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90 STATE: CA FFY Budget FFY Budget Other - - Total Administration Costs $94,422,201 $43,414,158 10% Administrative Cap $196,117,069 $175,067,856

Cost of Proposed SPA Changes - -

Federal Share $1,208,659,284 $1,052,366,163 State Share $650,816,537 $566,658,703 Total Costs of Approved CHIP Plan $1,859,475,940 $1,619,024,985

NOTE: California does not have projections from FY 2012 for baseline prior to transition of children from Healthy Families under separate to Medicaid expansion. Actual costs are described below.

The Source of State Share Funds: State General Fund

CMS tracks state expenditures through the automated Medicaid Budget and Expenditure System/State Children's Health Insurance Budget and Expenditure System (MBES/CBES). The system allows states to report budgeted and actual expenditures for Medicaid and CHIP, by electronically submitting their forms to the CMS Data Center and the Medicaid data base. The information provided below is based on actuals from the CMS21 forms for California’s separate population and from the CMS 64.21 Medicaid expansion program for the quarters before and after the former Healthy Families transition from a separate program to a Medicaid expansion. As illustrated below, the total state and Federal expenditures after the transition decreased by approximately $219 million. Type of Title XXI Funded Program FFY Quarter 1 of 2013 (Prior to Transition of Separate to Medicaid Expansion) FFY Quarter 2 of 2013 (After Transition from Separate to Medicaid Expansion) Cost difference after transition of former Healthy Families children from a separate to a Medicaid expansion. Separate Federal: $247,155,406 State: $107,779,971 Total: $354,935,377 Federal: $99,762,091 State: $34,057,914 Total: $133,820,005 Federal: Decrease of $147,393,315 State: Decrease of $73,722,057 Total: Decrease of $221,115,372