Fla. Stat. 409.9118
Disproportionate share program for specialty hospitals


(1)

The following formula shall be used by the agency to calculate the total amount earned for hospitals that participate under this section:

TAE = (MD/TMD) x TA

Where:

TAE = total amount earned by a specialty hospital.

TA = total appropriation for payments to hospitals that qualify under this program.

MD = total Medicaid days for each qualifying hospital.

TMD = total Medicaid days for all hospitals that qualify under this program.

(2)

In order to receive payments under this section, a hospital must be licensed in accordance with part I of chapter 395, to participate in the Florida Title XIX program, and meet the following requirements:Be certified or certifiable to be a provider of Title XVIII services.Receive inpatient clients through referrals or admissions from county public health departments, as defined in chapter 154.Require a diagnosis for the control of active tuberculosis or a history of noncompliance with prescribed drug regimens for the treatment of tuberculosis for admissions for inpatient treatment.Retain a contract with the Department of Health to accept clients for admission and inpatient treatment pursuant to s. 392.62.

(a)

Be certified or certifiable to be a provider of Title XVIII services.

(b)

Receive inpatient clients through referrals or admissions from county public health departments, as defined in chapter 154.

(c)

Require a diagnosis for the control of active tuberculosis or a history of noncompliance with prescribed drug regimens for the treatment of tuberculosis for admissions for inpatient treatment.

(d)

Retain a contract with the Department of Health to accept clients for admission and inpatient treatment pursuant to s. 392.62.

Source: Section 409.9118 — Disproportionate share program for specialty hospitals, https://www.­flsenate.­gov/Laws/Statutes/2024/0409.­9118 (accessed Aug. 7, 2025).

409.901
Definitions
409.902
Designated single state agency
409.903
Mandatory payments for eligible persons
409.904
Optional payments for eligible persons
409.905
Mandatory Medicaid services
409.906
Optional Medicaid services
409.907
Medicaid provider agreements
409.908
Reimbursement of Medicaid providers
409.909
Statewide Medicaid Residency Program
409.910
Responsibility for payments on behalf of Medicaid-eligible persons when other parties are liable
409.911
Disproportionate share program
409.912
Cost-effective purchasing of health care
409.913
Oversight of the integrity of the Medicaid program
409.914
Assistance for the uninsured
409.915
County contributions to Medicaid
409.916
Grants and Donations Trust Fund
409.918
Public Medical Assistance Trust Fund
409.919
Rules
409.920
Medicaid provider fraud
409.9021
Forfeiture of eligibility agreement
409.9025
Eligibility while an inmate
409.9062
Lung transplant services for Medicaid recipients
409.9063
Coverage of continuous glucose monitors for Medicaid recipients
409.9066
Medicare prescription discount program
409.9071
Medicaid provider agreements for school districts certifying state match
409.9072
Medicaid provider agreements for charter schools and private schools
409.9081
Copayments
409.9082
Quality assessment on nursing home facility providers
409.9083
Quality assessment on privately operated intermediate care facilities for the developmentally disabled
409.9101
Recovery for payments made on behalf of Medicaid-eligible persons
409.9102
A qualified state Long-Term Care Insurance Partnership Program in Florida
409.9113
Disproportionate share program for teaching hospitals
409.9115
Disproportionate share program for mental health hospitals
409.9116
Disproportionate share/financial assistance program for rural hospitals
409.9118
Disproportionate share program for specialty hospitals
409.9119
Disproportionate share program for specialty hospitals for children
409.9121
Legislative findings and intent
409.9122
Medicaid managed care enrollment
409.9123
Quality-of-care reporting
409.9126
Children with special health care needs
409.9127
Preauthorization and concurrent utilization review
409.9128
Requirements for providing emergency services and care
409.9131
Special provisions relating to integrity of the Medicaid program
409.9132
Pilot project to monitor home health services
409.9133
Pilot project for home health care management
409.9134
Agency to distinguish certain services as to skilled home health services
409.9201
Medicaid fraud
409.9203
Rewards for reporting Medicaid fraud
409.9205
Medicaid Fraud Control Unit
409.90201
Recipient address update process
409.90637
Agency to seek federal approval for coverage and reimbursement authority for mobile crisis response services
409.90638
Agency to seek federal approval to implement acute hospital care at home program in state Medicaid program
409.91151
Expenditure of funds generated through mental health disproportionate share program
409.91188
Specialty prepaid health plans for Medicaid recipients with HIV or AIDS
409.91195
Medicaid Pharmaceutical and Therapeutics Committee
409.91196
Supplemental rebate agreements
409.91206
Alternatives for health and long-term care reforms
409.91212
Medicaid managed care fraud
409.91235
Agency review and report on medications, treatments, and services for sickle cell disease
409.91255
Federally qualified health center access program
409.91256
Training, Education, and Clinicals in Health (TEACH) Funding Program

Current through Fall 2025

§ 409.9118. Disproportionate share program for specialty hospitals's source at flsenate​.gov