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The Committee on Children, Families, and Elder Affairs

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(Haridopolos) recommended the following amendment:

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     Senate Amendment

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     Delete line(s) 96-138

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and insert:

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     (9) By December 31, 2009, the Office of Program Policy

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Analysis and Government Accountability shall evaluate the

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effectiveness the department, the agency, and the division shall

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each, on an ongoing basis, review and assess the implementation

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of the Florida Self-Directed Care program. The evaluation shall

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include an assessment of participant choice and access to

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services, cost savings, coordination and quality of care,

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adherence to principles of self-directed care, barriers to

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implementation, progress toward statewide expansion of the

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program, and recommendations for improvement in the program.

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     (a) The department will implement an evaluation of the

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program and will include recommendations for improvements in the

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program.

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     (b) At a minimum, the evaluation must compare between

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program participants and nonparticipants:

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     1. Re-hospitalization rates.

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     2. Levels of satisfaction.

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     3. Service utilization rates.

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     4. Residential stability.

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     5. Levels of community integration and interaction.

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     (c) The evaluation must evaluate adherence to the Centers

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for Medicare and Medicaid self-direction requirements, including:

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     1. Person-centered planning.

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     2. Individual budgets.

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     3. Availability of independently brokered services from

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recovery coaches and quality advocates.

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     4. Access to the program by all who are eligible to enroll.

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     5. Participant safety and program incident management

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planning.

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     6. An independently mediated grievance process.

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     (d) The evaluation must assess the economic self-

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sufficiency of the program participants, including the number of

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Individual Development Accounts.

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     (e) The evaluation must assess any adverse incidents

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resulting from the Florida Self-Directed Care, including consumer

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grievances, conflicts of interest, and patterns of self-referral

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by licensed professions.

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The department is authorized to spend up to $100,000 to pay for

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the evaluation. If the agency and the department obtain a federal

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waiver, the evaluation will be used to determine effectiveness.

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     (10) This section expires July 1, 2008.

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     Section 2.  This act shall take effect July 1, 2008.

3/23/2008  9:26:00 AM     26-05348-08