Dec 8, 2011

Governor's budget on APD

Some excerpts

SECTION 11. There is hereby appropriated $16,049,838 in recurring and
$20,650,162 in nonrecurring General Revenue and $20,377,393 in recurring
and $26,218,113 in nonrecurring Operations and Maintenance Trust Fund to
the Agency for Persons with Disabilities to cover the Fiscal Year
2011-12 Home and Community Based Services Waiver costs. This section
shall take effect upon becoming law.

251 SPECIAL CATEGORIES
HOME AND COMMUNITY BASED SERVICES WAIVER
FROM GENERAL REVENUE FUND . . . . . 327,108,667
FROM OPERATIONS AND MAINTENANCE
TRUST FUND . . . . . . . . . . . . 445,358,895
Funds in Specific Appropriation 251 reflect a reduction of $723,736
from the General Revenue Fund and $988,438 from the Operations and
Maintenance Trust Fund as a result of realigning the geographic
differential provider rates for residential habilitation services,
effective July 1, 2012. The differential rates shall be reset to 4.0
percent for each of the following counties: Broward, Palm Beach, Monroe,
Collier, and Lee. The geographic differential rate for Miami-Dade County
shall be eliminated. The agency shall amend provider contracts, cost
plans and rules as necessary to achieve this recurring reduction.
Funds in Specific Appropriation 251 reflect a reduction of $2,817,039
from the General Revenue Fund and $3,847,354 from the Operations and
Maintenance Trust Fund as a result of consolidating the number of
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SECTION 3 - HUMAN SERVICES
prescribed residential habilitation levels from nine to four, effective
July 1, 2012. The agency shall amend provider contracts, cost plans and
rules as necessary to achieve this recurring reduction.
Funds in Specific Appropriation 251 reflect a reduction of $206,779
from the General Revenue Fund and $282,407 from the Operations and
Maintenance Trust Fund as a result of standardizing intensive behavioral
residential habilitation provider rates, effective July 1, 2012. The
agency shall amend provider contracts, cost plans and rules as necessary
to achieve this recurring reduction.
Funds in Specific Appropriation 251 reflect a reduction of $965,307
from the General Revenue Fund and $1,318,362 from the Operations and
Maintenance Trust Fund as a result of rolling back the exceptions to the
total per client annual expenditures limit for tier one, effective July
1, 2012. The agency shall amend provider contracts, cost plans and rules
as necessary to achieve this recurring reduction.
Funds in Specific Appropriation 251 reflect a reduction of $3,613,859
from the General Revenue Fund and $4,935,606 from the Operations and
Maintenance Trust Fund as a result of increasing solo provider rates 25
percent closer to agency provider rates, before rolling back agency
provider rate premiums altogether, effective July 1, 2012. The agency
shall amend provider contracts, cost plans and rules as necessary to
achieve this recurring reduction.
Funds in Specific Appropriation 251 reflect a reduction of $717,804
from the General Revenue Fund and $980,337 from the Operations and
Maintenance Trust Fund as a result of restricting residential
habilitation clients over the age of 21 to limited support coordination
for such services, effective July 1, 2012. The agency shall amend
provider contracts, cost plans and rules as necessary to achieve this
recurring reduction.
Funds in Specific Appropriation 251 reflect a reduction of $520,095
from the General Revenue Fund and $710,317, from the Operations and
Maintenance Trust Fund as a result of prohibiting billing for behavior
assistant services rendered to clients who also receive residential
habilitation services, effective July 1, 2012. The agency shall amend
provider contracts, cost plans and rules as necessary to achieve this
recurring reduction.
Funds in Specific Appropriation 251 reflect a reduction of $605,999
from the General Revenue Fund and $827,640 from the Operations and
Maintenance Trust Fund as a result of reestablishing nursing and therapy
provider rates at the same levels as identical services offered under
the Medicaid State Plan, effective July 1, 2012. The agency shall amend
provider contracts, cost plans and rules as necessary to achieve this
recurring reduction.
Funds in Specific Appropriation 251 reflect a reduction of $362,244
from the General Revenue Fund and $494,733 from the Operations and
Maintenance Trust Fund as a result of prohibiting additional billing to
the day rate for in-home support services rendered to clients who are
not enrolled in tier one, effective July 1, 2012. The agency shall amend
provider contracts, cost plans and rules as necessary to achieve this
recurring reduction.
Funds in Specific Appropriation 251 reflect a reduction of $1,067,410
from the General Revenue Fund and $1,457,809 from the Operations and
Maintenance Trust Fund as a result of deducting from waiver service
billings an amount equal to that in residential fees collected by
providers, effective July 1, 2012. The agency shall amend provider
contracts, cost plans and rules as necessary to achieve this recurring
reduction.
Funds in Specific Appropriation 251 reflect a reduction of $1,443,204
from the General Revenue Fund and $1,971,047 from the Operations and
Maintenance Trust Fund as a result of consolidating in-home support
services and personal care assistance into a single service category for
clients over the age of 21, effective July 1, 2012. The agency shall
amend provider contracts, cost plans and rules as necessary to achieve
this recurring reduction.
Funds in Specific Appropriation 251 reflect a reduction of $2,355,800
from the General Revenue Fund and $3,217,420 from the Operations and
Maintenance Trust Fund as a result of establishing a statewide client
cost plan review process to verify the continued necessity of authorized
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SECTION 3 - HUMAN SERVICES
services, effective July 1, 2012. The agency shall amend provider
contracts, cost plans and rules as necessary to achieve this recurring
reduction.
Funds in Specific Appropriation 251 reflect a reduction of $383,710
from the General Revenue Fund and $524,050 from the Operations and
Maintenance Trust Fund as a result of establishing a statewide contract
for durable medical equipment and consumable medical supplies, effective
July 1, 2012. The agency shall amend provider contracts, cost plans and
rules as necessary to achieve this recurring reduction.
Funds in Specific Appropriation 251 reflect a reduction of $266,852
from the General Revenue Fund and $364,452 from the Operations and
Maintenance Trust Fund as a result of requiring premium payments or
other cost sharing by the parents of clients who are served by the
waiver and have an adjusted household income greater than 100 percent of
the federal poverty level, effective July 1, 2012. The agency shall
amend provider contracts, cost plans and rules as necessary to achieve
this recurring reduction.
254 QUALIFIED EXPENDITURE CATEGORY
HOME AND COMMUNITY BASED SERVICES WAIVER
RESTRUCTURING
FROM GENERAL REVENUE FUND . . . . . 10,000,000
FROM OPERATIONS AND MAINTENANCE
TRUST FUND . . . . . . . . . . . . 13,657,440
From the funds in Specific Appropriation 254, the recurring sum of
$10,000,000 from the General Revenue Fund and $13,657,440 from the
Operations and Maintenance Trust Fund is provided for the restructuring
of the Home and Community Based Services Waiver. Prior to the release of
these funds, the Agency must document implementation of the policies
outlined following Specific Appropriation 251. The agency is required to
submit a distribution plan for these funds for approval by the
Legislative Budget Commission, pursuant to the provisions of Chapter
216, Florida Statutes