Ohio Legislative Service Commission
moneys. Overall, the federal and state shares of Medicaid expenditures
are about 64% and 36%, respectively.
Table 5 provides GRF and non-GRF Medicaid expenditures by
agency. As seen from the table, across all funds Medicaid expenditures of
2.28 billion in December were above estimate by $57.8 million (2.6%).
GRF Medicaid expenditures of $1.65 billion were $80.2 million (5.1%)
above estimate while non-GRF Medicaid expenditures of $635.1 million
were $22.4 million (3.4%) below estimate. Through the first half of
FY 2017, across all funds, Medicaid expenditures totaled $12.33 billion,
684.8 million (5.3%) below the year-to-date estimate. GRF Medicaid
expenditures were $9.11 billion, $404.6 million (4.3%) below estimate,
while non-GRF Medicaid expenditures were $3.22 billion, $280.2 million
(8.0%) below estimate.
The Ohio Department of Medicaid (ODM) is primarily responsible
for administering Medicaid, with the assistance of five other state
agencies – Developmental Disabilities, Job and Family Services, Health,
Aging, and Mental Health and Addiction Services. As seen from Table 5,
ODM, the largest agency within this program category, also had the
largest year-to-date variance. Through the first half of FY 2017, ODM's
GRF expenditures totaled $8.78 billion, which was $374.9 million (4.1%)
below estimate, and its non-GRF expenditures totaled $2.17 billion,
which was $186.3 million (7.9%) below estimate. Across all funds, ODM's
expenditures were $561.2 million (4.9%) below the year-to-date estimate.
All-funds Medicaid expenditures from the Department of
Developmental Disabilities (DDD), the second largest agency within this
program category, totaled $1.24 billion through the first half of FY 2017,
which was $70.8 million (5.4%) below estimate. DDD's GRF Medicaid
expenditures of $285.9 million were $4.4 million (1.5%) below the year-
to-date estimate while its non-GRF year-to-date expenditures of
For the first
half of FY 2017,
from the GRF.
959.0 million were $66.4 million (6.5%) below estimate. Together, ODM
and DDD account for about 99% of the Medicaid expenditure total.
Table 6 details all-funds Medicaid expenditures by payment
category. As seen from the table, Managed Care had the largest negative
variance for the year to date at $260.6 million (4.9%), shrinking notably
from the end of the previous month due to a positive variance of
76.3 million in December. The positive variance in December was
caused by an expenditure of $138.8 million for health insurer fees. These
fees had been estimated to total only $83.3 million and were originally
planned for November. Continued lower-than-expected spending in
other Managed Care areas offset much of this overage. As reported in
previous issues of Budget Footnotes, the negative year-to-date variance in