Policy Area: EXECUTIVE LEADERSHIP AND SUPPORT SERVICES |
| ADJUSTMENTS TO COST RECOVERY FUNDS | | | | | | |
| | DIRECT BILLING FOR ADMINISTRATIVE HEARINGS | $0 | 0.00 | ($25,258) | 0.00 | $25,258 | 0.00 |
| ADJUSTMENTS TO CURRENT YEAR ESTIMATED EXPENDITURES | | | | | | |
| | AGENCY DISCRETIONARY PAY INCREASE FOR FY 2023-24 - EFFECTIVE 10/1/2023 | $0 | 0.00 | $332,983 | 0.00 | ($332,983) | 0.00 |
| | CORRECT FUNDING SOURCE IDENTIFIER FOR MEDICAID - ADD | $1,793,674 | 0.00 | $0 | 0.00 | $1,793,674 | 0.00 |
| | CORRECT FUNDING SOURCE IDENTIFIER FOR MEDICAID - DEDUCT | ($1,793,674) | 0.00 | $0 | 0.00 | ($1,793,674) | 0.00 |
| | CRITICAL SALARY MARKET ADJUSTMENTS CONTINUATION | $5,434,553 | 0.00 | $0 | 0.00 | $5,434,553 | 0.00 |
| | MEDICAID THIRD PARTY LIABILITY ACT SUPPORT | $10,130,102 | 0.00 | $0 | 0.00 | $10,130,102 | 0.00 |
| | REALIGNMENT OF OPERATING CAPITAL OUTLAY (OCO) BUDGET AUTHORITY - ADD | $266,657 | 0.00 | $0 | 0.00 | $266,657 | 0.00 |
| | REALIGNMENT OF OPERATING CAPITAL OUTLAY (OCO) BUDGET AUTHORITY - DEDUCT | ($266,657) | 0.00 | $0 | 0.00 | ($266,657) | 0.00 |
| ANNUALIZATION OF ADMINISTERED FUNDS APPROPRIATIONS | | | | | | |
| | ANNUALIZATION OF STATE HEALTH INSURANCE ADJUSTMENTS FOR FY 2024 - 25 - FIVE MONTHS OF ANNUALIZATION | $442,663 | 0.00 | $0 | 0.00 | $442,663 | 0.00 |
| ANNUALIZATION OF ISSUES PARTIALLY FUNDED IN PRIOR YEAR | | | | | | |
| | ANNUALIZATION OF AGENCY DISCRETIONARY PAY INCREASE FOR FY 2023-24 - THREE MONTHS ANNUALIZATION | $0 | 0.00 | $110,994 | 0.00 | ($110,994) | 0.00 |
| BUDGET REDUCTIONS | | | | | | |
| | BASE BUDGET REDUCTION | ($306,310) | 0.00 | $0 | 0.00 | ($306,310) | 0.00 |
| CONTAINING HEALTH CARE COSTS | | | | | | |
| | ACHIEVED SAVINGS REBATE PROGRAM REPORT | $0 | 0.00 | $1,000,000 | 0.00 | ($1,000,000) | 0.00 |
| ENSURING ACCESS TO CARE | | | | | | |
| | CMS MANDATORY ADULT BEHAVIORAL HEALTH AND CHILD CORE SET REPORTING | $880,254 | 0.00 | $0 | 0.00 | $880,254 | 0.00 |
| | FLORIDA MEDICAL SCHOOLS QUALITY NETWORK | $0 | 0.00 | $250,000 | 0.00 | ($250,000) | 0.00 |
| | INJUNCTION RELATED COMPLIANCE | $1,150,000 | 0.00 | $0 | 0.00 | $1,150,000 | 0.00 |
| | MEDICAID ENROLLEE HEALTH OUTCOMES AND SPENDING DATA STUDY | $0 | 0.00 | $3,100,000 | 0.00 | ($3,100,000) | 0.00 |
| | PRIVATE DUTY NURSING REDESIGN | $0 | 0.00 | $300,000 | 0.00 | ($300,000) | 0.00 |
| | STATEWIDE INPATIENT PSYCHIATRIC PROGRAM (SIPP) REDESIGN | $0 | 0.00 | $300,000 | 0.00 | ($300,000) | 0.00 |
| ESTIMATED EXPENDITURES | | | | | | |
| | ADJUSTMENT TO STATE HEALTH INSURANCE PREMIUM CONTRIBUTION - FY 2024-25 - EFFECTIVE 12/1/2024 | $619,728 | 0.00 | $619,728 | 0.00 | $0 | 0.00 |
| | CASUALTY INSURANCE PREMIUM ADJUSTMENT | $44,950 | 0.00 | $109,204 | 0.00 | ($64,254) | 0.00 |
| | ESTIMATED EXPENDITURES - OPERATIONS | $372,070,261 | 671.50 | $437,105,529 | 623.00 | ($65,035,268) | 48.50 |
| | FLORIDA RETIREMENT SYSTEM - PENSION PLAN BENEFIT ENHANCEMENTS FOR FY 2024-25 | $15,009 | 0.00 | $15,009 | 0.00 | $0 | 0.00 |
| | FLORIDA RETIREMENT SYSTEMS CONTRIBUTIONS FOR FY 2023-24 | $0 | 0.00 | $541,203 | 0.00 | ($541,203) | 0.00 |
| | REALLOCATION OF HUMAN RESOURCES OUTSOURCING | ($2,520) | 0.00 | $8,818 | 0.00 | ($11,338) | 0.00 |
| | SALARY INCREASE FOR FY 2024-25 - STATEWIDE PAY INCREASE - EFFECTIVE 7/1/2024 | $1,421,982 | 0.00 | $1,421,982 | 0.00 | $0 | 0.00 |
| | SALARY INCREASE FY 2023-24 - STATEWIDE 5% PAY INCREASE - EFFECTIVE 7/1/2023 | $0 | 0.00 | $1,964,130 | 0.00 | ($1,964,130) | 0.00 |
| FUND SHIFT | | | | | | |
| | TRANSFER FROM MEDICAL CARE TRUST FUND TO GENERAL REVENUE - ADD | $24,435,463 | 0.00 | $0 | 0.00 | $24,435,463 | 0.00 |
| | TRANSFER FROM MEDICAL CARE TRUST FUND TO GENERAL REVENUE - DEDUCT | ($24,435,463) | 0.00 | $0 | 0.00 | ($24,435,463) | 0.00 |
| HUMAN RESOURCE ASSESSMENT REDUCTION | | | | | | |
| | HUMAN RESOURCE ASSESSMENT REDUCTION | ($1,408) | 0.00 | $0 | 0.00 | ($1,408) | 0.00 |
| INTER-AGENCY REORGANIZATIONS | | | | | | |
| | TRANSFER CHILDREN'S MEDICAL SERVICES (CMS) MANAGED CARE CONTRACT TO AHCA - ADD | $423,000 | 4.00 | $0 | 0.00 | $423,000 | 4.00 |
| NONRECURRING EXPENDITURES | | | | | | |
| | ADDITIONAL FUNDING FOR THE MEDICAID PROGRAM | $0 | 0.00 | ($700,000) | 0.00 | $700,000 | 0.00 |
| | ASSESSMENT OF THE FLORIDA MEDICAID MANAGEMENT INFORMATION SYSTEM (FMMIS) | $0 | 0.00 | ($5,000,000) | 0.00 | $5,000,000 | 0.00 |
| | FLORIDA MEDICAID MANAGEMENT INFORMATION SYSTEM (FMMIS) | ($92,082,824) | 0.00 | ($182,611,993) | 0.00 | $90,529,169 | 0.00 |
| | FLORIDA MEDICAL SCHOOLS QUALITY NETWORK | ($250,000) | 0.00 | $0 | 0.00 | ($250,000) | 0.00 |
| | HEALTH CARE - CH 2024-15, LOF (SB 7016) | ($3,446,842) | 0.00 | $0 | 0.00 | ($3,446,842) | 0.00 |
| | HEALTH CARE SERVICES | ($15,000,000) | 0.00 | $0 | 0.00 | ($15,000,000) | 0.00 |
| | MEDICAID ENROLLEE HEALTH OUTCOMES AND SPENDING DATA STUDY | ($3,100,000) | 0.00 | $0 | 0.00 | ($3,100,000) | 0.00 |
| | PRIVATE DUTY NURSING REDESIGN | ($300,000) | 0.00 | $0 | 0.00 | ($300,000) | 0.00 |
| | SICKLE CELL DISEASE MEDICATIONS, TREATMENT, AND SCREENING CH 2023-258, LOF (SB 1352) | $0 | 0.00 | ($250,000) | 0.00 | $250,000 | 0.00 |
| | STAFF AUGMENTATION SERVICES | ($750,000) | 0.00 | $0 | 0.00 | ($750,000) | 0.00 |
| | STATEWIDE INPATIENT PSYCHIATRIC PROGRAM (SIPP) REDESIGN | ($300,000) | 0.00 | $0 | 0.00 | ($300,000) | 0.00 |
| | STATEWIDE MEDICAID MANAGED CARE PROCUREMENT SUPPORT | $0 | 0.00 | ($2,500,000) | 0.00 | $2,500,000 | 0.00 |
| PROGRAM OR SERVICE-LEVEL INFORMATION TECHNOLOGY | | | | | | |
| | FLORIDA MEDICAID MANAGEMENT INFORMATION SYSTEM (FMMIS) | $189,958,744 | 0.00 | $92,082,824 | 0.00 | $97,875,920 | 0.00 |
| PROJECT FUNDING | | | | | | |
| | HEALTH CARE SERVICES | $0 | 0.00 | $15,000,000 | 0.00 | ($15,000,000) | 0.00 |
| STATE FUNDING REDUCTIONS | | | | | | |
| | ELIMINATE EXCESS BUDGET AUTHORITY | $0 | 0.00 | ($1,000,000) | 0.00 | $1,000,000 | 0.00 |
| SUPPLEMENTAL APPROPRIATIONS | | | | | | |
| | HEALTH CARE - CH 2024-15, LOF (SB 7016) | $0 | 0.00 | $4,618,358 | 10.00 | ($4,618,358) | (10.00) |
| VETOED APPROPRIATIONS | | | | | | |
| | ACHIEVED SAVINGS REBATE PROGRAM REPORT | $0 | 0.00 | ($1,000,000) | 0.00 | $1,000,000 | 0.00 |
| WORKLOAD | | | | | | |
| | ADDITIONAL FUNDING FOR BEHAVIORAL HEALTH REDESIGN STAFFING | $0 | 0.00 | $26,006 | 0.00 | ($26,006) | 0.00 |
| | ADDITIONAL FUNDING FOR DUAL SPECIAL NEEDS PLAN (DSNP) STAFFING | $0 | 0.00 | $1,327,150 | 0.00 | ($1,327,150) | 0.00 |
| | ADDITIONAL FUNDING FOR FLORIDA HEALTH CARE CONNECTIONS (FX) STAFFING | $0 | 0.00 | $4,680,551 | 37.00 | ($4,680,551) | (37.00) |
| | ADDITIONAL FUNDING FOR LONG-TERM CARE FOR DEVELOPMENTAL DISABILITIES STAFFING | $0 | 0.00 | $70,854 | 0.00 | ($70,854) | 0.00 |
| | ADDITIONAL FUNDING FOR MEDICAID PROCUREMENT STAFFING | $0 | 0.00 | $143,840 | 0.00 | ($143,840) | 0.00 |
| | ADDITIONAL FUNDING FOR NURSING HOME AUDITS | $700,000 | 0.00 | $0 | 0.00 | $700,000 | 0.00 |
| | ADDITIONAL FUNDING FOR THE PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) STAFFING | $0 | 0.00 | $158,490 | 0.00 | ($158,490) | 0.00 |
| | FUNDING FOR INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES (ICF/IID) AUDITS | $260,000 | 0.00 | $0 | 0.00 | $260,000 | 0.00 |
| | INCREASE IN CONTRACTED SERVICES | $0 | 0.00 | $994,500 | 0.00 | ($994,500) | 0.00 |
| | INTELLECTUAL DEVELOPMENTAL DISABILITIES (IDD) PILOT EVALUATION | $360,000 | 0.00 | $0 | 0.00 | $360,000 | 0.00 |
| | STAFF AUGMENTATION SERVICES | $0 | 0.00 | $750,000 | 0.00 | ($750,000) | 0.00 |
| | STAFFING RESOURCES FOR INJUNCTION COMPLIANCE | $0 | 0.00 | $224,508 | 1.50 | ($224,508) | (1.50) |
Total Policy Area: EXECUTIVE LEADERSHIP AND SUPPORT SERVICES | $468,371,342 | 675.50 | $374,169,410 | 671.50 | $94,201,932 | 4.00 |