Senate Bill 1336
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Florida Senate - 2000 SB 1336
By Senator Diaz-Balart
37-1011-00
1 A bill to be entitled
2 An act relating to Medicaid eligibility
3 determinations; amending s. 409.901, F.S.;
4 amending definitions of terms used in ss.
5 409.901-409.920, F.S.; amending s. 409.902,
6 F.S.; providing that the Department of Children
7 and Family Services is responsible for Medicaid
8 eligibility determinations; amending s.
9 409.903, F.S.; specifying duties of the
10 Department of Children and Family Services and
11 of the Social Security Administration; amending
12 s. 409.919, F.S.; granting the Department of
13 Children and Family Services rulemaking
14 authority for determination of Medicaid
15 eligibility; providing an effective date.
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17 Be It Enacted by the Legislature of the State of Florida:
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19 Section 1. Subsections (3), (15) and (18) of section
20 409.901, Florida Statutes, are amended to read:
21 409.901 Definitions.--As used in ss. 409.901-409.920,
22 except as otherwise specifically provided, the term:
23 (3) "Applicant" means an individual whose written
24 application for medical assistance provided by Medicaid under
25 ss. 409.903-409.906 has been submitted to the Department of
26 Children and Family Services (or to the Social Security
27 Administration if applying for Supplemental Security Income)
28 agency, but has not received final action. This term includes
29 an individual, who need not be alive at the time of
30 application, whose application is submitted through a
31 representative or a person acting for the individual.
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Florida Senate - 2000 SB 1336
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1 (15) "Medicaid program" means the program authorized
2 under Title XIX of the federal Social Security Act which
3 provides for payments for medical items or services, or both,
4 on behalf of any person who is determined by the Department of
5 Children and Family Services, or, for Supplemental Security
6 Income, by the Social Security Administration, to be eligible
7 on the date of service for Medicaid assistance.
8 (18) "Medicaid recipient" or "recipient" means an
9 individual whom the Department of Children and Family
10 Services, or, for Supplemental Security Income, the Social
11 Security Administration, determines is eligible, pursuant to
12 federal and state law, to receive medical assistance and
13 related services for which the agency may make payments under
14 the Medicaid program. For the purposes of determining
15 third-party liability, the term includes an individual
16 formerly determined to be eligible for Medicaid, an individual
17 who has received medical assistance under the Medicaid
18 program, or an individual on whose behalf Medicaid has become
19 obligated.
20 Section 2. Section 409.902, Florida Statutes, is
21 amended to read:
22 409.902 Designated single state agency; payment
23 requirements; program title.--
24 (1) The Agency for Health Care Administration is
25 designated as the single state agency authorized to make
26 payments for medical assistance and related services under
27 Title XIX of the Social Security Act. These payments shall be
28 made, subject to any limitations or directions provided for in
29 the General Appropriations Act, only for services included in
30 the program, shall be made only on behalf of eligible
31 individuals, and shall be made only to qualified providers in
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Florida Senate - 2000 SB 1336
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1 accordance with federal requirements for Title XIX of the
2 Social Security Act and the provisions of state law. This
3 program of medical assistance is designated the "Medicaid
4 program."
5 (2) The Department of Children and Family Services is
6 responsible for Medicaid eligibility determinations, including
7 policy, rules, and the agreement with the Social Security
8 Administration for Medicaid eligibility determinations for
9 Supplemental Security Income recipients, as well as the actual
10 determination of eligibility.
11 Section 3. Section 409.903, Florida Statutes, is
12 amended to read:
13 409.903 Mandatory payments for eligible persons.--The
14 agency shall make payments for medical assistance and related
15 services on behalf of the following persons whom the
16 Department of Children and Family Services, or the Social
17 Security Administration by contract with the Department of
18 Children and Family Services, who the agency determines to be
19 eligible, subject to the income, assets, and categorical
20 eligibility tests set forth in federal and state law. Payment
21 on behalf of these Medicaid eligible persons is subject to the
22 availability of moneys and any limitations established by the
23 General Appropriations Act or chapter 216.
24 Section 4. Section 409.919, Florida Statutes, is
25 amended to read:
26 409.919 Rules.--The agency shall adopt any rules
27 necessary to comply with or administer ss. 409.901-409.920 and
28 all rules necessary to comply with federal requirements. In
29 addition, the Department of Children and Family Services shall
30 adopt and accept transfer of any rules that are necessary for
31 assuring compliance with or for administering ss.
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Florida Senate - 2000 SB 1336
37-1011-00
1 409.901-409.904, s. 409.906, and any other provisions
2 necessary to the determination of Medicaid eligibility.
3 Section 5. This act shall take effect upon becoming a
4 law.
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7 SENATE SUMMARY
8 Relates to Medicaid eligibility determinations. Redefines
the terms "applicant," "Medicaid program," and "Medicaid
9 recipient," as used in ss. 409.901-409.920, F.S. Provides
that the Department of Children and Family Services is
10 responsible for Medicaid eligibility determinations.
Specifies duties of the department and of the Social
11 Security Administration. Provides the department with
rulemaking authority for the determination of Medicaid
12 eligibility.
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