The Florida Agency for Health Care Administration (the Agency), Bureau of Medicaid
Program Analysis provides the following public notice regarding reimbursement for Intermediate Care Facilities (ICF) for the Mentally Retarded and the Developmentally Disabled Facilities not publicly owned and not publicly operated 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 ICFs not publicly owned and not publicly operated, the Agency is publishing the final rates, the methodologies underlying the establishment of such rates, and justifications for the final rates. The Agency is in the process of amending its Title XIX Intermediate Care Facilities (ICF) for the Mentally Retarded and the Developmentally Disabled Facilities not publicly owned and not publicly operated Reimbursement Plan (the Plan) to incorporate changes to the reimbursement methodology in accordance with the 2005-06 General Appropriations Act, Senate Bill 2600, Specific Appropriation 218.
FINAL RATES: Effective October 1, 2005, the final rates for Medicaid ICFs not publicly owned and not publicly operated will be rates resulting from the revised methodology used to calculate per diem rates:
Effective October 1, 2005, the Agency shall implement a recurring methodology in the Title XIX Intermediate Care Facility for the Developmentally Disabled Reimbursement Plan that may include, but is not limited to, the inflation factor, variable cost target, county rate ceiling, county ceiling target rate or rate for fixed costs to achieve the cost savings.
METHODOLOGIES: The methodology underlying the establishment of the final rates for ICFs not publicly owned and not publicly operated will be rates resulting from the revised methodology used to calculate reimbursement rates in accordance with the 2005-06 General Appropriations Act, House Bill 2600, Specific Appropriation 218.
Effective October 1, 2005, a percentage reimbursement rate reduction based on weighted average rates shall be established to achieve an annual aggregate total estimated savings of $4,958,526 for the period ending June 30, 2006. The weighted average per diem rates as of October 1, 2005 and April 1, 2006 shall be the bases for the determination of these savings, and shall be compared to the weighted average per diem as of July 1, 2005. The full savings will be assumed realized if the combined weighted average rate for the periods October 1, 2005 and April 1, 2006 does not exceed the weighted average rate as of July 1, 2005.
Effective July 1, 2006, the annual aggregate amount the rates were reduced during the period October 1, 2005 through June 30, 2006 shall become a recurring annual reduction not to exceed $4,958,526. This recurring reduction, called the Medicaid Trend Adjustment, shall be applied proportionally to all rates on an annual basis.
JUSTIFICATION: The justification for the final rate change is the 2005-06 General Appropriations Act, Senate Bill 2600, Specific Appropriation 218.
