Florida Statutes
Part III - Medicaid (Ss. 409.901-409.9205)
409.9119 - Disproportionate share program for specialty hospitals for children.


(1) Unless specified in the General Appropriations Act, the agency shall use the following formula to calculate the total amount earned for hospitals that participate in the specialty hospital for children disproportionate share program:
TAE = DSR x BMPD x MD
Where:
TAE = total amount earned by a specialty hospital for children.
DSR = disproportionate share rate.
BMPD = base Medicaid per diem.
MD = Medicaid days.

(2) The agency shall calculate the total additional payment for hospitals that participate in the specialty hospital for children disproportionate share program as follows:
TAP = (TAE x TA) ÷ STAE
Where:
TAP = total additional payment for a specialty hospital for children.
TAE = total amount earned by a specialty hospital for children.
TA = total appropriation for the specialty hospital for children disproportionate share program.
STAE = sum of total amount earned by each hospital that participates in the specialty hospital for children disproportionate share program.

(3) A hospital may not receive any payments under this section until it achieves full compliance with the applicable rules of the agency. A hospital that is not in compliance for two or more consecutive quarters may not receive its share of the funds. Any forfeited funds must be distributed to the remaining participating specialty hospitals for children that are in compliance.
(4) Notwithstanding any provision of this section to the contrary, for each state fiscal year, for hospitals achieving full compliance under subsection (3), the agency shall make disproportionate share payments to specialty hospitals for children as provided in the General Appropriations Act.
History.—s. 18, ch. 2000-163; ss. 16, 66, ch. 2000-171; s. 55, ch. 2000-256; s. 17, ch. 2003-405; s. 13, ch. 2009-55; s. 54, ch. 2016-62; s. 13, ch. 2017-129; s. 24, ch. 2018-10; s. 35, ch. 2019-116; s. 25, ch. 2020-114; s. 11, ch. 2021-41.

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.