995200 GENERAL APPROPRIATIONS BILL Committee Amendment SB2500 AHS 9 Senator(s)Rodriguez moved the following amendment:Section: 03 EXPLANATION: On Page: 054 Revises the calculations of the Medicaid Hospital Funding Program as well as revises proviso Spec App: 199 associated with the Diagnosis Related Grouping parameters in the Hospital Inpatient appropriation category, to be the same as Fiscal Year 2017-2018. 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 Medicaid Services To Individuals 68501400 In Section 03 On Page 054 199 Special Categories 101582 Hospital Inpatient Services IOEE In Section 03, on Page 54, DELETE the following: Funds in Specific Appropriations 199 and 207 reflect an increase of $101,994,105 from the General Revenue Fund and $163,753,954 from the Medical Care Trust Fund to increase the Diagnosis Related Grouping base rate for all hospitals participating in the Medicaid program. Base Rate - $4,049.63 Neonates Service Adjustor Severity Level 1 - 1.00 Neonates Service Adjustor Severity Level 2 - 1.52 Neonates Service Adjustor Severity Level 3 - 1.80 Neonates Service Adjustor Severity Level 4 - 2.00 Neonatal, Pediatric, Transplant Pediatric, Mental Health and Rehab DRGs: Severity Level 1 - 1.00 Severity Level 2 - 1.52 Severity Level 3 - 1.80 Severity Level 4 - 2.00995200 Log:0070 TMK/TMK 02/05/18 06:34:57 PM Senate Page: 1 Free Standing Rehabilitation Provider Adjustor - 2.469 Rural Provider Adjustor - 1.902 Long Term Acute Care (LTAC) Provider Adjustor - 1.901 High Medicaid and High Outlier Provider Adjustor - 3.028 Outlier Threshold - $60,000 Marginal Cost Percentage - 60% Marginal Cost Percentage for Pediatric Claims Severity Levels 3 or 4 - 80% Marginal Cost Percentage for Neonates Claims Severity Levels 3 or 4 - 80% Marginal Cost Percentage for Transplant Pediatric Claims Severity Levels 3 or 4 - 80% Documentation and Coding Adjustment - 1/3 of 1% Level I Trauma Add On - 17% Level II or Level II and Pediatric Add On - 11% Pediatric Trauma Add On - 4% Insert proviso immediately following Specific Appropriation 199: From the funds in Specific Appropriation 199, the calculations of the Medicaid Hospital Funding Programs for the 2018-2019 fiscal year are as allocated in the Fiscal Year 2017-2018 General Appropriations Act as incorporated by reference in the 2017-2018 Medicaid Hospital Funding Program document, are incorporated by reference in Senate Bill 2502. The calculations are the basis for the appropriations made in the General Appropriation Act. Base Rate - $3,654.80 Neonates Service Adjustor Severity Level 1 - 1.00 Neonates Service Adjustor Severity Level 2 - 1.52 Neonates Service Adjustor Severity Level 3 - 1.80 Neonates Service Adjustor Severity Level 4 - 2.00 Neonatal, Pediatric, Transplant Pediatric, Mental Health and Rehab DRGs: Severity Level 1 - 1.00 Severity Level 2 - 1.52 Severity Level 3 - 1.80 Severity Level 4 - 2.00 Free Standing Rehabilitation Provider Adjustor - 2.469 Rural Provider Adjustor - 1.902 Long Term Acute Care (LTAC) Provider Adjustor - 1.901 High Medicaid and High Outlier Provider Adjustor - 2.500 Outlier Threshold - $60,000 Marginal Cost Percentage - 60% Marginal Cost Percentage for Pediatric Claims Severity Levels 3 or 4 - 80% Marginal Cost Percentage for Neonates Claims Severity Levels 3 or 4 - 80% Marginal Cost Percentage for Transplant Pediatric Claims Severity Levels 3 or 4 - 80%995200 Log:0070 TMK/TMK 02/05/18 06:34:57 PM Senate Page: 2 Documentation and Coding Adjustment - 1/3 of 1% Level I Trauma Add On - 17% Level II or Level II and Pediatric Add On - 11% Pediatric Trauma Add On - 4% From the funds in Specific Appropriation 199, $101,994,105 from the General Revenue Fund and $163,753,954 from the Medical Care Trust Fund are allocated as follows: Broward Health Coral Springs $2,154,255 Broward Health Medical Center $17,361,145 Calhoun-Liberty Hospital $3,228 Gulf Coast Regional Medical Center $319,583 Hialeah Hospital $490,178 Jackson Memorial Hospital $65,828,782 John Hopkins All Children's Hospital $20,906,870 Kendall Regional Medical Center $364,851 Lakeside Medical Center $453,283 Lee Memorial Hospital $9,713,496 Memorial Regional Hospital $13,997,719 Nemours Children's Hospital $6,414,728 Nicklaus Children's Hospital $25,646,111 North Shore Medical Center $622,506 Orlando Regional Medical Center $19,947,607 Palmetto General Hospital $610,736 Palms West Hospital $247,808 Plantation General Hospital $342,717 Sacred Heart Hospital $7,751,700 Shriners Hospital for Children - Tampa $239,453 St Josephs Hospital $1,838,766 St Mary's Medical Center $6,617,609 Tampa General Hospital $21,579,060 UF Health Jacksonville $13,781,272 UF Health Shands Hospital $23,777,041 West Palm Hospital $92,362 Westchester General Hospital $124,872995200 Log:0070 TMK/TMK 02/05/18 06:34:57 PM Senate Page: 3