MEDICAID FISCAL CONTRACT
FROM GENERAL REVENUE FUND . . . 17,521,518
FROM MEDICAL CARE TRUST FUND . . . . 51,172,830
FROM REFUGEE ASSISTANCE TRUST FUND . 125,305
184 SPECIAL CATEGORIES MEDICAID PEER REVIEW
FROM GENERAL REVENUE FUND . . . 1,093,903
FROM MEDICAL CARE TRUST FUND . . . . 4,403,348 185 SPECIAL CATEGORIES
RISK MANAGEMENT INSURANCE
FROM GENERAL REVENUE FUND . . . 298,436
FROM MEDICAL CARE TRUST FUND . . . . 495,974
186 SPECIAL CATEGORIES
LEASE OR LEASE-PURCHASE OF EQUIPMENT
FROM GENERAL REVENUE FUND . . . 26,165
FROM MEDICAL CARE TRUST FUND . . . . 179,063
187 SPECIAL CATEGORIES
TRANSFER TO DEPARTMENT OF MANAGEMENT SERVICES - HUMAN RESOURCES SERVICES PURCHASED PER STATEWIDE CONTRACT
FROM GENERAL REVENUE FUND . . . 90,695
FROM MEDICAL CARE TRUST FUND . . . . 172,551
TOTAL: EXECUTIVE DIRECTION AND SUPPORT SERVICES
FROM GENERAL REVENUE FUND . . . 40,483,413
FROM TRUST FUNDS . . . 188,211,010 TOTAL POSITIONS . . . 660.00
TOTAL ALL FUNDS . . . 228,694,423 MEDICAID SERVICES TO INDIVIDUALS
From the funds in Specific Appropriations 187A through 230A, the Agency for Health Care Administration shall provide a quarterly reconciliation report of all Medicaid service appropriation expenditures and fund sources. The reconciliation shall compare actual expenditures paid through each specific appropriation category by fund either through the Florida Medicaid Management Information System (FMMIS) or the Agency for Health Care Administration to expenditure estimates forecasted through the Social Services Estimating Conference Medicaid services forecasting model, as directed in section 216.136(6), Florida Statutes. The comparison shall include fund source detail for each comparison. For any category where a variance is identified, the Agency for Health Care Administration shall submit a written corrective action plan to address each variance by category and fund source. The reconciliation shall be submitted to the Office of the Governor, the President of the Senate, and the Speaker of the House of Representatives no later than 30 days after the close of each quarter. The Agency for Health Care Administration may submit budget amendments to the Legislative Budget Commission to realign appropriation categories based on the reconciliation pursuant to the provisions of chapter 216, Florida Statutes.
187A SPECIAL CATEGORIES
GRANTS AND AIDS - GRANT PROGRAM FOR COMMUNITY PRIMARY CARE SERVICES
FROM GENERAL REVENUE FUND . . . 28,550,939
From the funds in Specific Appropriation 187A, $28,550,939 in nonrecurring General Revenue funds is provided to increase access to primary care services in the state and to reduce and prevent unnecessary emergency room visits and inpatient hospitalizations. In developing a plan to increase access to primary care services and the funding of these primary care services, the agency shall solicit proposals from county health departments, community health care clinics, and Federally Qualified Health Centers in order to expand primary care clinic services for the uninsured and underinsured. The agency shall solicit grant proposals and award grants to those programs most capable of reducing health spending while improving the health status of uninsured and underinsured persons in their communities. Programs receiving these grants shall reduce unnecessary emergency room visits and preventable hospitalizations by providing disease management; improving patient
SECTION 3 - HUMAN SERVICES
compliance; and coordinating services, such as needed physician, dental, nurse practitioner, and pharmaceutical services. There is a cap of $1,500,000 general revenue per grant proposal. The agency shall evaluate grant proposals and develop reporting requirements for grant recipients to measure the effectiveness of the grant-funded programs. The specific reporting requirements shall be incorporated into the competitive solicitation which will also identify the evaluation methodology and establish a timetable for publishing results.
188 SPECIAL CATEGORIES
ADULT DENTAL, VISUAL AND HEARING SERVICES
FROM GENERAL REVENUE FUND . . . 2,737,723
FROM MEDICAL CARE TRUST FUND . . . . 4,194,977
FROM REFUGEE ASSISTANCE TRUST FUND . 778,647
189 SPECIAL CATEGORIES CASE MANAGEMENT
FROM GENERAL REVENUE FUND . . . 2,839,066
FROM MEDICAL CARE TRUST FUND . . . . 4,355,308 From the funds in Specific Appropriation 189, $1,139,529 from the Medical Care Trust Fund is provided to the Agency for Health Care Administration for Medicaid reimbursable services that support children enrolled in contracted medical foster care programs under the Department of Health. This funding is contingent upon the availability of state matching funds in the Department of Health in Specific Appropriation 524.
190 SPECIAL CATEGORIES
COMMUNITY MENTAL HEALTH SERVICES
FROM GENERAL REVENUE FUND . . . 29,433,868
FROM MEDICAL CARE TRUST FUND . . . . 46,150,772 From the funds in Specific Appropriations 190 and 191, the Agency for Health Care Administration in consultation with the Department of Children and Families may seek approval from the federal Centers for Medicare and Medicaid Services to implement a certified public expenditure or similar mechanism to increase reimbursement rates for services reimbursed to community behavioral health care providers. 191 SPECIAL CATEGORIES
COMMUNITY MENTAL HEALTH SERVICES-MANAGED MEDICAL ASSISTANCE
FROM GENERAL REVENUE FUND . . . 29,494,568
FROM MEDICAL CARE TRUST FUND . . . . 51,688,198
FROM REFUGEE ASSISTANCE TRUST FUND . 14,932
192 SPECIAL CATEGORIES
DEVELOPMENTAL EVALUATION AND INTERVENTION/ PART C
FROM MEDICAL CARE TRUST FUND . . . . 12,092,150 Funds in Specific Appropriation 192 are contingent on the availability of state match being provided in Specific Appropriation 530.
193 SPECIAL CATEGORIES
CHILDREN'S HEALTH SCREENING SERVICES
FROM GENERAL REVENUE FUND . . . 10,253,864
FROM MEDICAL CARE TRUST FUND . . . . 15,944,762 194 SPECIAL CATEGORIES
GRANTS AND AIDS - RURAL HOSPITAL FINANCIAL ASSISTANCE PROGRAM
FROM GENERAL REVENUE FUND . . . 1,220,185 FROM GRANTS AND DONATIONS TRUST
FUND . . . 3,591,354
FROM MEDICAL CARE TRUST FUND . . . . 5,493,875 Funds in Specific Appropriation 194 are provided for a federally matched Rural Hospital Disproportionate Share program and a state funded Rural Hospital Financial Assistance program as provided in section 409.9116, Florida Statutes.
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Funds in Specific Appropriation 194 are contingent on SB 2508-A, including the document incorporated by reference therein in its entirety, and Specific Appropriations 200, 201, 202, 203, and 206, including all proviso language applicable to each specific appropriation, becoming law.
195 SPECIAL CATEGORIES FAMILY PLANNING
FROM GENERAL REVENUE FUND . . . 536,941
FROM MEDICAL CARE TRUST FUND . . . . 4,832,474
FROM REFUGEE ASSISTANCE TRUST FUND . 28,881
196 SPECIAL CATEGORIES
GRANTS AND AIDS - SHANDS TEACHING HOSPITAL
FROM GENERAL REVENUE FUND . . . 8,673,569 FROM GRANTS AND DONATIONS TRUST
FUND . . . 1,000,000
The funds in Specific Appropriation 196 shall be primarily designated for transfer to the Agency for Health Care Administration's Grants and Donations Trust Fund for use in the Medicaid program. Should the Agency for Health Care Administration be unable to use the full amount of these designated funds as Medicaid match, the remaining funds may be used secondarily for payments to Shands Teaching Hospital to continue the original purpose of providing health care services to indigent patients through Shands Healthcare System.
From the funds in Specific Appropriation 196, $1,000,000 in nonrecurring funds from the Grants and Donations Trust Fund is provided to Shands Teaching Hospital.
197 SPECIAL CATEGORIES HEALTHY START SERVICES
FROM GENERAL REVENUE FUND . . . 16,259,122
FROM MEDICAL CARE TRUST FUND . . . . 24,913,635 198 SPECIAL CATEGORIES
HOME HEALTH SERVICES
FROM GENERAL REVENUE FUND . . . 10,186,728
FROM MEDICAL CARE TRUST FUND . . . . 15,636,838
FROM REFUGEE ASSISTANCE TRUST FUND . 103,135
199 SPECIAL CATEGORIES HOSPICE SERVICES
FROM GENERAL REVENUE FUND . . . 1,944,926
FROM HEALTH CARE TRUST FUND . . . . 7,840,597
FROM GRANTS AND DONATIONS TRUST
FUND . . . 1,650,384
FROM MEDICAL CARE TRUST FUND . . . . 17,523,087 From the funds in Specific Appropriations 199 and 226, $17,774,265 from the Grants and Donations Trust Fund and $27,152,721 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. The Agency for Health Care Administration shall establish a single rate-setting period effective September 1 of each year.
200 SPECIAL CATEGORIES GRADUATE MEDICAL EDUCATION
FROM GENERAL REVENUE FUND . . . 31,584,356 FROM GRANTS AND DONATIONS TRUST
FUND . . . 39,641,644 FROM MEDICAL CARE TRUST FUND . . . . 108,774,000 Funds in Specific Appropriation 200 are contingent on SB 2508-A, including the document incorporated by reference therein in its entirety, and Specific Appropriations 194, 201, 202, 203, and 206, including all proviso language applicable to each specific
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