995170                                                     
GENERAL APPROPRIATIONS BILL                          Committee       Amendment
SB2500                                                  AHS              10


Senator(s) Flores moved the following amendment:

Section: 03              EXPLANATION:

On Page: 057             Adds additional proviso to the Hospital Outpatient 
                         Services category to allow the Agency for Health 
Spec App:  203           Care to make adjustments to the Enhanced Ambulatory 
                         Patient Grouping (EAPG) parameters.

NET IMPACT ON:            Total Funds       General Revenue          Trust Funds
    Recurring -                    0                     0                    0 
Non-Recurring -                    0                     0                    0 
______________________________________________________________________________________

                                               Positions & Amount   Positions & Amount
                                                     DELETE         INSERT

        AGENCY FOR HEALTH CARE ADMINISTRATION
        Program: Health Care Services
        Medicaid Services To Individuals  68501400

        In Section 03  On Page 057
203     Special Categories  101596
        Hospital Outpatient Services  IOEE

Immediately following Specific Appropriation 203, DELETE:

From  the  funds  in  Specific  Appropriation 203, the Agency for Health
Care  Administration  shall  implement  an  Enhanced  Ambulatory Patient
Grouping   (EAPG)  reimbursement  methodology  for  hospital  outpatient
services as directed in section 409.905(6)(b), Florida Statutes.

Ambulatory Surgical Center Base Rate - $275.51
Hospital Outpatient Base Rate - $246.26
Rural Hospital Provider Adjustor - 1.5659
High Medicaid and High Outlier Hospital Adjustor - 2.1227
Documentation and Coding Adjustment - 2%

AND INSERT:

From  the  funds  in  Specific  Appropriation 203, the Agency for Health
Care  Administration  shall  implement  an  Enhanced  Ambulatory Patient
Grouping   (EAPG)  reimbursement  methodology  for  hospital  outpatient
services as directed in section 409.905(6)(b), Florida Statutes.

 995170  Log:0049  TMK/TMK           02/05/18 06:34:57 PM  Senate  Page: 1

Ambulatory Surgical Center Base Rate - $275.51
Hospital Outpatient Base Rate - $246.26
Rural Hospital Provider Adjustor - 1.5659
High Medicaid and High Outlier Hospital Adjustor - 2.1227
Documentation and Coding Adjustment - 2%

The Agency for Health Care Administration may adjust the Enhanced 
Ambulatory Patient Grouping parameters based upon historical billing 
practices measured prior to the Start of Fiscal Year 2018-2019 to comply 
with the availability of funds in Specific Appropriation 203.








































 995170  Log:0049  TMK/TMK           02/05/18 06:34:57 PM  Senate  Page: 2