Florida Senate - 2006 SENATOR AMENDMENT
Bill No. CS for SB 790
Barcode 811590
CHAMBER ACTION
Senate House
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04/19/2006 10:22 AM .
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11 Senator Peaden moved the following amendment:
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13 Senate Amendment (with title amendment)
14 On page 6, between lines 27 and 28,
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16 insert:
17 Section 3. Subsection (5) of section 430.705, Florida
18 Statutes, is amended to read:
19 430.705 Implementation of the long-term care community
20 diversion pilot projects.--
21 (5) A prospective participant who applies for the
22 long-term care community diversion project, who is determined
23 by the Comprehensive Assessment and Review for Long-Term-Care
24 (CARES) program to be medically eligible, and who has not been
25 determined financially eligible by the Department of Children
26 and Family Services shall be deemed as "Medicaid Pending." The
27 CARES program shall determine each applicant's eligibility
28 within 10 days after application. A contractor may provide
29 services to such individual until his or her financial
30 eligibility is determined. If the individual is determined
31 financially eligible, the agency shall pay the contractor who
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10:01 AM 04/18/06 s0790c1c-02-ta1
Florida Senate - 2006 SENATOR AMENDMENT
Bill No. CS for SB 790
Barcode 811590
1 provided services a capitated rate retroactive to the first of
2 the month following the determination of eligibility. If the
3 individual is not financially eligible for Medicaid, the
4 contractor may terminate services and seek reimbursement from
5 the individual. In order to achieve rapid enrollment into the
6 program and efficient diversion of applicants from nursing
7 home care, the department and the agency shall allow
8 enrollment of Medicaid beneficiaries on the date that
9 eligibility for the community diversion pilot project is
10 approved. The provider shall receive a prorated capitated rate
11 for those enrollees who are enrolled after the first of each
12 month.
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14 (Redesignate subsequent sections.)
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17 ================ T I T L E A M E N D M E N T ===============
18 And the title is amended as follows:
19 On page 1, line 14, after the semicolon,
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21 insert:
22 amending s. 430.705, F.S.; providing for the
23 pending financial eligibility for
24 long-term-care services;
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10:01 AM 04/18/06 s0790c1c-02-ta1