The Florida Agency for Health Care Administration (the Agency), Bureau of Medicaid Program Analysis provides the following public notice regarding reimbursement for outpatient 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 outpatient 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 Outpatient Hospital Reimbursement Plan (The Plan) to incorporate changes to the reimbursement methodology.
PROPOSED RATES: Effective January 1, 2008, the reduced appropriation in Specific Appropriation 107, Senate Bill 2-C, 2007-08 Special Appropriations, includes a reduction of $8,605,898 as a result of modifying the reimbursement for outpatient hospital rates, effective January 1, 2008. The agency shall implement a recurring methodology in the Title XIX Outpatient Hospital Reimbursement Plan to achieve this reduction. Effective January 1, 2008, the proposed rates for Medicaid outpatient hospitals will be rates resulting from the revised methodology used to calculate per diems including appropriations from Senate Bill 2-C, Special Appropriations, 2007-08, the reduced appropriation in Specific Appropriation 107 2007-08 General Appropriations Act, Senate Bill 2800, Specific Appropriation 216.
METHODOLOGIES: The methodology underlying the establishment of the proposed rates for Medicaid Outpatient Hospitals will be rates resulting from the current methodology used to calculate per diems including the 2007-08 General Appropriations Act, Senate House Bill 2800, Specific Appropriation 216.
JUSTIFICATION: The justification for the proposed rate change is based on Senate Bill 2-C, 2007-08 Special Appropriations, Specific Appropriation 107.
The Agency is proposing the above rates and changes in methodology, effective January 1, 2008. Providers, beneficiaries and their representatives, and other concerned 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,
Written comments should be submitted no later than January 31, 2008.
Please contact the person listed above for a copy of the State Plan Amendment when available.
