Bill > H5201

This bill revises various provisions related to the Medicaid program in Florida: 1. It requires the Agency for Persons with Disabilities (APD), in conjunction with the Agency for Health Care Administration (AHCA), to develop and submit a plan by September 30, 2019 to redesign the Medicaid waiver program for individuals with developmental disabilities, with implementation of the redesigned program by July 1, 2020. 2. It requires AHCA to make Medicaid payments for covered services retroactively for up to 90 days prior to the month an application is submitted, for eligible children, pregnant women, and nonpregnant adults. 3. It authorizes AHCA to receive funds from state and local entities to make Low Income Pool Program payments. 4. It revises the data used to calculate Medicaid disproportionate share payments to hospitals, updating the years used in the calculation. 5. It requires insurers or providers of health care services under the Florida Healthy Kids Corporation contract to refund amounts to the state if their medical loss ratio falls below 85%, with the refunded amount to be deposited into the General Revenue Fund. The bill aims to improve budget predictability, services, flexibility, and accountability in the Medicaid waiver program, ensure timely Medicaid coverage, and enhance oversight of the Florida Healthy Kids program.

Budget and Finance

Health Care Appropriations Subcommittee (H)

https://www.flsenate.gov/Session/Bill/2019/5201