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A bill to be entitled 1
An act relating to services for individuals with 2
developmental disabilities; amending s. 393.0662, 3
F.S.; requiring the Agency for Persons with 4
Disabilities to post its quarterly reconciliation 5
reports on its website within a specified timeframe; 6
amending s. 393.065, F.S.; providing a requirement for 7
the online application system to allow an applicant to 8
apply for crisis enrollment; removing a requirement 9
for the agency to remove certain individuals from the 10
preenrollment categories under certain circumstanc es; 11
requiring the agency to participate in transition 12
planning activities and to post the total number of 13
individuals in each priority category on its website; 14
amending s. 393.502, F.S.; establishing the Statewide 15
Family Care Council; providing for the pur pose, 16
membership, and duties of the council; requiring local 17
family care councils to report to the statewide 18
council policy changes and program recommendations in 19
an annual report; providing for appointment of council 20
members; providing for the creation of family-led 21
nominating committees; providing duties of the agency 22
relating to the statewide council and local councils; 23
amending s. 409.9855, F.S.; revising implementation 24
and eligibility requirements of the pilot program for 25
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individuals with developmental disabilities; requiring 26
the Agency for Persons with Disabilities to transmit 27
to the Agency for Health Care Administration weekly 28
data files of specified clients; requiring the Agency 29
for Health Care Administration to provide a call 30
center for specified pu rposes and to coordinate with 31
the Department of Children and Families and the Agency 32
for Persons with Disabilities to disseminate 33
information about the pilot program; revising pilot 34
program benefits; revising provider qualifications; 35
requiring participatin g plans to conduct an 36
individualized assessment of each enrollee within a 37
specified timeframe for certain purposes and to offer 38
certain services to such enrollees; requiring the 39
Agency for Health Care Administration to conduct 40
monitoring and evaluations an d require corrective 41
actions or payment of penalties under certain 42
circumstances; removing coordination requirements for 43
the agency when submitting certain reports, 44
establishing specified measures, and conducting 45
quality assurance monitoring of the pilot p rogram; 46
revising dates for submitting certain status reports; 47
providing an effective date. 48
49
Be It Enacted by the Legislature of the State of Florida: 50
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51
Section 1. Subsection (14) of section 393.0662, Florida 52
Statutes, is amended to read: 53
393.0662 Individual budgets for delivery of home and 54
community-based services; iBudget system established. —The 55
Legislature finds that improved financial management of the 56
existing home and community -based Medicaid waiver program is 57
necessary to avoid deficits that impede the provision of 58
services to individuals who are on the waiting list for 59
enrollment in the program. The Legislature further finds that 60
clients and their families should have greater flexibility to 61
choose the services that best allow them to live in their 62
community within the limits of an established budget. Therefore, 63
the Legislature intends that the agency, in consultation with 64
the Agency for Health Care Administration, shall manage the 65
service delivery system using individual budgets as the basis 66
for allocating the funds appropriated for the home and 67
community-based services Medicaid waiver program among eligible 68
enrolled clients. The service delivery system that uses 69
individual budgets shall be called the iBudget system. 70
(14)(a) The agency, in consultation with the Agency for 71
Health Care Administration, shall provide a quarterly 72
reconciliation report of all home and community -based services 73
waiver expenditures from the Agency for Health Care 74
Administration's claims management system with service 75
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utilization from the Agency for Persons with Disabilities 76
Allocation, Budget, and Contract Control system. The 77
reconciliation report must be submitted to the Governor, the 78
President of the Senate, and the Speaker of the House of 79
Representatives no later tha n 30 days after the close of each 80
quarter. 81
(b) The agency shall post its quarterly reconciliation 82
reports on its website, in a conspicuous location, no later than 83
5 days after submitting the reports as required in this 84
subsection. 85
Section 2. Subsecti on (12) of section 393.065, Florida 86
Statutes, is renumbered as subsection (13), paragraph (a) of 87
subsection (1), paragraph (b) of subsection (5), and subsection 88
(10) are amended, and a new subsection (12) is added to that 89
section, to read: 90
393.065 Application and eligibility determination. — 91
(1)(a) The agency shall develop and implement an online 92
application process that, at a minimum, supports paperless, 93
electronic application submissions with immediate e -mail 94
confirmation to each applicant to acknowled ge receipt of 95
application upon submission. The online application system must 96
allow an applicant to review the status of a submitted 97
application and respond to provide additional information. The 98
online application must allow an applicant to apply for cris is 99
enrollment. 100
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(5) Except as provided in subsections (6) and (7), if a 101
client seeking enrollment in the developmental disabilities home 102
and community-based services Medicaid waiver program meets the 103
level of care requirement for an intermediate care faci lity for 104
individuals with intellectual disabilities pursuant to 42 C.F.R. 105
ss. 435.217(b)(1) and 440.150, the agency must assign the client 106
to an appropriate preenrollment category pursuant to this 107
subsection and must provide priority to clients waiting for 108
waiver services in the following order: 109
(b) Category 2, which includes clients in the 110
preenrollment categories who are: 111
1. From the child welfare system with an open case in the 112
Department of Children and Families' statewide automated child 113
welfare information system and who are either: 114
a. Transitioning out of the child welfare system into 115
permanency; or 116
b. At least 18 years but not yet 22 years of age and who 117
need both waiver services and extended foster care services; or 118
2. At least 18 years bu t not yet 22 years of age and who 119
withdrew consent pursuant to s. 39.6251(5)(c) to remain in the 120
extended foster care system. 121
122
For individuals who are at least 18 years but not yet 22 years 123
of age and who are eligible under sub -subparagraph 1.b., the 124
agency must provide waiver services, including residential 125
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habilitation, and must actively participate in transition 126
planning activities, including, but not limited to, 127
individualized service coordination, case management support, 128
and ensuring continuity of care pursuant to s. 39.6035. The 129
community-based care lead agency must fund room and board at the 130
rate established in s. 409.145(3 ) and provide case management 131
and related services as defined in s. 409.986(3)(e). Individuals 132
may receive both waiver services and services under s. 39.6251. 133
Services may not duplicate services available through the 134
Medicaid state plan. 135
136
Within preenrollment categories 3, 4, 5, 6, and 7, the agency 137
shall prioritize clients in the order of the date that the 138
client is determined eligible for waiver services. 139
(10) The client, the client's guardian, or the client's 140
family must ensure that accurate, up -to-date contact information 141
is provided to the agency at all times. Notwithstanding s. 142
393.0651, the agency must send an annual letter requesting 143
updated information from the client, the client's guardian, or 144
the client's family. The agency must remove from the 145
preenrollment categories any individual who cannot be located 146
using the contact information provided to the agency, fails to 147
meet eligibility requirements, or becomes domiciled outside the 148
state. 149
(12) To ensure transparency and timely access to 150
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information, the agency shall post on its website in a 151
conspicuous location the total number of individuals in each 152
priority category. The posted numbers shall reflect the current 153
status of the preenrollment priority list and shall be updated 154
at least every 5 days. 155
Section 3. Section 393.502, Florida Statutes, is amended 156
to read: 157
393.502 Family care councils. — 158
(1) CREATION AND PURPOSE OF STATEWIDE FAMILY CARE 159
COUNCIL.—There shall be established and located within each 160
service area of the agency a family care council. 161
(a) The Statewide Family Care Council is established to 162
connect local family care councils and facilitate direct 163
communication between local councils and the agency, with the 164
goal of enhancing the quality of and access to resources and 165
supports for individuals with developmental disabilities and 166
their families. 167
(b) The statewide council shall: 168
1. Review annual reports, policy proposals, and program 169
recommendations submitted by the local family care councils. 170
2. Advise the agency on statewi de policies, programs, and 171
service delivery improvements based on the collective 172
recommendations of the local councils. 173
3. Identify systemic barriers to the effective delivery of 174
services and recommend solutions to address such barriers. 175
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4. Foster collaboration and the sharing of best practices 176
and available resources among local family care councils to 177
improve service delivery across regions. 178
5. Submit an annual report no later than December 1 of 179
each year to the Governor, the President of the Senat e, the 180
Speaker of the House of Representatives, and the agency. The 181
report shall include a summary of local council findings, policy 182
recommendations, and an assessment of the agency's actions in 183
response to previous recommendations of the local councils. 184
(c) The agency shall provide a written response within 60 185
days after receipt, including a detailed action plan outlining 186
steps taken or planned to address recommendations. The response 187
must specify whether recommendations will be implemented and 188
provide a timeline for implementation or include justification 189
if recommendations are not adopted. 190
(2) STATEWIDE FAMILY CARE COUNCIL MEMBERSHIP. — 191
(a) The statewide council shall consist of the following 192
members appointed by the Governor: 193
1. One representative from each of the local family care 194
councils, who must be a resident of the area served by that 195
local council. Among these representatives must be at least one 196
individual who is receiving waiver services from the agency 197
under s. 393.065 and at least one individual who is assigned to 198
a preenrollment category for waiver services under s. 393.065. 199
2. One individual representing an advocacy organization 200
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representing individuals with disabilities. 201
3. One representative of a public or private entity that 202
provides services to individuals with developmental disabilities 203
that does not have a Medicaid wavier service contract with the 204
agency. 205
(b) Employees of the agency or the Agency for Health Care 206
Administration are not eligible to serve on the statewide 207
council. 208
(3) STATEWIDE FAMILY CARE COUNCIL TERMS; VACANCIES. — 209
(a) Statewide council members shall be initially appointed 210
to staggered 2 and 4 year terms, with subsequent terms of 4 211
years. Members may be reappointed to one additional consecutive 212
term. 213
(b) A member who has served two consecutive terms shall 214
not be eligible to serve again until at least 12 months have 215
elapsed since ending service on the statewide council. 216
(c) Upon expiration of a term or in the case of any other 217
vacancy, the statewide council shall, by majority vote, 218
recommend to the Governor for appointment at least one person 219
for each vacancy. 220
1. The Governor shall make an appointment within 45 days 221
after receiving a recommendation from the statewide council. If 222
the Governor fails t o make an appointment for a member under 223
subsection (2), the chair of the local council may appoint a 224
member meeting the requirements of subsection (2) to act as the 225
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statewide council representative for that local council until 226
the Governor makes an appoin tment. 227
2. If no member of a local council is willing and able to 228
serve on the statewide council, the Governor shall appoint an 229
individual from another local council to serve on the statewide 230
council. 231
(4) STATEWIDE FAMILY CARE COUNCIL MEETINGS; ORGANIZATION. —232
The statewide council shall meet at least quarterly. The council 233
meetings may be held in person or via teleconference or other 234
electronic means. 235
(a) The Governor shall appoint the initial chair from 236
among the members of the statewide council. Subsequent chairs 237
shall be elected annually by a majority vote of the council. 238
(b) Members of the statewide council shall serve without 239
compensation but may be reimbursed for per diem and travel 240
expenses pursuant to s. 112.061. 241
(c) A majority of the members of the statewide council 242
shall constitute a quorum. 243
(5) LOCAL FAMILY CARE COUNCILS. —There is established and 244
located within each service area of the agency a local family 245
care council to work constr uctively with the agency, advise the 246
agency on local needs, identify gaps in services, and advocate 247
for individuals with developmental disabilities and their 248
families. 249
(6) LOCAL FAMILY CARE COUNCIL DUTIES. —The local family 250
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care councils shall: 251
(a) Assist in providing information and conducting 252
outreach to individuals with developmental disabilities and 253
their families. 254
(b) Convene family listening sessions at least twice a 255
year to gather input on local service delivery challenges. 256
(c) Hold a public forum every 6 months to solicit public 257
feedback concerning actions taken by the local family councils. 258
(d) Share information with other local family care 259
councils. 260
(e) Identify policy issues relevant to the community and 261
family support system in the region. 262
(f) Submit to the Statewide Family Care Council, no later 263
than September 1 of each year, an annual report detailing 264
proposed policy changes, program recommendations, and identified 265
service delivery challenges within its region. 266
(7)(2) LOCAL FAMILY CARE COUNCIL MEMBERSHIP.— 267
(a) Each local family care council shall consist of at 268
least 10 and no more than 15 members recommended by a majority 269
vote of the local family care council and appointed by the 270
Governor. 271
(b) At least three of the members of the council shall be 272
individuals receiving or waiting to receive services from the 273
agency. One such member shall be an individual who has been 274
receiving services within the 4 years before the date of 275
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recommendation. The remainder of the council members shall be 276
parents, grandparents, guardians, or siblings of individuals who 277
have developmental disabilities and qualify for services 278
pursuant to this chapter. For a grandparent to be a council 279
member, the grandchild's parent or legal guardian must consent 280
to the appointment and report the consent to the agency. 281
(c) A person who is currently serving on another board or 282
council of the agency may not be appointed to a local family 283
care council. 284
(d) Employees of the agency or the Agency for Health Care 285
Administration are not eligible to serve on a local family care 286
council. 287
(e) Persons related by consanguinity or affinity within 288
the third degree shall not serve on the same local family care 289
council at the same time. 290
(f) A chair for the council shall be cho sen by the council 291
members to serve for 1 year. A person may not serve no more than 292
four 1-year terms as chair. 293
(8)(3) LOCAL FAMILY CARE COUNCIL TERMS; VACANCIES.— 294
(a) Local family council members shall be appointed for a 295
3-year terms term, except as provided in subsection (11) (8), 296
and may be reappointed to one additional term. 297
(b) A member who has served two consecutive terms shall 298
not be eligible to serve again until 12 months have elapsed 299
since ending his or her service on the local council. 300
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(c)1. Upon expiration of a term or in the case of any 301
other vacancy, the local council shall, by majority vote, 302
recommend to the Governor for appointment a person for each 303
vacancy based on recommendations received from the family -led 304
nominating committee desc ribed in paragraph (9)(a) . 305
2. The Governor shall make an appointment within 45 days 306
after receiving a recommendation. 307
(9)(4) LOCAL FAMILY CARE COUNCIL COMMITTEE APPOINTMENTS. — 308
(a) The chair of each local family care council shall 309
create, and appoint individuals receiving or waiting to receive 310
services from the agency and their relatives, to serve on a 311
family-led nominating committee. Members of the family -led 312
nominating council need not be members of the local council. The 313
family-led nominating commit tee shall nominate candidates for 314
vacant positions on the local family council. 315
(b) The chair of the local family care council may appoint 316
persons to serve on additional council committees. Such persons 317
may include current members of the council and former members of 318
the council and persons not eligible to serve on the council. 319
(10)(6) LOCAL FAMILY CARE COUNCIL MEETINGS.—Local council 320
members shall serve on a voluntary basis without payment for 321
their services but shall be reimbursed for per diem and tra vel 322
expenses as provided for in s. 112.061. Local councils The 323
council shall meet at least six times per year. Meetings may be 324
held in person or by teleconference or other electronic means. 325
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(7) PURPOSE.—The purpose of the local family care councils 326
shall be to advise the agency, to develop a plan for the 327
delivery of family support services within the local area, and 328
to monitor the implementation and effectiveness of services and 329
support provided under the plan. The primary functions of the 330
local family care councils shall be to: 331
(a) Assist in providing information and outreach to 332
families. 333
(b) Review the effectiveness of service programs and make 334
recommendations with respect to program implementation. 335
(c) Advise the agency with respect to policy issues 336
relevant to the community and family support system in the local 337
area. 338
(d) Meet and share information with other local family 339
care councils. 340
(11)(8) NEW LOCAL FAMILY CARE COUNCILS.—When a local 341
family care council is established for the first ti me in a local 342
area, the Governor shall appoint the first four council members, 343
who shall serve 3-year terms. These members shall submit to the 344
Governor, within 90 days after their appointment, 345
recommendations for at least six additional members, selected b y 346
majority vote. 347
(12)(9) FUNDING; FINANCIAL REVIEW. —The statewide and local 348
family care councils council may apply for, receive, and accept 349
grants, gifts, donations, bequests, and other payments from any 350
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public or private entity or person. Each local council is 351
subject to an annual financial review by staff assigned by the 352
agency. Each local council shall exercise care and prudence in 353
the expenditure of funds. The local family care councils shall 354
comply with state expenditure requirements. 355
(13)(5) TRAINING.— 356
(a) The agency, in consultation with the statewide and 357
local councils, shall establish and provide a training program 358
for local family care council members. Each local area shall 359
provide the training program when new persons are appointed to 360
the local council and at other times as the secretary deems 361
necessary. 362
(b) The training shall assist the council members to 363
understand the laws, rules, and policies applicable to their 364
duties and responsibilities. 365
(c) All persons newly appointed to the statewide or a 366
local council must complete this training within 90 days after 367
their appointment. A person who fails to meet this requirement 368
is shall be considered to have resigned from the council. The 369
agency may make additional training available to counci l 370
members. 371
(14) DUTIES.—The agency shall publish on its website all 372
annual reports submitted by the local care councils and the 373
Statewide Family Care Council within 15 days after receipt of 374
such reports in a designated and easily accessible section of 375
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the website. 376
(15) ADMINISTRATIVE SUPPORT. —The agency shall provide 377
administrative support to the statewide council and local 378
councils, including, but not limited to, staff assistance and 379
meeting facilities, within existing resources. 380
Section 4. Subsections (1), (2), (3), and (6) of section 381
409.9855, Florida Statutes, are amended to read: 382
409.9855 Pilot program for individuals with developmental 383
disabilities.— 384
(1) PILOT PROGRAM IMPLEMENTATION. — 385
(a) Using a managed care model, The agency shall imple ment 386
a pilot program for individuals with developmental disabilities 387
in Statewide Medicaid Managed Care Regions D and I to provide 388
coverage of comprehensive services using a managed care model. 389
The agency may seek federal approval through a state plan 390
amendment or Medicaid waiver as necessary to implement the pilot 391
program. 392
(b) The agency shall administer the pilot program pursuant 393
to s. 409.903 and as a component of the Statewide Medicaid 394
Managed Care model established by this section. Unless otherwise 395
specified, ss. 409.961 -409.969 apply to the pilot program. The 396
agency may seek federal approval through a state plan amendment 397
or Medicaid waiver as necessary to implement the pilot program. 398
The agency shall submit a request for any federal approval 399
needed to implement the pilot program by September 1, 2023. 400
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(c) Pursuant to s. 409.963, the agency shall administer 401
the pilot program in consultation with the Agency for Persons 402
with Disabilities. 403
(c)(d) The agency shall make capitated payments to managed 404
care organizations for comprehensive coverage, including managed 405
medical assistance benefits and long -term care under this part 406
and community-based services described in s. 393.066(3) and 407
approved through the state's home and community -based services 408
Medicaid waiver program for individuals with developmental 409
disabilities. Unless otherwise specified, ss. 409.961 -409.969 410
apply to the pilot program . 411
(e) The agency shall evaluate the feasibility of statewide 412
implementation of the capitated managed care model use d by the 413
pilot program to serve individuals with developmental 414
disabilities. 415
(2) ELIGIBILITY; VOLUNTARY ENROLLMENT; DISENROLLMENT. — 416
(a) Participation in the pilot program is voluntary and 417
limited to the maximum number of enrollees specified in the 418
General Appropriations Act. 419
(b) To be eligible for enrollment in the pilot program, an 420
individual must: 421
(b) The Agency for Persons with Disabilities shall approve 422
a needs assessment methodology to determine functional, 423
behavioral, and physical needs of pr ospective enrollees. The 424
assessment methodology may be administered by persons who have 425
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completed such training as may be offered by the agency. 426
Eligibility to participate in the pilot program is determined 427
based on all of the following criteria: 428
1. Be Medicaid eligible. 429
1. Whether the individual is eligible for Medicaid. 430
2. Be Whether the individual is 18 years of age or older . 431
3. Have a developmental disability as defined in s. 432
393.063. 433
4. Be placed in any preenrollment category for individual 434
budget waiver services under chapter 393 and reside in Statewide 435
Medicaid Managed Care Regions D or I; effective October 1, 2025, 436
be placed in any preenrollment category for individual budget 437
waiver services under chapter 393 regardless of region; or, 438
effective July 1, 2026, be enrolled in the individual budget 439
waiver services program under chapter 393 or in the long -term 440
care managed care program under this part regardless of region 441
and is on the waiting list for individual budget waiver services 442
under chapter 393 and assigned to one of categories 1 through 6 443
as specified in s. 393.065(5) . 444
3. Whether the individual resides in a pilot program 445
region. 446
(c) The agency shall enroll individuals in the pilot 447
program based on verification that the individual has met the 448
criteria in paragraph (b). 449
1. The Agency for Persons with Disabilities shall transmit 450
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to the agency weekly data files of clients enrolled in the 451
Medicaid home and community -based services waiver program under 452
chapter 393 and clients in preenroll ment categories pursuant to 453
s. 393.065. The agency shall maintain a record of individuals 454
with developmental disabilities who may be eligible for the 455
pilot program using this data, Medicaid enrollment data 456
transmitted by the Department of Children and Fami lies, and any 457
available collateral data. 458
2. The agency shall determine and administer the process 459
for enrollment. A needs assessment conducted by the Agency for 460
Persons with Disabilities is not required for enrollment. The 461
agency shall notify individuals with developmental disabilities 462
of the opportunity to voluntarily enroll in the pilot program 463
and explain the benefits available through the pilot program, 464
the process for enrollment, and the procedures for 465
disenrollment, including the requirement for con tinued coverage 466
after disenrollment pursuant to paragraph (d). 467
3. The agency shall provide a call center staffed by 468
agents trained to assist individuals with developmental 469
disabilities and their families in learning about and enrolling 470
in the pilot program. 471
4. The agency shall coordinate with the Department of 472
Children and Families and the Agency for Persons with 473
Disabilities to develop partnerships with community -based 474
organizations to disseminate information about the pilot program 475
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to providers of covered services and potential enrollees. 476
(d) Notwithstanding any provisions of s. 393.065 to the 477
contrary, an enrollee must be afforded an opportunity to enroll 478
in any appropriate existing Medicaid waiver program if any of 479
the following conditions occur: 480
1. At any point during the operation of the pilot program, 481
an enrollee declares an intent to voluntarily disenroll, 482
provided that he or she has been covered for the entire previous 483
plan year by the pilot program. 484
2. The agency determines the enrollee ha s a good cause 485
reason to disenroll. 486
3. The pilot program ceases to operate. 487
488
Such enrollees must receive an individualized transition plan to 489
assist him or her in accessing sufficient services and supports 490
for the enrollee's safety, well -being, and continuity of care. 491
(3) PILOT PROGRAM BENEFITS. — 492
(a) Plans participating in the pilot program must, at a 493
minimum, cover the following: 494
1. All benefits included in s. 409.973. 495
2. All benefits included in s. 409.98. 496
3. All benefits included in s. 393.06 6(3). 497
4. Any additional benefits negotiated by the agency 498
pursuant to paragraph (4)(b) , and all of the following: 499
a. Adult day training . 500
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b. Behavior analysis services. 501
c. Behavior assistant services. 502
d. Companion services. 503
e. Consumable medical supplies. 504
f. Dietitian services. 505
g. Durable medical equipment and supplies. 506
h. Environmental accessibility adaptations. 507
i. Occupational therapy. 508
j. Personal emergency response systems. 509
k. Personal supports. 510
l. Physical therapy. 511
m. Prevocational services. 512
n. Private duty nursing. 513
o. Residential habilitation, including the following 514
levels: 515
(I) Standard level. 516
(II) Behavior-focused level. 517
(III) Intensive-behavior level. 518
(IV) Enhanced intensive -behavior level. 519
p. Residential nursing services. 520
q. Respiratory therapy. 521
r. Respite care. 522
s. Skilled nursing. 523
t. Specialized medical home care. 524
u. Specialized mental health counseling. 525
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v. Speech therapy. 526
w. Support coordination. 527
x. Supported employment. 528
y. Supported living coaching. 529
z. Transportation. 530
(b) All providers of the benefits services listed under 531
paragraph (a) must meet the provider qualifications established 532
by the agency for the Medicaid long -term care managed care 533
program under this section. If no s uch qualifications apply to a 534
specific benefit or provider type, the provider must meet the 535
provider qualifications established by the Agency for Persons 536
with Disabilities for the individual budget waiver services 537
program under chapter 393 outlined in the Florida Medicaid 538
Developmental Disabilities Individual Budgeting Waiver Services 539
Coverage and Limitations Handbook as adopted by reference in 540
rule 59G-13.070, Florida Administrative Code . 541
(c) Support coordination services must maximize the use of 542
natural supports and community partnerships. 543
(d) The plans participating in the pilot program must 544
provide all categories of benefits through a single, integrated 545
model of care. 546
(e) Participating plans must provide benefits services 547
must be provided to enrollees in accordance with an 548
individualized care plan which is evaluated and updated at least 549
quarterly and as warranted by changes in an enrollee's 550
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circumstances. Participating plans must conduct an 551
individualized assessment of each enrollee within 5 days af ter 552
enrollment to determine the enrollee's functional, behavioral, 553
and physical needs. The assessment method or instrument must be 554
approved by the agency. 555
(f) Participating plans must offer a consumer -directed 556
services option in accordance with s. 409.22 1. 557
(6) PROGRAM IMPLEMENTATION AND EVALUATION. — 558
(a) The agency shall conduct monitoring and evaluations 559
and require corrective actions or payment of penalties as may be 560
necessary to secure compliance with contractual requirements, 561
consistent with its ob ligations under this section, including, 562
but not limited to, compliance with provider network standards, 563
financial accountability, performance standards, health care 564
quality improvement systems, and program integrity select 565
participating plans and begin en rollment no later than January 566
31, 2024, with coverage for enrollees becoming effective upon 567
authorization and availability of sufficient state and federal 568
resources. 569
(b) Upon implementation of the program, the agency, in 570
consultation with the Agency for Persons with Disabilities, 571
shall conduct audits of the selected plans' implementation of 572
person-centered planning. 573
(b)(c) The agency, in consultation with the Agency for 574
Persons with Disabilities, shall submit progress reports to the 575
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Governor, the President of the Senate, and the Speaker of the 576
House of Representatives upon the federal approval, 577
implementation, and operation of the pilot program, as follows: 578
1. By August 30, 2025 December 31, 2023, a status report 579
on progress made toward federal approval of the waiver or waiver 580
amendment needed to implement the pilot program. 581
2. By December 31, 2025 2024, a status report on 582
implementation of the pilot program. 583
3. By December 31, 2025, and annually thereafter, a status 584
report on the operation of the pilot program, including, but not 585
limited to, all of the following: 586
a. Program enrollment, including the number and 587
demographics of enrollees. 588
b. Any complaints received. 589
c. Access to approved services. 590
(c)(d) The agency, in consultation wit h the Agency for 591
Persons with Disabilities, shall establish specific measures of 592
access, quality, and costs of the pilot program. The agency may 593
contract with an independent evaluator to conduct such 594
evaluation. The evaluation must include assessments of c ost 595
savings; consumer education, choice, and access to services; 596
plans for future capacity and the enrollment of new Medicaid 597
providers; coordination of care; person -centered planning and 598
person-centered well-being outcomes; health and quality -of-life 599
outcomes; and quality of care by each eligibility category and 600
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managed care plan in each pilot program site. The evaluation 601
must describe any administrative or legal barriers to the 602
implementation and operation of the pilot program in each 603
region. 604
1. The agency, in consultation with the Agency for Persons 605
with Disabilities, shall conduct quality assurance monitoring of 606
the pilot program to include client satisfaction with services, 607
client health and safety outcomes, client well -being outcomes, 608
and service delivery in accordance with the client's care plan. 609
2. The agency shall submit the results of the evaluation 610
to the Governor, the President of the Senate, and the Speaker of 611
the House of Representatives by October 1, 2029. 612
Section 5. This act shall take effect July 1, 2025. 613