The below FAQs pertain to the One-Time Retention Payment for non-HCBS waiver providers. Please view all archived APRA FAQs here.
Question 1: Which providers are eligible for the one-time retention payment for non-HCBS waiver providers?
Eligible providers are defined as current, active Medicaid providers in good standing with Florida Medicaid, who billed claims and were reimbursed by MMA plans (not LTC plans) for the following Florida Medicaid provider fee schedules within the 7/1/2021 to 6/30/2022 timeframe.
- Assistive Care Services (PT 14)
- Community Behavioral Health (PT 05)
- Durable Medicaid Equipment (A, E, K, B and T codes only) (PT 90)
- Home Health Visit Services (PT 65)
- Personal Care Services (PT 65)
- Private Duty Nursing Services (PT 65)
Question 2: How were the rates calculated?
The one-time payment will be calculated based on 19 percentage increase applied to non-waiver Home and Community-Based Services (HCBS) claims for allowable services as described above, provided from July 1, 2021 through June 30, 2022.
Question 3: How did you choose provider types for the one-time retention payment for non-HCBS waiver providers?
Provider types were chosen to target non-waiver HCBS providers determined eligible per CMS guidance.
Question 4: When will I receive my funding for the one-time retention payment for non-HCBS waiver providers?
The Agency has requested that the plans disburse all funding by June 30, 2023.
Question 5: Why did I not receive funding for the one-time retention payment for non-HCBS waiver providers?
Eligible providers are defined as current providers contracted with a managed care plan who billed claims and were reimbursed by MMA plans for the following Florida Medicaid provider fee schedules within the 7/1/2021 to 6/30/2022 timeframe.
- Assistive Care Services (PT 14)
- Community Behavioral Health (PT 05)
- Durable Medicaid Equipment (A, E, K, B and T codes only) (PT 90)
- Home Health Visit Services (PT 65)
- Personal Care Services (PT 65)
- Private Duty Nursing Services (PT 65)
Question 6: How can I look up what plan will be disbursing my payment to ensure they have proper payment information?
Please refer to the
ARPA Plan Contacts
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113.9 kB
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list.
Question 7: Is there an application process for the one-time, non-HCBS waiver retention payment?
No. Eligible providers do not have to submit an application to the Agency and Managed Care plan to receive their one-time, non-HCBS retention payment.
Question 8: Are there any reporting requirements or stipulations tied to the one-time retention payment for non-HCBS waiver provider?
No. The Agency is not requiring any reporting requirements or stipulations tied to this specific funding.
Question 9: Are the one-time retention payments for non-HCBS waiver provider considered tax exempt?
Please contact your accountant for any tax related inquiries.
