Florida Senate - 2005                      COMMITTEE AMENDMENT
    Bill No. CS for SB 838
                        Barcode 861882
                            CHAMBER ACTION
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       04/21/2005 04:40 PM         .                    
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11  The Committee on Ways and Means (Saunders) recommended the
12  following amendment:
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14         Senate Amendment 
15         On page 15, line 20, through
16            page 16, line 4, delete those lines
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18  and insert:  older.  The agency shall ensure that all Medicaid
19  eligible elderly individuals in the pilot areas are provided
20  choice counseling as to the full range of benefits offered by
21  each entity.  The program must combine all funding for
22  Medicaid services provided to individuals 60 years of age or
23  older into the integrated system, including funds for Medicaid
24  home and community-based waiver services; all Medicaid
25  services authorized in ss. 409.905 and 409.906; and Medicare
26  premiums, coinsurance, and deductibles for persons dually
27  eligible for Medicaid and Medicare as prescribed in s.
28  409.908(13).  Medicaid enrollees residing in a nursing home or
29  other residential facility at the time of implementation may
30  choose to remain in that facility regardless of whether the
31  facility contracts with a managed care entity.  If there is
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    12:06 PM   04/20/05                          s0838c1b-wm37-s01

Florida Senate - 2005 COMMITTEE AMENDMENT Bill No. CS for SB 838 Barcode 861882 1 not a contractual relationship between a nursing home provider 2 and a managed care entity, the nursing home shall cooperate 3 with the efforts of a plan to determine if a recipient would 4 be more appropriately served in a community setting, and 5 payments shall be made in accordance with Medicaid nursing 6 home rates as calculated in the Medicaid state plan. The 7 agency must begin 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2 12:06 PM 04/20/05 s0838c1b-wm37-s01