SENATE AMENDMENT

    Bill No. CS for SB 1046

    Amendment No.    

                            CHAMBER ACTION
              Senate                               House
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11  Senator Silver moved the following amendment:

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13         Senate Amendment (with title amendment) 

14         On page 2, line 24, through

15            page 3, line 11, delete those lines

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17  and insert:  that are available to Medicaid recipients. The

18  Secretary of the Department of Children and Families shall

19  approve provisions of procurements related to children in the

20  department's care or custody prior to enrolling such children

21  in a prepaid behavioral health plan. Any contract awarded

22  under this paragraph must be competitively procured. In

23  developing the behavioral health care prepaid plan procurement

24  document, the agency shall ensure that the procurement

25  document requires the contractor to develop and implement a

26  plan to ensure compliance with s. 394.4574 related to services

27  provided to residents of licensed assisted living facilities

28  that hold a limited mental health license. The agency must

29  ensure that Medicaid recipients have available the choice of

30  at least two managed care plans for their behavioral health

31  care services. The agency may reimburse for

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                                                  SENATE AMENDMENT

    Bill No. CS for SB 1046

    Amendment No.    





 1  substance-abuse-treatment services on a fee-for-service basis

 2  until the agency finds that adequate funds are available for

 3  capitated, prepaid arrangements.

 4         1.  By January 1, 2001, the agency shall modify the

 5  contracts with the entities providing comprehensive inpatient

 6  and outpatient mental health care services to Medicaid

 7  recipients in Hillsborough, Highlands, Hardee, Manatee, and

 8  Polk Counties, to include substance-abuse-treatment services.

 9         2.  By December 31, 2001, the agency shall contract

10  with entities providing comprehensive behavioral health care

11  services to Medicaid recipients through capitated, prepaid

12  arrangements in Charlotte, Collier, DeSoto, Escambia, Glades,

13  Hendry, Lee, Okaloosa, Pasco, Pinellas, Santa Rosa, Sarasota,

14  and Walton Counties. The agency may contract with entities

15  providing comprehensive behavioral health care services to

16  Medicaid recipients through capitated, prepaid arrangements in

17  Alachua County. The agency may determine if Sarasota County

18  shall be included as a separate catchment area or included in

19  any other agency geographic area.

20         3.  Children residing in a Department of Juvenile

21  Justice residential program approved as a Medicaid behavioral

22  health overlay services provider shall not be included in a

23  behavioral health care prepaid health plan pursuant to this

24  paragraph.

25         4.  In converting to a prepaid system of delivery, the

26  agency shall in its procurement document require an entity

27  providing comprehensive behavioral health care services to

28  prevent the displacement of indigent care patients by

29  enrollees in the Medicaid prepaid health plan providing

30  behavioral health care services from facilities receiving

31  state funding to provide indigent behavioral health care, to

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                                                  SENATE AMENDMENT

    Bill No. CS for SB 1046

    Amendment No.    





 1  facilities licensed under chapter 395 which do not receive

 2  state funding for indigent behavioral health care, or

 3  reimburse the unsubsidized facility for the cost of behavioral

 4  health care provided to the displaced indigent care patient.

 5         5.  Traditional community mental health providers under

 6  contract with the Department of Children and Families pursuant

 7  to Part IV of chapter 394 and inpatient mental health

 8  providers licensed pursuant to chapter 395, must be offered an

 9  opportunity to accept or decline a contract to participate in

10  any provider network for prepaid behavioral health services.

11  by December 31, 1998, and is

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14  ================ T I T L E   A M E N D M E N T ===============

15  And the title is amended as follows:

16         On page 1, line 9, after the semicolon,

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18  insert:

19         authorizing the agency to contract for the

20         provision of certain services in Alachua County

21         and authorizing it to make certain

22         determinations regarding Sarasota County;

23         prohibiting the inclusion of certain children

24         in such services; requiring the agency to

25         require certain providers to prevent the

26         displacement of certain indigent care patients;

27         providing for certain traditional mental health

28         providers to be offered a contract to

29         participate in such prepaid services plans;

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