SECTION 394.4788. Use of certain PMATF funds for the purchase of acute care mental health services.
Latest version.
1(1) 2A hospital may be eligible to be reimbursed an amount no greater than the hospital’s previous year contribution to the PMATF for acute mental health services provided to indigent mentally ill persons who have been determined by the agency or its agent to require such treatment and who:
50(a) 51Do not meet Medicaid eligibility criteria, unless the agency makes a referral for a Medicaid eligible patient pursuant to s. 71394.4789;
72(b) 73Meet the criteria for mental illness under this part; and
83(c) 84Meet the definition of charity care.
90(2) 91The agency shall annually calculate a per diem reimbursement rate for each specialty psychiatric hospital to be paid to the specialty psychiatric hospitals for the provision of acute mental health services provided to indigent mentally ill patients who meet the criteria in subsection (1). After the first rate period, providers shall be notified of new reimbursement rates for each new state fiscal year by June 1. The new reimbursement rates shall commence July 1.
165(3) 166Reimbursement rates shall be calculated using the most recent audited actual costs received by the agency. Cost data received each April 15 shall be used in the calculation of the rates. Historic costs shall be inflated from the midpoint of a hospital’s fiscal year to the midpoint of the state fiscal year. The inflation adjustment shall be made utilizing the latest available projections as of March 31 for the Data Resources Incorporated National and Regional Hospital Input Price Indices as calculated by the Medicaid program office.
252(4) 253Reimbursement shall be based on compensating a specialty psychiatric hospital at a per diem rate equal to its operating costs per inpatient day.
276(5) 277A hospital shall not be entitled to receive more in any one fiscal year than that hospital contributed to the PMATF during the previous fiscal year.
303(6) 304Hospitals that agree to participate in the program set forth in this section and ss. 319394.4786, 320394.4787, 321and 322394.4789323shall agree that payment from the PMATF is payment in full for all patients for which reimbursement is received under this section and ss. 347394.4786, 348394.4787, 349and 350394.4789, 351until the funds for this program are no longer available.
361(7) 362The agency shall develop a payment system to reimburse specialty psychiatric hospitals quarterly as set forth in this part.
History.-s. 3, ch. 89-355; s. 1, ch. 90-192; s. 98, ch. 92-289; s. 27, ch. 96-169; s. 3, ch. 98-89.
