    Summary Report for FSPSAs Initiated During the Report PeriodStatewide

    This report shows the total number of units/fees for FSPSAs initiated during the report period.
    (i.e., start date of service authorization occurs during the report period). This report does not
    represent all FSPSAs that overlap the report period. Note that service authorization periods may
    range from 1 to 12 months and may vary in intensity from child to child.

    FSPSAs starting between: 07/01/08 and 09/30/08                  Date of Report: 11-18-08

             Payor Filter: PARH   PAHM   DEI    DEIM
    Child has a MEDICAID # Filter: Y
    Eligibility Filter: Program Patients

    Services                                       Number of   Number of   Total Units  Total Cost of        Avg Fee
                                                   Children    Records     Authorized   Auth Services     Per Unit Auth

    NO DATA FOUND FOR LISTED FILTERS!