2 3. Fiscal Impact Analysis Complete Fiscal Impact Analysis of proposed expansion of FL PEMT Program; Rate Setting/Actuarial Projections for passing through payments into MCO premiums All historical utilization, patient revenue and supplemental payment information (requested through FOIA) 4. Determine the Financing Mechanism for the state share of the Managed Care payment Determine details/mechanics for executing the chosen financing mechanism (Intergovernmental Transfer has been mentioned, but need to determine legal requirements) Legislative authority or other local/state policies may need to be addressed 5. Submit form to AHCA for review Draft language to outline terms of payment arrangement and performance criteria. Feedback from providers on final draft 6. AHCA submits preprint form to CMS for approval AHCA to respond to CMS Questions and update form as needed to obtain approval. Feedback from providers as changes are proposed. Currently, we have completed step 1: Agreement from AHCA to submit the Preprint Form and have addressed parts of step 4, but now we need to determine how to best complete the remaining steps so that AHCA has what it needs to complete the Preprint Form.