Re: The cost of doing the right thing, Cost Plan Rebasing. (UNITED WE STAND)

[Guest guest]

What is FSL?

> Are you one of the many families who believe in using

only what

> services you need from med waiver so that funds are not wasted and

> more people can get much needed services. Well now your fiscal

> responsibility is coming back to bite you in the arse. I believed

> that every little bit we all do to help each other cost us in some

way.

>

> I read the article below and tried to see it from all points of

view

> and I am still of the opinion that, whether intentional or not,

this

> is just another wedge driving us apart. People on the wait list

> resent those who have med waiver. Some people on med waiver feel

the

> way about people on CDC+.

>

> For those of you who missed my response to a post from Mr.

Sequenzia

> earlier this week, I will post it again as a new thread. We cannot

> stand by and watch helplessly as cuts are implemented and a single

> voice is not heard, unless you are rich and famous, but then you

don't

> need med waiver.

>

> ********

> The 2007 Florida Legislature required APD to implement cost plan

> rebasing effective January 1, 2009. The text of Section 292.0661

(6),

> F.S.(2008) is as follows:

>

> (6) Effective January 1, 2009, and except as otherwise provided in

> this section, an individual served by the home and community-based

> services waiver or the family and supported living waiver funded

> through the Agency for Persons with Disabilities shall have his or

her

> cost plan adjusted to reflect the amount of expenditures for the

> previous state fiscal year plus 5 percent if such amount is less

than

> the individual's existing cost plan. The Agency for Persons with

> Disabilities shall use actual paid claims for services provided

during

> the previous fiscal year that are submitted by October 31 to

calculate

> the revised cost plan amount. If an individual was not served for

the

> entire previous state fiscal year or there was any single change in

> the cost plan amount of more than 5 percent during the previous

state

> fiscal year, the agency shall set the cost plan amount at an

estimated

> annualized expenditure amount plus 5 percent. The agency shall

> estimate the annualized expenditure amount by calculating the

average

> of monthly expenditures, beginning in the fourth month after the

> individual enrolled or the cost plan was changed by more than 5

> percent and ending with August 31, 2008, and multiplying the

average

> by 12. In the event that at least 3 months of actual expenditure

data

> are not available to estimate annualized expenditures, the agency

may

> not rebase a cost plan pursuant to this subsection. This subsection

> expires June 30, 2009, unless reenacted by the Legislature before

that

> date.

>