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 ReportMedicaid Supplmental Funding

State Fiscal Year 2011-12 General Appropriations Act: pdfMedicaidSupplementalHospitalFundingPrograms05-03-11.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)

pdfCMS_Approval_Letter_12-15-2011.pdf

pdfCMS_STCs_and_Authorities_12-15-2011.pdf

pdfClarification_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)