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pdfCMS 64.9 BASE
State: Maryland
Agency: CMS
Medical Assistance Expenditures by Type of Service
For the Medical Assistance Program
Expenditures in this Quarter
Medical Assistance Payments
Total Computable
(A)
Federal Share
Family Planning Services
90%
I.H.S Facility Services
100%
FMAP
50%
Incr. FMAP
52% **
(B)
Quarter/Year: Qtr 2nd 2017
Quarter Ended: 3/31/2017
Total
Federal Share
Other %
(Oth)
Prompt Pay (PP)
(C)
Optional Breast or Cervical Cancer*
(E)
(D)
(F)
Federal Share
(G)
0
0
0
0
0
0.00%
50.00%
N/A
50.00%
N/A
50.00%
0.00%
50.00%
0.00%
50.00%
N/A
50.00%
0.00%
50.00%
0.00%
50.00%
N/A
50.00%
5,059,316
2,529,658
0
0
0
0.00%
50.00%
0
0
2,529,658
0
0
0
0
0
0.00%
50.00%
0
0
0
0
0
0
0
0
10,307,357
5,063,819
0
44,421
84,735
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6,346,460
2,892,663
0
49,208
329,199
0
0
0
0
0
8,394,734
3,982,422
0
114,719
196,576
7A1) Drug Rebate Offset - National
7A2) Drug Rebate Offset - State Sidebar
Agreement
-46,596,059 -23,224,872
0
-26,143
-76,224
0
0
0
0
7A3) MCO - National Agreement
-45,052,798 -22,526,285
0
-206
0
N/A
50.00%
0.00%
50.00%
N/A
50.00%
0.00%
50.00%
0.00%
50.00%
0.00%
50.00%
N/A
50.00%
0.00%
50.00%
0.00%
50.00%
100.00%
50.00%
0.00%
50.00%
100.00%
50.00%
100.00%
50.00%
100.00%
50.00%
0.00%
50.00%
0.00%
50.00%
N/A
50.00%
0.00%
50.00%
0.00%
50.00%
0.00%
50.00%
0.00%
50.00%
N/A
50.00%
0.00%
50.00%
0.00%
50.00%
0.00%
50.00%
0.00%
50.00%
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
-4,784,337
0
0
0
-1,915,569
0
-15,981,325
0
-26,924,771
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1A) Inpatient Hospital - Reg. Payments
25,415,660
12,610,157
0
0
126,975
1B) Inpatient Hospital - DSH
18,560,961
9,280,481
0
0
0
1C) Inpatient Hospital - Sup. Payments
0
0
0
0
0
1D) Inpatient Hospital - GME Payments
2A) Mental Health Facility Services - Reg.
Payments
0
0
0
0
0
14,545,405
7,272,703
0
0
0
0
0
0
0
0
20,000,000
13,000,000
0
0
0
296,462,634 148,231,317
0
0
0
2B) Mental Health Facility - DSH
2C) Certified Community Behavioral Health
Clinic Payments 65.00%
3A) Nursing Facility Services - Reg. Payments
3B) Nursing Facility Services - Sup. Payments
4A) Intermediate Care Facility Services - Ind.
with Intellectual Disabilities: Public Providers
4B) Intermediate Care Facility Services - Ind.
with Intellectual Disabilities: Private
Providers
4C) Intermediate Care Facility Services - Ind.
with Intellectual Disabilities: Supplemental
Payments
5A) Physician & Surgical Services - Reg.
Payments
5B) Physician & Surgical Services - Sup.
Payments
5C) Physician & Surgical Services - Evaluation
and Management
5D) Physician & Surgical Services - Vaccine
codes
6A) Outpatient Hospital Services - Reg.
Payments
6B) Outpatient Hospital Services - Sup.
Payments
7) Prescribed Drugs
-4,784,337
7A4) MCO - State Sidebar Agreement
7A5) Increased ACA OFFSET - Fee for Service 100%
-1,915,569
0
0
0
0
-15,981,325
0
0
0
0
7A6) Increased ACA OFFSET - MCO - 100%
-26,924,771
0
0
0
0
8) Dental Services
9A) Other Practitioners Services - Reg.
Payments
9B) Other Practitioners Services - Sup.
Payments
0
0
0
0
0
4,006,000
2,001,844
0
11
1,495
0
0
0
0
0
10) Clinic Services
1,114,996
535,971
0
37,147
1,157
11) Laboratory/Radiological
8,232,772
0
4,243
27,161
871,333
4,093,136
433,388
17,336
0
0
2,962
7,778
0
0
7,000
0
0
0
0
0
0
767,432
383,223
0
887
0
0
0
0
0
0
17A) Medicare - Part A
17,963,448
8,981,724
0
0
0
17B) Medicare - Part B
36,637,333
18,318,667
0
0
0
12) Home Health Services
13) Sterilizations
14) Abortions No. 0
15) EPSDT Screening
16) Rural Health
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12,737,132
9,280,481
0
0
7,272,703
0
13,000,000
148,231,317
0
0
5,192,975
0
0
0
3,271,070
0
4,293,717
-23,327,239
-4,784,337
-22,526,491
-1,915,569
-15,981,325
-26,924,771
0
2,003,350
0
574,275
4,124,540
453,686
7,000
0
384,110
0
8,981,724
18,318,667
17C1) 120% - 134% Of Poverty
2,585,308
0
0
0
0
10,842,562
5,421,181
0
180
0
18A) Medicaid - MCO
18A1) Medicaid MCO - Evaluation and
Management
0
0
0
0
0
0
0
0
0
0
18A2) Medicaid MCO - Vaccine codes
18A3) Medicaid MCO - Community First
Choice
18A4) Medicaid MCO - Preventive Services
Grade A OR B, ACIP Vaccines and their
Admin
18A5) Medicaid MCO - Certified Comm
Behavioral Health Clinic Paym 65.00%
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10,000,000
6,500,000
0
0
0
18B1) Prepaid Ambulatory Health Plan
18B1a) MCO PAHP - Evaluation and
Management
0
0
0
0
0
0
0
0
0
0
18B1b) MCO PAHP - Vaccine codes
0
0
0
0
0
18B1c) MCO PAHP - Community First Choice
18B1d) MCO PAHP - Preventive Services
Grade A OR B, ACIP Vaccines and their
Admin
18B1e) MCO PAHP - Certified Comm
Behavioral Health Clinic Paym 65.00%
0
0
0
0
0
0
0
0
0
0
5,000,000
3,250,000
0
0
0
18B2) Prepaid Inpatient Health Plan
18B2a) MCO PIHP - Evaluation and
Management
0
0
0
0
0
0
0
0
0
0
18B2b) MCO PIHP - Vaccine codes
0
0
0
0
0
18B2c) MCO PIHP - Community First Choice
18B2d) MCO PIHP - Preventive Services
Grade A OR B, ACIP Vaccines and their
Admin
18B2e) MCO PIHP - Certified Comm
Behavioral Health Clinic Paym 65.00%
0
0
0
0
0
0
0
0
0
0
2,500,000
1,625,000
0
0
0
18C) Medicaid - Group Health
0
0
0
0
0
18D) Medicaid - Coinsurance
0
0
0
0
0
18E) Medicaid - Other
19A) Home & Community-Based Services Reg. Pay. (Waiv)
19B) Home & Community-Based Services St. Plan 1915(i) Only Pay.
19C) Home & Community-Based Services St. Plan 1915(j) Only Pay.
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
9,716,101
0
4,857,608
194,304
0
0
576
24B) Case Management - State Wide
0
0
0
0
0
25) Primary Care Case Management
0
0
0
0
0
7,404,459
3,702,230
0
0
0
33,502,935
16,448,163
0
545,948
0
9,191,092
4,579,229
0
24,725
3,356
0
0
0
0
0
16,752
5,242
0
37
4,048
31) Occupational Therapy
0
0
0
0
0
32) Services for Speech, Hearing & Language
0
0
0
0
0
33) Prosthetic Devices, Dentures, Eyeglasses
34) Diagnostic Screening & Preventive
Services
34A) Preventive Services Grade A OR B, ACIP
Vaccines and their Admin
81,932
39,907
0
0
1,377
0
0
0
0
0
0
0
0
0
0
17D) Coinsurance
19D) Home & Community Based Services
State Plan 1915(k) Community First Choice
22) All-Inclusive Care Elderly
23A) Personal Care Services - Reg. Payments
23B) Personal Care Services - SDS 1915(j)
24A) Targeted Case Management Services Com. Case-Man.
26) Hospice Benefits
27) Emergency Services for Undocumented
Aliens
28) Federally-Qualified Health Center
29) Non-Emergency Medical Transportation
30) Physical Therapy
47,135,568
619,787
4,851,284
0
26,395,918
942,711
309,893
12,396
2,425,642
97,026
N/A
50.00%
0.00%
50.00%
0.00%
50.00%
0.00%
50.00%
0.00%
50.00%
0.00%
50.00%
2,585,308
0
0
0
0
0
0
0
0
0
0
0
N/A
50.00%
0.00%
50.00%
0.00%
50.00%
0.00%
50.00%
0.00%
50.00%
0.00%
50.00%
0
0
0
0
0
0
0
0
0
0
0
0
N/A
50.00%
0.00%
50.00%
0.00%
50.00%
0.00%
50.00%
0.00%
50.00%
0.00%
50.00%
0
0
0
0
0
0
0
0
0
0
0
0
N/A
50.00%
0.00%
50.00%
0.00%
50.00%
0.00%
50.00%
0.00%
50.00%
N/A
50.00%
N/A
50.00%
N/A
50.00%
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
N/A
50.00%
0.00%
50.00%
0.00%
50.00%
0.00%
50.00%
0.00%
50.00%
0.00%
50.00%
0.00%
50.00%
0.00%
50.00%
0.00%
50.00%
0.00%
50.00%
0.00%
50.00%
0.00%
50.00%
0.00%
50.00%
0.00%
50.00%
0.00%
50.00%
0.00%
50.00%
N/A
50.00%
0.00%
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2,585,308
5,421,361
0
0
0
0
0
6,500,000
0
0
0
0
0
3,250,000
0
0
0
0
0
1,650,000
0
0
0
0
0
0
27,338,629
322,289
2,522,668
0
5,052,488
0
0
3,702,230
16,994,111
4,607,310
0
9,327
0
0
41,284
0
0
35) Nurse Mid-Wife
3,064
0
0
2,758
0
230,725
113,498
0
0
2,425
0
0
0
0
0
346,566
165,795
0
5,651
5,654
0
0
0
0
0
0
5,983
857,029
0
5,639,135
225,565
428,514
17,141
0
0
0
42) Freestanding Birth Center
43) Health Home for Enrollees w Chronic
Conditions
0
0
0
0
0
0
0
0
0
0
44) Tobacco Cessation for Preg Women
0
0
0
0
0
5,849,513
0
874,976
257,241,484
1,506,479
50) Total
464,799,420
0
1,685,562
* Optional Breast & Cervical Cancer Services calculated at an Enhanced FMAP rate of 65% and/or the IHS Services rate of 100%
** BIPP lines are calculated at the FMAP rate of 50% + BIPP increase, which is 52%
10,921
36) Emergency Hospital Services
37) Critical Access Hospitals
38) Nurse Practitioner Services
39) School Based Services
40) Rehabilitative Services (non-schoolbased)
41) Private Duty Nursing
49) Other Care Services
11,287,473
12,688,023
728,376
50.00%
0.00%
50.00%
0.00%
50.00%
0.00%
50.00%
N/A
50.00%
N/A
50.00%
0.00%
50.00%
0.00%
50.00%
N/A
50.00%
0.00%
50.00%
0.00%
50.00%
0.00%
50.00%
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
-47,020,694
0
2,758
115,923
0
177,100
0
5,870,683
445,655
0
0
0
6,735,410
214,141,207
| File Type | application/pdf |
| File Title | 64 21 IU |
| Author | Daniil Yablochnikov |
| File Modified | 2016-06-17 |
| File Created | 2016-03-23 |