Purpose


: The purpose of this rule is to incorporate by reference the Florida Title XIX Outpatient Hospital Reimbursement Plan (the Plan), effective July 1, 2011. The Plan, effective July 1, 2011, includes the addition of a reference to Rule Number 59G-9.070, F.A.C., for the amount of late cost report sanctions; a reimbursement rate reduction (Medicaid trend adjustment); exemptions from reimbursement ceilings; the opportunity for certain hospitals to buy back their reimbursement rate reductions; a rate freeze on inpatient hospital reimbursement rates; the establishment of hospitals rates being set once a year every July 1; revisions to buy back descriptions; the addition of definitions for a hospital buy back, rate setting unit cost, legislative unit cost, and a base rate; and the addition of an appendix explaining Provider Preventable Conditions (PPC).