995156 GENERAL APPROPRIATIONS BILL Committee Amendment SB2500 HHS 45 Senator(s):Silver moved the following amendment:Section: 03 EXPLANATION: On Page: 070 This amendment provides $16,000,000 in recurring General Revenue and $22,675,369 in Operations and Spec App: 349 Maintenance Trust Fund to increase services in the Department of Children Families' Developmental Services Program. Also, provides proviso language for the compression of provider rates and includes a five percent rate increase for providers and direct care workers in the forth quarter of Fiscal Year 2002-2003. NET IMPACT ON: Total Funds General Revenue Trust Funds Recurring - 38,675,369 16,000,000 22,675,369 Non-Recurring - 0 0 0 _________________________________________________________________________________ Positions & Amount Positions & Amount DELETE INSERT CHILDREN AND FAMILIES, DEPARTMENT OF Services Program: Persons With Disabilities Program Home And Community Services 60910402 In Section 03 On Page 070 349 Lump Sum 090197 Services To The Developmentally Disabled IOEA 1000 From General Revenue Fund 19,747,856 35,747,856 CA 16,000,000 FSI1 16,000,000 2516 From Operations And Maintenance 84,960,712 107,636,081 Trust Fund CA 22,675,369 FSI1 22,675,369 Immediately following Specific Appropriation 349, INSERT: Funds in Specific Appropriations 349 and 352 are provided to meet the needs of developmental disabilities Medicaid Waiver participants based on the individuals' support plans. The funds shall be used to provide Home and Community Based Waiver Services in accordance with a spending995156 Log:0138 RTS/RTS 03/13/02 09:21:39 PM Senate Page: 1 plan developed by the Department and submitted to the Executive Office of the Governor for approval pursuant to Chapter 216.181(6) (a), Florida Statutes, prior to the release of funds from Specific Appropriation 349. To ensure that the individuals receive the appropriate services at a reasonable cost, the Department shall develop a more effective needs assessment instrument, and shall begin assessing clients with the new instrument by no later than January 1, 2003. A random sample of assessments shall be reviewed for validity by an independent contractor by no later than April 1, 2003. In coordination with the Agency for Health Care Administration the Department shall develop a plan to implement direct provider enrollment and direct provider billing, to redefine the role of the Medicaid Waiver Support Coordinator, and shall include a proposal for compressing provider rates and recipient costs. The plan shall be presented to the Executive Office of the Governor, the Speaker of the House of Representatives, and the President of the Senate no later than July 15, 2002. In accordance with Section 216.181(6)(a), Florida Statutes, and subject to legislative concurrence as set forth in Section 216.177, Florida Statutes, no release of funds from Specific Appropriation 349 shall occur until the Department has submitted a plan that implements direct provider enrollment and provider billing program by March 31, 2003. Specific Appropriation 349 and 352, includes funds to allocate a five percent rate increase, effective April 1, 2003, for community providers and direct care workers who provide services at less than the statewide average rate. Direct care workers shall be paid a five percent increase first. The rate adjustment does not include an increase for Intermediate Care Facilities for Developmentally Disabled (ICF/DD) which are provided separately through the Medicaid program. 352 Special Categories 101555 Home And Community Based Services Waiver IOEE Immediately following Specific Appropriation 352, DELETE: Funds in Specific Appropriations 352 and 349 are provided to meet the needs of developmental disabilities Medicaid Waiver participants based on the individuals' support plans. The funds are intended to provide Home and Community Based Waiver Services in accordance with an overall expenditure plan developed by the Department and submitted to the Executive Office of the Governor for approval pursuant to Chapter 216, F.S., prior to the release of funds from the lump sum appropriation. To ensure that the individuals receive the appropriate services at an appropriate cost, the Department shall develop a more effective needs assessment instrument. Current clients must be assessed no later than January 1, 2003, and a random sample of clients shall be reviewed by an independent contractor for validity.995156 Log:0138 RTS/RTS 03/13/02 09:21:39 PM Senate Page: 2 The Department shall also develop a plan with the Agency for Health Care Administration to implement direct provider enrollment and direct provider billing and to redefine the role of the Medicaid Waiver Support Coordinator. The plan shall be presented to the Executive Office of the Governor, the Speaker of the House of Representatives, and the President of the Senate no later than July 15, 2002. In accordance with Section 216.181(6)(a), Florida Statutes, and subject to legislative concurrence as set forth in Section 216.177, Florida Statutes, no release of funds shall occur until the Department has submitted a plan to implement direct provider enrollment and provider billing program by December 1, 2002.
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. 995156 Log:0138 RTS/RTS 03/13/02 09:21:39 PM Senate Page: 3