Agency for Health Care Administration, Medicaid  


  • Agency for Health Care Administration

    The Florida Agency for Health Care Administration (the Agency), Bureau of Medicaid Program Analysis, provides the following public notice regarding reimbursement for inpatient hospitals participating in the Florida Medicaid Program.

    PURPOSE: To comply with federal public notice requirements in Section 1902(a)(13)(A) of the Social Security Act in changing reimbursement for inpatient hospitals, the Agency is publishing the proposed rates, the methodologies underlying the establishment of such rates, and justifications for the proposed rates. The Agency is in the process of amending its Title XIX Inpatient Hospital Reimbursement Plan (The Plan) to incorporate changes to the reimbursement methodology.

    PROPOSED RATES: Effective January 1, 2008, the proposed rates for Medicaid inpatient hospitals will be rates resulting from the revised methodology used to calculate per diem rates. In accordance with Senate Bill 2-C, 2007-08 Special Appropriations, the reduced appropriation in Specific Appropriation 105 includes a reduction of $34,320,532 as a result of modifying the reimbursement for inpatient hospital rates, effective January 1, 2008. The Agency will implement a recurring methodology in the Title XIX Inpatient Hospital Reimbursement Plan to achieve this reduction.

    METHODOLOGIES: The methodology underlying the establishment of the proposed rates for Medicaid inpatient hospitals will be rates resulting from Senate Bill 2-C, Specific Appropriation 105, 2007-08 Special Appropriations.

    JUSTIFICATION: The justification for the proposed State Plan Amendment is Specific Appropriation 105, Senate Bill 2-C, 2007-08 Special Appropriations.

    State residents may provide written comment on the proposed rates, methodologies and justification underlying the establishment of such rates. Written comments may be submitted to: Edwin Stephens, Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Mail Stop 21, Tallahassee, Florida 32308 or stephene@ahca.myflorida.com.

    Written comments should be submitted no later than January 31, 2008.

    Copies of the proposed reimbursement plan incorporating the above changes are not available at this time. Please contact the person listed above for a copy once it is available.

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