Florida Statutes
Part III - Medicaid (Ss. 409.901-409.9205)
409.9118 - Disproportionate share program for specialty hospitals.


(1) The following formula shall be used by the agency to calculate the total amount earned for hospitals that participate under this section:
TAE=(MD/TMD) x TA
Where:
TAE=total amount earned by a specialty hospital.
TA=total appropriation for payments to hospitals that qualify under this program.
MD=total Medicaid days for each qualifying hospital.
TMD=total Medicaid days for all hospitals that qualify under this program.

(2) In order to receive payments under this section, a hospital must be licensed in accordance with part I of chapter 395, to participate in the Florida Title XIX program, and meet the following requirements:
(a) Be certified or certifiable to be a provider of Title XVIII services.
(b) Receive inpatient clients through referrals or admissions from county public health departments, as defined in chapter 154.
(c) Require a diagnosis for the control of active tuberculosis or a history of noncompliance with prescribed drug regimens for the treatment of tuberculosis for admissions for inpatient treatment.
(d) Retain a contract with the Department of Health to accept clients for admission and inpatient treatment pursuant to s. 392.62.

History.—s. 13, ch. 97-260; s. 8, ch. 2013-48.

Structure Florida Statutes

Florida Statutes

Title XXX - Social Welfare

Chapter 409 - Social and Economic Assistance

Part III - Medicaid (Ss. 409.901-409.9205)

409.901 - Definitions; ss. 409.901-409.920.

409.902 - Designated single state agency; payment requirements; program title; release of medical records.

409.90201 - Recipient address update process.

409.9021 - Forfeiture of eligibility agreement.

409.9025 - Eligibility while an inmate.

409.903 - Mandatory payments for eligible persons.

409.904 - Optional payments for eligible persons.

409.905 - Mandatory Medicaid services.

409.906 - Optional Medicaid services.

409.9062 - Lung transplant services for Medicaid recipients.

409.9066 - Medicare prescription discount program.

409.907 - Medicaid provider agreements.

409.9071 - Medicaid provider agreements for school districts certifying state match.

409.9072 - Medicaid provider agreements for charter schools and private schools.

409.908 - Reimbursement of Medicaid providers.

409.9081 - Copayments.

409.9082 - Quality assessment on nursing home facility providers; exemptions; purpose; federal approval required; remedies.

409.9083 - Quality assessment on privately operated intermediate care facilities for the developmentally disabled; exemptions; purpose; federal approval required; remedies.

409.909 - Statewide Medicaid Residency Program.

409.910 - Responsibility for payments on behalf of Medicaid-eligible persons when other parties are liable.

409.9101 - Recovery for payments made on behalf of Medicaid-eligible persons.

409.9102 - A qualified state Long-Term Care Insurance Partnership Program in Florida.

409.911 - Disproportionate share program.

409.9113 - Disproportionate share program for teaching hospitals.

409.9115 - Disproportionate share program for mental health hospitals.

409.91151 - Expenditure of funds generated through mental health disproportionate share program.

409.9116 - Disproportionate share/financial assistance program for rural hospitals.

409.9118 - Disproportionate share program for specialty hospitals.

409.91188 - Specialty prepaid health plans for Medicaid recipients with HIV or AIDS.

409.9119 - Disproportionate share program for specialty hospitals for children.

409.91195 - Medicaid Pharmaceutical and Therapeutics Committee.

409.91196 - Supplemental rebate agreements; public records and public meetings exemption.

409.912 - Cost-effective purchasing of health care.

409.91206 - Alternatives for health and long-term care reforms.

409.9121 - Legislative findings and intent.

409.91212 - Medicaid managed care fraud.

409.9122 - Medicaid managed care enrollment; HIV/AIDS patients; procedures; data collection; accounting; information system; medical loss ratio.

409.9123 - Quality-of-care reporting.

409.91255 - Federally qualified health center access program.

409.9126 - Children with special health care needs.

409.9127 - Preauthorization and concurrent utilization review; conflict-of-interest standards.

409.9128 - Requirements for providing emergency services and care.

409.913 - Oversight of the integrity of the Medicaid program.

409.9131 - Special provisions relating to integrity of the Medicaid program.

409.9132 - Pilot project to monitor home health services.

409.9133 - Pilot project for home health care management.

409.914 - Assistance for the uninsured.

409.915 - County contributions to Medicaid.

409.916 - Grants and Donations Trust Fund.

409.918 - Public Medical Assistance Trust Fund.

409.919 - Rules.

409.920 - Medicaid provider fraud.

409.9201 - Medicaid fraud.

409.9203 - Rewards for reporting Medicaid fraud.

409.9205 - Medicaid Fraud Control Unit.