Senate Bill 2242
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Florida Senate - 2000 SB 2242
By Senator Saunders
25-646B-00
1 A bill to be entitled
2 An act relating to health care; amending s.
3 409.901, F.S.; amending definitions of terms
4 used in ss. 409.910-409.920, F.S.; amending s.
5 409.902, F.S.; providing that the Department of
6 Children and Family Services is responsible for
7 Medicaid eligibility determinations; amending
8 s. 409.903, F.S.; providing responsibility for
9 determinations of eligibility for payments for
10 medical assistance and related services;
11 amending s. 409.905, F.S.; increasing the
12 maximum amount that may be paid under Medicaid
13 for hospital outpatient services; amending s.
14 409.906, F.S.; allowing the Department of
15 Children and Family Services to transfer funds
16 to the Agency for Health Care Administration to
17 cover state match requirements as specified;
18 amending s. 409.907, F.S.; revising
19 requirements relating to the minimum amount of
20 the surety bond which each provider is required
21 to maintain; specifying grounds on which
22 provider applications may be denied; amending
23 s. 409.908, F.S.; increasing the maximum amount
24 of reimbursement allowable to Medicaid
25 providers for hospital inpatient care; creating
26 s. 409.919, F.S.; creating a
27 disproportionate-share program for children's
28 hospitals; providing formulas governing
29 payments made to hospitals under the program;
30 providing for withholding payments from a
31 hospital that is not complying with agency
1
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1 rules; amending s. 409.912, F.S.; providing for
2 the transfer of certain unexpended Medicaid
3 funds from the Department of Elderly Affairs to
4 the Agency for Health Care Administration;
5 providing for the adoption and the transfer of
6 certain rules relating to the determination of
7 Medicaid eligibility; providing for the Agency
8 for Health Care Administration to seek a
9 federal waiver allowing the agency to undertake
10 a pilot project that involves contracting with
11 skilled nursing facilities for the provision of
12 rehabilitation services to ventilator-dependent
13 patients; providing for evaluation of the pilot
14 program; providing an effective date.
15
16 Be It Enacted by the Legislature of the State of Florida:
17
18 Section 1. Subsections (3), (15), and (18) of section
19 409.901, Florida Statutes, are amended to read:
20 409.901 Definitions.--As used in ss. 409.901-409.920,
21 except as otherwise specifically provided, the term:
22 (3) "Applicant" means an individual whose written
23 application for medical assistance provided by Medicaid under
24 ss. 409.903-409.906 has been submitted to the department
25 agency, or to the Social Security Administration if the
26 application is for Supplemental Security Income, but has not
27 received final action. This term includes an individual, who
28 need not be alive at the time of application, whose
29 application is submitted through a representative or a person
30 acting for the individual.
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2
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1 (15) "Medicaid program" means the program authorized
2 under Title XIX of the federal Social Security Act which
3 provides for payments for medical items or services, or both,
4 on behalf of any person who is determined by the Department of
5 Children and Family Services, or, for Supplemental Security
6 Income, by the Social Security Administration, to be eligible
7 on the date of service for Medicaid assistance.
8 (18) "Medicaid recipient" or "recipient" means an
9 individual whom the Department of Children and Family
10 Services, or, for Supplemental Security Income, the Social
11 Security Administration, determines is eligible, pursuant to
12 federal and state law, to receive medical assistance and
13 related services for which the agency may make payments under
14 the Medicaid program. For the purposes of determining
15 third-party liability, the term includes an individual
16 formerly determined to be eligible for Medicaid, an individual
17 who has received medical assistance under the Medicaid
18 program, or an individual on whose behalf Medicaid has become
19 obligated.
20 Section 2. Section 409.902, Florida Statutes, is
21 amended to read:
22 409.902 Designated single state agency; payment
23 requirements; program title.--The Agency for Health Care
24 Administration is designated as the single state agency
25 authorized to make payments for medical assistance and related
26 services under Title XIX of the Social Security Act. These
27 payments shall be made, subject to any limitations or
28 directions provided for in the General Appropriations Act,
29 only for services included in the program, shall be made only
30 on behalf of eligible individuals, and shall be made only to
31 qualified providers in accordance with federal requirements
3
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1 for Title XIX of the Social Security Act and the provisions of
2 state law. This program of medical assistance is designated
3 the "Medicaid program." The Department of Children and Family
4 Services is responsible for Medicaid eligibility
5 determinations, including policy, rules, and the agreement
6 with the Social Security Administration for Medicaid
7 eligibility determinations for Supplemental Security Income
8 recipients, as well as the actual determination of
9 eligibility.
10 Section 3. Section 409.903, Florida Statutes, is
11 amended to read:
12 409.903 Mandatory payments for eligible persons.--The
13 agency shall make payments for medical assistance and related
14 services on behalf of the following persons who the
15 department, or the Social Security Administration by contract
16 with the Department of Children and Family Services, agency
17 determines to be eligible, subject to the income, assets, and
18 categorical eligibility tests set forth in federal and state
19 law. Payment on behalf of these Medicaid eligible persons is
20 subject to the availability of moneys and any limitations
21 established by the General Appropriations Act or chapter 216.
22 (1) Low-income families with children are eligible for
23 Medicaid provided they meet the following requirements:
24 (a) The family includes a dependent child who is
25 living with a caretaker relative.
26 (b) The family's income does not exceed the gross
27 income test limit.
28 (c) The family's countable income and resources do not
29 exceed the applicable Aid to Families with Dependent Children
30 (AFDC) income and resource standards under the AFDC state plan
31 in effect in July 1996, except as amended in the Medicaid
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1 state plan to conform as closely as possible to the
2 requirements of the WAGES Program as created in s. 414.015, to
3 the extent permitted by federal law.
4 (2) A person who receives payments from, who is
5 determined eligible for, or who was eligible for but lost cash
6 benefits from the federal program known as the Supplemental
7 Security Income program (SSI). This category includes a
8 low-income person age 65 or over and a low-income person under
9 age 65 considered to be permanently and totally disabled.
10 (3) A child under age 21 living in a low-income,
11 two-parent family, and a child under age 7 living with a
12 nonrelative, if the income and assets of the family or child,
13 as applicable, do not exceed the resource limits under the
14 WAGES Program.
15 (4) A child who is eligible under Title IV-E of the
16 Social Security Act for subsidized board payments, foster
17 care, or adoption subsidies, and a child for whom the state
18 has assumed temporary or permanent responsibility and who does
19 not qualify for Title IV-E assistance but is in foster care,
20 shelter or emergency shelter care, or subsidized adoption.
21 (5) A pregnant woman for the duration of her pregnancy
22 and for the post partum period as defined in federal law and
23 rule, or a child under age 1, if either is living in a family
24 that has an income which is at or below 150 percent of the
25 most current federal poverty level, or, effective January 1,
26 1992, that has an income which is at or below 185 percent of
27 the most current federal poverty level. Such a person is not
28 subject to an assets test. Further, a pregnant woman who
29 applies for eligibility for the Medicaid program through a
30 qualified Medicaid provider must be offered the opportunity,
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5
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1 subject to federal rules, to be made presumptively eligible
2 for the Medicaid program.
3 (6) A child born after September 30, 1983, living in a
4 family that has an income which is at or below 100 percent of
5 the current federal poverty level, who has attained the age of
6 6, but has not attained the age of 19. In determining the
7 eligibility of such a child, an assets test is not required.
8 (7) A child living in a family that has an income
9 which is at or below 133 percent of the current federal
10 poverty level, who has attained the age of 1, but has not
11 attained the age of 6. In determining the eligibility of such
12 a child, an assets test is not required.
13 (8) A person who is age 65 or over or is determined by
14 the agency to be disabled, whose income is at or below 100
15 percent of the most current federal poverty level and whose
16 assets do not exceed limitations established by the agency.
17 However, the agency may only pay for premiums, coinsurance,
18 and deductibles, as required by federal law, unless additional
19 coverage is provided for any or all members of this group by
20 s. 409.904(1).
21 Section 4. Subsection (6) of section 409.905, Florida
22 Statutes, is amended to read:
23 409.905 Mandatory Medicaid services.--The agency may
24 make payments for the following services, which are required
25 of the state by Title XIX of the Social Security Act,
26 furnished by Medicaid providers to recipients who are
27 determined to be eligible on the dates on which the services
28 were provided. Any service under this section shall be
29 provided only when medically necessary and in accordance with
30 state and federal law. Nothing in this section shall be
31 construed to prevent or limit the agency from adjusting fees,
6
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1 reimbursement rates, lengths of stay, number of visits, number
2 of services, or any other adjustments necessary to comply with
3 the availability of moneys and any limitations or directions
4 provided for in the General Appropriations Act or chapter 216.
5 (6) HOSPITAL OUTPATIENT SERVICES.--The agency shall
6 pay for preventive, diagnostic, therapeutic, or palliative
7 care and other services provided to a recipient in the
8 outpatient portion of a hospital licensed under part I of
9 chapter 395, and provided under the direction of a licensed
10 physician or licensed dentist, except that payment for such
11 care and services is limited to $1,500 $1,000 per state fiscal
12 year per recipient, unless an exception has been made by the
13 agency, and with the exception of a Medicaid recipient under
14 age 21, in which case the only limitation is medical
15 necessity.
16 Section 5. Subsection (5) of section 409.906, Florida
17 Statutes, is amended to read:
18 409.906 Optional Medicaid services.--Subject to
19 specific appropriations, the agency may make payments for
20 services which are optional to the state under Title XIX of
21 the Social Security Act and are furnished by Medicaid
22 providers to recipients who are determined to be eligible on
23 the dates on which the services were provided. Any optional
24 service that is provided shall be provided only when medically
25 necessary and in accordance with state and federal law.
26 Nothing in this section shall be construed to prevent or limit
27 the agency from adjusting fees, reimbursement rates, lengths
28 of stay, number of visits, or number of services, or making
29 any other adjustments necessary to comply with the
30 availability of moneys and any limitations or directions
31 provided for in the General Appropriations Act or chapter 216.
7
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1 If necessary to safeguard the state's systems of providing
2 services to elderly and disabled persons and subject to the
3 notice and review provisions of s. 216.177, the Governor may
4 direct the Agency for Health Care Administration to amend the
5 Medicaid state plan to delete the optional Medicaid service
6 known as "Intermediate Care Facilities for the Developmentally
7 Disabled." Optional services may include:
8 (5) CASE MANAGEMENT SERVICES.--The agency may pay for
9 primary care case management services rendered to a recipient
10 pursuant to a federally approved waiver, and targeted case
11 management services for specific groups of targeted
12 recipients, for which funding has been provided and which are
13 rendered pursuant to federal guidelines. The agency is
14 authorized to limit reimbursement for targeted case management
15 services in order to comply with any limitations or directions
16 provided for in the General Appropriations Act.
17 Notwithstanding s. 216.292, the Department of Children and
18 Family Services may transfer general funds to the Agency for
19 Health Care Administration to cover state match requirements
20 exceeding the amount specified in the General Appropriations
21 Act for targeted case management services.
22 Section 6. Subsections (7), (9), and (10) of section
23 409.907, Florida Statutes, are amended to read:
24 409.907 Medicaid provider agreements.--The agency may
25 make payments for medical assistance and related services
26 rendered to Medicaid recipients only to an individual or
27 entity who has a provider agreement in effect with the agency,
28 who is performing services or supplying goods in accordance
29 with federal, state, and local law, and who agrees that no
30 person shall, on the grounds of handicap, race, color, or
31 national origin, or for any other reason, be subjected to
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1 discrimination under any program or activity for which the
2 provider receives payment from the agency.
3 (7) The agency may require, as a condition of
4 participating in the Medicaid program and before entering into
5 the provider agreement, that the provider submit information
6 concerning the professional, business, and personal background
7 of the provider and permit an onsite inspection of the
8 provider's service location by agency staff or other personnel
9 designated by the agency to perform assist in this function.
10 Before entering into the provider agreement, or as a condition
11 of continuing participation in the Medicaid program, the
12 agency and may also require a surety bond from the provider
13 not to exceed $50,000 or the total amount billed by the
14 provider to the program during the current or most recent
15 calendar year, whichever is greater. For new providers, the
16 agency shall determine the amount of the surety bond based on
17 the provider's estimate of its first year's billing. If the
18 provider's billing during the first year exceeds the bond
19 amount, the agency may require the provider to acquire an
20 additional bond in an amount such that the aggregate amount of
21 the surety bonds equals the amount billed by the provider. If
22 the provider is a corporation, partnership, association, or
23 other entity, the agency may require the provider to submit
24 information concerning the background of that entity and of
25 any principal of the entity, including any partner or
26 shareholder having an ownership interest in the entity equal
27 to 5 percent or greater, and any treating provider who
28 participates in or intends to participate in Medicaid through
29 the entity. The information must include:
30 (a) Proof of holding a valid license or operating
31 certificate, as applicable, if required by the state or local
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1 jurisdiction in which the provider is located or if required
2 by the Federal Government.
3 (b) Information concerning any prior violation, fine,
4 suspension, termination, or other administrative action taken
5 under the Medicaid laws, rules, or regulations of this state
6 or of any other state or the Federal Government; any prior
7 violation of the laws, rules, or regulations relating to the
8 Medicare program; any prior violation of the rules or
9 regulations of any other public or private insurer; and any
10 prior violation of the laws, rules, or regulations of any
11 regulatory body of this or any other state.
12 (c) Full and accurate disclosure of any financial or
13 ownership interest that the provider, or any principal,
14 partner, or major shareholder thereof, may hold in any other
15 Medicaid provider or health care related entity or any other
16 entity that is licensed by the state to provide health or
17 residential care and treatment to persons.
18 (d) If a group provider, identification of all members
19 of the group and attestation that all members of the group are
20 enrolled in or have applied to enroll in the Medicaid program.
21 (9) Upon receipt of a completed, signed, and dated
22 application, and completion of any necessary background
23 investigation and criminal history record check, the agency
24 must either:
25 (a) Enroll the applicant as a Medicaid provider; or
26 (b) Deny the application if the agency finds that,
27 based on the grounds listed in subsection (10), it is in the
28 best interest of the Medicaid program to do so, specifying the
29 reasons for denial. The agency may consider the factors listed
30 in subsection (10), as well as any other factor that could
31 affect the effective and efficient administration of the
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1 program, including, but not limited to, the current
2 availability of medical care, services, or supplies to
3 recipients, taking into account geographic location and
4 reasonable travel time.
5 (10) The agency may consider whether deny enrollment
6 in the Medicaid program to a provider if the provider, or any
7 officer, director, agent, managing employee, or affiliated
8 person, or any partner or shareholder having an ownership
9 interest equal to 5 percent or greater in the provider if the
10 provider is a corporation, partnership, or other business
11 entity, has:
12 (a) Made a false representation or omission of any
13 material fact in making the application, including the
14 submission of an application that conceals the controlling or
15 ownership interest of any officer, director, agent, managing
16 employee, affiliated person, or partner or shareholder who may
17 not be eligible to participate;
18 (b) Been or is currently excluded, suspended,
19 terminated from, or has involuntarily withdrawn from
20 participation in, Florida's Medicaid program or any other
21 state's Medicaid program, or from participation in any other
22 governmental or private health care or health insurance
23 program;
24 (c) Been convicted of a criminal offense relating to
25 the delivery of any goods or services under Medicaid or
26 Medicare or any other public or private health care or health
27 insurance program including the performance of management or
28 administrative services relating to the delivery of goods or
29 services under any such program;
30 (d) Been convicted under federal or state law of a
31 criminal offense related to the neglect or abuse of a patient
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1 in connection with the delivery of any health care goods or
2 services;
3 (e) Been convicted under federal or state law of a
4 criminal offense relating to the unlawful manufacture,
5 distribution, prescription, or dispensing of a controlled
6 substance;
7 (f) Been convicted of any criminal offense relating to
8 fraud, theft, embezzlement, breach of fiduciary
9 responsibility, or other financial misconduct;
10 (g) Been convicted under federal or state law of a
11 crime punishable by imprisonment of a year or more which
12 involves moral turpitude;
13 (h) Been convicted in connection with the interference
14 or obstruction of any investigation into any criminal offense
15 listed in this subsection;
16 (i) Been found to have violated federal or state laws,
17 rules, or regulations governing Florida's Medicaid program or
18 any other state's Medicaid program, the Medicare program, or
19 any other publicly funded federal or state health care or
20 health insurance program, and been sanctioned accordingly;
21 (j) Been previously found by a licensing, certifying,
22 or professional standards board or agency to have violated the
23 standards or conditions relating to licensure or certification
24 or the quality of services provided; or
25 (k) Failed to pay any fine or overpayment properly
26 assessed under the Medicaid program in which no appeal is
27 pending or after resolution of the proceeding by stipulation
28 or agreement, unless the agency has issued a specific letter
29 of forgiveness or has approved a repayment schedule to which
30 the provider agrees to adhere.
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1 Section 7. Paragraph (a) of subsection (1) of section
2 409.908, Florida Statutes, is amended to read:
3 409.908 Reimbursement of Medicaid providers.--Subject
4 to specific appropriations, the agency shall reimburse
5 Medicaid providers, in accordance with state and federal law,
6 according to methodologies set forth in the rules of the
7 agency and in policy manuals and handbooks incorporated by
8 reference therein. These methodologies may include fee
9 schedules, reimbursement methods based on cost reporting,
10 negotiated fees, competitive bidding pursuant to s. 287.057,
11 and other mechanisms the agency considers efficient and
12 effective for purchasing services or goods on behalf of
13 recipients. Payment for Medicaid compensable services made on
14 behalf of Medicaid eligible persons is subject to the
15 availability of moneys and any limitations or directions
16 provided for in the General Appropriations Act or chapter 216.
17 Further, nothing in this section shall be construed to prevent
18 or limit the agency from adjusting fees, reimbursement rates,
19 lengths of stay, number of visits, or number of services, or
20 making any other adjustments necessary to comply with the
21 availability of moneys and any limitations or directions
22 provided for in the General Appropriations Act, provided the
23 adjustment is consistent with legislative intent.
24 (1) Reimbursement to hospitals licensed under part I
25 of chapter 395 must be made prospectively or on the basis of
26 negotiation.
27 (a) Reimbursement for inpatient care is limited as
28 provided for in s. 409.905(5). Reimbursement for hospital
29 outpatient care is limited to $1,500 $1,000 per state fiscal
30 year per recipient, except for:
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1 1. Such care provided to a Medicaid recipient under
2 age 21, in which case the only limitation is medical
3 necessity;
4 2. Renal dialysis services; and
5 3. Other exceptions made by the agency.
6 Section 8. Section 409.9119, Florida Statutes, is
7 created to read:
8 409.9119 Disproportionate-share program for children's
9 hospitals.--In addition to the payments made under s. 409.911,
10 the Agency for Health Care Administration shall develop and
11 implement a system under which disproportionate-share payments
12 are made to those hospitals that are licensed by the state as
13 a children's hospital. This system of payments must conform to
14 federal requirements and must distribute funds in each fiscal
15 year for which an appropriation is made by making quarterly
16 Medicaid payments. Notwithstanding s. 409.915, counties are
17 exempt from contributing toward the cost of this special
18 reimbursement for hospitals that serve a disproportionate
19 share of low-income patients.
20 (1) The agency shall use the following formula to
21 calculate the total amount earned for hospitals that
22 participate in the children's hospital disproportionate-share
23 program:
24 TAE = DSR x BMPD x MD
25 Where:
26 TAE = total amount earned by a children's hospital.
27 DSR = disproportionate-share rate.
28 BMPD = base Medicaid per diem.
29 MD = Medicaid days.
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1 (2) The agency shall calculate the total additional
2 payment for hospitals that participate in the children's
3 hospital disproportionate-share program as follows:
4
5 TAP = (TAE x TA)
6
7 STAE
8 Where:
9 TAP = total additional payment for a children's
10 hospital.
11 TAE = total amount earned by a children's hospital.
12 STAE = sum of total amount earned by each hospital that
13 participates in the children's hospital disproportionate-share
14 program.
15 TA = total appropriation for the children's hospital
16 disproportionate-share program.
17
18 (3) A hospital may not receive any payments under this
19 section until it achieves full compliance with the applicable
20 rules of the agency. A hospital that is not in compliance for
21 two or more consecutive quarters may not receive its share of
22 the funds. Any forfeited funds must be distributed to the
23 remaining participating children's hospitals that are in
24 compliance.
25 Section 9. Subsection (9) of section 409.912, Florida
26 Statutes, is amended to read:
27 409.912 Cost-effective purchasing of health care.--The
28 agency shall purchase goods and services for Medicaid
29 recipients in the most cost-effective manner consistent with
30 the delivery of quality medical care. The agency shall
31 maximize the use of prepaid per capita and prepaid aggregate
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1 fixed-sum basis services when appropriate and other
2 alternative service delivery and reimbursement methodologies,
3 including competitive bidding pursuant to s. 287.057, designed
4 to facilitate the cost-effective purchase of a case-managed
5 continuum of care. The agency shall also require providers to
6 minimize the exposure of recipients to the need for acute
7 inpatient, custodial, and other institutional care and the
8 inappropriate or unnecessary use of high-cost services.
9 (9) The agency, after notifying the Legislature, may
10 apply for waivers of applicable federal laws and regulations
11 as necessary to implement more appropriate systems of health
12 care for Medicaid recipients and reduce the cost of the
13 Medicaid program to the state and federal governments and
14 shall implement such programs, after legislative approval,
15 within a reasonable period of time after federal approval.
16 These programs must be designed primarily to reduce the need
17 for inpatient care, custodial care and other long-term or
18 institutional care, and other high-cost services.
19 (a) Before Prior to seeking legislative approval of
20 such a waiver as authorized by this subsection, the agency
21 must shall provide notice and an opportunity for public
22 comment. Notice must shall be provided to all persons who
23 have made requests of the agency for advance notice and must
24 shall be published in the Florida Administrative Weekly not
25 less than 28 days before prior to the intended action.
26 (b) Notwithstanding s. 216.292, funds that are
27 appropriated to the Department of Elderly Affairs for the
28 Assisted Living for the Elderly Medicaid waiver and are not
29 expended must be transferred to the agency to fund
30 Medicaid-reimbursed nursing home care.
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1 Section 10. Section 409.919, Florida Statutes, is
2 amended to read:
3 409.919 Rules.--The agency shall adopt any rules
4 necessary to comply with or administer ss. 409.901-409.920 and
5 all rules necessary to comply with federal requirements. In
6 addition, the Department of Children and Family Services shall
7 adopt and accept transfer of any rules necessary to comply
8 with or administer ss. 409.901-409.904 and 409.906 and any
9 other provisions necessary to the determination of Medicaid
10 eligibility.
11 Section 11. The Agency for Health Care Administration
12 may submit to the Health Care Financing Administration a
13 request for waiver that will allow the agency to undertake a
14 pilot project that would implement a coordinated system of
15 care for ventilator-dependent patients. Under this pilot
16 program, the agency shall identify a sophisticated
17 case-management network of skilled nursing facilities that
18 will provide to ventilator patients who are moved out of
19 acute-care facilities and into the skilled nursing facilities
20 intensive rehabilitative efforts aimed at getting the patients
21 off ventilators and into their own homes. The agency shall
22 contract with those skilled nursing facilities for the
23 provision of such rehabilitative services under a capitation
24 arrangement. An eligible patient would be enrolled into the
25 management program as soon as he or she goes on a ventilator.
26 Each patient's benefits would be extended for 180 days to
27 allow for the placement of the patient into a skilled nursing
28 facility. The pilot project would allow the agency to evaluate
29 a coordinated and focused system of care for ventilator
30 patients to determine the overall cost-effectiveness and
31 improved outcomes for such patients.
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1 Section 12. This act shall take effect July 1, 2000.
2
3 *****************************************
4 SENATE SUMMARY
5 Relates to health care, primarily that which is provided
under Medicaid. Amends definitions of terms used in ss.
6 409.910-409.920, F.S. Provides that the Department of
Children and Family Services is responsible for Medicaid
7 eligibility determinations. Provides responsibility for
determinations of eligibility for payments for medical
8 assistance and related services. Increases from $1,000 to
$1,500 the maximum amount that may be paid under Medicaid
9 for hospital outpatient services. Allows the Department
of Children and Family Services to transfer funds to the
10 Agency for Health Care Administration to cover state
match requirements as specified. Revises requirements
11 relating to the minimum amount of the surety bond which
each provider is required to maintain. Specifies grounds
12 on which provider applications may be denied. Increases
from $1,000 to $1,500 the maximum amount of reimbursement
13 allowable to Medicaid providers for hospital inpatient
care. Creates a disproportionate-share program for
14 children's hospitals. Provides formulas governing
payments made to hospitals under the program. Provides
15 for withholding payments from hospitals that are not in
compliance with agency rules. Provides for the transfer
16 of certain unexpended Medicaid funds from the Department
of Elderly Affairs to the Agency for Health Care
17 Administration. Provides for the adoption and the
transfer of certain rules relating to the determination
18 of Medicaid eligibility. Provides for the Agency for
Health Care Administration to seek a federal waiver
19 allowing the agency to undertake a pilot project that
involves contracting with skilled nursing facilities for
20 the provision of rehabilitation services to
ventilator-dependent patients. Provides for an evaluation
21 of the pilot program.
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