Fiscal Year:
    
Primary Budget:
Comparison Budget:


TOTAL: MEDICAID SERVICES TO INDIVIDUALS
       FROM GENERAL REVENUE FUND . . . . . .    9,029,294,823
       FROM TRUST FUNDS  . . . . . . . . . .                    16,795,996,003

         TOTAL ALL FUNDS . . . . . . . . . .                    25,825,290,826

MEDICAID LONG TERM CARE

 217   SPECIAL CATEGORIES
       ASSISTIVE CARE SERVICES
        FROM GENERAL REVENUE FUND  . . . . .        1,427,862
        FROM MEDICAL CARE TRUST FUND . . . .                         1,841,052

 218   SPECIAL CATEGORIES
       PILOT PROGRAM FOR INDIVIDUALS WITH
        DEVELOPMENTAL DISABILITIES
        FROM GENERAL REVENUE FUND  . . . . .       16,763,744
        FROM MEDICAL CARE TRUST FUND . . . .                        21,614,790

   The  funds  in  Specific  Appropriation  218  are provided to the Agency
   for  Health  Care  Administration  to  support  capitation  payments for
   individuals   enrolled   in  the  pilot  program  for  individuals  with
   developmental  disabilities  pursuant  to s. 409.9855, Florida Statutes.
   The Agency for Persons with Disabilities shall determine eligibility for
   enrollment in the pilot. Funds are provided to support the enrollment of
   individuals  in  Region  I  and  Region  D  who  are  currently  on  the
   pre-enrollment  list for Home and Community Based Waiver services at the
   Agency   for   Persons   with  Disabilities  who  voluntarily  elect  to
   participate  in  the  pilot program. The agency shall develop rate cells
   and   a   risk-adjusted   capitation   rate   that  blends  funding  for
   comprehensive  services  coverage  including  the  benefits described in
   section  409.973,  Florida Statutes, the community services described in
   section  393.066(3),  Florida  Statutes,  and  the  long-term  care plan
   benefits described in section 409.98, Florida Statutes. The blended rate
   shall  be  used  as the basis for reimbursement to one or more qualified
   long-term  care plans to provide coverage for comprehensive services for
   Medicaid  recipients  who  have a developmental disability as defined in
   section  393.063,  Florida  Statutes.  The  agency  may request spending
   authority  in  accordance  with  the  provisions of chapter 216, Florida
   Statutes, to implement the pilot program.

 219   SPECIAL CATEGORIES
       HOME AND COMMUNITY BASED SERVICES
        FROM GENERAL REVENUE FUND  . . . . .          194,997
        FROM MEDICAL CARE TRUST FUND . . . .                           251,425

 220   SPECIAL CATEGORIES
       INTERMEDIATE CARE FACILITIES/
        INTELLECTUALLY DISABLED - SUNLAND CENTER
        FROM MEDICAL CARE TRUST FUND . . . .                        81,416,006

   From  the  funds  in  Specific  Appropriations  220,  221, 222, 223, and
   224, the Agency for Health Care Administration, in consultation with the
   Agency  for  Persons with Disabilities, is authorized to transfer funds,
   in  accordance  with the provisions of chapter 216, Florida Statutes, to
   Specific  Appropriation  220  for  the  Developmental  Disabilities Home
   and  Community Based Waiver. Priority for the use of these funds will be
   given  to the planning and service areas with the greatest potential for
   transition success.

 221   SPECIAL CATEGORIES
       INTERMEDIATE CARE FACILITIES/
        DEVELOPMENTALLY DISABLED COMMUNITY
        FROM GENERAL REVENUE FUND  . . . . .      177,396,849
        FROM GRANTS AND DONATIONS TRUST
         FUND  . . . . . . . . . . . . . . .                        28,061,564
        FROM MEDICAL CARE TRUST FUND . . . .                       264,913,411

   From  the  funds  in  Specific  Appropriation  221, $28,061,564 from the
   Grants  and  Donations  Trust Fund and $36,181,943 from the Medical Care
   Trust Fund are provided to buy back intermediate care facilities for the
   developmentally  disabled rate reductions, effective on or after October
   1,  2008,  and  are  contingent  on  the nonfederal share being provided
   through  intermediate  care  facilities for the developmentally disabled
   quality assessments. Authority is granted to buy back rate reductions up
   to,  but  not  higher  than,  the  amounts  available under the budgeted