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ENROLLED HB 5001, ENGROSSED 1 2024 LEGISLATURE ______________________________________________________________________________ SECTION 3 - HUMAN SERVICES providers on a scale that reflects differences in acuity and other circumstances affecting the availability of private duty nurses, including the severity of condition, the duration and timing of private duty nursing hours required, and other appropriate factors. The agency shall submit the proposed reimbursement model to the Executive Office of the Governor’s Office of Policy and Budget, the chair of the Senate Committee on Appropriations, and the chair of the House of Representatives Appropriations Committee by August 1, 2024. From the funds in Specific Appropriation 194, $150,000 in nonrecurring funds from the General Revenue Fund and $150,000 in nonrecurring funds from the Medical Care Trust Fund are provided to the Agency for Health Care Administration to develop and implement a tiered reimbursement model for the Florida Medicaid Statewide Inpatient Psychiatric Program. The tiered reimbursement model shall be budget neutral and based on at least three but no more than six tiers to account for differing levels of care necessitated by patient disease complexity and behavior acuity. The agency shall submit the proposed reimbursement model to the Executive Office of the Governor’s Office of Policy and Budget, the chair of the Senate Committee on Appropriations, and the chair of the House of Representatives Appropriations Committee by August 1, 2024. From the funds in Specific Appropriation 194, $15,000,000 in nonrecurring funds from the General Revenue Fund is provided to UF Health Jacksonville for operational support (HF 1509) (SF 3597). From the funds in Specific Appropriation 194, $3,100,000 in nonrecurring funds from the Medical Care Trust Fund is provided to the Agency for Health Care Administration to competitively procure a private sector provider to review Medicaid enrollment data to identify opportunities to improve enrollee health care outcomes and reduce health care costs in the Statewide Medicaid Managed Care Program. The contract shall require the private sector provider to assess, at a minimum, population health, medical/pharmacy expenses, network performance, non-clinical determinants, digital health programs, emerging risks, provider value, and holistic benefit impacts. The vendor may use a secure cloud-based platform to aggregate data and provide advanced cohort analysis to the agency through an interactive dashboard. The vendor must have experience reviewing enrollee data and shall not be a managed care organization or contracted with a managed care organization. From the funds in Specific Appropriation 194, $500,000 in nonrecurring funds from the General Revenue Fund, and $500,000 in nonrecurring funds from the Medical Care Trust Fund are provided for the Agency for Health Care Administration to competitively procure an assessment of affiliated entity payment transactions in the Medicaid Program for medical benefit and administrative costs as reported for purposes of the 2020, 2021, and 2022 Achieved Savings Rebate Program. The baseline assessment, at a minimum, shall include the amount and associated percentage of affiliated entity payments within the medical loss ratio and the payment deviation percentages and associated amounts at the Healthcare Common Procedure Code level for affiliated entities as compared to non-affiliated entities. The agency shall submit the report by December 31, 2024, to the chair of the Senate Committee on Appropriations, the chair of the House of Representatives Appropriations Committee, and the Executive Office of the Governor’s Office of Policy and Budget. From the funds in Specific Appropriation 194, $125,000 in nonrecurring funds from the General Revenue Fund, and $125,000 in nonrecurring funds from the Medical Care Trust Fund are appropriated for the Agency for Health Care Administration to conduct a review and provide a written report, to be published on their website, that identifies the total number of Medicaid enrollees with maternal and infant mortality. The agency shall develop the report in consultation with the Florida Medical School Quality Network, created under section 409.975(2), Florida Statutes. The agency shall identify enrollees who have died in childbirth or near birth and shall provide detailed information including, but not limited to: age and population demographics, health care utilization patterns, and all prenatal and post-natal services provided. The agency may also seek data from other entities that have maternal and fetal mortality data. The agency shall submit the report to the Governor, the President of the Senate, the Speaker of the House of Representatives and the Florida Department of Health Office of Minority Health and Health Equity by December 1, 2024. 65