Significant provisions from the General Appropriations Act Include: Statewide Medicaid Managed Care Long term Care (SMMC LTC) SMMC LTC will receive a funding increase of $273.6 M applicable to all Medicaid providers). The program provides LTC services to Medicaid–eligible (i.e., low income) elders and disabled adults who need nursing home level of care. SMMC LTC services may include, among others, adult day care, assisted living, caregiver training, hospice services, medical equipment, respite care and various therapies. The SMMC LTC program has a finite number of slots for eligible service recipients. As of November 29, 2021, 55,263 Medicaid applicants were on waitlists for slots to open. Community Care for the Elderly (CCE) CCE, a non-Medicaid program, will receive an increase of $9 million in funding to serve an additional 1,067 slots. CCE provides community based services to help functionally impaired elders, ages 60+, live in the least restrictive and most cost effective environments to forestall or prevent nursing home placement. CCE services include : adult day care, adult day health care, case management, case aide, chores, companionship, consumable medical supplies , counseling, escort, emergency alert response, emergency home repair, home delivered meals, home health aide, homemaker, home nursing, information and referral, legal assistance, material aid, medical therapeutic services, personal care, respite, shopping assistance, transportation, and other community-based services. Home Care for the Elderly (HCE) HCE did not receive any new funding. HCE provides care in family-type living arrangements for non- Medicaid individuals, ages 60+, who have incomes and assets meeting the Institutional Care Program (ICP) standard and who are at great risk of nursing home placement. HCE has a waitlist of more than 13,000 Floridians. Alzheimer’s Disease Initiative (ADI) ADI services will receive an increase of $12 million to serve 1,029 additional individuals on the statewide waitlist. ADI provides services to individuals with Alzheimer’s disease or other memory disorders and to their families. ADI respite services for families include in home and adult day care, emergency and extended care (up to 30 days) services. Also, the ADI provides support services that include case management, specialized medical equipment and supplies, caregiver counseling and support groups, and caregiver training. Program for All-Inclusive Care (PACE) PACE organizations provide primary care and social, restorative, and supportive services for Medicaid and Medicare eligible individuals ages 55+ who live in PACE service areas. PACE provides flexibility to families, caregivers and professional health care providers in order to meet the clients’ medical and long-term care needs. The state will seek federal approval to serve an additional: 200 slots in Brevard County; 50 slots in Escambia, Okaloosa, and Santa Rosa Counties; 100 slots in Northwest Miami-Dade County; 100 slots in Orange, Osceola, Lake, Sumter, and Seminole counties; 200 slots in the northern two-thirds of Broward County; 150 slots in Hillsborough County; 50 slots in Pinellas County at a total cost of $61,656,549. General Appropriations Act 2022 HB 5001 - General Appropriations Act 2022-2023, and HB 5003 - Implementing the 2022-2023 General Appropriations Act, by House Appropriations Committee. The bills, respectively, are Chapters No. 2022-156 & 157, effective July 1, 2022. The Florida Legislature passed a $112.1 billion budget for fiscal year 2022-2023, which was bolstered by almost $3.5 billion in federal coronavirus relief money and which leaves the state with significant reserves.
Budget
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