COBI 2015 - Medical Collections

Overview
Issues
Financials

Sources Uses

FY 2016 Appropriation

This bureau is responsible for providing insurance identification, collection, and cost avoidance services to the Department of Health for Medicaid, the Children's Health Insurance Program (CHIP), and the Primary Care Network (PCN). The bureau works to identify medical insurance recipients and coordinates benefits and recovery. Additionally, the bureau pursues collections from liable third parties in personal injury cases and administers the Medicaid Estate Recovery program.

Funding History

Appropriation Overview

During the 2015 General Session, the Legislature appropriated for Fiscal Year 2016, $3,261,800 from all sources for Medical Collections. This is a 2.6 percent increase from Fiscal Year 2015 revised estimated amounts from all sources. The total includes $1,555,800 from the General/Education Funds, an increase of 2.7 percent from revised Fiscal Year 2015 estimates.

Staff Analysis

For the most recent completed fiscal year, the following information represents the purposes for which the money was used:

Medical Collections Detailed Purposes

History of Medical Collections

History of Medical Collections Outcomes and Expenditures

Intent Language

SB0002: Item 84

The Legislature intends the Office of Recovery Services report to the Office of the Legislative Fiscal Analyst by September 1, 2015 regarding implementation of 2014 General Session fee increases and a detailed listing of the intended uses of the additional fee revenue with associated amounts.

SB0007S01: Item 29

The Legislature intends that the Department of Human Services report on the following performance measures for the Office of Recovery Services line item: (1) ORS Total Collections (Target = $250 million), (2) Child Support Services Collections (Target = $215 million), and (3) Ratio: ORS Collections to Cost (Target = > 5.9 to 1) by January 1, 2016 to the Social Services Appropriations Subcommittee.

Display By:

Funding Source

Expenditure Category

Appropriation Type:

Appropriation History by

Sources of Finance	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
General Fund	1,150,000	1,008,700	1,105,000	1,396,600	1,373,100	133,100	1,506,200	38,500	1,544,700
General Fund, One-time	0	0	0	4,300	8,600	0	8,600	2,500	11,100
Transfers	0	0	0	0	0	0	0	47,700	47,700
Transfers - Medicaid	1,320,700	1,237,500	1,254,800	1,525,900	1,535,600	129,200	1,664,800	(6,500)	1,658,300
Lapsing Balance	(150,100)	0	0	0	0	0	0	0	0
Total	$2,320,600	$2,246,200	$2,359,800	$2,926,800	$2,917,300	$262,300	$3,179,600	$82,200	$3,261,800

Categories of Expenditure	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
Personnel Services	2,311,300	2,233,100	2,326,600	2,319,500	2,427,000	214,100	2,641,100	74,500	2,715,600
Current Expense	9,300	13,100	33,200	575,300	427,400	36,500	463,900	7,500	471,400
DP Current Expense	0	0	0	74,700	62,900	11,700	74,600	200	74,800
Total	$2,320,600	$2,246,200	$2,359,800	$2,969,500	$2,917,300	$262,300	$3,179,600	$82,200	$3,261,800

Show Table | Show Additional Information

Other Indicators	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
Budgeted FTE	39.80	39	39.50	40	38	2	40	0	40
Actual FTE	36.84	35.60	37.20	36	0	0	0	0	0

COBI contains unaudited data as presented to the Legislature by state agencies at the time of publication. For audited financial data see the State of Utah's Comprehensive Annual Financial Reports.