409.9115 Disproportionate share program for mental health hospitals.--The Agency for Health Care Administration shall design and implement a system of making mental health disproportionate share payments to hospitals that qualify for disproportionate share payments under s. 409.911. This system of payments shall conform with federal requirements and shall distribute funds in each fiscal year for which an appropriation is made by making quarterly Medicaid payments. Notwithstanding s. 409.915, counties are exempt from contributing toward the cost of this special reimbursement for patients.
(1) The following formula shall be used by the agency to calculate the total amount earned for hospitals that participate in the mental health disproportionate share program:
| TAP = |
DSH |
|
| (----------) |
x TA |
| TDSH |
|
Where:
TAP = total additional payment for a mental health hospital.
DSH = total amount earned by a mental health hospital under s. 409.911.
TDSH = sum of total amount earned by each hospital that participates in the mental health hospital disproportionate share program.
TA = total appropriation for the mental health hospital disproportionate share program.
(2) In order to receive payments under this section, a hospital must participate in the Florida Title XIX program and must:
(a) Agree to serve all individuals referred by the agency who require inpatient psychiatric services, regardless of ability to pay.
(b) Be certified or certifiable to be a provider of Title XVIII services.
(c) Receive all of its inpatient clients from admissions governed by the Baker Act as specified in chapter 394.
1(3) For the 1998-1999 fiscal year only, the Agency for Health Care Administration shall make payments for the Medicaid disproportionate share program for mental health hospitals on a monthly basis. If the amounts appropriated for the Medicaid disproportionate share program for mental health hospitals are increased or decreased during the fiscal year pursuant to the requirements of chapter 216, the required adjustment shall be prorated over the remaining payment periods. This subsection is repealed on July 1, 1999.
History.--s. 1, ch. 92-322; s. 5, ch. 95-430; s. 4, ch. 96-420; s. 3, ch. 97-153; ss. 4, 38, ch. 98-46.
1Note.--Section 4, ch. 98-46, amended subsection (3) "[i]n order to implement Specific Appropriation 271 of the 1998-1999 General Appropriations Act."
