| 1 | A bill to be entitled |
| 2 | An act relating to persons with developmental |
| 3 | disabilities; requiring the Agency for Persons with |
| 4 | Disabilities and the Agency for Health Care Administration |
| 5 | to establish a pilot project for certain clients who are |
| 6 | currently served through federal waivers for Medicaid home |
| 7 | and community-based services and family and supported |
| 8 | living services; providing requirements for the pilot |
| 9 | project; requiring the Agency for Persons with |
| 10 | Disabilities to submit a report to the Governor, the |
| 11 | Legislature, and legislative committees; requiring |
| 12 | legislative approval for further expansion; providing an |
| 13 | effective date. |
| 14 |
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| 15 | Be It Enacted by the Legislature of the State of Florida: |
| 16 |
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| 17 | Section 1. Home and community-based waiver pilot |
| 18 | project.--The Agency for Persons with Disabilities and the |
| 19 | Agency for Health Care Administration shall make any changes in |
| 20 | rule and to Medicaid waiver agreements with federal Medicaid |
| 21 | authorities as are required in order to establish a 5-year pilot |
| 22 | project that demonstrates strategies and methods for the |
| 23 | provision of community-based care to clients with developmental |
| 24 | disabilities who are currently served through Medicaid home and |
| 25 | community-based services and family and supported living |
| 26 | services. This project shall document increased client outcomes |
| 27 | that are known to be associated with a valid needs assessment of |
| 28 | client level of need, rate setting based on level of need, and |
| 29 | encouragement of the use of community-centered services and |
| 30 | supports. The pilot project shall implement strong utilization |
| 31 | control in order to ensure predictable and controlled annual |
| 32 | costs. Medicaid service delivery, including, but not limited to, |
| 33 | service authorization, fee setting, care management, and |
| 34 | monitoring shall be managed locally through the area office of |
| 35 | the Agency for Persons with Disabilities in order to encourage |
| 36 | provider development. The Agency for Persons with Disabilities |
| 37 | shall submit a report detailing the progress, strategies, |
| 38 | specific models used, and future directions in this pilot |
| 39 | project to the Executive Office of the Governor, the President |
| 40 | of the Senate, the Speaker of the House of Representatives, and |
| 41 | the health and human services appropriations committees of the |
| 42 | Legislature by March 1, 2008, and periodically thereafter. The |
| 43 | pilot project shall be implemented in Area 1 of the Agency for |
| 44 | Persons with Disabilities. Further expansion of this pilot |
| 45 | project requires legislative approval. |
| 46 | Section 2. This act shall take effect upon becoming a law. |