Grants and Donations Trust fund and $21,670,740 from the Medical Care
Trust Fund are provided to fund up to $200,000 per the filled State
Fiscal Year 2023-2024 Statewide Medicaid Residency Program approved
Graduate Medical Education FTEs in an accredited program at specialty
hospitals providing comprehensive acute care services to children
pursuant to section 395.002(28), F.S., with Medicaid inpatient
utilization equal to or greater than 50 percent and are in a county with
greater than 250,000 Medicaid enrollees in 2023, to address the severe
deficit of physicians trained in these pediatric specialties and
subspecialties. Payments to providers under this section are in addition
to other funding these hospitals are qualified to receive under this
line item and are contingent upon the nonfederal share being provided
through intergovernmental transfers in the Grants and Donations Trust
Fund. In the event the funds are not available in the Grants and
Donations Trust Fund, the State of Florida is not obligated to make
payments under this section.
217 SPECIAL CATEGORIES
HOSPITAL INPATIENT SERVICES
FROM GENERAL REVENUE FUND . . . . . 161,998,104
FROM HEALTH CARE TRUST FUND . . . . 42,300,000
FROM GRANTS AND DONATIONS TRUST
FUND . . . . . . . . . . . . . . . 13,360,493
FROM MEDICAL CARE TRUST FUND . . . . 340,046,677
FROM PUBLIC MEDICAL ASSISTANCE
TRUST FUND . . . . . . . . . . . . 47,450,732
FROM REFUGEE ASSISTANCE TRUST FUND . 12,668,317
From the funds in Specific Appropriation 217, the Agency for Health
Care Administration may establish a global fee for bone marrow
transplants and the global fee payment shall be paid to approved bone
marrow transplant providers that provide bone marrow transplants to
Medicaid beneficiaries.
From the funds in Specific Appropriations 217 and 222, $3,475,644
from the General Revenue Fund and $4,669,761 from the Medical Care Trust
Fund are provided to make Medicaid payments for pediatric lung, adult
lung, heart, liver, and adult and pediatric intestinal/multi-visceral
transplants in Florida at global rates. The Agency for Health Care
Administration shall set the global fee for facilities and physicians
that provide these transplant procedures at the respective rates for
pediatric lung transplants $429,391 and $62,569; adult lung transplants
$314,375 and $50,607; adult heart transplants $207,406 and $41,406;
adult liver $146,606 and $41,406; and intestinal/multi-visceral
transplants $690,092 and $76,677. The payments shall be used to pay
approved transplant facilities global facility and physician fees for
providing these transplant services to Medicaid beneficiaries. The
agency is authorized to seek any federal waiver or state plan amendment
necessary to implement this provision.
From the funds in Specific Appropriations 217 and 219, the criteria
for the High Medicaid Provider Adjustor shall be hospitals with Medicaid
utilization equal to or greater than 50 percent.
From the funds in Specific Appropriation 217, the Agency for Health
Care Administration shall continue a Diagnosis Related Grouping (DRG)
reimbursement methodology for hospital inpatient services as directed in
section 409.905(5)(c), Florida Statutes.
Base Rate............................................ 3,452.13
Neonates Service Adjustors:
Severity Level 1 ............................ 1.0
Severity Level 2 ............................ 1.52
Severity Level 3 ............................ 2.310
Severity Level 4 ............................ 2.310
Neonatal, Pediatric, Transplant Pediatric, Mental
Health and Rehab DRGs:
Severity Level 1 ............................ 1.0
Severity Level 2 ............................ 1.52
Severity Level 3 ............................ 2.310
Severity Level 4 ............................ 2.310
Normal Newborn DRGs:
Severity Level 1 ............................ 1.419
Severity Level 2 ............................ 1.419
Severity Level 3 ............................ 2.049
Severity Level 4 ............................ 2.363
Obstetrics DRGs: