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RECEIVED ANDPLACED ON FILE IN THE OFFICE OF THE CLERK WAS THE <br />REPORT OF CONVICTIONS, CIRCUIT COURT, MAY, 1977. <br />III COMMISSIONER Loy STATED THAT SHE HAD ASKED FINANCE OFFICER <br />JACKSON TO PREPARE THE FOLLOWING MEMO IN REGARD TO A BUDGET AMENDMENT FOR <br />MEDICAID, WHICH WAS HELD OVER FROM THE LAST MEETING UNTIL FURTHER INFORMA- <br />TION COULD BE RECEIVEDo <br />June 2, 1977 <br />TO: THE BOARD OF COUNTY COMMISSIONERS <br />SUBJECT: )WIM -HOSPITALS <br />The State of Florida, Division of Family Services, provides Medicaid <br />--to certain qualified persons for hospitalization. The State then bills the <br />County on a monthly basis for its share of these costs. <br />Each person may receive up to 45 days hospitalization per year (July <br />to June.) The County pays nothing toward the first 12 -days and 35% of.the <br />.!;.Per them rate for each particular hospital for the remaining 33 days. <br />Our welfare director maintains a card file on each of the Medicaid <br />-recipients. Each patient on the monthly billing is compared with the card <br />file to see that the 45 day limit is not exceeded and that the county is <br />mot billed for the first 12 days. She then verifies the billing charge by <br />taking 352 of the per them rate and multiplying by the number of billable <br />-_days. -Overcharges are deducted from the bill. <br />Ia January of this year, we were billed for 77 patients while 30-35 <br />Is the more usual number. The reason for this large increase Is uncertain, <br />-but It may have been caused by the -severe weather.. <br />If the January billing is excluded; the average monthly billing is <br />42,781.90. -See Analysis attached. We have five months yet to be paid In <br />..--this fiscal year and the account balance -'is $2,502.57 (due to an error <br />-correction.) So it.appears that a budget Increase for this account of <br />$12,000 would be sufficient. <br />Accordingly, Irecommend the following budget amendment be adopted <br />notion of the Board. <br />-ACCOUNT TITLE ACCOUNT NO. INCREASE DECREASE <br />--Medicaid-Hospital 01-5222-315 $12,000 <br />-Iteserve for Contingency 01-9990-701 Al2,000 <br />ed, <br />JACKSON <br />ce Officer <br />COMMISSIONER Loy POINTED OUT THAT WE REALLY DON T HAVE ANY <br />CHOICE ABOUT PAYING THESE BILLS- THE ONLY THING WE CAN DO IS OBJECT IF <br />THE BILLING SEEMS TO GET OUT OF LINE. SHE NOTED THIS INCREASE is $6,000 <br />LESS THAN WAS REQUESTED PREVIOUSLY. <br />rJUN 8 1977 <br />a <br />