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Total SCHIP Budget for FFY 09
Notes: 1) Estimated costs for new populations are shown for July 2008 - September 2009 since
costs before Oct. 2008 will be claimed as a prior period adjustment in FFY 09.
2) Population #2 includes a reversal of a prior period adjustment for services provided in
previous federal fiscal years, artificially increasing the PMPM for this population.
COST PROJECTIONS FFY09 FFY 2009 Costs
Enhanced FMAP Rate 71.57%
Population #1 (Separate SCHIP Children)
Gross Insurance Payments $50,084,500
gross per member/per month rate @ 426,228 member months $117.51
Gross Benefit Costs Subtotal for Population #1 $50,084,500
Net Benefit Costs (net of cost share) Subtotal for Population #1 $43,691,048
Population #2 (Unborn Children of Pregnant Immigrants)
Insurance Payments $25,156,665
per member/per month rate@ 28,091 member months $895.54
Benefit Costs Subtotal for Population #2 (no cost share applies) $25,156,665
Population #3 (MCHIP Children)
Insurance Payments $59,214,100
per member/per month rate@ 525,406 member months $112.70
Benefit Costs Subtotal for Population #3 (no cost share applies) $59,214,100
Total Benefit Costs $134,455,265
Net Benefit Costs (Total Benefit Costs - Offsetting Beneficiary Cost Sharing Payments) $128,061,813
Administration Costs
Personnel $211,466
General administration - Eligibility Administration $13,903,171
Contractors/Brokers (e.g., enrollment contractors)
Claims Processing
Outreach/marketing costs $30,798
Other - Prenatal Care Coordination $83,665
Total Administration Costs $14,229,100
10% Administrative Cap (net benefit costs ÷ 9) $14,229,100
Federal Share (multiplied by enh-FMAP rate) $101,837,606
State Share $40,453,307
TOTAL PROGRAM COSTS $142,290,913
WISCONSIN
Effective Date:
Approval Date: 75