Senate Bill sb1826

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    Florida Senate - 2007                                  SB 1826

    By Senator Gaetz





    4-1420A-07

  1                      A bill to be entitled

  2         An act relating to persons with developmental

  3         disabilities; requiring the Agency for Persons

  4         with Disabilities and the Agency for Health

  5         Care Administration to establish a pilot

  6         project for certain clients who are currently

  7         served through federal waivers for Medicaid

  8         home and community-based services and family

  9         and supported living services; providing

10         requirements for the pilot project; requiring

11         the Agency for Persons with Disabilities to

12         submit a report to the Governor, the

13         Legislature, and legislative committees;

14         requiring legislative approval for further

15         expansion; providing an effective date.

16  

17  Be It Enacted by the Legislature of the State of Florida:

18  

19         Section 1.  Home and community-based waiver pilot

20  project.--The Agency for Persons with Disabilities and the

21  Agency for Health Care Administration shall make any changes

22  in rule and to Medicaid waiver agreements with federal

23  Medicaid authorities as are required in order to establish a

24  5-year pilot project that demonstrates strategies and methods

25  for the provision of community-based care to clients with

26  developmental disabilities who are currently served through

27  Medicaid home and community-based services and family and

28  supported living services. This project shall document

29  increased client outcomes that are known to be associated with

30  a valid needs assessment of client level of need, rate setting

31  based on level of need, and encouragement of the use of

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    Florida Senate - 2007                                  SB 1826
    4-1420A-07




 1  community-centered services and supports. The pilot project

 2  shall implement strong utilization control in order to ensure

 3  predictable and controlled annual costs. Medicaid service

 4  delivery, including, but not limited to, service

 5  authorization, fee setting, care management, and monitoring

 6  shall be managed locally through the area office of the Agency

 7  for Persons with Disabilities in order to encourage provider

 8  development. The Agency for Persons with Disabilities shall

 9  submit a report detailing the progress, strategies, specific

10  models used, and future directions in this pilot project to

11  the Executive Office of the Governor, the President of the

12  Senate, the Speaker of the House of Representatives, and the

13  health and human services appropriations committees of the

14  Legislature by March 1, 2008, and periodically thereafter. The

15  pilot project shall be implemented in Area 1 of the Agency for

16  Persons with Disabilities. Further expansion of this pilot

17  project requires legislative approval.

18         Section 2.  This act shall take effect upon becoming a

19  law.

20  

21            *****************************************

22                          SENATE SUMMARY

23    Requires the Agency for Persons with Disabilities and the
      Agency for Health Care Administration to establish a
24    pilot project for certain clients who are currently
      served through waivers for the Medicaid home and
25    community-based services and family and supported living
      services. Provides requirements for the pilot project.
26    Requires the Agency for Persons with Disabilities to
      submit a report to the Governor, the Legislature, and
27    legislative committees.

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