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SCHIP Budget for New Populations
Note: Estimated costs are shown for July 2008 - September 2009 since costs before
Oct. 2008 will be claimed as a prior period adjustment in FFY 09.
COST PROJECTIONS FFY09 FFY 2009 Costs
Enhanced FMAP Rate 71.57%
Population #1 (children between 250% to 300% FPL)
Gross Insurance Payments $8,139,620.97
Gross per member/per month rate @ 70,927 member months (July 08 - September 09) $114.76
Gross Benefit Costs Subtotal for Population #1 $8,139,620.97
Net Benefit Costs (net of cost share) Subtotal for Population #1 $7,075,715.97
Population #2 (Unborn Children of Pregnant Immigrants 250% to 300% FPL)
Insurance Payments $25,614.05
per member/per month rate@ 97 member months (July 08 - September 09) $264.06
Benefit Costs Subtotal for Population #2 (no cost share applies) $25,614.05
Total Benefit Costs $8,165,235.02
Net Benefit Costs (Total Benefit Costs - Offsetting Beneficiary Cost Sharing Payments) $7,101,330.02
Administration Costs
Personnel** $11,726.29
General administration - Eligibility Administration** $770,963.12
Contractors/Brokers (e.g., enrollment contractors)
Claims Processing
Outreach/marketing costs** $1,707.84
Other - Prenatal Care Coordination** $4,639.41
Total Administration Costs $789,036.67
10% Administrative Cap (net benefit costs ÷ 9) $789,036.67
Federal Share (multiplied by enh-FMAP rate) $5,647,135
State Share $2,243,231
TOTAL PROGRAM COSTS $7,890,366.69
WISCONSIN
Effective Date:
Approval Date: 74