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: 01/01/08 and 12/31/08                  Date of Report: 02-16-09

         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!