10493283, 59G-6.020 - Florida Administrative Rules, Law, Code, Register

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Florida Department of State and Division of Library and Information Services

Notice: 10493283

Notice of Meeting/Workshop Hearing

Department:

AGENCY FOR HEALTH CARE ADMINISTRATION

Division:

Medicaid

Chapter:

REIMBURSEMENT TO PROVIDERS

Overview

RULE:

59G-6.020	Payment Methodology for Inpatient Hospital Services
59G-6.030	Payment Methodology for Outpatient Hospital Services

The Agency for Health Care Administration announces a workshop to which all persons are invited.

DATE AND TIME:

PLACE:

Subject:

Discussion of Chapter 2011-135, Laws of Florida, Section 9, which amended Section 409.905(5)(c), Florida Statutes, as follows:
The agency shall implement a methodology for establishing base reimbursement rates for each hospital based on allowable costs, as defined by the agency. Rates shall be calculated annually and take effect July 1 of each year based on the most recent complete and accurate cost report submitted by each hospital. Adjustments may not be made to the rates after September 30 of the state fiscal year in which the rate takes effect. Errors in cost reporting or calculation of rates discovered after September 30 must be reconciled in a subsequent rate period. The agency may not make any adjustment to a hospital’s reimbursement rate more than 5 years after a hospital is notified of an audited rate established by the agency. The requirement that the agency may not make any adjustment to a hospital’s reimbursement rate more than 5 years after a hospital is notified of an audited rate established by the agency is remedial and shall apply to actions by providers involving Medicaid claims for hospital services. Hospital rates shall be subject to such limits or ceilings as may be established in law or described in the agency’s hospital reimbursement plan. Specific exemptions to the limits or ceilings may be provided in the General Appropriations Act.

A copy of the agenda may be obtained by contacting: Edwin Stephens, (850)412-4077, email: edwin.stephens@ahca.myflorida.com. For more information, you can contact: Edwin Stephens, (850)412-4077, email: edwin.stephens@ahca.myflorida.com. Pursuant to the provisions of the Americans with Disabilities Act, any person requiring special accommodations to participate in this workshop/meeting is asked to advise the agency at least 7 days before the workshop/meeting by contacting: Edwin Stephens, (850)412-4077. If you are hearing or speech impaired, please contact the agency using the Florida Relay Service, 1(800)955-8771 (TDD) or 1(800)955-8770 (Voice).

PRINT PUBLISH DATE:

10/14/2011 Vol. 37/41

REFERENCE MATERIALS:

No reference(s).

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