MACIT AdminHistory by 2m9tDq

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									IOWA MEDICAID ENTERPRISE
CMS 64 Report Projection - Base

                                                                                     Year 2000        Year 2001        Year 2002        Year 2003
                                             Source                           FFP                       Base             Base             Base
2A DDI - MIS - In House                                                        90%       $1,144,048       $2,172,911       $1,131,556       $3,656,248
     MMIS In-House Development               None                                        $1,144,048       $2,192,911       $1,073,727               $0
     HIPAA Fiscal                            Cost Allocation                                     $0               $0          $23,500         $485,775
     HIPAA Implementation                    Cost Allocation                                     $0               $0          $34,329       $3,166,553
     HIPAA Track APD                         Cost Allocation                                     $0               $0               $0           $3,920
     Adjustments                                                                                 $0        ($20,000)               $0               $0

2B DDI - MIS - Private Contractor                                              90%        $650,000         $556,300               $0               $0
     '0149                                   None                                               $0         $556,300                0                0
     Fiscal Agent Services (2875)            None                                         $650,000               $0               $0               $0

2C DDI - MIS - RX                                                              90%               $0              $0               $0               $0

3   Skilled Professional Medical Personnel                                     75%       $2,790,329       $2,761,042       $2,883,893       $3,154,183
       SPMP (Program Pool)                   Cost Allocation                               $318,076         $261,024          $39,157         $108,042
       U of I Personnel                      Child Health Specialty Clinics                      $0         $310,904         $669,121         $870,995
       Admin Claiming - School (2826)        EPSDT Pass-through                          $2,554,325       $1,699,548       $1,147,849       $1,088,623
       '2848                                 None                                         ($82,072)         $124,170               $0               $0
       Admin Claiming - Public (2881)        EPSDT Pass-through                                  $0         $365,395       $1,027,767       $1,086,523
       Adjustments                                                                               $0               $1             ($1)               $0

4A MMIS - Operation - State                                                    75%       $1,329,152       $1,365,538       $3,450,580       $3,071,298
     MMIS Program Pool (0006)                Cost Allocation                             $1,329,152       $1,365,538       $3,450,580       $3,067,639
     MMIS Maintenance (0157-01)              FIP MMIS Maintenance                                $0               $0               $0           $2,221
     ISIS Maintenance (0157-02)              None                                                $0               $0               $0           $1,438

4B MMIS - Operation - Private                                                  75%      $11,279,266      $12,479,996      $12,823,356      $14,883,493
     HIPAA Software (0096)                   Cost Allocation                                     $0               $0               $0          $60,148
    Medicaid Infrastructure Grant (2837)     None                                          $122,239          $19,786               $0               $0
    Fiscal Agent Services (2874)             ACS Invoice                                $10,793,953      $11,754,702      $12,823,356      $14,823,345
    Child Health Specialty Clinics, U of I   None                                          $363,073         $337,702               $0               $0
    Adjustments                                                                                  $0         $367,806               $0               $0

5A Mech Systems - NA - In House                                                50%               $0              $0               $0               $0

5B Mech Systems - NA - Private                                                 50%       $3,240,864       $3,080,093       $2,535,617       $2,813,503
     Fiscal Agent Services (2873)            ACS Invoice                                 $3,240,864       $2,855,801       $2,535,618       $2,813,504
     Adjustments                                                                                 $0         $224,292             ($1)             ($1)

6   Peer Review Organizations                                                  75%       $5,636,199       $3,810,356       $3,289,001       $3,118,980
      PRO (2820)                             IFMC Contract                               $5,089,011       $3,193,609       $3,289,001       $3,118,980
      DUR Contract IFMC-IPA (2831)           None                                          $547,187         $616,747               $0               $0

7A TPL - Recovery                            SSA Billing                       50%         $33,033          $27,667          $27,536          $32,348
7B TPL - Assignment of Rights                SSA Billing                       50%          $9,126           $8,920          $12,209          $10,145

8   Immigration Status                                                        100%               $0         $29,539            $6,917              $0
IOWA MEDICAID ENTERPRISE
CMS 64 Report Projection - Base

                                                                                    Year 2000        Year 2001        Year 2002        Year 2003
                                           Source                            FFP                       Base             Base             Base

9    Nurse Aide Training Costs                                                50%        $792,194        $1,647,904        $509,935        $1,153,756
       Nurses Aide Training (2808)          DIA                                           $65,954           $92,612         $45,671           $38,835
       NA Train from NF Cost Reports (2030) None                                         $726,240        $1,555,292        $464,264        $1,114,921

10   Preadmission Screening                                                   75%               $0               $0         $31,162         $130,343
11   Resident Review Activities                                               75%               $0               $0              $0               $0
12   Drug Use Review Program                                                  50%               $0               $0              $0               $0

13   Outstationed Eligibility Workers                                         50%               $0               $0         $50,305         $434,719
14   TANF Base                                                                90%               $0               $0              $0               $0
15   TANF Secondary 90%                                                       90%               $0       $1,149,306         $66,182             $331
16   TANF Secondary 75%                                                       75%               $0       $2,243,753              $0               $0

17   External Review                                                          75%               $0               $0               $0               $0

18   Enrollment Brokers                                                       50%               $0               $0               $0               $0

19   Other Financial Participation                                            50%      $62,337,285      $55,033,240      $52,921,810      $51,278,953
       NF Case M Tech Ass (2036)           Meyers & Stauffer                                    $0               $0         $593,691         $719,264
       Medical Transportation (2038)                                                    $2,346,103       $2,985,712       $3,378,944       $3,308,241
       TPL/Estate Recovery (2046)          HMS Contract                                 $1,605,401       $1,210,585       $1,336,172       $1,190,335
       Program - Mailing ID Cards (2080)   Postage                                        $669,577         $613,129         $582,311         $682,744
       Lever/ICF/MR Fee/SMAC (2092)        Cost Leveraging (Meyers & S)                         $0               $0               $0         $139,050
       HIPP Administration (2501)          HIPP Admin                                     $821,104         $820,711         $937,845       $1,018,184
       HIPP Training & Tech (2502)                                                         $28,962               $0             $704             $755
       IFMC - RTSS (2818)                  IFMC RTSS Services                                   $0       $1,164,775       $1,139,436       $1,122,399
       U of I CHSC (2823)                  Child Health Specialty Clinics                  $56,120          $54,874          $67,598          $67,500
       Admin Claim - School Based (2825)   EPSDT Pass-through                           $7,523,702       $5,719,054       $3,580,303       $3,116,213
       OB Discharge Planning (2829)        IDPH Family Assets                                   $0         $151,372          $96,716          $36,089
       MAC Auditor Position (2830)                                                              $0               $0               $0               $0
       Voc Rehab Contract (2833)           SSI Det by Voc Rehab                           $233,455         $393,760         $382,851         $432,708
        William Mercer Contract (2834)     MHC Independent Evaluation                     $571,972         $232,664         $171,355         $163,847
       Rate Setting K (2835)               Ryun, Givens, Wenthe                           $179,316         $167,498         $130,438         $184,195
       Infrastructure Grant (2837-01)                                                      $23,640             $169               $0               $0
       '2839                                                                                $5,819         $168,947               $0               $0
       Pharm Case Mgmt Study (2841)        U of I College of Public Health                      $0         $215,280         $197,340         $197,339
        EPSDT Admin (2843)                 IDPH                                           $371,191         $537,989         $796,069         $459,322
        Vital Records Data Link (2844)     IDPH High Risk Birth                            $43,058          $53,902          $36,636          $53,104
        DPH Contract (2845)                Outreach Activity                              $219,647         $292,856         $285,480         $234,588
       '2846                                                                                    $0          $10,708               $0               $0
       HCBS/Elderly Waiver Screen (2847)   IDEA Case Management                           $385,318         $675,352         $738,410         $747,032
       '2849                                                                                    $0               $0          $31,710         $217,024
        U of I, Dept of OB/Gyn (2853)      Premature Birth Study                          $38,879          $54,943          $41,485          $44,331
       TA/QA MR Waiver (2858)              ISU Contracts for Waivers                     $797,236         $820,825         $823,901         $739,797
       Millman, USA Contract (2859)        MC Rate Setting                               $196,961         $214,402          $37,001         $157,401
       Drake Univ. (2860)                  Drug PA Study                                  $28,889               $0               $0               $0
IOWA MEDICAID ENTERPRISE
CMS 64 Report Projection - Base

                                                                                     Year 2000        Year 2001        Year 2002        Year 2003
                                            Source                            FFP                       Base             Base             Base
        Child Mental Development (2862)     Commonwealth Grant                                  $0               $0               $0               $0
        Ind. Eval. (2863)                   Substance Abuse                                 $6,137               $0               $0               $0
        UNYSIS Lawsuit Legal Costs (2864)   no longer using                                $36,345         ($62,260)              $0               $0
        '2865                                                                              $24,481           $2,643               $0               $0
        SMAC Services (2866)                Meyers & Stauffer - Now in 2092                     $0               $0               $0         $296,800
         Admin Claiming - Public (2880)     EPSDT Pass-through                                  $0         $632,369       $1,837,432       $1,616,023
        Admin Claiming - Private (2882)     EPSDT Pass-through                                  $0         $230,048         $160,902         $297,302
        RTSS Foster Care Admin (F962)       MCWI                                          $301,207         $280,996         $201,033         $196,765
        Medical Non Profl Admin (0003)      Cost Allocation                            $34,726,678      $31,820,259      $31,337,559      $33,191,546
        TPL Admin (0005)                    Cost Allocation                                $94,122          $53,441          $39,241          $45,479
        0030 Reg                            None (Formerly De-Linking)                    $185,726         $988,992         $133,627             $331
        0030 Reg - De-Linking                                                  40%        $172,665         $988,992          $66,182             $331
        0033 Reg                            None (Formerly De-Linking)                  $6,860,599       $6,893,189       $3,197,852               $0
        0033 Reg - De-Linking                                                  25%      $3,533,382       $2,443,753               $0               $0
        0094 HIPAA Non-Medicaid             Cost Allocation                                     $0               $0          $11,229         $456,109
        0098 Eval & Implementation          Cost Allocation                                     $0               $0               $0             $474
        DHS Case Management (0102)          Cost Allocation                               $249,595         $244,855         $185,492         $177,530
        Data Proc Eligibility Syst (0147)   IABC                                                $0         $527,494         $104,981          $53,398
        Data Processing - Sys Main (0157)   FIP Systems Main (IABC)                             $0               $0          $27,202          $49,339
        SLTF Admin (8610)                   Gen Admin T19 Match                                 $0               $0         $360,870               $0
        Adjustments                                                                             $0      ($6,571,038)       ($128,188)       ($133,936)

20   Total - Base                                                                       $89,241,496      $86,366,565      $79,740,059      $83,738,300

								
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