Resolution 016-1993
Social Services
RESOLUTION NO. 016 -1993
A RESOLUTION OF THE BOARD OF COUNTY COMMIS-
SIONERS OF MONROE COUNTY, FLORIDA, RELATING
TO AMENDMENT OF CHAPTER 409, FLORIDA STAT-
UTES, SOCIAL AND ECONOMIC ASSISTANCE,
PROPOSED BY THE FLORIDA DEPARTMENT OF HEALTH
AND REHABILITATIVE SERVICES; PROVIDING FOR
OPPOSITION TO THE PROPOSED AMENDMENT; PROVID~ ~
ING FOR A RECOMMENDATION THAT THE EXISTINC!? (.Q
SYSTEM OF MEDICAID BILLING BE CONTINUED;'; c c.v
PROVIDING FOR A RECOMMENDATION THAT EXISTIN~ o~ ;g
PENALTIES FOR NON-PAYMENT BE ENFORCE}};) f; =< ~ '
PROVIDING THAT FOR A RECOMMENDATION THAT ~. r- N ~}
AMENDMENT BE MADE TO SECTION 409.915, FLORI~~ ~ ~
STATUTES; PROVIDING FOR DISTRIBUTION ()F ~;~ ~ ~.J
CERTIFIED COPIES OF THIS RESOLUTION; A~;~;: ~
PROVIDING FOR AN EFFECTIVE DATE. (:.' c:) .- <:)
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WHEREAS, Chapter 409, F. S., Social and Economic:t:Assistance,
~409. 915, County Contributions to Medicaid, provides that the
State of Florida shall charge the several counties for certain
items of care and service provided to county residents pursuant
to the State Medicaid program; and
WHEREAS, S409.915(1)(a), F.S., provides that each county
shall make payment to the state for Medicaid assistance made for
in-patient hospitalization of certain county residents in excess
of twelve (12) days, but not in excess of forty-five (45) days;
and
WHEREAS, ~409.9l5(1)(b), F.S., provides that counties shall
additionally make payments to the state for nursing home or
intermediate facilities care provided to eligible county resi-
dents; and
WHEREAS, 5409.915(2) limits each county's participation to
$55 per person; and
WHEREAS, the Florida Legislature did create, in 1991, Fla.
Laws 91-282 551(1), a Task Force on County Contributions to
Medicaid, with the mandate in subsection (2) to "study the
current method for county Medicaid billing, as required by s.
409.915, Florida Statutes, prepare recommendations regarding
the adequacy of these current procedures, and ... propose any
revisions necessary to facilitate prompt payment and to assist
counties in budgeting for this expense"; and
WHEREAS, the Department of Health and Rehabilitative Ser-
vices is now recommending amendments to 5409.915, F.S., which, if
enacted, would provide for each county to pay to the state an
annual assessment for each recipient of benefits from all
Medicaid programs, (including mandatory services such as home
health care services, hospital outpatient services, independent
laboratory services, and physician services, and those optional
services under 5409.906, F.S., such as dental and prescription as
the State determines to fund), which assessment shall be in-
creased or decreased each year as certified by the Department of
Health and Rehabilitative Services, up to a limit of fifteen
percent (15%) annually; and
WHEREAS, the inclusion of all Medicaid program services in
the scope of each county's responsibility effectively negates any
reality of a less than fifteen percent (15%) increase annually,
much less a decrease; and
WHEREAS, there is no provision in the proposed legislation
to require itemization of a county's Medicaid eligibles which
would allow the county to verify the accuracy of assessment; and
WHEREAS, the proposed legislation greatly exceeds the
original task force goal to find means of making the billing
system more efficient; and
WHEREAS, the proposed legislation would impose interest
charges on counties' payments received late, regardless of
whether mailed timely, and notwithstanding the absence of any
government purpose for counties to make interest payments; now,
therefore,
BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF
MONROE COUNTY, FLORIDA, as follows:
Section 1. Opposition to Section 409.915 Amendments.
The Board of County Commissioners of Monroe County opposes
the legislation proposed by the Department of Health and
Rehabilitative Services which shall require the counties to pay
annual estimated assessments for Medicaid services for all
eligible categories.
Section 2. Continue Itemized Statements.
The Board of County Commissioners of Monroe County recom-
mends that the Florida Department of Health and Rehabilitative
Services be required to continue forwarding to the several
counties itemized Medicaid billing statements.
Section 3. Implement Penalties.
The Board of County Commissioners of Monroe County recom-
mends that the existing penalties authorized by Chapter 409,
Florida Statutes, be enforced as to counties which are not in
compliance with statutory Medicaid reimbursement requirements.
Section 4.
No Amendment to Existin~ Law.
The Board of County Commissioners of Monroe County recom-
mends that no amendment be made to the current S409.915,F.S.
Section 5.
Certified Copies.
The recording secretary is hereby directed to provide
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certified copies of this resolution to the Governor, the Presi-
yc'
v'
dent of the Florida Senate, the Speaker of the Florida House of
Representatives,
the
Chairman of the Senate Health and
Rehabilitative Services Committee, the Chairman of the House
Health and Rehabilitative Services Committee, the members of the
County Legislative Delegations of all counties, the Secretary of
Health and Rehabilitative Services, the Assistant Secretary for
Medicaid, and each chairman of every county commission.
Section 6.
Effective Date.
This resolution shall take effective upon adoption.
PASSED AND ADOPTED by the Board of County Commissioners of
Monroe County, Florida, at a regular meeting of said Board held
on the 20th day of
Mayor London
Mayor Pro Tem Cheal
Janua ry
1993.
yes
yes
Commissioner Harvey
yes
Commissioner Freeman
yes
Commissioner Reich
yes
(SEAL)
Attest: DANNY KOLHAGE, Clerk
~~
BY~~C.A1u~
eputy ClEr
vimedicaid
Mayor/Chairman
By