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Missouri Application for the State Children’s Health Insurance Program Attachment 8 – Page - 1 -

Attachment 8 CHIP Budget

STATE: Missouri FFY Budget FFY Budget Federal Fiscal Year 2011 Costs 2012 Costs State’s enhanced FMAP rate 74.30% 74.42%

Benefit Costs

Insurance payments

Managed care $ 76,455,793 $ 81,165,815 FFY 2011: ($142.17 PMPM @ 44,814 eligibles)

FFY 2012: ($149.95 PMPM @ 46,410 eligibles)

Fee for Service $ 81,100,876 $ 84,478,706 FFY 2011: ($189.90 PMPM @ 35,589 eligibles)

FFY 2012: ($203.87 PMPM @ 36,859 eligibles)

Total Benefit Costs $ 157,556,669 $ 165,644,521 (Offsetting beneficiary cost sharing payments) $ (4,905,170) $ (4,905,170) Net Benefit Costs $ 152,651,499 $ 160,739,351 Cost of Proposed SPA Changes – Benefit

Administration Costs

Personnel

General administration

Contractors/Brokers $ 2,917,877 $ 3,186,801 Claims Processing

Outreach/marketing costs

Health Services Initiatives $ 1,150,000 $ 4,600,000 Other

Total Administration Costs $ 4,067,877 $ 7,786,801 10% Administrative Cap $ 16,961,278 $ 17,859,928

Cost of Proposed SPA Changes $ 1,150,000 $ 4,600,000

Federal Share $ 116,442,496 $ 125,417,162 State Share $ 40,276,880 $ 43,108,990 Total Costs of Approved CHIP Plan $ 156,719,376 $ 168,526,152

NOTE: The Federal Fiscal Year (FFY) runs from October 1st through September 30th. FFY actuals through Quarter ending March 31, 2012. Remaining Quarters are projected.

The Source of State Share Funds: