number of visits originally used in the rate calculation for each rate
setting period on or after October 1, 2008, which will yield a rate
reduction per diem for each rate period; (2) the agency shall multiply
the resulting rate reduction per diem for each rate setting period on or
after October 1, 2008, by the projected number of visits used in
establishing the current budget estimate which will yield the total
current reduction amount to be applied to current rates; and (3) in the
event the total current reduction amount is greater than the historical
reduction amount, the agency shall hold the rate reduction to the
historical reduction amount.
From the funds in Specific Appropriations 208 and 211, $400,000 from
the Grants and Donations Trust Fund and $515,751 from the Medical Care
Trust Fund are provided to buy back clinic services rate adjustments,
effective on or after July 1, 2008, and are contingent on the nonfederal
share being provided through grants and donations from state, county or
other governmental funds. Authority is granted to buy back rate
reductions up to, but not higher than, the amounts available under the
authority appropriated in this Specific Appropriation. In the event that
the funds are not available in the Grants and Donations Trust Fund, the
State of Florida is not obligated to continue reimbursements at the
higher amount.
From the funds in Specific Appropriations 208 and 223, $20,181,940
from the Grants and Donations Trust Fund and $26,022,135 from the
Medical Care Trust Fund are provided to buy back hospice rate
reductions, effective on or after January 1, 2008, and are contingent on
the nonfederal share being provided through nursing home quality
assessments. Authority is granted to buy back rate reductions up to, but
no higher than, the amounts available under the budgeted authority in
this Specific Appropriation. In the event that the funds are not
available in the Grants and Donations Trust Fund, the State of Florida
is not obligated to continue reimbursements at the higher amount.
From the funds in Specific Appropriation 208, $24,990,000 from the
Medical Care Trust Fund is provided for the Florida Assertive Community
Treatment (FACT) Team Services as a Medicaid state plan covered service.
Medicaid coverage for FACT Team Services is contingent upon the
availability of state matching funds totaling $10,915,632, which are
transferred by the Chief Financial Officer from the General Revenue Fund
to the Medical Care Trust Fund in Section 62 of this General
Appropriations Act for the Department of Children and Families.
209 SPECIAL CATEGORIES
PERSONAL CARE SERVICES
FROM GENERAL REVENUE FUND . . . . . 77,541,296
FROM MEDICAL CARE TRUST FUND . . . . 100,410,635
210 SPECIAL CATEGORIES
PHYSICIAN AND HEALTH CARE PRACTITIONER
SERVICES
FROM GENERAL REVENUE FUND . . . . . 32,513,625
FROM HEALTH CARE TRUST FUND . . . . 3,543,106
FROM TOBACCO SETTLEMENT TRUST FUND . 15,898,906
FROM MEDICAL CARE TRUST FUND . . . . 76,343,736
FROM PUBLIC MEDICAL ASSISTANCE
TRUST FUND . . . . . . . . . . . . 7,114,334
FROM REFUGEE ASSISTANCE TRUST FUND . 7,551,302
211 SPECIAL CATEGORIES
PREPAID HEALTH PLANS
FROM GENERAL REVENUE FUND . . . . . 6,253,928,902
FROM HEALTH CARE TRUST FUND . . . . 307,371,735
FROM TOBACCO SETTLEMENT TRUST FUND . 239,997,943
FROM GRANTS AND DONATIONS TRUST
FUND . . . . . . . . . . . . . . . 1,937,217,520
FROM MEDICAL CARE TRUST FUND . . . . 9,645,309,542
FROM PUBLIC MEDICAL ASSISTANCE
TRUST FUND . . . . . . . . . . . . 832,249,921
FROM REFUGEE ASSISTANCE TRUST FUND . 114,344,288
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 manage a directed payment program for hospitals providing inpatient
and outpatient services to Medicaid managed care enrollees. The agency
is authorized to submit a budget amendment pursuant to chapter 216,
Florida Statutes, requesting spending authority to manage the program.