409.915 County contributions
to Medicaid. ---
Although the state is responsible for the full portion of
the state share of the matching funds required for the Medicaid
program, in order to acquire a certain portion of these funds, the
state shall charge the counties for certain items of care and
service as provided in this section.
(1) Each county shall participate in the following
items of care and service:
(a) Payments for inpatient hospitalization in excess of 12
days, but not in excess of 45 days, with the exception of pregnant
women and children whose income is in excess of the federal
poverty level and who do not participate in the Medicaid medically
needy program.
(b) Payments for nursing home or intermediate facilities
care in excess of $170 per month, with the exception of skilled
nursing care for children under age 21.
(2) A county's participation must be 35 percent of the
total cost of providing the items listed in subsection (1), except
that the payments for items listed in paragraph (1)(b) may not
exceed $55 per month per person.
(3) Each county shall set aside sufficient funds to
pay for items of care and service provided to the county's eligible
recipients for which county contributions are required, regardless
of where in the state the care or service is rendered.
(4) Each county shall pay into the General Revenue
Fund, unallocated, its pro rata share of the total county
participation based upon statements rendered by the department in
consultation with the counties.
(5) The Department of Banking and Finance shall
withhold from the cigarette tax receipts or any other funds to be
distributed to the counties the individual county share that has
not been remitted within 60 days after billing.
(6) In any county in which a special taxing district
or authority is located which will benefit from the medical
assistance programs covered by this section, the board of county
commissioners may divide the county's financial responsibility for
this purpose proportionately, and each such district or authority
must furnish its share to the board of county commissioners in time
for the board to comply with the provisions of subsection (3).
Any appeal of the proration made by the board of county
commissioners must be made to the Department of Banking and
Finance, which shall then set the proportionate share of each
party.
History: s. 46, ch. 91-282.