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ENROLLED HB 5001, ENGROSSED 1 2024 LEGISLATURE ______________________________________________________________________________ SECTION 3 - HUMAN SERVICES under the state plan amendment and historic utilization of services; or to implement fee-for-service supplemental payments and to increase reimbursement for physicians and dentists employed by or under contract with a Florida medical or dental school or a public hospital and practitioners under the supervision of those physicians or dentists to the level provided for these physicians and practitioners pursuant to a minimum fee schedule calculated as a supplemental per member per month payment based on the historic utilization of services by Medicaid eligible children. The agency is authorized to submit a budget amendment pursuant to chapter 216, Florida Statutes, requesting spending authority to manage the program. Payments to providers pursuant to this section of proviso shall not be considered a component of the provider payment calculation specified in section 409.975(6), Florida Statutes, and are contingent upon the nonfederal share being provided through intergovernmental transfers in the Grants and Donations Trust Fund. In the event the funds are not available in the Grants and Donations Trust Fund, the State of Florida is not obligated to make payments under this section of proviso. The Agency for Health Care Administration is authorized to expend funds from the Grants and Donations Trust Fund and the Medical Care Trust Fund for a certified public expenditure program for Emergency Medical Services. The Agency for Health Care Administration shall seek a state plan amendment/waiver to implement this program pursuant to 42 CFR 433.51. The agency is authorized to submit a budget amendment pursuant to chapter 216, Florida Statutes, requesting spending authority to manage the program. Payments to providers under this section of proviso are contingent upon the nonfederal share being provided through intergovernmental transfers in the Grants and Donations Trust Fund. In the event the funds are not available in the Grants and Donations Trust Fund, the State of Florida is not obligated to make payments under this section of proviso. The Agency for Health Care Administration is authorized to expend funds from the Grants and Donations Trust Fund and the Medical Care Trust Fund to implement the federally approved Directed Payment Program and fee-for-service supplemental payments for cancer hospitals that meet the criteria in 42 U.S.C. s.1395ww(d)(1)(B)(v), and achieve the quality metrics in the pre-print approved by the federal Centers for Medicare and Medicaid Services for a minimum fee schedule calculated as a supplemental per member per month payment. The agency is authorized to submit a budget amendment pursuant to chapter 216, Florida Statutes, requesting spending authority to manage the program. In addition to the proposed amendment, the agency must submit a proposed distribution model by entity and a proposed listing of entities contributing intergovernmental transfers to support the state match. Payments to providers under this section of proviso are contingent upon the nonfederal share being provided through intergovernmental transfers in the Grants and Donations Trust Fund. In the event the funds are not available in the Grants and Donations Trust Fund, the State of Florida is not obligated to make payments under this section of proviso. From the funds in Specific Appropriations 202 through 229, the Agency for Health Care Administration shall provide a quarterly reconciliation report of all Medicaid service appropriation expenditures and fund sources. The reconciliation shall compare actual expenditures paid through each specific appropriation category by fund either through the Florida Medicaid Management Information System (FMMIS) or the Agency for Health Care Administration to expenditure estimates forecast through the Social Services Estimating Conference Medicaid services forecasting model, as directed in section 216.136(6), Florida Statutes. The comparison shall include fund source detail for each comparison. For any category where a variance is identified, the agency shall submit a written corrective action plan to address each variance by category and fund source. The reconciliation shall be submitted to the Executive Office of the Governor, the President of the Senate, and the Speaker of the House of Representatives no later than 30 days after the close of each quarter. The agency may submit budget amendments to the Legislative Budget Commission to realign appropriation categories based on the reconciliation pursuant to the provisions of chapter 216, Florida Statutes. The Agency for Health Care Administration shall develop a plan to participate in the Advancing Care for Exceptional Kids Act (Public Law No. 116-16) to provide medical assistance to children with medically complex conditions, who choose to enroll in a health home through a designated provider or team of health care professionals as the child’s 68