Reporting Expenditures Under the Demonstration Sample Clauses

Reporting Expenditures Under the Demonstration. The following describes the reporting of expenditures subject to the budget neutrality agreement:

Reporting Expenditures Under the Demonstration. In order to track expenditures under this demonstration, Rhode Island must report demonstration expenditures through the Medicaid and state Children's Health Insurance Program Budget and Expenditure System (MBES/CBES), following routine CMS-64 reporting instructions outlined in Section 2500 and Section 2115 of the state Medicaid Manual. All demonstration expenditures claimed under the authority of title XIX of the Act must be reported each quarter on separate Forms CMS-64.9 Waiver and/or 64.9P Waiver, identified by the demonstration project number assigned by CMS (including the project number extension, which indicates the demonstration year in which services were rendered or for which capitation payments were made). Expenditures for optional targeted low income children (CHIP Children) claimed under the authority of title XXI shall be reported each quarter on forms CMS-64.21U Waiver and/or CMS 64.21UP Waiver. a. For the extended family planning component of the demonstration, the state should report demonstration expenditures on Forms CMS-64.9 Waiver and/or 64.9P Waiver as follows: i. Allowable family planning expenditures eligible for reimbursement at the State’s Federal medical assistance percentage rate (FMAP) should be entered in Column (B) on the appropriate waiver sheets. ii. Allowable family planning expenditures eligible for reimbursement at the enhanced family planning match rate should be entered in Column (D) on the appropriate waiver sheets. b. Premiums and other applicable cost sharing contributions from enrollees that are collected by the state under the demonstration must be reported to CMS each quarter on Form CMS-64 Summary Sheet line 9.D, columns (A) and (B). Additionally, the total amounts that are attributable to the demonstration must be separately reported on the CMS-64 Narrative by demonstration year. c. For each demonstration year, twenty eight (28) separate Forms CMS-64.9 Waiver and/or 64.9P Waiver must be completed to report expenditures for the following demonstration populations and demonstration services. The waiver names to be used to identify these separate Forms CMS-64.9 Waiver and/or 64.9P Waiver appear in the second column of the tables below, labeled “CMS-64 Eligibility Group Reporting.” Expenditures should be allocated to these forms based on the guidance found below.

Reporting Expenditures Under the Demonstration. CMS-64. The following describes the reporting of expenditures subject to the budget neutrality expenditure limit:

Reporting Expenditures Under the Demonstration. The following describes the reporting of expenditures under the demonstration: a) In order to track expenditures under this demonstration, the state must report demonstration expenditures through the Medicaid and State Children's Health Insurance Program Budget and Expenditure System (MBES/CBES), following routine CMS-64 reporting instructions outlined in section 2500 of the State Medicaid Manual. All demonstration expenditures must be reported each quarter on separate Forms CMS-64.9 Waiver and/or 64.9P Waiver, identified by the Demonstration project number assigned by CMS (including the project number extension, which indicates the DY in which services were rendered or for which capitation payments were made). b) For monitoring purposes, quarterly cost settlements and pharmaceutical rebates relevant to the demonstration will be allocated (using an approved methodology) to the demonstration populations specified in subparagraph (c) and offset against current quarter waiver expenditures. Demonstration expenditures net of these cost settlement offsets will be reported on Form CMS 64.9

Reporting Expenditures Under the Demonstration. The following describes the reporting of expenditures under the Demonstration: a) In order to track expenditures under this Demonstration, Hawaii must report Demonstration expenditures through the Medicaid and CHIP Budget and Expenditure System (MBES/CBES), following routine CMS-64 reporting instructions outlined in Section 2500 of the State Medicaid Manual. All Demonstration expenditures must be reported on separate Forms CMS-64.9 Waiver and/or 64.9P Waiver, identified by the demonstration project number assigned by CMS (including the project number extension, which indicates the demonstration year in which services were rendered, or for which capitation payments were made). b) Premiums and other applicable cost sharing contributions from enrollees that are collected by the State from enrollees under the Demonstration must be reported to CMS each quarter on Form CMS-64 Summary Sheet line 9.D, columns A and B. In order to assure that the Demonstration is properly credited with premium collections, the QEx premium collections (both total computable and Federal share) must also be reported on the Form CMS-64 Narrative. c) For monitoring purposes, cost settlements must be recorded on Line 10.b., in lieu of Lines 9 or 10.C. For any other cost settlements (i.e., those not attributable to this Demonstration), the adjustments must be reported on lines 9 or 10.C, as instructed in the State Medicaid Manual. d) For each Demonstration year, 23 separate waiver forms, using Forms CMS-64.9 Waiver and/or 64.9P Waiver, must be completed, using the waiver names in parentheses below, to report expenditures for individuals enrolled in the Demonstration and for hospital and long-term care facility uncompensated care payments as follows:

Reporting Expenditures Under the Demonstration. The following describes the reporting of expenditures subject to the budget neutrality expenditure limit: a. Tracking Expenditures. In order to track expenditures under this demonstration, Indiana must report demonstration expenditures through the MBES and state Children's Health Insurance Program Budget and Expenditure System (CBES), following routine CMS-64 reporting instructions outlined in section 2500 of the state Medicaid Manual. All demonstration expenditures claimed under the authority of title XIX of the Act and subject to the budget neutrality expenditure limit must be reported each quarter on separate Forms CMS-64.9 Waiver and/or 64.9P Waiver, identified by the demonstration project number assigned by CMS, including the project number extension, which indicates the DY in which services were rendered or for which capitation payments were made. For this purpose, DY 1 is defined as the year beginning January 1, 2008, and ending December 31, 2008. DY 2 and subsequent DYs are defined accordingly. All title XIX service expenditures that are not demonstration expenditures and are not part of any other title XIX waiver program should be reported on Forms CMS-64.9 Base/64.9P Base. Expenditures for HHW Caretakers, HHW Children, and HHW Pregnant Women with dates of service December 31, 2007, and before, but with dates of payment January 1, 2008, and after, should be reported on Forms CMS-64.9 Base and 64.9P Base. b. Reporting of HIP Plan Premiums and POWER Account Contributions The state must report HIP plan premiums and POWER Account contributions as follows: i. HIP MCO Premiums. HIP plan premiums must be reported on Forms CMS-64.9 Waiver and CMS-64.9P Waiver, using Line 18A.

Reporting Expenditures Under the Demonstration. The following describes the reporting of expenditures subject to the budget neutrality agreement: Tracking Expenditures. In order to track expenditures under this demonstration, the state must report demonstration expenditures through the Medicaid and Children’s Health Insurance Program Budget and Expenditure System (MBES/CBES), following routine CMS-64 reporting instructions outlined in section 2500 of the State Medicaid Manual. All demonstration expenditures claimed under the authority of title XIX of the Act and subject to the budget neutrality expenditure limit must be reported each quarter on separate Forms CMS-64.9 Waiver and/or 64.9P Waiver, identified by the demonstration project number (11-W-00030/1) assigned by CMS, including the project number extension which indicates the Demonstration Year (DY) in which services were rendered.

Reporting Expenditures Under the Demonstration. The following describes the reporting of expenditures under the Demonstration: a) In order to track expenditures under this Demonstration, New York must report Demonstration expenditures through the Medicaid and State Children's Health Insurance Program Budget and Expenditure System, following routine CMS-64 reporting instructions outlined in Section 2500 of the State Medicaid Manual. All Demonstration expenditures must be reported each quarter on separate Forms CMS-64.9 Waiver and/or 64.9P Waiver, identified by the Demonstration project number assigned by CMS (including the project number extension, which indicates the DY in which services were rendered or for which capitation payments were made). b) DY reporting shall be consistent with the following time periods: 11 10/1/2008 - 09/30/2009 12 10/1/2009 - 09/30/2010 13 10/1/2010 - 09/30/2011 14 10/1/2011 - 09/30/2012 15 10/1/2012 - 09/30/2013 16 10/1/2013 – 12/31/2013 17 1/1/2014 – 3/31/2014 18 4/1/2014 – 12/31/2014

Reporting Expenditures Under the Demonstration. In order to track expenditures under this Demonstration, Texas must report Demonstration expenditures through the Medicaid and State Children’s Health Insurance Program (SCHIP) Budget and Expenditure System (MBES/CBES); following routine CMS-64 reporting instructions outlined in section 2500 and section 2115 of the State Medicaid Manual. All Demonstration expenditures claimed under the authority of title XIX of the Act must be reported each quarter on separate Forms CMS-64.9 Waiver and/or 64.9P Waiver, identified by the Demonstration project number assigned by CMS (including the project number extension, which indicates the demonstration year in which services were rendered or for which capitation payments were made). The State should report Demonstration expenditures on Forms CMS-64.9 Waiver and/or 64.9P Waiver as follows: a) Allowable family planning expenditures eligible for reimbursement at the State’s Federal medical assistance percentage (FMAP) rate should be entered in Column (B) on the appropriate waiver sheets. b) Allowable family planning expenditures eligible for reimbursement at the enhanced family planning match rate should be entered in Column (D) on the appropriate waiver sheets.

Reporting Expenditures Under the Demonstration. The following describes the reporting of expenditures under the demonstration: a) In order to track expenditures under this demonstration, New York must report demonstration expenditures through the Medicaid and State Children's Health Insurance Program Budget and Expenditure System, following routine CMS-64 reporting instructions outlined in Section 2500 of the State Medicaid Manual. All demonstration expenditures must be reported each quarter on separate Forms CMS-64.9 Waiver and/or 64.9P Waiver, identified by the demonstration project number assigned by CMS (including the project number extension, which indicates the DY in which services were rendered or for which capitation payments were made). b) DY reporting shall be consistent with the following time periods: Demonstration Year Time Period 1 10/1/1997 - 9/30/1998 2 10/1/1998 - 9/30/1999 3 10/1/1999 - 9/30/2000 4 10/1/2000 - 9/30/2001 5 10/1/2001 - 3/30/2003 6 04/1/2003 - 9/30/2004 7 10/1/2004 - 9/30/2005 8 10/1/2005 - 9/30/2006 9 10/1/2006 - 09/30/2007 10 10/1/2007 - 09/30/2008 11 10/1/2008 - 09/30/2009 12 10/1/2009 - 09/30/2010 13 10/1/2010 - 09/30/2011 14 10/1/2011 - 09/30/2012 15 10/1/2012 - 09/30/2013 16 10/1/2013 – 12/31/2013 17 1/1/2014 – 3/31/2014 18 4/1/2014 – 12/31/2014 c) Demonstration expenditures will be correctly reported on Forms CMS-64.9 Waiver. Quarterly cost settlements and pharmaceutical rebates relevant to the demonstration will be allocated to the demonstration populations specified in subparagraph (g) and offset against current quarter waiver expenditures. demonstration expenditures net of these cost settlement offsets will be reported on Form CMS-64.9 Waiver. Amounts offset will be identifiable in the state's supporting work papers and made available to CMS. i. Allocation of cost settlements. The state will calculate the percentage of Medicaid expenditures for each demonstration eligibility group to expenditures for all Medicaid population groups from a DataMart file produced for the latest completed federal fiscal year. Quarterly recoveries will be allocated to the eligibility groups based on those percentages. These percentages will be updated annually to reflect the most recent completed federal fiscal year.