995138 Florida Senate - 2018 Committee Amendment SPB2500 AHS 26SA The Committee on Appropriations(Flores) recommended the following SUBSTITUTE AMENDMENT for 26 (995126):Section: 03 EXPLANATION: On Page: 051 Adds proviso to earmark $1 million of AHCA's contracted services for the Florida Medical Schools Spec App: 187 Quality Network to develop quality metrics for Medicaid eligible persons, and adds proviso to the Low Income Pool to direct the Agency to seek approval to include: a portion of the substance abuse and mental health safety net system in the Low Income Pool, and a hospital services program for at risk mothers and babies in the Low Income Pool. NET IMPACT ON: Total Funds General Revenue Trust Funds Recurring - 0 0 0 Non-Recurring - 0 0 0 ______________________________________________________________________________________ Positions & Amount Positions & Amount DELETE INSERT AGENCY FOR HEALTH CARE ADMINISTRATION Program: Health Care Services Executive Direction And Support Services 68500200 In Section 03 On Page 051 187 Special Categories 100777 Contracted Services IOEA At the end of existing proviso language, following Specific Appropriation 187, INSERT: From the funds in Specific Appropriation 187, $500,000 in Grants and Donations Trust Fund and $500,000 from the Medical Care Trust Fund may be used by the Agency for Health Care Administration to contract with the Florida Medical Schools Quality Network created under section 409.975(2), Florida Statutes, to develop quality metrics for Medicaid eligible persons, which are Application Programming Interface (API) compatible with the agency and Medicaid managed care organizations and quality initiatives pursuant to section 409.975, Florida Statutes. Medicaid Services To Individuals 68501400995138 Log:0161 TMK/TMK 01/30/18 02:37:51 PM Senate Page: 1 In Section 03 On Page 055 201 Special Categories 101584 Low Income Pool IOEE DELETE the proviso immediately following Specific Appropriation 201: From the funds in Specific Appropriation 201, $578,315,105 from the Grants and Donations Trust Fund and $930,070,668 from the Medical Care Trust Fund are provided for the purpose of implementing a Low-Income Pool Program. These funds shall be held in reserve. Subject to the final terms and conditions of the Low-Income Pool, the Agency for Health Care Administration shall submit a budget amendment requesting release of funds pursuant to chapter 216, Florida Statutes. In addition to the proposed amendment, the agency must submit: the Reimbursement and Funding Methodology Document, as specified in the terms and conditions, which documents permissible Low-Income Pool expenditures; a proposed distribution model by entity; and a proposed listing of entities contributing intergovernmental transfers to support the required state match Low-Income Pool payments to providers under this section are contingent on the non-federal share being provided through intergovernmental transfers in the Grants and Donations Trust Fund. In the event the funds are not available in the Grants and Donations Trust Fund, the State of Florida is not obligated to make payments. AND INSERT: From the funds in Specific Appropriation 201, $578,315,105 from Grants and Donations Trust Fund and $930,070,668 from the Medical Care Trust Fund are provided for the purpose of implementing a Low-Income Pool Program. These funds shall be held in reserve. 1. Funding for Low Income Pool Tiers One through Four are subject to the final terms and conditions of the Low-Income Pool, and the Agency for Health Care Administration shall submit a budget amendment requesting release of the funds pursuant to chapter 216, Florida Statutes. 2. The Agency shall seek federal approval to amend the Special Terms and Conditions for the Low Income Pool to include a payment group for uncompensated behavioral health care services. The behavioral health care services are for individuals in the substance abuse and mental health safety net system (Central Receiving Facilities) administered by the Department of Children and Families. Subject to federal approval of the terms and conditions, the Agency shall submit a budget amendment requesting authority for the release of funds pursuant to chapter 216, Florida Statutes. 3. The Agency shall seek federal approval to amend the Special Terms and Conditions for the Low Income Pool to add a governmentally designated program for hospital services for at risk mothers and babies pursuant to995138 Log:0161 TMK/TMK 01/30/18 02:37:51 PM Senate Page: 2 sections 383.15 - 383.19, Florida Statutes, as an additional tier for the Low Income Pool. Subject to federal approval of the terms and conditions, the Agency shall submit a budget amendment requesting authority for the release of funds pursuant to chapter 216, Florida Statutes. In addition to the proposed amendments, the agency must submit the Reimbursement and Funding Methodology Document, as specified in the terms and conditions, which documents permissible Low-Income Pool expenditures; a proposed distribution model by entity; and a proposed listing of entities contributing intergovernmental transfers to support the required state match. Low-Income Pool payments to providers under this section are contingent on the nonfederal share being provided through intergovernmental transfers in the Grants and Donations Trust Fund. In the event the funds are not available in the Grants and Donations Trust Fund, the State of Florida is not obligated to make payments.995138 Log:0161 TMK/TMK 01/30/18 02:37:51 PM Senate Page: 3