1 | Representative(s) Galvano offered the following: |
2 |
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3 | Amendment (with title amendment) |
4 | Between lines 280 and 281, insert: |
5 | Section 13. Paragraph (f) of subsection (3) of section |
6 | 393.0661, Florida Statutes, is amended to read: |
7 | 393.0661 Home and community-based services delivery |
8 | system; comprehensive redesign.--The Legislature finds that the |
9 | home and community-based services delivery system for persons |
10 | with developmental disabilities and the availability of |
11 | appropriated funds are two of the critical elements in making |
12 | services available. Therefore, it is the intent of the |
13 | Legislature that the Agency for Persons with Disabilities shall |
14 | develop and implement a comprehensive redesign of the system. |
15 | (3) The Agency for Health Care Administration, in |
16 | consultation with the agency, shall seek federal approval and |
17 | implement a four-tiered waiver system to serve clients with |
18 | developmental disabilities in the developmental disabilities and |
19 | family and supported living waivers. The agency shall assign all |
20 | clients receiving services through the developmental |
21 | disabilities waiver to a tier based on a valid assessment |
22 | instrument, client characteristics, and other appropriate |
23 | assessment methods. All services covered under the current |
24 | developmental disabilities waiver shall be available to all |
25 | clients in all tiers where appropriate, except as otherwise |
26 | provided in this subsection or in the General Appropriations |
27 | Act. |
28 | (f) The agency shall seek federal waivers and amend |
29 | contracts as necessary to make changes to services defined in |
30 | federal waiver programs administered by the agency as follows: |
31 | 1. Supported living coaching services shall not exceed 20 |
32 | hours per month for persons who also receive in-home support |
33 | services. |
34 | 2. Limited support coordination services shall be the only |
35 | type of support coordination service provided to persons under |
36 | the age of 18 who live in the family home. |
37 | 3. Personal care assistance services shall be limited to |
38 | no more than 180 hours per calendar month and shall not include |
39 | rate modifiers. Additional hours may be authorized for persons |
40 | who have intensive physical, medical, or adaptive needs and if |
41 | such hours are essential for avoiding institutionalization only |
42 | if a substantial change in circumstances occurs for the |
43 | individual. |
44 | 4. Residential habilitation services shall be limited to 8 |
45 | hours per day. Additional hours may be authorized for persons |
46 | who have intensive medical or adaptive needs and if such hours |
47 | are essential for avoiding institutionalization, or for persons |
48 | who possess behavioral problems that are exceptional in |
49 | intensity, duration, or frequency and present a substantial risk |
50 | of harming themselves or others. This restriction shall be in |
51 | effect until the four-tiered waiver system is fully implemented. |
52 | 5. Chore Services, nonresidential support services, and |
53 | homemaker services shall be eliminated. The agency shall expand |
54 | the definition of in-home support services to enable the |
55 | provider of the service to include activities previously |
56 | provided in these eliminated services. |
57 | 6. Massage therapy and psychological assessment services |
58 | shall be eliminated. |
59 | 7. The agency shall conduct supplemental cost plan reviews |
60 | to verify the medical necessity of authorized services for plans |
61 | that have increased by more than 8 percent during either of the |
62 | 2 preceding fiscal years. |
63 | 8. The agency shall implement a consolidated residential |
64 | habilitation rate structure to increase savings to the state |
65 | through a more cost-effective payment method and establish |
66 | uniform rates for intensive behavioral residential habilitation |
67 | services. |
68 | 9. Pending federal approval, the agency is authorized to |
69 | extend current support plans for clients receiving services |
70 | under Medicaid waivers for 1 year beginning July 1, 2007, or |
71 | from the date approved, whichever is later. Clients who have a |
72 | substantial change in circumstances which threatens their health |
73 | and safety may be reassessed during this year in order to |
74 | determine the necessity for a change in their support plan. |
75 | Section 14. The following proviso language associated with |
76 | Specific Appropriation 270 in chapter 2007-72, Laws of Florida, |
77 | is amended to read: |
78 |
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79 | Personal Care Assistance services shall be limited to no more |
80 | than 180 hours per calendar month and shall not include rate |
81 | modifiers. Additional hours may be authorized for persons who |
82 | have intensive physical, medical, or adaptive needs and if such |
83 | hours are essential for avoiding institutionalization only if a |
84 | substantial change in circumstances occurs for the individual. |
85 |
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86 | ======= T I T L E A M E N D M E N T ======= |
87 | Between lines 21 and 22, insert: |
88 | amending s. 393.0661, F.S.; providing for additional hours to be |
89 | authorized under the personal care assistance services provided |
90 | pursuant to a federal waiver program and administered by the |
91 | Agency for Persons with Disabilities; amending proviso language |
92 | contained in Specific Appropriation 270 in chapter 2007-72, Laws |
93 | of Florida, to conform; |