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Appropriation Amendment: \\legs-webdev1\itdreview\session\2005\Senate\appbills\html\SB7078am997039.html

997039                                                     
Florida Senate - 2005                                Committee       Amendment
SB7078                                                   HA               


The Committee on Ways and Means (Saunders) recommended the following 
amendment:

Section: 03              EXPLANATION:

On Page: 047             Removes existing proviso language directing the  
                         Agency for Health Care Administration to contract with
Spec App:  188           capitated durable medical equipment providers and
                         replaces it with language that allows the agency to
                         implement accreditation requirements for durable
                         medical equipment and consumable medical supply
                         providers.

NET IMPACT ON:            Total Funds       General Revenue          Trust Funds
    Recurring -                    0                     0                    0 
Non-Recurring -                    0                     0                    0 
_________________________________________________________________________________

                                                  Positions & Amount   Positions & Amount
                                                      DELETE         INSERT

        AGENCY FOR HEALTH CARE ADMINISTRATION
        Program: Health Care Services
        Medicaid Services To Individuals  68501400

        In Section 03  On Page 047
188     Special Categories  101561
        Home Health Services  IOEE

Immediately following Specific Appropriation 188, DELETE:

From  the  funds  in  Specific  Appropriation 188, the Agency for Health
Care  Administration  shall  contract  with  a durable medical equipment
company  or  companies  on  a  capitated  or  discounted fee basis.  The
capitated  amount  or  maximum  fee-for-service payment shall be no more
than  80  percent of the current Medicaid fee-for-service per member per
month  rate,  excluding  customized wheelchairs, prosthetics, orthotics,
and  ostomy and colostomy supplies. The agency may exclude products from
this  program that are covered under a statewide disposable incontinence
medical  supply  program.  The qualified vendor must be in good standing
with  the agency and the federal Centers for Medicare and Medicaid.  The
agency  is  authorized to seek Medicaid waivers or a Medicaid state plan
amendment to implement this program.


     997039  Log:0018  MJD/CCM           03/29/05 07:19:57 PM  Senate  Page: 1
From  the  funds  in Specific Appropriation 188, the agency may contract
with  a  provider  or  providers  for  a  managed,  statewide disposable
incontinence  medical supply program, including home-delivery service of
disposable  incontinence  medical supplies.  The amount paid shall be no
more  than  80 percent of the current Medicaid fee.  Supplies covered in
this program shall include under pads, diapers, catheters and catheter -
related  supplies,  and  may  include  ostomy  and  colostomy  supplies.
Supplies  covered  under this contract shall include needed incontinence
supplies  for Medicaid State Plan recipients and for recipients enrolled
in Medicaid home and community-based waivers.  The program shall include
registered    nurse   assessments   and   pre-certification;   real-time
eligibility determination; shipment tracking; and utilization review and
management.   The  agency is authorized to seek federal Medicaid waivers
necessary to implement this provision.


Immediately following Specific Appropriation  188, INSERT:

From the funds in Specific Appropriation 188, the agency may implement
accreditation requirements for Durable Medical Equipment/Consumable
Medical Supply Providers.  

Line item amendments are accepted as part of the amendatory process. However, due to the necessity of using computerized systems this may entail a different placement within a budget entity or the renumbering of the specific appropriation items.

997039 Log:0018 MJD/CCM 03/29/05 07:19:57 PM Senate Page: 2