| 1 | Representative Murman offered the following: |
| 2 |
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| 3 | Amendment (with title amendment) |
| 4 | Remove lines 6456-6469 and insert: |
| 5 | Section 115. (1) In the Department of Children and Family |
| 6 | Services' Economic Self-Sufficiency Services program, the |
| 7 | department may provide its eligibility determination functions |
| 8 | either with department staff or through contract with at least |
| 9 | two private vendors or with a combination of at least one |
| 10 | private vendor and department employees, with the following |
| 11 | restrictions: |
| 12 | (a) With the exception of information technology, no |
| 13 | contract with a private vendor shall be for a geographic area |
| 14 | larger than a combined seven districts or combined three zones |
| 15 | without the prior approval of the Legislative Budget Commission; |
| 16 | and |
| 17 | (b) Department employees must provide the functions in at |
| 18 | least one zone or combined three districts of the state if their |
| 19 | proposed cost is competitive with private vendors. |
| 20 | (2) This section shall take effect upon this act becoming |
| 21 | a law. |
| 22 | Section 116. Subsection (13) of section 409.906, Florida |
| 23 | Statutes, is amended to read: |
| 24 | 409.906 Optional Medicaid services.--Subject to specific |
| 25 | appropriations, the agency may make payments for services which |
| 26 | are optional to the state under Title XIX of the Social Security |
| 27 | Act and are furnished by Medicaid providers to recipients who |
| 28 | are determined to be eligible on the dates on which the services |
| 29 | were provided. Any optional service that is provided shall be |
| 30 | provided only when medically necessary and in accordance with |
| 31 | state and federal law. Optional services rendered by providers |
| 32 | in mobile units to Medicaid recipients may be restricted or |
| 33 | prohibited by the agency. Nothing in this section shall be |
| 34 | construed to prevent or limit the agency from adjusting fees, |
| 35 | reimbursement rates, lengths of stay, number of visits, or |
| 36 | number of services, or making any other adjustments necessary to |
| 37 | comply with the availability of moneys and any limitations or |
| 38 | directions provided for in the General Appropriations Act or |
| 39 | chapter 216. If necessary to safeguard the state's systems of |
| 40 | providing services to elderly and disabled persons and subject |
| 41 | to the notice and review provisions of s. 216.177, the Governor |
| 42 | may direct the Agency for Health Care Administration to amend |
| 43 | the Medicaid state plan to delete the optional Medicaid service |
| 44 | known as "Intermediate Care Facilities for the Developmentally |
| 45 | Disabled." Optional services may include: |
| 46 | (13) HOME AND COMMUNITY-BASED SERVICES.--The agency may |
| 47 | pay for home-based or community-based services that are rendered |
| 48 | to a recipient in accordance with a federally approved waiver |
| 49 | program. The agency may limit or eliminate coverage for certain |
| 50 | Project AIDS Care Waiver services, preauthorize high-cost or |
| 51 | highly utilized services, or make any other adjustments |
| 52 | necessary to comply with any limitations or directions provided |
| 53 | for in the General Appropriations Act. If at any time, based |
| 54 | upon an analysis by the agency, the cost of waiver services are |
| 55 | expected to exceed the appropriated amount, the agency may |
| 56 | implement any adjustment, including provider rate reductions, |
| 57 | within 30 days in order to remain within the appropriation. |
| 58 |
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| 59 | ================ T I T L E A M E N D M E N T ============= |
| 60 | Between lines 298 and 299, insert: |
| 61 | amending s. 409.906, F.S.; authorizing the Agency for Health |
| 62 | Care Administration to implement adjustments in certain |
| 63 | circumstances; |