CMS 64.21U Quarterly Medical Assistance Expenditures By Children's

CMS 64.21U

State: Colorado
Agency: CMS

Quarterly Medical Assistance Expenditures
By Children's Health Insurance Program
Expenditures Categories

Type of Eligibility: U2 *

1A) Premiums: Up To 150% - Gross Premiums Paid
1B) Premiums: Up To 150% - Cost Sharing Offset
1C) Premiums: Over 150% - Gross Premiums Paid
1D) Premiums: Over 150% - Cost Sharing Offset
2) Inpatient Hospital Services - Reg. Payments
2A) Inpatient Hospital Services - DSH
3) Inpatient Mental Health - Reg. Payment
3A) Inpatient Mental Health - DSH
3B) Certified Community Behavioral Health Clinic Payaments
4) Nursing Care Services
5) Physician/Surgical
6) Outpatient Hospital Services
7) Outpatient Mental Health
8) Prescribed Drugs
8A1) Drug Rebate - National
8A2) Drug Rebate - State
8A3) MCO - National Agreement
8A4) MCO - State Sidebar Agreement
8A5) Increased ACA OFFSET - Fee for Service - 100%
8A6) Increased ACA OFFSET - MCO - 100%
9) Dental Services
10) Vision Services
11) Other Practitioners
12) Clinic Services
13) Therapy Services
14) Laboratory/Radiological
15) Medical Equipment
16) Family Planning
17) Abortions No. 0
18) Screening Services
19) Home Health
20) Medicare Payments
21) Home And Community
21A) Home and Community-Based Services - Regular Payment
(WAIVER)
22) Hospice
23) Medical Transport
24) Case Management
25) Other Services
26) Total

Total Computable
(A)

Quarter/Year: Qtr 2nd 2017
Quarter Ended: 3/31/2017
Federal Share
FMAP
CHIP
50.72%
88.50%
Total Federal Share
(B)
(C)
(D)

0
0
4,955,671
0
1,290,157
0
200,816
0
1,000
0
4,142,046
3,502,090
0
4,530,007
0
0
-75
-25
0
0
5,430,741
0
0
170,949
0
355,516
0
0
0
671,690
816,927
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

0
0
3,256,371
0
847,762
0
131,956
0
885
0
2,721,738
2,301,223
0
2,976,668
0
0
-49
-16
0
0
3,568,540
0
0
112,331
0
233,610
0
0
0
441,367
536,803
0
0

0
0
3,256,371
0
847,762
0
131,956
0
0
0
2,721,738
2,301,223
0
2,976,668
0
0
-49
-16
0
0
3,568,540
0
0
112,331
0
233,610
0
0
0
441,367
536,803
0
0

0
0
0
1,860,275
1,146,642
29,074,427

0
0
0
0
0
0

0
0
0
1,222,387
753,458
19,105,034

0
0
0
1,222,387
753,458
19,105,034