Medicaid Reimbursement Per Diem Rates for Non ...
000141800-2010/07
Florida Agency for Health Care Administration
State of Florida Office of Medicaid Cost Reimbursement Planning and Analysis 2727 Mahan Drive-Mail Stop 21 Tallahassee, Florida 32308
Medicaid Reimbursement Per Diem Rates for Non-Institutional Providers
HCR Manor Care Services of Florida, Inc. Heartland Home Health Care and Hospice 8130 Baymeadows Way W Suite Jacksonville, FL 32256
Provider Number: Date:
Fiscal Year End: Audit Status:
000141800
07/02/2010 NIA NIA
Provider Type:
~
..
Current Rate New Rate Effective Date
Rural Health Clinic
I
Swing-Bed Provider
Federally Qualified Health Centers
I
X Hospice Provider
.-
#651 Routine Home Care
#652 Continuous Home Care
?
#655 Inpatient Respite Care
#656 General Inpatient Care
I
#659 Room and Board
$186.42
$187.87 07/0112010 I
..
Basis:
I IRate Type:
- - - Budget - - - Unaudited costs
- - - Desk audited costs - - - Field audited costs
Medicare - Prospective Payment System Rate
-':";""""
X Average Nursing Home Rate
- -X- - Prospective Total Prospective Prospective Adjusted for New Costs
- - - Interim Total Interim Settlement based on costs
Distribution:
Fiscal Agent Contract Management Permanent File Program Development:
W. Rydell Samuel, Administrato
Medicaid Cost Reimbursement Analys'
For information Only (No Change in rate)
V4.032
Report Calculated: 7121201 0 12:28:55PM Report Printed: 7/2/2010
000532400-2010/07
Florida Agency for Health Care Administration
State of Florida Office of Medicaid Cost Reimbursement Planning and Analysis 2727 Mahan Drive-Mail Stop 21 Tallahassee, Florida 32308
Medicaid Reimbursement Per Diem Rates for Non-Institutional Providers
Samaritan Care Hospice of Osceola, LLC Samaritan Care Hospice 1300 North Semoran Blvd., Ste 210 Orlando, FL 32807
Provider Number: Date:
Fiscal Year End: Audit Status:
000532400 07/02/2010
NIA NIA
I Provider Type:
I
Rural Health Clinic
!
Swing-Bed Provider
- - I
~' ......
Federally Qualified Health Centers
X Hospice Provider
i
#651 Routine Home Care
L i
#652 Continuous Home Care
#655 Inpatient Respite Care ....
#656 Generallnp.tient Care
_ ......
#659 Room and Board
......
.
I Current Rate New Rate Effective Date i
I
$191.05 $193.80 07/0112010
- - - Budget - - - Unaudited costs
- - - Desk audited costs - - - Field audited costs
Medicare - Prospective
-
=X -
APvaeyrmageentNSuyrsstienmg
Rate
Home
Rate
Rate Type:
- -X- - Prospective Total Prospective Prospective Adjusted for New Costs
- - - Interim
Total Interim Settlement based on costs
Distribution:
Fiscal Agent Contract Management Permanent File Program Development:
For information Only (No Change in rate)
Medicaid Cost Reimbursement Analys'
V4.032
Report Calculated: 7/2/2010 12:28:55PM Report Printed: 7/2/2010
000602600-2010/07
Florida Agency for Health Care Administration
State of Florida Office of Medicaid Cost Reimbursement Planning and Analysis 2727 Mahan Drive-Mail Stop 21 Tallahassee, Florida 32308
Medicaid Reimbursement Per Diem Rates for Non-Institutional Providers
Vitas Healthcare Corp of Central Florida Attn: Angela Santana 100 S. Biscayne Blvd Suite 1400 Miami, FL 33131
Provider Number: Date:
Fiscal Year End: Audit Status:
000602600 07/02/2010
NIA NIA
L!iovider Type:
~ Rural Health Clinic
Swing-Bed Provider
~FederallY Qualified Health Centers
X Hospice Provider
!
#651 Routine Home Care
!
L
#652 Continuous Home Care
#655 Inpatient Respite Care
1
I
#656 General Inpatient Care
I
#659 Room and Board
i Current Rate New Rate Effective Date
i
I
, .
i
I
$193.12 1 $195.61 I 07/0112010 i
Basis:
--
-- -- --
Budget Unaudited costs Desk audited costs Field audited costs Medicare - Prospective
Payment System Rate -~ X -Average Nursing Home Rate
I I Rate Type:
- -x-
Prospective Total Prospective Prospective Adjusted for New Costs
--
Interim Total Interim Settlement based on costs
Distribution:
Fiscal Agent Contract Management Pennanent File Program Development:
W. Rydell Samuel, Administrato
Medicaid Cost Reimbursement Analys'
For infonnation Only (No Change in rate)
V4.032
Report Calculated: 7/212010 12:28:55PM Report Printed: 71212010
001572800-2010/07
Florida Agency for Health Care Administration
State of Florida Office of Medicaid Cost Reimbursement Planning and Analysis 2727 Mahan Drive-Mail Stop 21 Tallahassee, Florida 32308
Medicaid Reimbursement Per Diem Rates for Non-Institutional Providers
Odyssey Health Care Miami-Dade
5755 Blue Lagoon Dr Suite 170 Miami, FL 33126
I Provider Type:
- _ .Rural Health Clinic
I
Swing-Bed Provider
Federally Qualified Health Centers
. - ..
Provider Number: Date:
Fiscal Year End: Audit Status:
001572800 07/0212010
NIA NIA
Current Rate New Rate Effective Date
i
i
X Hospice Provider
#65l Routine Home Care
i
#652 Continuous Home Care
I
#655 Inpatient Respite Care
i
i
~ ...
#656 General lpatient Care
i
#659 Room and Board
l
$l94.6l $l99.07 07/0lI2010
- - - Budget - - - Unaudited costs - - - Desk audited costs
- - Field audited costs Medicare - Prospective
...."vrn..,nT System Rate
-:;-;--
Nursing Home Rate
I I Rate Type :
- -x- - Prospective Total Prospective Prospective Adjusted for New Costs
- - - Interim Total Interim Settlement based on costs
Distribution:
Fiscal Agent Contract Management Permanent File Program Development:
For information Only (No Change in rate)
Medicaid Cost Reimbursement Analys'
V4.032
Report Calculated: 7/212010 12:28:55PM Report Printed: 712/2010
001636100-2010/07
Florida Agency for Health Care Administration
State of Florida Office of Medicaid Cost Reimbursement Planning and Analysis 2727 Mahan Drive-Mail Stop 21 Tallahassee, Florida 32308
Medicaid Reimbursement Per Diem Rates for Non-Institutional Providers
Regency Hospice ofNW Florida, Inc.
4900 Bayou Blvd., Ste 101 Pensacola, FL 32503
Provider Number: Date:
Fiscal Year End: Audit Status:
001636100 07/02/2010
NIA NIA
PrOVl?der Type: Rural Health Clinic Swing-Bed Provider
-_.
- - ...
..
'Current Rate I New Rate I Eff,ective Date I
!
Federally Qualified Health Centers
X Hospice Provider
~
#651 Routine Home Care
.-
#652 Continuous Home Care
#655 Inpatient Respite Care
i
i
i
I
#656 General Inpatient Care
#659 Room and Board
County: Escambia I ... ... ... -~-~-
--~-~-
I
$190.8...2-~.- .$1- 93... - 94~ i
07/0112010 .. -~-
Basis:
- - Budget
- - Unaudited costs
- - Desk audited costs
- - Field audited costs Medicare - Prospective X Payment System Rate Average Nursing Home Rate
- - - x Prospective Total Prospective Prospective Adjusted for New Costs
- - Interim Total Interim Settlement based on costs
Distribution:
Fiscal Agent Contract Management Permanent File Program Development
W. Rydell Samuel, Administrato
Medicaid Cost Reimbursement Analys?
For information Only (No Change in rate)
V4.032
Report Calculated: 712/2010 12:29:32PM Report Printed: 7/212010
087000500-2010/07
Florida Agency for Health Care Administration
State of Florida Office of Medicaid Cost Reimbursement Planning and Analysis 2727 Mahan Drive-Mail Stop 21 Tallahassee, Florida 32308
Medicaid Reimbursement Per Diem Rates for Non-Institutional Providers
Hospice ofLR.C.
1111 36th Street Vero Beach, FL 32960
Provider Number: Date:
Fiscal Year End: Audit Status:
087000500 07/02/2010
NIA NIA
Provider Type:
i
Rural Health Clinic
Swing-Bed Provider
i
!
Federally Qualified Health Centers
I X Hospice Provider
. #651 Routine Home Care
#652 Contmuous Home Care
#655 Inpatient Respite Care
#656 General Inpatient Care
Board
Current Rate New Rate Effective Date
i
i
$190.44 $195.63 07/0112010
Basis:
- - - Budget
- - - Unaudited costs
- - - Desk audited costs - - - Field audited costs
Medicare - Prospective Payment System Rate
-;-,--
I I Rate Type :
- -x- - Prospective Total Prospective Prospective Adjusted for New Costs
Total Interim Settlement based on costs
Distribution:
Fiscal Agent Contract Management Permanent File Program Development:
w. Rydell Samuel, Administrato
Medicaid Cost Reimbursement Analys'
For information Only (No Change in rate)
V4,032
Report Calculated: 7/2/2010 12:28:55PM Report Printed: 7/2/2010
087246600-2010/07
Florida Agency for Health Care Administration
State of Florida Office of Medicaid Cost Reimbursement Planning and Analysis 2727 Mahan Drive-Mail Stop 21 Tallahassee, Florida 32308
Medicaid Reimbursement Per Diem Rates for Non-Institutioual Providers
Vitas Healthcare Corporation - Dade County Attn: Angela Santana 100 S. Biscayne Blvd Suite 1400 Miami, FL 33131
Provider Number: Date:
Fiscal Year End: Audit Status:
087246600 07/0212010
N/A N/A
Provider Type:
i
! Current Rate New Rate i Effective Date!
Rural Health Clinic
Swing-Bed Provider
I
Federally Qualified Health Centers
i
i
X Hospice Provider
i
#651 Routine Home Care
i
I
#652 Continuous Home Care
i
#655 Inpatient Respite Care
I
i
#656 General Inpatient Care
i
I
#659 Room and Board
_ _ ....
..
$201.63 .. $203.80 I 07/01120iQj
- - - Unaudited costs
- - - Desk audited costs
- - - Field audited costs Medicare - Prospective
-
=X-
-
APvaeyrmageentNSuyrsstienmg
Rate Home
Rate
I I Rate Type:
- - - - x Prospective Total Prospective Prospective Adjusted for New Costs
Tota] Interim Settlement based on costs
Distribution:
Fiscal Agent Contract Management Permanent File Program Development:
W. Rydell Samuel, Administrato
Medicaid Cost Reimbursement Analys'
For information Only ( No Change in rate)
V4.032
Report Calculated: 7/2/2010 12:28:55PM Report Printed: 7/2/2010
087255500-2010/07
Florida Agency for Health Care Administration
State of Florida Office of Medicaid Cost Reimbursement Planning and Analysis 2727 Mahan Drive-Mail Stop 21 Tallahassee, Florida 32308
Medicaid Reimbursement Per Diem Rates for Non-Institutional Providers
St. Francis Hospice
1250-B Grumman Place Titusville, FL 32780 Provider Type:
Provider Number: Date:
Fiscal Year End: Audit Status:
087255500 07/02/2010
NIA NIA
_ _ ......
...._ - -....
Current Rate New Rate I Effective Date
Rural Health Clinic
i
Swing-Bed Provider
i
I
Federally Qualified Health Centers
X Hospice Provider
i
#651 Routine Home Care
I
#652 Continuous Home Care
!
#655 Inpatient Respite Care
General Inpatient Care
i
i
:
Room and Board
$184.39 $192.57 07/01/2010 !
Basis:
- - - Budget
- - - Unaudited costs
- - - Desk audited costs - - - Field audited costs
Medicare - Prospective
-
=X -
APvaeyrmageentNSuyrsstienmg
Rate Home
Rate
I I Rate Type:
- -X- - Prospective Total Prospective Prospective Adjusted for New Costs
Interim
Distribution:
Fiscal Agent Contract Management Permanent File Program Development:
For information Only (No Change in rate)
W. Rydell Samuel, Administrato
Medicaid Cost Reimbursement Analys'
V4.032
Report Calculated: 7/2/2010 12:28:55PM Report Printed: 7/2/2010
................
................
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