1. Family Planning Data Analysis Travis Duke

2. Goals Monthly Data Reviews Trends Data Analysis Data Collection

3. Monthly Data Reviews Review Consists Of: Title V, X, XX, Regular XIX, & WHP Paid/Denied/Funds Gone Claims Unduplicated Clients Expenditures Cost Per Client Procedures

4. Trends Unduplicated Clients (Expenditures) FY2007 Title V: 48,162 ($5,277,793) Title XX: 171,232 ($25,690,161) Regular XIX: 58,067 ($6,793,181) WHP: 35,631 ($4,279,992)

5. Trends Unduplicated Clients (Expenditures) FY2006 Title V: 64,531 ($7,817,477) Title XX: 213,959 ($33,044,328) Regular XIX: 29,641 ($3,231,622)

6. Trends Denied Claims Statewide Title V: 1946 Title XX: 9235 Regular XIX: 7876 WHP: 5316

7. Trends Statewide Average Cost Per Client Title V: $106.53 Title XX: $145.07 Regular XIX: $116.99 WHP: $120.12

8. Trends Provider Cost Per Client Title V: $50.70 - $294.33 Title XX: $78.98 – $528.35

9. Trends Most Popular BC Methods Contraceptive Pills: 109,817 clients Depo Provera: 44,988 clients Patch: 6299 clients IUD: 3206 clients 1,137,045 Male Condoms Distributed

10. Trends Average Client: FemaleUnmarriedHispanic Between the Ages of 20 and 29

11. Trends Teens Served : Title V: 3449 (7%) Title X: 4998 (23%) Title XX: 25,527 (16%) Regular XIX: 12,139 (23%) WHP (18-19): 3666 (11%)

12. Data Analysis What we are looking at : Expenditures Cost of Providing Service Frequency of Procedures Denied Claims WHP Claims

13. Data Analysis Fiscal Impact of Additions/Changes to V/X/XX Procedures: New Direct Probe and Amplified Probe Chlamydia and Gonorrhea tests Medicaid Rate Increases Initial Visit

14. Data Collection Are we missing data? –Contractors must file all claims even if they have reached their funding ceiling –Contracts must file all appeals even if they have reached their funding ceiling –Contractors must file all Title X encounters even though this will not result in payment –Contractors must ensure they use only TPIs to file family planning claims/encounters that they have shared with DSHS via clinic forms

15. Q & A

16. THE END Travis Duke Texas Department of State Health Services Travis.duke@dshs.state.tx.us (512) 458-7796