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+ Cohort I Finance Survey Results Public Insurance Webinar.

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Presentation on theme: "+ Cohort I Finance Survey Results Public Insurance Webinar."— Presentation transcript:

1 + Cohort I Finance Survey Results Public Insurance Webinar

2 + Cohort I Funding - Average 2 Revenue DistributionRevenue SourceAmount Federal$158,582,655 State$300,755,384 Local$129,486,068 Total$597,324,107

3 + Percentage of Total Funding By Level by State 3

4 + Federal Part C as a Percentage of Reported EI Funds 4

5 + Infrastructure Part C 619 Medicaid Title V SCHIP Champus Other State Personnel9000001 Regional Personnel5000000 Local Personnel8020112 SICC9000001 Child Find Public Awareness10210011 Eligibility Determination10051030 CSPD9000001 Monitoring9000001 Dispute Resolution8000001 Data System9000001 IFSP Development9031011 5

6 + Direct Services Part C MedicaidSCHIPTitle VChampusOther Assistive Technology1072130 Audiology1062243 Family Training1031111 Health1072141 Medical (diagnostic) 862141 Nursing1072141 Nutrition1062141 Occupational Therapy1083141 Physical Therapy1083141 Psychology1072131 Service Coordination1051111 Special Instruction1011102 Speech Therapy1073141 Sign or Cued Language 831213 Social Work931121 Transportation852121 Vision1052132 Respite320001 6

7 + InfrastructureState Part C Appropriation State General Funds Deaf Blind Schools State Personnel 361 Regional Personnel 240 Local Personnel 350 SICC 340 Child Find Public Awareness 460 Eligibility Determination 370 CSPD 260 Monitoring 350 Dispute Resolution 350 Data System 360 IFSP Development 360 7

8 + State Part C State General State Special Ed Deaf Blind Other Assistive Technology47000 Audiology47110 Family Training47000 Health47000 Medical (diagnostic)46000 Nursing47000 Nutrition47000 Occupational Therapy47000 Physical Therapy47000 Psychology47000 Service Coordination47000 Special Instruction47000 Speech Therapy47000 Sign or Cued Language 46100 Social Work47000 Transportation46000 Vision46000 Respite44000 8

9 + InfrastructureCounty Tax Levy Local Gov’t United Way Private Insurance State Personnel 0000 Regional Personnel 0000 Local Personnel 2002 SICC 0000 Child Find Public Awareness 2010 Eligibility Determination 1103 CSPD 1110 Monitoring 1100 Dispute Resolution 1100 Data System 0000 IFSP Development 1100 9

10 10

11 + Medicaid Infrastructure Admin General EPSDT Rehab Managed Care Waiver State Personnel300000 Local Personnel810001 SICC100000 Child Find Public Awareness110000 Eligibility Determination312120 CSPD100000 Monitoring100000 Data System210000 IFSP Development210001 11

12 + Payment Mechanism Public Insurance Webinar 12

13 + Medicaid AdminGeneralEPSDTRehabManaged Care Waiver Assistive Tech242133 Audiology232122 Family Training122012 Health242022 Medical (diagnostic)243022 Nursing253022 Nutrition243001 Occupational Therapy 253022 Physical Therapy253022 Psychology253022 Service Coordination322012 Special Instruction120001 Speech Therapy253132 Social Work233120 Transportation222112 Vision243121 Respite000003 13

14 + Medicaid Medicaid Administration for Part C; Fee for Service - 4 states Managed Care – 1 state Both – 4 states Medicaid acceptance of IFSP as Prior Authorizing Document Yes – 5 No – 4 Does Medicaid require physician signature? Yes for some services – 1 state No – 8 states 14

15 + Family Cost Participation Public Insurance – 9 states Private Insurance only – 2 states Family Fees only – 2 states Both Private Insurance and Family Fees – 5 states Public Insurance Webinar 15

16 + Family Fees Fee Structure Annual – 2 states Monthly – 2 states Co-pay per service – 1 state Percentage of IFSP cost – 1 state Cost share – 1 state FPL percentage 185% - 3 states 200% - 4 states Public Insurance Webinar 16

17 + Private Insurance Statutory Language related to use: Yes – 3 states No – 7 states Insurance Annual Cap Yes – 1 state No – 6 states Decrease in revenue from family refusal Yes – 2 states No – 4 states Are Part C services included in essential benefits? Yes – 1 state No – 2 states Don’t Know – 4 states No Response – 3 states Public Insurance Webinar 17

18 + Variables Used in Allocating Funds 18

19 + Reporting Requirements Do all participating entities report all revenue and expenditures related to EI on an annual basis? Yes – 7 states No – 3 states How frequently is information required to be provided? Monthly – 3 states Quarterly – 2 states Annually – 2 states Are all participating entities required to submit a uniform financial report on an annual basis? Everyone – 4 states Certain threshold – 2 states No – 4 states 19

20 + Fiscal Monitoring 20

21 + Provider Types 21


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