13147979, 59G-6.020 - Florida Administrative Rules, Law, Code, Register

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Notice: 13147979

Notice of Development of Rulemaking

Department:

AGENCY FOR HEALTH CARE ADMINISTRATION

Division:

Medicaid

Chapter:

REIMBURSEMENT TO PROVIDERS

Overview

RULE:

59G-6.020

Payment Methodology for Inpatient Hospital Services

PURPOSE:

The purpose of the amendment to Rule 59G-6.020 is to incorporate by reference the Title XIX Inpatient Hospital Reimbursement Plan (the Plan), Version XL, effective July 1, 2013. The rule will update the Plan to reflect changes authorized in Senate Bill 1500, 2013-14 General Appropriations Act, Specific Appropriation 208, and Senate Bill 1502, Section 6, 2013-14 Implementing Bill.  The changes include the criteria for certain hospitals to adjust their prior Medicaid inpatient trend adjustment, adjustments for inpatient reimbursement limitations,  the methodology for a Diagnosis Related Group (DRG) based reimbursement system, the elimination of the methodology for cost based hospital reimbursement, special Medicaid payments to Winter Haven Hospital, and a reconciliation of transitional DRG payments.  Finally, the implementation of the Statewide Medicaid Residency Program as established in Senate Bill 1520, which creates s.409.909, Florida Statutes.

SUBJECT:

Adjustments for prior Medicaid inpatient trend adjustments and  inpatient reimbursement limitations, the implementation of an inpatient hospital DRG reimbursement methodology, special Medicaid payments, a reconciliation of transitional DRG payments, and the implementations of a Statewide Medicaid Residency Program.

RULEMAKING AUTHORITY:

409.919, FS

LAW:

409.908, 409.909, 409.911, 409.9113, 409.9115, 409.9116, 409.911, 409.9118, 409.9119,

PRINT PUBLISH DATE:

6/24/2013 Vol. 39/122

RELATED STATUTES
AND LAWS:

409.919, FS, 409.908, 409.909, 409.911, 409.9113, 409.9115, 409.9116, 409.911, 409.9118, 409.9119,

OVERSIGHT COMMITTEE:

Joint Administrative Procedures Committee
Florida Administrative Law Central Online Network (F.A.L.C.O.N.)

RELATED COURT CASES:

Division of Administrative Hearings

FEDERAL eRULEMAKING
WEB PORTAL:

Regulations.gov

HOW TO LINK TO
THIS NOTICE:

http://flrules.org/gateway/ruleno.asp?id=59G-6.020&PDate=6/24/2013&Section=1

REFERENCE MATERIALS:

No reference(s).

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