TALLAHASSEE (CBSMiami/NSF) – Twenty-eight Florida hospitals will see bumps of their Medicaid reimbursement charges below a plan the Company for Well being Care Administration has introduced.
The state is updating a hospital inpatient reimbursement methodology for the 2019-2020 fiscal 12 months, a transfer that may have a $19 million impression on federal Medicaid funding, in response to the announcement printed Friday.
The company didn’t reply questions concerning the modifications, which apply to care rendered starting June 2.
However former AHCA Secretary Justin Senior advised The Information Service of Florida on Tuesday that the modifications are being made to make sure that the complete $319 million in supplemental funds lawmakers agreed to spend final 12 months on 28 hospitals that deal with essentially the most Medicaid sufferers is appropriated.
Senior, who now heads the Security Internet Hospital Alliance of Florida, has described the supplemental Medicaid dollars as “important care” funds.
The dollars are used to pad the Medicaid reimbursement charges of these amenities to take care of poor, aged and disabled sufferers.
The funds are disbursed to the amenities as an add-on and are supplied after sufferers obtain care and are discharged.
The numbers of sufferers that these 28 hospitals have handled in the course of the COVID-19 pandemic — particularly between March 23 and Might four, when there was a ban on elective procedures — have decreased.
Meaning “important care” funds are liable to not being absolutely spent. Senior stated the aim behind the announcement is to make sure that the 28 hospitals that have been scheduled to obtain the funds within the present fiscal 12 months truly obtain them.
In response to AHCA’s announcement, the modifications to the hospital reimbursement formulation may have a $19 million “federal fiscal impression” within the fiscal 12 months that ends June 30.
There is no such thing as a impression on federal funds for the 2020-2021 fiscal 12 months, in response to the announcement.
“That is useful,” Senior stated. “It is a recognition that discharges have dropped considerably.”
Though all hospitals have misplaced income on account of the pandemic, the modifications would solely impression the 28 amenities that qualify for the add-on funding.
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