FL S7094

Establishes an internet-based eligibility determination system for Medicaid and Kidcare programs with completion by October 1, 2013 and implementation by January 1, 2014, governed by an executive steering committee with representatives from the Department of Children and Family Services, Agency for Health Care Administration, and Department of Health.

Limits hospital emergency department visits for nonpregnant Medicaid adults 21 and older to six visits per fiscal year effective August 1, 2012, and requires the agency to develop a DRG-based prospective payment system for hospital inpatient rates with submission to the legislature by December 1, 2012.

Authorizes the Agency for Health Care Administration to accept voluntary intergovernmental transfers from counties and municipalities to fund special hospital payments and Medicaid costs, with restrictions on use and requirements for proportionate funding of capitation rates for managed care plans.

Repeals the disproportionate share program for regional perinatal intensive care centers and the primary care disproportionate share program while allowing the agency to distribute disproportionate share funds to teaching hospitals.

Revises Medicaid managed care enrollment procedures to provide recipients choice among managed care plans and MediPass based on county availability, establishes refund processes for overpaid county contributions, and expands home health monitoring and care management pilot projects statewide.