Fiscal Year:
    
Primary Budget:
Comparison Budget:

SECTION 3 - HUMAN SERVICES
   to   the  provisions  of  chapter  216,  Florida  Statutes.  The  budget
   amendments  shall  include, at a minimum, details on the patient quality
   measures  used,  benchmarks  for each measure, and methodologies used to
   determine  the  extent  to which a plan exceeds, meets, or fails to meet
   the  benchmarks.  The amendments shall also include estimated impacts on
   utilization  and spending resulting from plans' performances relative to
   the  benchmarks and the extent to which payments cannot be made based on
   quality due to limitations owing to actuarial soundness.

TOTAL: MEDICAID SERVICES TO INDIVIDUALS
       FROM GENERAL REVENUE FUND . . . . . .    5,281,780,580
       FROM TRUST FUNDS  . . . . . . . . . .                    13,684,576,474

         TOTAL ALL FUNDS . . . . . . . . . .                    18,966,357,054

MEDICAID LONG TERM CARE

 227   SPECIAL CATEGORIES
       ASSISTIVE CARE SERVICES
        FROM GENERAL REVENUE FUND  . . . . .          699,380
        FROM MEDICAL CARE TRUST FUND . . . .                         1,105,006

 228   SPECIAL CATEGORIES
       HOME AND COMMUNITY BASED SERVICES
        FROM GENERAL REVENUE FUND  . . . . .        4,757,552
        FROM MEDICAL CARE TRUST FUND . . . .                     1,010,893,642

 229   SPECIAL CATEGORIES
       INTERMEDIATE CARE FACILITIES/
        INTELLECTUALLY DISABLED - SUNLAND CENTER
        FROM MEDICAL CARE TRUST FUND . . . .                        79,579,450

   From  the  funds  in  Specific  Appropriations  229,  230  and  231, the
   Agency  for  Health Care Administration, in consultation with the Agency
   for  Persons  with  Disabilities,  is  authorized  to transfer funds, in
   accordance  with  the  provisions  of  chapter 216, Florida Statutes, to
   Specific  Appropriation  259 for the Developmental Disabilities Home and
   Community  Based  Waiver.  Priority  for  the use of these funds will be
   given  to the planning and service areas with the greatest potential for
   transition success.

 230   SPECIAL CATEGORIES
       INTERMEDIATE CARE FACILITIES/
        DEVELOPMENTALLY DISABLED COMMUNITY
        FROM GENERAL REVENUE FUND  . . . . .       78,684,652
        FROM GRANTS AND DONATIONS TRUST
         FUND  . . . . . . . . . . . . . . .                        15,147,690
        FROM MEDICAL CARE TRUST FUND . . . .                       148,255,347

   From  the  funds  in  Specific  Appropriation  230, $15,147,690 from the
   Grants  and  Donations  Trust Fund and $23,933,038 from the Medical Care
   Trust Fund are provided to buy back intermediate care facilities for the
   developmentally  disabled rate reductions, effective on or after October
   1,  2008  and  are  contingent  on  the  nonfederal share being provided
   through  intermediate  care  facilities for the developmentally disabled
   quality assessments. Authority is granted to buy back rate reductions up
   to,  but  not  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.

   The  recurring  methodology to be utilized by the Agency for Health Care
   Administration   to   establish  rates  taking  into  consideration  the
   reductions  imposed on or after October 1, 2008, shall be to compare the
   average  unit appropriation with actual average unit cost as follows: 1)
   the average unit appropriation shall be determined by dividing the total
   appropriation  in  Specific  Appropriation 230 by the total bed days for
   the past fiscal year; 2) the total actual cost as generated based on the
   July  1 rate setting shall be divided by the total bed days for the past
   fiscal  year  to determine the actual unit cost; 3) the actual unit cost
   shall  be  reduced  to a Reduced Actual Unit Cost by the same percentage
   used  to  calculate  the Legislative Appropriation to account for client
   participation contributions; 4) no negative adjustment to the rates paid
   to  providers  shall  occur  so  long as the Reduced Actual Unit Cost is
   equal  to  or  less  than  the average unit appropriation; and 5) in the
   event  the  Reduced  Actual  Unit  Cost is greater than the average unit
   appropriation  a  prorated reduction shall be imposed on all rates after
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