Previous Low Income Pool Council Meetings

January 30, 2008

Hyatt Regency Orlando International Airport
Prestwick Room
9300 Airport Boulevard
Orlando , Florida 32827

Call in: 1-888-808-6959
Conference Code: 4138067

Meeting Agenda [10KB PDF]

Agenda Item 4:

• Model 15 [312KB PDF]
• Model 16 [295KB PDF]
• Model 17 [314KB PDF]
• Model 18 [315KB PDF]
• Model 19 [295KB PDF]
• Model 20 [228KB PDF]
• Model 21A [224KB PDF]
• Model 21B [167KB PDF]
• Model Summary [19KB PDF]

Agenda Item 5a:

• Transmittal Letter [610KB PDF]
• Low Income Pool Council Questions and Answers [14KB PDF]
• List of Total Additional LIP Funding Requested for SFY 2008-09 [83KB PDF]
• Pilot -- Limited Benefit Health Insurance Product Discussion Document January 24, 2008 [142KB PDF]
• Blue Cross Response Letter [451KB PDF]

January 11, 2008

Tampa International Airport
Tampa Aviation Authority Board Room
3rd Floor Main Terminal
5503 West Spruce Street
Tampa, Florida 33607

Call in: 1-888-808-6959
Conference Code: 4138067

Hillsborough County Aviation Authority Board Room Directions [37KB PDF]

Meeting Agenda [18KB PDF]

Meeting Minutes [43KB PDF] 2/1/08

Agenda Item 3: LIP Presentations

• Health Care District of Palm Beach County [128KB PDF]
• The Children's Trust [76KB PDF]
• Legislative Request Pilot Healthcare Reform Initiative, Health Intervention with Targeted Services (HITS) Program [318KB PDF]
• Limited Benefit Health Insurance Product [68KB PDF]
• Miami-Dade Office of Countywide Healthcare Planning Data Information 17KB PDF]

Agenda Item 4:

Review of exemption costs based on January 1, 2008 rates [49KB PDF]

Agenda Item 5:

• Model 12 – No additional funding, reduce exemptions due to loss of non-recurring State General Revenue Funds, no reductions in LIP [194KB PDF]
• Model 13 – Tiered adjustments to exemptions, proportional reduction to LIP as necessary for additional funding requirements [22KB PDF]
• Model 14 – Exemptions fully funded, adjustments to Special LIP, remove LIP1, LIP2, & LIP3 categories, replace with LIP4 and LIP5 categories (distributed based on IGTs and Medicaid and Charity utilization) [318KB PDF]

Summary of Nets Models 12 and 14 [54KB PDF]

December 13, 2007

Conference Call
1:30pm-4:00pm
Call In: 1-888-808-6959
Conference Code: 4138067

Meeting Agenda [12KB PDF]

Meeting Minutes [35KB PDF]

• Models 4 and 5 [595KB PDF]
• Models 6 and 7 [387KB PDF]
• Agenda Items 11b:
  • Model 8 [185KB PDF]
  • Model 9 [108KB PDF]
• Model 10
  • With GR [238KB PDF]
  • IGT [238KB PDF]
• Model 11 [262KB PDF]
• Summary NETS Models 4 - 11 [117KB PDF]
• Costs to Exempt all Florida Medicaid Providers from Ceilings and Targets
  Using July 1, 2007 rates [30KB PDF]
• Costs for Exemptions includes Trauma hospital 2% Restoration [35KB PDF]
• PMATF [59KB PDF]

November 28, 2007

Meeting Agenda [11KB PDF]

Meeting Minutes [35KB PDF]

• Agenda Item 7:
  • Schedule of Safety-Net Payments to Hospitals under the UPL/LIP Programs [18KB PDF]
  • Summary of Safety-Net/Hold Harmless Payments SFY 2001 - 02 through SFY 2007 - 08 [21KB PDF]
• Agenda Item 8: Summary of DSH Payment from SFY 2001-02 through SFY 2007-08 [81KB PDF]
• Agenda Item 9:
  • LIP Council Funding and Distribution Review Variance between SFY 2007-08 and 2008-09 [12KB PDF]
  • Projected Benefit of Trauma "Red Light Bill" Funds Chapter 2005-194, Laws of Florida [12KB PDF]
• Agenda Item 10: Comparison of Exempt vs. Non-Exempt Hospital Costs [55KB PDF]
• Agenda Item 11:
  • Projected Effects of Proposed Changes to Exemptions Effect of Additional Changes to Exemptions at Any Threshold, Plus "Current" Cost of Changes to Exemptions, All Based on Audited Data [59KB PDF]
  • Corrected LIP Council Program Comparison of Model 1, Model 2, and Model 3 [9KB PDF]
• Agenda Item 11a: Model 1 - LIP Projections - State Fiscal Year 2008-2009, Special LIP Payments by Provider/Program [141KB PDF]
• Agenda Item 11b: Model 2 - LIP Projections - State Fiscal Year 2008-2009, Special LIP Payments by Provider/Program [197KB PDF]
• Agenda Item 11c:
  • Model 3 - LIP Projections - State Fiscal Year 2008-2009, Special LIP Payments by Provider/Program [197KB PDF]
  • Projected Net Payments Model 1, Model 2 and Model [187KB PDF]
• St. Johns River Rural Health Network Comprehensive Diabetes Care for the Uninsured Presentation [145KB PDF]
• Florida FQHCs Facts [30KB PDF]
• Department of Health Low Income Pool Presentation [1MB PDF]

November 6, 2007

• Agenda
• Draft Agenda Item 5 - Draft Response Comments for Discussion
• Agenda Item 7 - Projected Effects of Proposed Changes to Exemption
• Agenda Item 7 - LIP, DSH and Exemption Payments by Provider, 2008-09, Adjusted for Removal of $81 M Non-Recurring General Revenue
• Meeting Minutes [28KB PDF]

September 11, 2007

• Agenda [17KB PDF]
• Projected Effects of Proposed Changes to Exemption [60KB PDF]
• LIP Payment Amounts and Schedules [8KB PDF]
• Meeting Minutes [22KB PDF]

January 24, 2007

• Agenda [8KB PDF]
• Detail Calculated Reimbursement vs Cost, without "UPL" exemption [44KB PDF]
• Agenda Item 4: Model 3 (6.9% LIP Reduction, 9% Exemptions Reduction, 57M GR) - Summary of Projected LIP, DSH, and Exemptions IGTs Net of Projected Payments for 2007-2008 [50KB PDF]
• Agenda Item 5: Model 2A - State Fiscal Year 2007-2008 Special Lip Payments by Provider/Program for Rural, Primary Care, Trauma and Safety Net [53KB PDF]
• Agenda Item 6: Model 5 (57m Gr, 50% Legislative Sn/Hh Reduction) - State Fiscal Year 2007-2008 Special Lip Payments by Provider/Program for Rural, Primary Care, Trauma and Safety Net [254KB PDF]
• Agenda Item 7: Model 6 (7.3% LIP Reduction, 5% Exemptions Reduction, 68M GR) - Summary of Projected LIP, DSH, and Exemptions IGTs Net of Projected Payments for 2007-2008 [50KB PDF]
• Agenda Item 10a: Milestone Reporting Document Terms and Definitions [19KB PDF]
• Agenda Item 10b: Low Income Pool Milestone Reporting Requirements [11KB PDF]

January 11, 2007

• Agenda [35KB PDF]
• Meeting Minutes [45KB PDF]
• Conference Call Instructions [11KB PDF]
• Exemptions with 5% Reduction [20KB PDF]
• Summary of Funding Changes in LIP Program and Exemptions from Ceilings
  Changes from State Fiscal Year 2006-2007 to 2007-2008 [10KB PDF]
• Agenda Item 4a - Hospital Provider Reimbursement vs Calculated Medicaid Costs Based on July 2006 Rates [8KB PDF]
• Agenda Item 4b - Projected Effects of Proposed Changes to Exemptions [48KB PDF]
• Agenda Item 4c - Growth of Exemptions, January 11, 2007 [12KB PDF]
• Agenda Item 5a -
  • Summary of Safety-Net/Hold Harmless Payments SFY 2001-02 through SFY 2006-07 [19KB PDF]
  • Schedule of Safety-Net Payments to Hospitals under the UPL/LIP Programs [16KB PDF]
• Agenda Item 5b - Example of Special LIP Proportional Reductions [43KB PDF]
• Agenda Item 6 - Audited DSR Data Compared to FHURS [55KB PDF]
• Agenda Item 7a - Projected IGTs - Model 1 - 100% General Revenue [13KB PDF]
• Agenda Item 7b - Projected IGTs - Model 2 - 60% General Revenue [13KB PDF]
• Agenda Item 8 - Projected LIP, DSH, and Exemptions IGTs - Model 1 (100% GR) - [416KB PDF]
• Agenda Item 9 - Projected LIP, DSH, and Exemptions IGTs - Model 2 (60% GR / 40% Local Govt) [374KB PDF]
• Agenda Item 10 - Special LIP Projects Summary [11KB PDF]
• Agenda Item 11 - Draft LIP Milestone Reporting Document [33KB PDF]

December 11, 2006

• Meeting Agenda [78KB PDF]
• Meeting Minutes [53KB PDF]
• Hillsborough County Aviation Authority Board Room Directions [37KB PDF]
• Agenda Item 3 - IGTs [78KB PDF]
• Agenda Item 4a - Adjustments to Gross Revenue [12KB PDF]
• Agenda Item 4b - Effect of Removing Bad Debt from LIP3 & Effect of Utilizing Audited DSH Data Rather than FHURS [18KB PDF]
• Agenda Item 5 - Summary of Annual Disproportionate Share Payments (Projected) FY 2007-2008 [14KB PDF]
• Agenda Item 5b - Impact of Additional IGTs on LIP Proportional Reduction (A) [33KB PDF]
• Agenda Item 5b - Impact of Additional IGTs on LIP Proportional Reductions Net of ITS (B) [30KB PDF]
• Agenda Item 5b - Current Policy Updated Data [59KB PDF]
• Agenda Item 5c - Projected Exemptions with Full Reduction [19KB PDF]
• Agenda Item 5c - Proposed Exemptions with 50% Reduction [19KB PDF]
• Agenda Item 6 - Options to Address $94 Million in Funding Requirements [16KB PDF]
• Agenda Item 6 - Impact Increasing 10% Threshold - LIP3 [18KB PDF]
• Agenda Item 7 - Summary of all LIP Program Projects [21KB PDF]
• Agenda Item 7 - LIP Council Projects Summary [8KB PDF]

November 29, 2006

• Meeting Agenda [50KB PDF]
• Agenda Item 3: Discussion of a Definition of a Provider Access System (PAS) [9KB PDF]
• Agenda Item 5: Final Reimbursement and Funding [377KB PDF]
• Agenda Item 5: Response to CMS' Questions for the Reimbursement and Funding Methodology document [708KB PDF]
• Agenda Item 6: LIP Reporting Form (draft) [22KB PDF]
• Agenda Item 7: Proposed Costs for Exemptions SFY 2007-08 [50KB PDF]
• Agenda Item 8: Proposed Distributions SFY 2007-08, Applying updated Medicaid and Charity data to SFY 2006-07 Policy [160KB PDF]
  Agenda Item 8: Sources and Distributions of Funds SFY 2007-08, Applying updated Medicaid and Charity data to SFY 2006-07 Policy [36KB PDF]
• Agenda Item 9: Suggested Options/Strategies to Address SFY0708 Increased State Share Cost [11KB PDF]
• Estimate of IGTs for State Fiscal Year 2007-2008
• Meeting Minutes [291KB PDF]

October 20, 2006

• Agenda [38KB PDF]
• LIP Sources and Distributions of Funds (Agenda Item 5) [31KB PDF]
• Florida Medicaid Reform Reimbursement and Funding Methodology Document CMS Comments (Agenda Item 8) [12KB PDF]
• Permissible Expenditures Certification Form [32KB PDF]
• LIP Cost Limit Calculation Hospital Provider Type SFY 2006-07 [40KB PDF]
• Provider Access System [38KB PDF]

September 27, 2006

• Agenda [14KB PDF]
• 2006 Florida Statutes (Agenda Items 1) [75KB PDF]
• Compliance with Government In The Sunshine Law and Florida's Public Records (Agenda Item 2) [32KB PDF]
• CMS Approval Letter (Agenda Item 3a) [134KB PDF]
• Permissive Sources(Agenda Item 3a) [14KB PDF]
• Reimbursement and Funding Methodology (Agenda Item 3b) [226KB PDF]
• SFY 2006-07 LIP Distributions (Agenda Item 4) [43KB PDF]
• Special Terms and Conditions (Agenda Item 6) [43KB PDF]
• Effect of Recommended Changes to Exemptions (Agenda Item 8) [12KB PDF]
• Approved Meeting Minutes [63KB PDF]

If you have question regarding the LIP Council or LIP Council meetings, please email or call:

Edwin Stephens stephene@ahca.myflorida.com (850) 414-2759