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Application for the State of Indiana Children’s Health Insurance Program Amendment #7
Effective Date:
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Approval Date: In the 2007 Indiana legislative session, state law (P.L. 218-2007) was passed to increase the income eligibility up to 300% FPL, and create continuous eligibility for children until three (3) years of age. The statute gives authority to the Office of Medicaid Policy and Planning to adjust eligibility based on available program resources and further gives rulemaking authority to establish premiums. The rulemaking process with all notice and comment requirements will be followed as described above.
9.10. Provide a one year projected budget. A suggested financial form for the budget is attached. The budget must describe: (Section 2107(d)) (42CFR 457.140)
Planned use of funds, including – - Projected amount to be spent on health services; - Projected amount to be spent on administrative costs, such as outreach, child health initiatives, and evaluation; and - Assumptions on which the budget is based, including cost per child and expected enrollment.
Projected sources of non-Federal plan expenditures, including any requirements for cost-sharing by enrollees.
CURRENT AND PROJECTED CHIP - PACKAGE A & C EXPENDITURES
BENEFIT COSTS FY 2010 Budget
Managed Care (RBMC) 116,608,485.00
Fee for Service (Traditional) 14,870,696.00
Total Benefit Costs 131,479,181.00 (Offsetting beneficiary cost sharing payments) (6,604,769.00) Net Benefit Costs 124,874,412.00 Administration Costs FY 2010 Budget Personnel 147,930.76
General Administration 2,219,638.44 Contractors/Brokers (enrollment contractors) 6,727,513.80 Claims Processing 2,097,537.10 Outreach/Marketing Costs 325,000.00 Other (e.g. indirect Costs) 17,695.20 Health Services Initiatives - Total Administration Costs 11,535,315.30 10% Administrative Cap (net benefits /9) 13,874,934.67