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

[Guest guest]

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.

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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.