996010
Florida Senate - 2010
SB7084
The Committee on Health and Human Services Appropriations (Peaden and
Gaetz) recommended the following amendment:
Section: 03
On Page: 018
Spec App: 204
| EXPLANATION:
Revises the proviso immediately following Specific
Appropriation 204 related to prepaid dental health
plans.
|
NET IMPACT ON: Total Funds General Revenue Trust Funds
Recurring - 0 0 0
Non-Recurring - 0 0 0
______________________________________________________________________________________
Positions & Amounts Positions & Amounts
DELETE INSERT
AGENCY FOR HEALTH CARE ADMINISTRATION
Program: Health Care Services
Medicaid Services To Individuals 68501400
In Section 03 On Page 018
204 Special Categories 102673
Prepaid Health Plans IOEE
DELETE the proviso immediately following Specific Appropriation 204:
From the funds in Specific Appropriation 204, the Agency for Health Care
Administration is authorized to contract on a prepaid or fixed-sum basis
with appropriately-licensed prepaid dental health plans to provide
dental services. The agency may contract with a single qualified entity
to provide dental services on a regional or statewide basis that will
result in greater efficiency to the state and will facilitate better
access and outcomes for Medicaid beneficiaries. The contract shall be
awarded through a competitive procurement. The agency may include in
this contract dental services that are provided through the Medicaid fee
for service and managed care delivery system, but shall exclude
Miami-Dade County. If the agency includes the managed care delivery
system, the agency may also include Medicaid reform counties. The
agency is authorized to seek any necessary state plan amendments or
federal waivers to implement this provision.
Insert proviso immediately following Specific Appropriation 204:
996010 Log:0031 CSK/CSK 03/17/10 08:55:03 PM Senate Page: 1
From the funds in Specific Appropriation 204, the Agency for Health Care
Administration is authorized to contract on a prepaid or fixed-sum basis
with appropriately-licensed prepaid dental health plans to provide
dental services for a period not to exceed two years. The agency may
contract with a single qualified entity to provide dental services on a
regional or statewide basis that will result in greater efficiency to
the state and will facilitate better access and outcomes for Medicaid
beneficiaries. On a quarterly basis, the contracting entity shall
report Medicaid beneficiary utilization data and encounter data by
Current Dental Terminology (CDT) code to the agency. On an annual
basis, the agency shall provide a report comparing the data provided by
the contracting entity with available data from the pool of Medicaid
recipients from previous years to the Speaker of the House, the Senate
President and the Governor. The contract(s) shall be awarded through
competitive procurement. The agency shall include in the contract(s), a
provision that requires no less than 90% of the contracting fee be used
to directly offset the cost of providing direct patient care as opposed
to administrative costs. The agency may include in this contract dental
services that are provided through the Medicaid fee for service and
managed care delivery system, but shall exclude Miami-Dade County. If
the agency includes the managed care delivery system, the agency may
also include Medicaid reform counties. The agency is authorized to seek
any necessary state plan amendments or federal waivers to implement this
provision.
| Line item amendments are accepted as part of the amendatory process. However, due to the necessity of using computerized systems this may entail a different placement within a budget entity or the renumbering of the specific appropriation items. Items printed in italics are computer codes and are not a part of the official text of this amendment. |
996010 Log:0031 CSK/CSK 03/17/10 08:55:03 PM Senate Page: 2