Bill > S1520

This bill makes several changes to Florida's Medicaid program, including provisions to ensure certain rural hospitals continue to be recognized as such under specific circumstances, and requires the Agency for Health Care Administration (AHCA) to implement a prospective payment system for inpatient hospital services using diagnosis-related groups (DRGs), which are codes that categorize patient illnesses and treatments to determine payment. It also establishes a Statewide Medicaid Residency Program to support graduate medical education and increase the number of physicians, adjusts parameters for how specialty hospitals receive disproportionate share payments (funds provided to hospitals serving a large number of low-income patients), and limits reimbursement for tuberculosis services to those provided under contract with the Department of Health. Additionally, the bill revises how each county's contribution to the Medicaid program is calculated, introduces new rules for managing third-party benefits recovered by Medicaid, and makes changes to how Medicaid managed care plans are assigned for recipients with HIV/AIDS.