TOTAL: EXECUTIVE DIRECTION AND SUPPORT SERVICES
FROM GENERAL REVENUE FUND . . . . . . 72,146,329
FROM TRUST FUNDS . . . . . . . . . . 322,545,729
TOTAL POSITIONS . . . . . . . . . . 626.50
TOTAL ALL FUNDS . . . . . . . . . . 394,692,058
MEDICAID SERVICES TO INDIVIDUALS
From the funds in Specific Appropriations 209 through 237, the Agency
for Health Care Administration, upon receipt of any official
communication from the Department of Health and Human Services, federal
Centers for Medicare and Medicaid Services, other subordinate entities
regarding unallowable payments or expenditures in violation of the
Florida Managed Medical Assistance 1115 waiver's special terms and
conditions, which have or may result in a requirement for the state to
repay federal funds, shall provide written notification and copies of
the official communication, to the Executive Office of the Governor's
Office of Policy and Budget, the chair of the Senate Appropriations
Committee, and the chair of the House of Representatives Budget
Committee within three business days of the date of the communication.
The Agency for Health Care Administration is authorized to expend funds
from the Grants and Donations Trust Fund and the Medical Care Trust Fund
to implement the Low Income Pool component of the Florida Managed
Medical Assistance demonstration up to the total computable funds
authorized by the federal Centers for Medicare and Medicaid Services.
The agency is authorized to submit a budget amendment requesting
spending authority to manage the program. The budget amendment must
include the final terms and conditions of the Low Income Pool, a
proposed distribution model by entity and a listing of entities
contributing intergovernmental transfers to support the state match
required. Low Income Pool payments to providers are contingent upon the
nonfederal share being provided through intergovernmental transfers in
the Grants and Donations Trust Fund. In the event the funds are not
available in the Grants and Donations Trust Fund, the State of Florida
is not obligated to make payments under this section of proviso. The
Agency for Health Care Administration is prohibited from seeking federal
approval to amend the Special Terms and Conditions for the Low Income
Pool before a 14-day prior notification is provided to the Executive
Office of the Governor's Office of Policy and Budget, the chair of the
Senate Appropriations Committee, and the chair of the House of
Representatives Budget Committee. Such notification is subject to the
legislative review and objection provisions of section 216.177, Florida
Statutes.
The Agency for Health Care Administration is authorized to expend funds
from the Grants and Donations Trust Fund and the Medical Care Trust Fund
to implement fee-for-service supplemental payments and manage a
supplemental payment plan to support access to high quality care
provided by doctors of medicine, osteopathy and dentistry as well as
other licensed health care practitioners acting under the supervision of
those doctors pursuant to existing statutes and written protocols
employed by or under contract with a medical or dental school in Florida
or a public hospital through a minimum fee schedule calculated as a
supplemental per member per month payment, based on the amount allowable
under the state plan amendment and historic utilization of services; or
to implement fee-for-service supplemental payments and to increase
reimbursement for physicians and dentists employed by or under contract
with a Florida medical or dental school or a public hospital and
practitioners under the supervision of those physicians or dentists to
the level provided for these physicians and practitioners pursuant to a
minimum fee schedule calculated as a supplemental per member per month
payment based on the historic utilization of services by Medicaid
eligible children. The agency is authorized to submit a budget amendment
requesting spending authority to manage the program. Payments to
providers pursuant to this section of proviso shall not be considered a
component of the provider payment calculation specified in section
409.975(6), Florida Statutes, and are contingent upon the nonfederal
share being provided through intergovernmental transfers in the Grants
and Donations Trust Fund. In the event the funds are not available in
the Grants and Donations Trust Fund, the State of Florida is not
obligated to make payments under this section of proviso.
The Agency for Health Care Administration is authorized to expend funds
from the Grants and Donations Trust Fund and the Medical Care Trust Fund