1. Board of County Commissioners
Special Meeting
May 1, 2012
9:00 A.M.
School Board Administrative Complex

2. Objectives To Update and Inform To Prepare Problem Solving Strategies
To Prepare for FY12-13 Budget

5. Medicaid Issues

6. Retrospective Billing Process

7. Retrospective Billing Process
Encompasses billings from November through April 2012.
Each county will be receiving an updated file of their claims through March 31, 2012 with the additional fields that were requested added.
The Agency will notify each county their amount due for these retrospective billings on August 1. The Agency will certify the billings to the Department of Revenue on September 15, 2012.

8. Prospective Billing Process

9. Prospective Billing Process
Beginning May 1, 2012 the law requires the Agency to certify by the 7th of each month.
Section 12 of House Bill 5301 gives the Agency for Health Care Administration the ability to adopt rules for implementation. The Agency plans to promulgate a rule whereby monthly certifications are made for the month two months prior to the certification.

10. Prospective Billing Process
The Agency is required to certify billings on May 7. In keeping with the 60-day cycle, on May 7, the Agency will be certifying $0.00 as March claims are captured in the retrospective billing process.
Looking forward, on June 7, the Agency will certify the amount owed from April billings.
Starting May 2, the counties will be able to view their April billings in the Medicaid county billing module.

11. Additional Information

12. Additional Information
The Agency is currently coding our system with the revised implementation plan and plans to schedule webinar training with county billing staff the week of May 14.
Counties who would like to pay for their billings can do so ahead of certification. All payments received by Finance and Accounting two days before the Agency certification date will be reduced from the total amount certified to the Department of Revenue for withholding of county revenue sharing.

13. Florida Retirement System

15. Code Enforcement

17. Veterans Service

19. Information Technology Department Expansion and Additions

20. Review of Equipment & Resources
280 network users
233 computer desktops
36 servers
21 perimeter network devices
VOIP communications provided to 400+ users
9 interconnects to internet service providers
29 mobile data terminals
16 remote department maintained
2 staff (Network Specialist & Web Developer)

22. Being Short Staffed….
Increased end user wait times and reduced workflow.
Increased overtime hours.
Preventative maintenance to desktops, servers and printers do not get completed in a timely manner.
Backup and Recovery quality assurance suffers.
Necessary network upgrades and maintenance do not get completed in a timely manner.
No testing prior to deploying new software. (New applications get rushed into production)
Proper attention to Information security suffers.

23. Montgomery Building Renovations

27. Meeting Room

31. Department Reorganization

33. Unfunded Leave Liability

37. Lake Shore Hospital Access Road Project

38. NE WASHINGTON ST
NE HERNANDO AVE
LAKE
DESOTO
NE PATTERSON AVE
US 90

40. Lake Shore Hospital 2011 Budget Impact
Taxes (BCC Only) $
79,845.10
City of Lake City CRA
39,665.00
40,180.10