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The Florida Statutes

The 2010 Florida Statutes(including Special Session A)

Title XXX
SOCIAL WELFARE
Chapter 430
ELDERLY AFFAIRS
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F.S. 430.707
1430.707 Contracts.
(1) The department, in consultation with the agency, shall select and contract with managed care organizations and, on a prepaid basis, with other qualified providers as defined in s. 430.703(7) to provide long-term care within community diversion pilot project areas. All providers shall report quarterly to the department regarding the entity’s compliance with all the financial and quality assurance requirements of the contract.
(2) The department, in consultation with the agency, may contract with entities that have submitted an application as a community nursing home diversion project as of July 1, 1998, to provide benefits pursuant to the “Program of All-inclusive Care for the Elderly” as established in Pub. L. No. 105-33. For the purposes of this community nursing home diversion project, such entities are exempt from the requirements of chapter 641 if the entity is a private, nonprofit, superior-rated nursing home and if at least 50 percent of its residents are eligible for Medicaid. The agency, in consultation with the department, shall accept and forward to the Centers for Medicare and Medicaid Services an application for expansion of the pilot project from an entity that provides benefits pursuant to the Program of All-inclusive Care for the Elderly and that is in good standing with the agency, the department, and the Centers for Medicare and Medicaid Services.
History.s. 7, ch. 97-87; s. 2, ch. 98-327; s. 24, ch. 2000-163; s. 4, ch. 2005-208; s. 19, ch. 2009-55.
1Note.

A. Section 14, ch. 2010-156, provides that “[n]otwithstanding s. 430.707, Florida Statutes, and subject to federal approval of the application to be a site for the Program of All-inclusive Care for the Elderly, the Agency for Health Care Administration shall contract with one private health care organization, the sole member of which is a private, not-for-profit corporation that owns and manages health care organizations which provide comprehensive services, including hospice and palliative care services, to frail and elderly persons who reside in Polk, Highlands, Hardee, and Hillsborough Counties. Such an entity shall be exempt from the requirements of chapter 641, Florida Statutes. The agency, in consultation with the Department of Elderly Affairs and subject to appropriation, shall approve up to 150 initial enrollees in the Program of All-inclusive Care for the Elderly established by this organization to serve persons in Polk, Highlands, and Hardee Counties.”

B. Section 15, ch. 2010-156, provides that “[n]otwithstanding s. 430.707, Florida Statutes, and subject to federal approval of an application for expansion to a new site, the Agency for Health Care Administration shall contract with an Organized Health Care Delivery System (OHCDS) in Miami-Dade County that currently offers benefits pursuant to the Program of All-inclusive Care for the Elderly to provide comprehensive services to frail and elderly persons residing in Southwest Miami-Dade County. Such an entity shall be exempt from the requirements of chapter 641, Florida Statutes. The agency, in consultation with the Department of Elderly Affairs and subject to appropriation, shall approve up to 50 initial enrollees in the Program of All-inclusive Care for the Elderly established by this organization to serve persons in Southwest Miami-Dade County.”


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