Recent Reports and Data
GAA Low Income Pool (LIP), Exemptions, Buy Back, Disproportionate Share Hospital (DSH)
State Fiscal Year 2014-15 HB 5001, Medicaid Hospital Funding Program
Major Changes for Hospital Payments
- Increase in the LIP from $1billion to $2.17 billion
- LIP Increase incorporates former Self-Funding IGT & Federal Match into LIP 6 category ($963m)
- LIP Increase provides for $204.5 million in funding for teaching physicians
- DRG changes include increase in base rate of $2,769.11 to $3,078.93
- Outlier threshold and marginal cost percent $60,000 and 60%
- Outlier calculation does not include IGT payments
- APR v.31 national, re-centered to 1.0 for FL Medicaid
- Reconciliation of SFY2013-14 IGTs for Auto and Self Funded
State Fiscal Year 2013-14 Final Conference Report: Medicaid Supplemental Funding
State Fiscal Year 2012-13 Final Conference Report: Medicaid Supplmental Funding
State Fiscal Year 2011-12 General Appropriations Act: MedicaidSupplementalHospitalFundingPrograms05-03-11.pdf
Medicaid Hospital Reimbursement
Florida Hospital Inpatient Medicaid DRG rate Information
Florida Hospital Outpatient Medicaid rate Information
CMS 1115 Waiver Extension Documents
Approved CMS 1115 Waiver Extension - LIP (December 15, 2011)
CMS_Approval_Letter_12-15-2011.pdf
CMS_STCs_and_Authorities_12-15-2011.pdf
Clarification_of_Tier_1_LIP_Milestone_Waiver_STCs_Email_12-13-11.pdf
click here for Reporting Deadlines for LIP
click here for information on Florida DSH Payment Examination / Audit 2011
(this will be the first DSH Audit year, from CMS' 2008 final rulings, where there may be a recoupment of DSH funds based on the results of the audits)