11/20/2001 - Laserfiche WebLink

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� � 5 F ' r :.�'g `f � w ✓ 1, 111- Ilk Ilk , Ilkf ; ' ' , .,. rc ^� �' i "�ca . m § v ^b �,�"' `_ w �N.�M^-s ,v A . t* =a� C', , •: X r ,e�..r y 9 . B . 3 . PRESENTATION BY HUMAN SERVICES DIRECTOR CONCERNING STATE - MANDATED MEDICAID AND NURSING HOME RESPONSIBILITIES OF THE COUNTIES Joyce Johnston - Carlson , Director of Human Services , advised that she had attended a State Health and Human Services meeting in Orlando last week . At these meetings they have periodically discussed state - mandated directives relative to Medicaid . She recounted that back in the 1970 ' s , the counties agreed to help the State with payment of the Medicaid portion because the State did not have the ability to meet the financial requirements then . The counties agreed to help the State and paid their portion . It was then agreed that the counties would assume the responsibility for expenses of Medicaid in both hospital and nursing home for their residents . In the nursing home portion , there was a $ 55 cap per County resident per month ; we have paid that faithfully throughout the years . The hospital portion that the counties agreed to pay was a certain number of days , between day 15 and 45 of the hospital stay , for each county resident at the Medicaid rate . Then last year , the Legislature mandated that the counties pick up 2 more days . Now the counties are responsible for in -hospital stays from day 12 through 45 . The County is required to pay but there is no clear picture of how much because there is no way to estimate how many residents will be in the hospital for any length of time in each year . At the last Emergency Legislative Session , it was discussed that the counties be responsible for another day in the hospital . They are not making us responsible for day 46 , 47 , and 48 , which would be limited , but are making us responsible for the front end . When they come back next week, they are going to propose that the counties pick up one more day in front . There are also proposals in both the House and the Senate that they raise the cap on the nursing home days for which the counties will M3 be responsible . With the hospital day change, it is being predicting it will double the amount the County pays each year . If they add the nursing home , raising that cap , nobody can tell what it will be . Budget Manager Jason Brown got an e - mail this morning with two new November 20 , 2001 35 '17171kLl v Vkkr � K1 Ilk _