAN MEDICAL AND DENTAL COSTS Narrative 

Exhibit ACalculation of Current Total Long Bill Group Impact
Exhibit BCalculation of Fund Splits, Cash Fund Report, Recoveries, Disallowance Repayment Schedule
Exhibit CCBHP Expenditure Summary
Exhibit DCBHP Caseload by Fiscal Year, CBHP Caseload by Month, CBHP Capitation Payments Per Capita Historical Summary, CBHP Historical Expenditure Summary
Exhibit ECBHP Trust Fund Population Exhibit, Hospital Provider Fee Population Exhibit, Enrollment Fees Exhibit
Exhibit FExpenditure Calculations by Eligibility Category, Incurred But Not Reported Runout by Fiscal Period, Incurred But Not Reported Expenditures by Fiscal Period
Exhibit GBottom Line Impact Summary & Calculations
Exhibit HCBHP Retroactivity Adjustment, CBHP Claims Distribution Adjustment Multiplier
Exhibit ICBHP Capitation Rate Trends and Forecasts
Exhibit JForecast Model Comparisons - Capitation Trend Models - Final Forecasts


S-4A, BA-4: MEDICARE MODERNIZATION ACT

S-5A, BA-5: OFFICE OF COMMUNITY LIVING COST AND CASELOAD ADJUSTMENTS

COLORADO HEALTHCARE AFFORDABILITY AND SUSTAINABILITY ENTERPRISE (CHASE) UPDATE