Florida Nursing Home Prospective Payment Working Group

Application for Florida Nursing Home Prospective Payment Working Group Due July 14, 2017

The 2017 Legislature required the Agency to convene a working group to review relevant issues and make recommendations specific to the transition to a prospective payment system for nursing home reimbursement under the Florida Medicaid program. The group shall consist of representatives of nursing home providers and other interested stakeholders. The working group’s focus shall include, but not be limited to: any adjustments needed to existing targets and ceilings applicable to rate calculations; any adjustments needed to existing direct care and indirect care subcomponents; development and refinement of quality measures to be used; the frequency of rebasing under prospective payments; any exemptions from prospective payments; considerations for supplemental payments as part of prospective payments; and a phase-in timeline, if needed, including the need for any transition payments during phase-in. The working group shall submit a report and any recommendations to the agency, the Governor, the President of the Senate, and the Speaker of the House of Representatives by December 1, 2017.

If you are interested in being a member of the working group, please submit a Questionnaire for Member Appointments no later than July 14, 2017. The Questionnaire should be returned to NH.Reimbursement@AHCA.MyFlorida.com.

After all Questionnaires for Member Appointments are received, individuals will be contacted if they have been selected to serve. All member appointments, meeting materials, and the final report will be maintained on this webpage.

If you have any questions, please contact Rebekah Falk at Rebekah.Falk@AHCA.MyFlorida.com, or by phone, (850) 412-4113.