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.
222 SPECIAL CATEGORIES
NURSING HOME CARE
FROM GENERAL REVENUE FUND . . . . . 91,228,245
FROM HEALTH CARE TRUST FUND . . . . 16,729,472
FROM GRANTS AND DONATIONS TRUST
FUND . . . . . . . . . . . . . . . 29,921,212
FROM MEDICAL CARE TRUST FUND . . . . 177,777,959
From the funds in Specific Appropriation 222, the Agency for Health
Care Administration is authorized to transfer funds in accordance with
the provisions of chapter 216, Florida Statutes, to Specific
Appropriation 219 specifically for slots under the Model Waiver and
Specific Appropriation 223 Statewide Medicaid Managed Care Long-Term
Care Waiver to transition the greatest number of appropriate eligible
beneficiaries from skilled nursing facilities to community-based
alternatives in order to maximize the reduction in Medicaid nursing home
occupancy. Priority for the use of these funds will be given to the
planning and service areas with the greatest potential for transition
success.
From the funds in Specific Appropriations 222 and 223, $465,680,769
from the Grants and Donations Trust Fund and $600,438,208 from the
Medical Care Trust Fund are provided to buy back nursing facility 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
not higher than, the amounts available under the budgeted authority in
these Specific Appropriations. 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.
223 SPECIAL CATEGORIES
PREPAID HEALTH PLAN/LONG TERM CARE
FROM GENERAL REVENUE FUND . . . . . 2,567,537,394
FROM HEALTH CARE TRUST FUND . . . . 308,100,403
FROM GRANTS AND DONATIONS TRUST
FUND . . . . . . . . . . . . . . . 456,025,974
FROM MEDICAL CARE TRUST FUND . . . . 4,301,506,747
224 SPECIAL CATEGORIES
STATE MENTAL HEALTH HOSPITAL PROGRAM
FROM MEDICAL CARE TRUST FUND . . . . 7,770,280
225 SPECIAL CATEGORIES
PROGRAM OF ALL-INCLUSIVE CARE FOR THE
ELDERLY (PACE)
FROM GENERAL REVENUE FUND . . . . . 133,976,280
FROM MEDICAL CARE TRUST FUND . . . . 172,745,972
All Program for All-Inclusive Care for the Elderly (PACE) organizations
funded from the funds in Specific Appropriation 225 must enter into a
contract with the Agency for Health Care Administration that outlines
quality and performance standards, claims payment and claims filing
requirements, accountability measures and reporting requirements.
Any entity who the Legislature has approved to enroll participants
residing in a specific geographic area in a Program of All-Inclusive
Care for the Elderly may transfer such approval and assign its Program
of All-Inclusive Care for the Elderly contract, to any other person
meeting federal requirements upon the prior approval of the Agency for
Health Care Administration, subject to any other required federal
approvals. Any such approved transfer shall include the transfer of any
appropriated funds by the Legislature to such Program of All-Inclusive
Care for the Elderly, and all future appropriations in respect of such
Program of All-Inclusive Care for the Elderly shall be made to the
approved transferee.
The Agency for Health Care Administration shall submit a Program of
All-Inclusive Care for the Elderly monthly report of all PACE providers,
including each providers authorized service area and slots, slots
funded, total enrollments, actuarial dual rate, estimated monthly
claims, and estimated cumulative claims. The report shall also include