1. Medicaid Update George Ralls MD Health Services Department May 21, 2013

2. Medicaid Update Inpatient hospitalization 35% of costs for days 11 through 45 Nursing home care $55 per month per person CURRENT SYSTEM

3. Millions CURRENT SYSTEM Medicaid Update Medicaid billing review

4. –Revises method for calculating county Medicaid contributions “Cost-Sharing” Eliminates billing review process –Establishes a “Base Rate” $269.6 Million (FY 13-14) $277 Million (FY 14-15) –Establishes individual county share of the base rate as a percentage: Orange County = 6.682% (based on prior billings) SB 1520 Medicaid Update

5. $269.6 M x 6.682% $277 M x 6.682% SB 1520 Millions

6. –FY-16 through FY-20 “Base rate” = the prior year total, adjusted by 50% of the percentage change in state expenditures County share weighted by enrollment in a progressive manner –FY-21 and beyond “Base rate” = prior year total, adjusted by 100% of the percentage change in state expenditures County share entirely determined by enrollment Medicaid Update SB 1520

7. Expanded eligibility under the ACA was not agreed upon –Special Session may be called by the Governor PCAN will continue to be vital to Orange County uninsured Medicaid Update Florida Medicaid Expansion

8. PCAN eligibility Medicaid Update

9. Expanded eligibility under the ACA was not agreed upon –Special Session may be called by the Governor PCAN will continue to be vital to Orange County uninsured Medicaid Update Florida Medicaid Expansion PCAN Funding 2011$14.2 M 2012$14.2 M 2013$14.2 M 2014$14.2 M

10. Medicaid Update George Ralls MD Health Services Department May 21, 2013