CMS-37.3 Summary Medicaid Program Budget Report

Quarterly Medicaid and CHIP Budget and Expenditure Reporting for the Medical Assistance Program, Administration and CHIP (MBES/CBES Forms CMS-21 and -21B, -37, and -64) -- (CMS-10529)

CMS- 37.3 Summary Form

Quarterly Medicaid Statement of Expenditures for the Medical Assistance Program (CMS-37)

OMB: 0938-1265

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1265 can be found here:

Document [pdf]

Download: pdf | pdf

CMS 37.3 Summary
Medicaid Program Budget Report
Estimated Medical Assistance by Type of Service (In Thousands)
Total Budgeted Services for Quarter Ending 09/30/2021
Total Computable
ARPA and FFCRA Sections
(A)
1a) Section 9811 COVID VACCINE and VACCINE
ADMINISTRATION 100% Match
1b) Section 9811 COVID Testing and Treatment
2) Section 9813 COVID Mobile Crisis Intervention
3) Section 9814 New Medicaid Expansion - 5% FMAP increase
4) Section 9815 Urban Indian Health Orgs 100% Match
5) Section 9817 HCBS - 10% FMAP increase
10) Total ARPA Sections
11) FFCRA Section 6004 Uninsured Testing Group 100% Match
12) FFCRA Section 6008 Additonal 6.2% FMAP
20) Total FFCRA Section 6004 and 6008
50) Total ARPA and FFCRA Sections

State: Alabama
OMB No. 0938-1265
Expires 04/30/2024
.
Submission Date: 5/15/2021
Federal Share
(B)

File Type	application/pdf
File Title	CMS-37.3 ARPA Quarter Summary
Author	Christopher Kessler
File Modified	2021-05-19
File Created	2021-05-18