Medicaid Expenditure Update - Finance Review Presentation March 2020

This presentation provides an overview of the Medicaid expenditure updates to the External Finance Review Council, covering DMAS forecast accuracy, GA funding summary, Medicaid expansion trends, and total Medicaid expenditures for the state fiscal year 2020.

• Medicaid
• Expenditure
• Finance
• Forecast
• Update

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1. MEDICAID EXPENDITURE UPDATE Presentation to: External Finance Review Council March 11, 2020

2. Topics DMAS Forecast vs. Actuals Medicaid Accuracy Report 2020GA Funding Summary

3. DMAS Forecast vs. Actuals State Fiscal Year 2020 Base Medicaid Expenditures and Enrollment Expenditure Enrollment $1,400 985 Thousands Millions $1,200 980 $1,000 975 $800 $600 970 $400 965 $200 $- 960 Jul-19 Aug-19 Sep-19 Oct-19 Nov-19 Dec-19 Jan-20 Feb-20 Mar-20 Apr-20 May-20 Jun-20 Forecasted Expenditures Actual Expenditures Forecasted Enrollment Actual Enrollment

4. DMAS Forecast vs. Actuals State Fiscal Year 2020 Medicaid Expansion Expenditures and Enrollment Expenditure Enrollment $450 Thousands Millions 420 $400 400 $350 $300 380 $250 360 $200 340 $150 320 $100 300 $50 $- 280 Jul-19 Aug-19 Sep-19 Oct-19 Nov-19 Dec-19 Jan-20 Feb-20 Mar-20 Apr-20 May-20 Jun-20 Forecasted Expenditures Actual Expenditures Forecasted Enrollment Actual Enrollment

5. DMAS Forecast vs. Actuals State Fiscal Year 2020 Total Medicaid Expenditures and Enrollment Expenditure Enrollment $1,800 1,420 Thousands Millions $1,600 1,400 $1,400 1,380 $1,200 1,360 $1,000 1,340 $800 1,320 $600 1,300 $400 1,280 $200 1,260 $- 1,240 Jul-19 Aug-19 Sep-19 Oct-19 Nov-19 Dec-19 Jan-20 Feb-20 Mar-20 Apr-20 May-20 Jun-20 Forecasted Expenditures Actual Expenditures Forecasted Enrollment Actual Enrollment

6. Medicaid Accuracy Report January 2020 6

7. Medicaid Accuracy Report January 2020 7

8. Medicaid Accuracy Report January 2020 Total 8

9. 2020GA Funding Summary FY 2020 FY 2021 FY 2022 Base Appropriation Introduced Budget: U&I Forecast $4,989 $4,989 $4,989 ($211.70) $174.50 $500.50 Introduced Budget: Spending Initiatives $0.00 $34.60 $64.90 Introduced Budget: Reduction/Savings Total Introduced Budget ($44.40) ($110.40) ($131.70) $4,733 $5,088 $5,423 $ in millions, General Funds FY 2020 FY 2021 FY 2022 Conference: Spending Initiatives $0.00 $89.9 $127.80 Conference: Reduction/Savings Total Conference Budget ($5.9) ($40.1) ($72.70) $4,727 $5,138 $5,478 $ in millions, General Funds 9