| Department of Health and Human Services |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
OMB No. 0938-0101 |
|
| Centers for Medicare & Medicaid Services |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Medicaid Program Budget Report |
|
State and Local Administration |
|
Category-Specific Variances in Estimates |
|
Between Submissions, Fiscal Years and Base Year |
|
(Dollars In Thousands) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Computable |
|
|
|
Previous Budget Submission |
|
Current Budget Submission |
|
Changes From Previous Budget Submission |
|
Changes Between Fiscal Years |
|
Base Year |
Submission Date: |
|
Submission Date: |
|
FY(1) |
FY(2) |
|
From Base Year to FY(1) |
From FY(1) to FY(2) |
|
Expenditures |
FY (1) |
FY(2) |
|
FY(1) |
FY (2) |
|
Dollars |
Percent |
Dollars |
Percent |
|
Dollars |
Percent |
Dollars |
Percent |
|
Service Category |
A |
B |
C |
|
D |
E |
|
F |
G |
H |
I |
|
J |
K |
L |
M |
| 1 |
Family Planning |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2.A. |
Design, Development or Installation MMIS - In-house |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2.B. |
Design, Development or Installation MMIS - Contract |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 2.C. |
Design, Development or Installation MMIS - Drug Claims System |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 3. |
Skilled Professional Medical Personnel |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 4.A. |
Operation of Approved MMIS - In-house |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 4.B. |
Operation of Approved MMIS - Contract |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 5.A |
Non-MMIS Systems - In-house |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 5.B. |
Non-MMIS Systems Contract |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 6. |
Peer Review Organizations |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 7.A. |
TPL Billing Offset |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 7.B. |
Assignment of Rights Billing Offset |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 8. |
Immigration Status Verification System |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 9. |
Nurse Aide Training and Competency Evaluation Programs |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 10 |
Preadmission Screening Costs |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 11. |
Resident Review Activities |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 12. |
Drug Use Review Program |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 13. |
Outstationed Eligibility Workers |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 14. |
TANF Base Allocation |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 15. |
TANF Secondary Allocation - 90% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 16. |
TANF Secondary Allocation - 75% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 17. |
External Quality Reviews |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 18. |
Enrollment Brokers |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 19. |
Other |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 20. |
Subtotal |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 21. |
Collections and Other Adjs |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 22. |
Total As Reported By State |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Form CMS-37.11V |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Report Date: |
|