STATE OF FLORIDA - AGENCY FOR HEALTH CARE ADMINISTRATION - MEDICAID PROGRAM ANALYSIS

HMO CAPITATION RATE SETTING RESULTS, using 97-98 DATA FOR FY 99-00 06/07/99

AREA DATA (excluding both AIDS WAIVERS and CMS KIDS)

Zone A (district I & II combined) Age group: Under 1

COMMUNITY BASED CLIENTS

REGULAR MEDICAID (NOT HMO)

ELIGIBILITY CATEGORY: TANF

UTLIZTN INFLTN 92%

SERVICE CATEGORY ELIGIBLES CASE-MONTHS RECIPIENTS PAID-CLAIMS UNITS AMOUNT PAID RATE FACTOR UNIT-COST CAPITATION CAPITATION

------

HOSPITAL INPATIENT 14,139 75,332 1,677 1,962 8,821 6,456,810.99 0.1170 1.1044 731.98 94.659 87.086

HOSPITAL OUTPATIENT 14,139 75,332 4,887 10,062 24,744 976,290.22 0.3284 1.0982 39.45 14.232 13.093

PHYSICIAN SERVICES 14,139 75,332 10,856 112,394 141,001 3,074,189.76 1.8717 1.0248 21.80 41.820 38.474

PRESCRIBED MEDICINE 14,139 75,332 7,064 35,665 35,665 481,178.72 0.4734 1.4321 13.49 9.147 8.415

LAB AND X-RAY 14,139 75,332 305 842 853 6,516.05 0.0113 1.0000 7.63 0.086 0.079

TRANSPORTATION 14,139 75,332 502 970 970 96,537.97 0.0128 1.0000 99.52 1.281 1.178

FAMILY PLANNING 14,139 75,332 115 162 162 1,896.87 0.0021 1.0000 11.70 0.025 0.023

HOME HEALTH SERVICS 14,139 75,332 517 1,641 9,313 112,894.22 0.1236 1.0105 12.12 1.514 1.393

EPSDT SCREENING 14,139 75,332 7,565 16,251 16,251 1,060,756.66 0.2157 1.0000 65.27 14.081 12.954

CHILD DENTAL 14,139 75,332 7 27 27 451.75 0.0003 1.1284 16.73 0.006 0.006

CHILD VISION 14,139 75,332 12 30 37 551.93 0.0004 1.0000 14.91 0.007 0.006

CHILD HEARING 14,139 75,332 133 140 140 5,071.97 0.0018 1.0000 36.22 0.067 0.061

NURSE PRACTITIONER 14,139 75,332 98 405 1,400 7,373.43 0.0185 1.0000 5.26 0.097 0.090

BIRTHING CENTER 14,139 75,332 6 6 6 371.67 0.0000 1.0000 61.94 0.004 0.004

RURAL HEALTH SERVICS 14,139 75,332 1,169 5,168 5,190 344,945.70 0.0688 1.2234 66.46 5.601 5.153

PERSONAL CARE SRVCES 14,139 75,332 1 1 2 77.60 0.0000 1.0000 38.80 0.001 0.000

PHYSICAL THERAPY 14,139 75,332 19 91 162 3,109.19 0.0021 1.0000 19.19 0.041 0.037

SPEECH THERAPY 14,139 75,332 5 5 5 242.50 0.0000 1.0000 48.50 0.003 0.002

OCCUPATIONAL THERPY 14,139 75,332 8 30 53 1,065.88 0.0007 1.0000 20.11 0.014 0.013

FQHC 14,139 75,332 179 407 407 30,297.92 0.0054 1.2351 74.44 0.496 0.457

CLINIC SVCS 14,139 75,332 524 1,011 1,011 63,854.33 0.0134 1.2217 63.15 1.035 0.952

PHYSICIAN ASSISTANT 14,139 75,332 3 14 14 322.35 0.0001 1.0000 23.02 0.004 0.003

DRUG REBATE 14,139 75,332 7,064 35,665 35,665 -72,439.41 0.4734 1.4321 -2.03 -1.377 -1.266

DIALYSIS CENTER 0.041 0.037

TOTAL 14,139 75,332 12,988 187,284 246,234 12,652,368.27 3.2686 1.0889 51.38 182.895 168.263

STATE OF FLORIDA - AGENCY FOR HEALTH CARE ADMINISTRATION - MEDICAID PROGRAM ANALYSIS

HMO CAPITATION RATE SETTING RESULTS, using 97-98 DATA FOR FY 99-00 06/07/99

AREA DATA (excluding both AIDS WAIVERS and CMS KIDS)

Zone A (district I & II combined) Age group: Under 1

COMMUNITY BASED CLIENTS

REGULAR MEDICAID (NOT HMO)

ELIGIBILITY CATEGORY: SSI - NO MEDICARE

UTLIZTN INFLTN 92%

SERVICE CATEGORY ELIGIBLES CASE-MONTHS RECIPIENTS PAID-CLAIMS UNITS AMOUNT PAID RATE FACTOR UNIT-COST CAPITATION CAPITATION

------

HOSPITAL INPATIENT 223 990 36 44 561 435,121.10 0.5666 1.0896 775.61 478.896 440.585

HOSPITAL OUTPATIENT 223 990 38 86 192 8,357.41 0.1939 1.0763 43.52 9.085 8.359

PHYSICIAN SERVICES 223 990 98 2,721 4,743 139,053.93 4.7909 1.0248 29.31 143.941 132.426

PRESCRIBED MEDICINE 223 990 61 237 237 4,469.02 0.2393 1.2888 18.85 5.817 5.352

LAB AND X-RAY 223 990 4 22 22 113.66 0.0222 1.0000 5.16 0.114 0.105

TRANSPORTATION 223 990 10 44 44 14,740.58 0.0444 1.0000 335.01 14.889 13.698

HOME HEALTH SERVICS 223 990 20 106 1,176 10,217.91 1.1878 1.0002 8.68 10.323 9.497

EPSDT SCREENING 223 990 45 72 72 4,603.24 0.0727 1.0000 63.93 4.649 4.277

NURSE PRACTITIONER 223 990 1 1 1 51.45 0.0010 1.0000 51.45 0.051 0.047

RURAL HEALTH SERVICS 223 990 6 19 19 1,254.93 0.0191 1.2151 66.04 1.540 1.417

PHYSICAL THERAPY 223 990 7 24 42 901.92 0.0424 1.0000 21.47 0.911 0.838

SPEECH THERAPY 223 990 2 7 12 266.70 0.0121 1.0000 22.22 0.269 0.247

OCCUPATIONAL THERPY 223 990 4 4 4 194.00 0.0040 1.0000 48.50 0.195 0.180

CLINIC SVCS 223 990 1 1 1 156.78 0.0010 1.2207 156.78 0.193 0.177

PHYSICIAN ASSISTANT 223 990 1 4 4 84.65 0.0040 1.0000 21.16 0.085 0.078

DRUG REBATE 223 990 61 237 237 -483.93 0.2393 1.2888 -2.04 -0.629 -0.579

DIALYSIS CENTER 1.350 1.242

TOTAL 223 990 167 3,392 7,130 619,103.35 7.2020 1.0740 86.83 671.687 617.952

STATE OF FLORIDA - AGENCY FOR HEALTH CARE ADMINISTRATION - MEDICAID PROGRAM ANALYSIS

HMO CAPITATION RATE SETTING RESULTS, using 97-98 DATA FOR FY 99-00 06/07/99

AREA DATA (excluding both AIDS WAIVERS and CMS KIDS)

Zone A (district I & II combined) Age group: 1 - 5

COMMUNITY BASED CLIENTS

REGULAR MEDICAID (NOT HMO)

ELIGIBILITY CATEGORY: TANF

UTLIZTN INFLTN 92%

SERVICE CATEGORY ELIGIBLES CASE-MONTHS RECIPIENTS PAID-CLAIMS UNITS AMOUNT PAID RATE FACTOR UNIT-COST CAPITATION CAPITATION

------

HOSPITAL INPATIENT 32,071 216,183 715 827 1,918 1,280,876.83 0.0088 1.1044 667.81 6.543 6.020

HOSPITAL OUTPATIENT 32,071 216,183 9,329 17,360 46,714 2,081,513.07 0.2160 1.0982 44.55 10.573 9.728

PHYSICIAN SERVICES 32,071 216,183 18,522 95,615 156,721 2,262,393.80 0.7249 1.0248 14.43 10.724 9.866

PRESCRIBED MEDICINE 32,071 216,183 17,039 90,474 90,474 1,558,305.79 0.4185 1.4321 17.22 10.322 9.497

LAB AND X-RAY 32,071 216,183 1,817 3,951 3,994 31,392.75 0.0184 1.0000 7.85 0.145 0.133

TRANSPORTATION 32,071 216,183 1,135 10,148 10,148 296,765.23 0.0469 1.0000 29.24 1.372 1.262

FAMILY PLANNING 32,071 216,183 172 307 307 7,050.77 0.0014 1.0000 22.96 0.032 0.030

HOME HEALTH SERVICS 32,071 216,183 532 1,258 2,964 62,615.16 0.0137 1.0105 21.12 0.292 0.269

EPSDT SCREENING 32,071 216,183 8,602 10,632 10,632 697,994.07 0.0491 1.0000 65.65 3.228 2.970

CHILD DENTAL 32,071 216,183 4,305 33,188 33,475 630,206.30 0.1548 1.1284 18.82 3.289 3.026

CHILD VISION 32,071 216,183 927 2,842 3,275 59,999.10 0.0151 1.0000 18.32 0.277 0.255

CHILD HEARING 32,071 216,183 92 194 195 4,129.39 0.0009 1.0000 21.17 0.019 0.017

NURSE PRACTITIONER 32,071 216,183 161 404 2,591 9,663.58 0.0119 1.0000 3.72 0.044 0.041

RURAL HEALTH SERVICS 32,071 216,183 2,906 9,028 9,033 724,629.12 0.0417 1.2234 80.22 4.100 3.772

PHYSICAL THERAPY 32,071 216,183 39 654 1,282 21,781.53 0.0059 1.0000 16.99 0.100 0.092

SPEECH THERAPY 32,071 216,183 407 9,966 19,415 330,292.53 0.0898 1.0000 17.01 1.527 1.405

OCCUPATIONAL THERPY 32,071 216,183 57 686 1,321 23,764.15 0.0061 1.0000 17.98 0.109 0.101

FQHC 32,071 216,183 409 851 851 63,740.36 0.0039 1.2351 74.90 0.364 0.335

CLINIC SVCS 32,071 216,183 2,441 4,444 4,444 269,250.80 0.0205 1.2217 60.58 1.521 1.399

PHYSICIAN ASSISTANT 32,071 216,183 19 32 32 1,232.97 0.0001 1.0000 38.53 0.005 0.005

DRUG REBATE 32,071 216,183 17,039 90,474 90,474 -248,483.20 0.4185 1.4321 -2.74 -1.646 -1.514

DIALYSIS CENTER 0.041 0.037

TOTAL 32,071 216,183 27,924 292,861 399,786 10,169,114.10 1.8492 1.1265 25.43 52.993 48.754

STATE OF FLORIDA - AGENCY FOR HEALTH CARE ADMINISTRATION - MEDICAID PROGRAM ANALYSIS

HMO CAPITATION RATE SETTING RESULTS, using 97-98 DATA FOR FY 99-00 06/07/99

AREA DATA (excluding both AIDS WAIVERS and CMS KIDS)

Zone A (district I & II combined) Age group: 1 - 5

COMMUNITY BASED CLIENTS

REGULAR MEDICAID (NOT HMO)

ELIGIBILITY CATEGORY: SSI - NO MEDICARE

UTLIZTN INFLTN 92%

SERVICE CATEGORY ELIGIBLES CASE-MONTHS RECIPIENTS PAID-CLAIMS UNITS AMOUNT PAID RATE FACTOR UNIT-COST CAPITATION CAPITATION

------

HOSPITAL INPATIENT 788 6,417 53 74 186 128,863.91 0.0289 1.0896 692.81 21.880 20.130

HOSPITAL OUTPATIENT 788 6,417 263 1,073 2,432 119,222.18 0.3789 1.0763 49.02 19.996 18.396

PHYSICIAN SERVICES 788 6,417 426 3,378 7,293 90,462.39 1.1365 1.0248 12.40 14.446 13.291

PRESCRIBED MEDICINE 788 6,417 413 3,666 3,666 88,594.90 0.5712 1.2888 24.16 17.793 16.370

LAB AND X-RAY 788 6,417 53 220 221 2,005.42 0.0344 1.0000 9.07 0.312 0.287

TRANSPORTATION 788 6,417 71 955 955 50,323.95 0.1488 1.0000 52.69 7.842 7.214

FAMILY PLANNING 788 6,417 5 5 5 103.11 0.0007 1.0000 20.62 0.016 0.014

HOME HEALTH SERVICS 788 6,417 50 253 1,272 26,235.42 0.1982 1.0002 20.62 4.089 3.762

EPSDT SCREENING 788 6,417 178 223 223 14,488.12 0.0347 1.0000 64.96 2.257 2.077

CHILD DENTAL 788 6,417 113 839 844 14,252.24 0.1315 1.1298 16.88 2.509 2.308

CHILD VISION 788 6,417 50 167 218 2,929.95 0.0339 1.0000 13.44 0.456 0.420

CHILD HEARING 788 6,417 7 11 11 489.50 0.0017 1.0000 44.50 0.076 0.070

NURSE PRACTITIONER 788 6,417 4 21 109 435.86 0.0169 1.0000 3.99 0.067 0.062

RURAL HEALTH SERVICS 788 6,417 60 127 127 9,144.71 0.0197 1.2151 72.00 1.731 1.593

PERSONAL CARE SRVCES 788 6,417 3 61 120 12,013.45 0.0187 1.0000 100.11 1.872 1.722

PHYSICAL THERAPY 788 6,417 32 845 1,652 27,866.31 0.2574 1.0000 16.86 4.342 3.995

SPEECH THERAPY 788 6,417 95 2,824 5,552 93,822.91 0.8652 1.0000 16.89 14.620 13.451

OCCUPATIONAL THERPY 788 6,417 51 1,379 2,721 46,684.96 0.4240 1.0000 17.15 7.275 6.693

FQHC 788 6,417 22 50 50 3,600.57 0.0077 1.2460 72.01 0.699 0.643

CLINIC SVCS 788 6,417 33 60 60 4,083.24 0.0093 1.2207 68.05 0.776 0.714

DRUG REBATE 788 6,417 413 3,666 3,666 -15,182.30 0.5712 1.2888 -4.14 -3.049 -2.805

DIALYSIS CENTER 1.350 1.242

TOTAL 788 6,417 678 16,231 27,717 720,440.80 4.3193 1.0810 25.99 121.365 111.656

STATE OF FLORIDA - AGENCY FOR HEALTH CARE ADMINISTRATION - MEDICAID PROGRAM ANALYSIS

HMO CAPITATION RATE SETTING RESULTS, using 97-98 DATA FOR FY 99-00 06/07/99

AREA DATA (excluding both AIDS WAIVERS and CMS KIDS)

Zone A (district I & II combined) Age group: 6 - 13

COMMUNITY BASED CLIENTS

REGULAR MEDICAID (NOT HMO)

ELIGIBILITY CATEGORY: TANF

UTLIZTN INFLTN 92%

SERVICE CATEGORY ELIGIBLES CASE-MONTHS RECIPIENTS PAID-CLAIMS UNITS AMOUNT PAID RATE FACTOR UNIT-COST CAPITATION CAPITATION

------

HOSPITAL INPATIENT 33,332 238,754 397 478 1,624 1,063,410.04 0.0068 1.1044 654.80 4.918 4.525

HOSPITAL OUTPATIENT 33,332 238,754 6,414 10,228 29,347 1,309,483.01 0.1229 1.0982 44.62 6.023 5.541

PHYSICIAN SERVICES 33,332 238,754 14,681 59,807 100,251 1,525,146.10 0.4198 1.0248 15.21 6.546 6.022

PRESCRIBED MEDICINE 33,332 238,754 13,913 72,429 72,429 1,802,674.25 0.3033 1.4321 24.88 10.812 9.947

LAB AND X-RAY 33,332 238,754 1,077 2,996 3,096 24,374.83 0.0129 1.0000 7.87 0.102 0.093

TRANSPORTATION 33,332 238,754 942 4,720 4,720 153,945.25 0.0197 1.0000 32.61 0.644 0.593

FAMILY PLANNING 33,332 238,754 171 328 328 8,262.29 0.0013 1.0000 25.18 0.034 0.031

HOME HEALTH SERVICS 33,332 238,754 260 658 1,294 33,936.61 0.0054 1.0105 26.22 0.143 0.132

EPSDT SCREENING 33,332 238,754 3,829 3,999 3,999 264,518.28 0.0167 1.0000 66.14 1.107 1.019

CHILD DENTAL 33,332 238,754 8,611 84,820 85,094 1,299,003.01 0.3564 1.1284 15.26 6.139 5.648

CHILD VISION 33,332 238,754 3,264 14,294 18,058 205,015.70 0.0756 1.0000 11.35 0.858 0.789

CHILD HEARING 33,332 238,754 41 84 84 2,623.01 0.0003 1.0000 31.22 0.010 0.010

NURSE PRACTITIONER 33,332 238,754 91 223 1,882 7,597.17 0.0078 1.0000 4.03 0.031 0.029

RURAL HEALTH SERVICS 33,332 238,754 2,537 6,438 6,441 500,980.38 0.0269 1.2234 77.77 2.567 2.361

PHYSICAL THERAPY 33,332 238,754 6 120 247 3,813.50 0.0010 1.0000 15.43 0.015 0.014

SPEECH THERAPY 33,332 238,754 28 539 1,040 17,294.26 0.0043 1.0000 16.62 0.072 0.066

OCCUPATIONAL THERPY 33,332 238,754 4 135 273 4,641.14 0.0011 1.0000 17.00 0.019 0.017

FQHC 33,332 238,754 334 702 702 51,965.31 0.0029 1.2351 74.02 0.268 0.247

CLINIC SVCS 33,332 238,754 2,626 4,932 4,932 296,274.74 0.0206 1.2217 60.07 1.516 1.394

PHYSICIAN ASSISTANT 33,332 238,754 26 26 26 1,510.54 0.0001 1.0000 58.09 0.006 0.005

DRUG REBATE 33,332 238,754 13,913 72,429 72,429 -298,643.46 0.3033 1.4321 -4.12 -1.791 -1.648

DIALYSIS CENTER 0.041 0.037

TOTAL 33,332 238,754 27,821 267,956 335,867 8,277,825.96 1.4067 1.1563 24.64 40.091 36.883

STATE OF FLORIDA - AGENCY FOR HEALTH CARE ADMINISTRATION - MEDICAID PROGRAM ANALYSIS

HMO CAPITATION RATE SETTING RESULTS, using 97-98 DATA FOR FY 99-00 06/07/99

AREA DATA (excluding both AIDS WAIVERS and CMS KIDS)

Zone A (district I & II combined) Age group: 6 - 13

COMMUNITY BASED CLIENTS

REGULAR MEDICAID (NOT HMO)

ELIGIBILITY CATEGORY: SSI - NO MEDICARE

UTLIZTN INFLTN 92%

SERVICE CATEGORY ELIGIBLES CASE-MONTHS RECIPIENTS PAID-CLAIMS UNITS AMOUNT PAID RATE FACTOR UNIT-COST CAPITATION CAPITATION

------

HOSPITAL INPATIENT 2,577 23,734 86 123 812 518,438.46 0.0342 1.0896 638.47 23.800 21.896

HOSPITAL OUTPATIENT 2,577 23,734 718 1,606 4,284 177,754.05 0.1805 1.0763 41.49 8.060 7.416

PHYSICIAN SERVICES 2,577 23,734 1,398 7,926 12,774 209,762.54 0.5382 1.0248 16.42 9.057 8.332

PRESCRIBED MEDICINE 2,577 23,734 1,481 16,370 16,370 586,309.78 0.6897 1.2888 35.81 31.837 29.290

LAB AND X-RAY 2,577 23,734 127 486 493 4,356.41 0.0207 1.0000 8.83 0.183 0.168

TRANSPORTATION 2,577 23,734 209 1,754 1,754 57,382.91 0.0739 1.0000 32.71 2.417 2.224

FAMILY PLANNING 2,577 23,734 19 37 37 1,129.18 0.0015 1.0000 30.51 0.047 0.043

HOME HEALTH SERVICS 2,577 23,734 68 612 6,628 45,156.81 0.2792 1.0002 6.81 1.903 1.750

EPSDT SCREENING 2,577 23,734 383 402 402 26,120.77 0.0169 1.0000 64.97 1.100 1.012

CHILD DENTAL 2,577 23,734 652 6,252 6,279 95,369.85 0.2645 1.1298 15.18 4.539 4.176

CHILD VISION 2,577 23,734 308 1,403 1,762 19,700.06 0.0742 1.0000 11.18 0.830 0.763

CHILD HEARING 2,577 23,734 22 61 61 4,019.96 0.0025 1.0000 65.90 0.169 0.155

NURSE PRACTITIONER 2,577 23,734 8 25 25 769.72 0.0010 1.0000 30.78 0.032 0.029

RURAL HEALTH SERVICS 2,577 23,734 216 572 572 39,917.99 0.0241 1.2151 69.78 2.043 1.880

PERSONAL CARE SRVCES 2,577 23,734 3 195 1,197 20,031.90 0.0504 1.0000 16.73 0.844 0.776

PHYSICAL THERAPY 2,577 23,734 9 112 222 3,629.20 0.0093 1.0000 16.34 0.152 0.140

SPEECH THERAPY 2,577 23,734 46 1,252 2,460 40,929.75 0.1036 1.0000 16.63 1.724 1.586

OCCUPATIONAL THERPY 2,577 23,734 16 349 695 11,233.60 0.0292 1.0000 16.16 0.473 0.435

FQHC 2,577 23,734 52 113 113 8,288.95 0.0047 1.2460 73.35 0.435 0.400

CLINIC SVCS 2,577 23,734 196 501 501 30,270.02 0.0211 1.2207 60.41 1.556 1.432

PHYSICIAN ASSISTANT 2,577 23,734 1 2 2 117.92 0.0000 1.0000 58.96 0.004 0.004

DRUG REBATE 2,577 23,734 1,481 16,370 16,370 -96,255.28 0.6897 1.2888 -5.87 -5.226 -4.808

DIALYSIS CENTER 1.350 1.242

TOTAL 2,577 23,734 2,358 40,153 57,443 1,804,434.55 2.4202 1.1487 31.41 87.339 80.352

STATE OF FLORIDA - AGENCY FOR HEALTH CARE ADMINISTRATION - MEDICAID PROGRAM ANALYSIS

HMO CAPITATION RATE SETTING RESULTS, using 97-98 DATA FOR FY 99-00 06/07/99

AREA DATA (excluding both AIDS WAIVERS and CMS KIDS)

Zone A (district I & II combined) Age group: 14 - 20

COMMUNITY BASED CLIENTS

REGULAR MEDICAID (NOT HMO)

ELIGIBILITY CATEGORY: TANF

UTLIZTN INFLTN 92%

SERVICE CATEGORY ELIGIBLES CASE-MONTHS RECIPIENTS PAID-CLAIMS UNITS AMOUNT PAID RATE FACTOR UNIT-COST CAPITATION CAPITATION

------

HOSPITAL INPATIENT 15,703 91,305 1,093 1,245 3,499 2,432,916.29 0.0383 1.1044 695.31 29.427 27.073

HOSPITAL OUTPATIENT 15,703 91,305 4,106 9,395 31,319 1,211,544.02 0.3430 1.0982 38.68 14.572 13.406

PHYSICIAN SERVICES 15,703 91,305 6,712 43,907 93,990 1,902,975.66 1.0294 1.0248 20.24 21.358 19.650

PRESCRIBED MEDICINE 15,703 91,305 6,182 31,744 31,744 775,495.97 0.3476 1.4321 24.42 12.163 11.190