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59 Effective Date: July 1, 2009

Approval Date: Personnel $427,219 $448,580 General Administration $313,982 $329,681 Contractors/Brokers (e.g., Within Reach) $162,194 $170,304 Claims Processing $47,403 $49,773 Outreach/Marketing Costs(5) $1,215,000 0 Health Services Initiative – Washington Poison Center(6) $921,210 $945,714 Total Administration Costs $3,087,008 $1,944,052

10% Administrative Cost Ceiling $6,372,942 $8,804,720 Federal Share (multiplied by enhanced-FMAP rate) $32,535,763 $36,797,497 133% Medicaid Children (FMAP to EFMAP Federal Only) $10,450,000 $24,575,000 State Share $17,457,727 $19,814,037 TOTAL PROGRAM COSTS* $60,443,490 $81,186,534 *No new sources of state funds are being used to fund the measures in this budget. The source of state matching funds remains appropriations by the state legislature.

(1)Section 214 eligibility expansion (1) Upon approval of this SPA Washington estimates that 32,456 children will be eligible for FFP under its CHIP State Plan in FFY2010, including an additional 4,763 children as a result of CHIPRA, Section 214 eligibility expansion in CHIP and Medicaid. Washington estimates that 35,490 children will be eligible for FFP under its CHIP State Plan in FFY11, including an additional 5,574 children as a result of CHIPRA, Section 214 eligibility expansion in both CHIP and Medicaid. The total projected costs for CHIPRA, Section 214 eligibility expansion is estimated at $6.48 million dollars in FY10, the federal share is estimated at $4.22 million dollars in FY10. The total projected costs for CHIPRA, Section 214 eligibility expansion is estimated at $8.36 million dollars in FY11, the federal share is estimated at $5.43 million dollars in FY11. (2) Section 214 Medicaid Children Children added to Medicaid as a result of CHIPRA, Section 214 eligibility expansion are exempt from cost-sharing premiums. (3) 133% Medicaid Children (FMAP to EFMAP Federal Only) Washington is a qualified state under §2105(g) to claim an "uncapped" portion of