Low Income Pool for Central Receiving Systems Update

OBHA Staff

Good News! The final milestone to implement the Low Income Pool (LIP) for Behavioral Health providers was reached on April 17 when AHCA received approval from federal CMS on the Revised Funding Methodology Document (RFMD) that includes Behavioral Health providers (central receiving systems) in Florida’s LIP.   AHCA has already initiated the invoicing process and providers are expected to receive payment before June 30.  We are excited to have the opportunity to demonstrate the positive impact this will have on the system of care statewide.

This lengthy process began over three years ago with the hiring and collaboration of Health Management Consultants (HMA) on revenue maximization language. At the conclusion of the 2018 session (March) LIP proviso was agreed upon and accepted by the legislature, written into the GAA, and signed by the Governor. AHCA had to submit the 1115 Waiver Amendment and obtain CMS approval. Then One BH staff worked to get a state budget amendment passed by the Joint Legislative Budget Commission after the CMS approval.  Finally AHCA received the RFMD approval by CMS to implement the behavioral health LIP payments in April.