fiscal officers training manual - New York State Conference of Local ...

Example of a Retained Medicaid Calculation**Figures reflect a 2 ICM Managers in the Hudson RegionModelBudgeted Model(2 ICM)Pre-RetainedMedicaid ClaimsVarianceFinalClaimsTotal Expenses 70,603 141,206 165,000 23,794 165,000Medicaid 63,788 127,576 150,000 22,424 150,000Other Revenues 0 10,000 10,000 10,000Retained Medicaid (ln 39) 0 0 0 0 (1,903)Net Operating Costs 6,815 13,630 10,000 (3,630) 6,903Net Deficit / DSH 6,815 13,630 6,903Retained Medicaid: 70% Medicaid overBudgeted ModelState Share Take-back: 30% Medicaidover Budgeted15,6976,727(reduction to Net Deficit Funding)a. Calculate the maximum Retained Medicaid:Actual Medicaid Revenue $150,000Budged Model Medicaid $127,576Variance; Medicaid over Model $ 22,424Retained Medicaid: 70% of Medicaid over Model $ 15,697State Share of Medicaid: 30% of Medicaid over Model $ 6,727b. Net Deficit Funding available::Model Net Deficit Funding $ 13,630State Share of Medicaid reduction ($ 6,727)Net Deficit Funding available $ 6,903c. Retained Medicaid Carryover:Total Expenses $ 165,000Total Medicaid ($ 150,000)Other Revenue ($ 10,000)Net Deficit Funding Available ($ 6,903)Balance = Retained Medicaid Carryover ($ 1,903)