HOUSE AMENDMENT
                                                  Bill No. HB 1371
    Amendment No. ___ (for drafter's use only)
                            CHAMBER ACTION
              Senate                               House
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11  The Committee on Health & Human Services Appropriations
12  offered the following:
13  
14         Substitute Amendment for Amendment (984261) (with title
15  amendment) 
16  Remove from the bill:  Everything after the enacting clause
17  
18  and insert in lieu thereof:  
19         Section 1.  Section 409.905, Florida Statutes, is
20  amended to read:
21         409.905  Mandatory Medicaid services.--The agency may
22  make payments for the following services, which are required
23  of the state by Title XIX of the Social Security Act,
24  furnished by Medicaid providers to recipients who are
25  determined to be eligible on the dates on which the services
26  were provided.  Any service under this section shall be
27  provided only when medically necessary and in accordance with
28  state and federal law. Mandatory services rendered by
29  providers in mobile units to Medicaid recipients may be
30  restricted by the agency. Nothing in this section shall be
31  construed to prevent or limit the agency from adjusting fees,
                                  1
    File original & 9 copies    04/24/01                          
    hap0011                     02:23 pm         01371-hhsa-733335

HOUSE AMENDMENT Bill No. HB 1371 Amendment No. ___ (for drafter's use only) 1 reimbursement rates, lengths of stay, number of visits, number 2 of services, or any other adjustments necessary to comply with 3 the availability of moneys and any limitations or directions 4 provided for in the General Appropriations Act or chapter 216. 5 (1) ADVANCED REGISTERED NURSE PRACTITIONER 6 SERVICES.--The agency shall pay for services provided to a 7 recipient by a licensed advanced registered nurse practitioner 8 who has a valid collaboration agreement with a licensed 9 physician on file with the Department of Health or who 10 provides anesthesia services in accordance with established 11 protocol required by state law and approved by the medical 12 staff of the facility in which the anesthetic service is 13 performed. Reimbursement for such services must be provided in 14 an amount that equals not less than 80 percent of the 15 reimbursement to a physician who provides the same services, 16 unless otherwise provided for in the General Appropriations 17 Act. 18 (2) EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND 19 TREATMENT SERVICES.--The agency shall pay for early and 20 periodic screening and diagnosis of a recipient under age 21 21 to ascertain physical and mental problems and conditions and 22 provide treatment to correct or ameliorate these problems and 23 conditions. These services include all services determined by 24 the agency to be medically necessary for the treatment, 25 correction, or amelioration of these problems, including 26 personal care, private duty nursing, durable medical 27 equipment, physical therapy, occupational therapy, speech 28 therapy, respiratory therapy, and immunizations. 29 (3) FAMILY PLANNING SERVICES.--The agency shall pay 30 for services necessary to enable a recipient voluntarily to 31 plan family size or to space children. These services include 2 File original & 9 copies 04/24/01 hap0011 02:23 pm 01371-hhsa-733335
HOUSE AMENDMENT Bill No. HB 1371 Amendment No. ___ (for drafter's use only) 1 information; education; counseling regarding the availability, 2 benefits, and risks of each method of pregnancy prevention; 3 drugs and supplies; and necessary medical care and followup. 4 Each recipient participating in the family planning portion of 5 the Medicaid program must be provided freedom to choose any 6 alternative method of family planning, as required by federal 7 law. 8 (4) HOME HEALTH CARE SERVICES.--The agency shall pay 9 for nursing and home health aide services, supplies, 10 appliances, and durable medical equipment, necessary to assist 11 a recipient living at home. An entity that provides services 12 pursuant to this subsection shall be licensed under part IV of 13 chapter 400 or part II of chapter 499, if appropriate. These 14 services, equipment, and supplies, or reimbursement therefor, 15 may be limited as provided in the General Appropriations Act 16 and do not include services, equipment, or supplies provided 17 to a person residing in a hospital or nursing facility. In 18 providing home health care services, the agency may require 19 prior authorization of care based on diagnosis. 20 (5) HOSPITAL INPATIENT SERVICES.--The agency shall pay 21 for all covered services provided for the medical care and 22 treatment of a recipient who is admitted as an inpatient by a 23 licensed physician or dentist to a hospital licensed under 24 part I of chapter 395. However, the agency shall limit the 25 payment for inpatient hospital services for a Medicaid 26 recipient 21 years of age or older to 45 days or the number of 27 days necessary to comply with the General Appropriations Act. 28 (a) The agency is authorized to implement 29 reimbursement and utilization management reforms in order to 30 comply with any limitations or directions in the General 31 Appropriations Act, which may include, but are not limited to: 3 File original & 9 copies 04/24/01 hap0011 02:23 pm 01371-hhsa-733335
HOUSE AMENDMENT Bill No. HB 1371 Amendment No. ___ (for drafter's use only) 1 prior authorization for inpatient psychiatric days; enhanced 2 utilization and concurrent review programs for highly utilized 3 services; reduction or elimination of covered days of service; 4 adjusting reimbursement ceilings for variable costs; adjusting 5 reimbursement ceilings for fixed and property costs; and 6 implementing target rates of increase. 7 (b) A licensed hospital maintained primarily for the 8 care and treatment of patients having mental disorders or 9 mental diseases is not eligible to participate in the hospital 10 inpatient portion of the Medicaid program except as provided 11 in federal law. However, the department shall apply for a 12 waiver, within 9 months after June 5, 1991, designed to 13 provide hospitalization services for mental health reasons to 14 children and adults in the most cost-effective and lowest cost 15 setting possible. Such waiver shall include a request for the 16 opportunity to pay for care in hospitals known under federal 17 law as "institutions for mental disease" or "IMD's." The 18 waiver proposal shall propose no additional aggregate cost to 19 the state or Federal Government, and shall be conducted in 20 Hillsborough County, Highlands County, Hardee County, Manatee 21 County, and Polk County. The waiver proposal may incorporate 22 competitive bidding for hospital services, comprehensive 23 brokering, prepaid capitated arrangements, or other mechanisms 24 deemed by the department to show promise in reducing the cost 25 of acute care and increasing the effectiveness of preventive 26 care. When developing the waiver proposal, the department 27 shall take into account price, quality, accessibility, 28 linkages of the hospital to community services and family 29 support programs, plans of the hospital to ensure the earliest 30 discharge possible, and the comprehensiveness of the mental 31 health and other health care services offered by participating 4 File original & 9 copies 04/24/01 hap0011 02:23 pm 01371-hhsa-733335
HOUSE AMENDMENT Bill No. HB 1371 Amendment No. ___ (for drafter's use only) 1 providers. 2 (c) Agency for Health Care Administration shall adjust 3 a hospital's current inpatient per diem rate to reflect the 4 cost of serving the Medicaid population at that institution 5 if: 6 1. The hospital experiences an increase in Medicaid 7 caseload by more than 25 percent in any year, primarily 8 resulting from the closure of a hospital in the same service 9 area occurring after July 1, 1995; or 10 2. The hospital's Medicaid per diem rate is at least 11 25 percent below the Medicaid per patient cost for that year. 12 13 No later than November 1, 2000, the agency must provide 14 estimated costs for any adjustment in a hospital inpatient per 15 diem pursuant to this paragraph to the Executive Office of the 16 Governor, the House of Representatives General Appropriations 17 Committee, and the Senate Budget Committee. Before the agency 18 implements a change in a hospital's inpatient per diem rate 19 pursuant to this paragraph, the Legislature must have 20 specifically appropriated sufficient funds in the 2001-2002 21 General Appropriations Act to support the increase in cost as 22 estimated by the agency. This paragraph is repealed on July 1, 23 2001. 24 (6) HOSPITAL OUTPATIENT SERVICES.--The agency shall 25 pay for preventive, diagnostic, therapeutic, or palliative 26 care and other services provided to a recipient in the 27 outpatient portion of a hospital licensed under part I of 28 chapter 395, and provided under the direction of a licensed 29 physician or licensed dentist, except that payment for such 30 care and services is limited to $1,500 per state fiscal year 31 per recipient, unless an exception has been made by the 5 File original & 9 copies 04/24/01 hap0011 02:23 pm 01371-hhsa-733335
HOUSE AMENDMENT Bill No. HB 1371 Amendment No. ___ (for drafter's use only) 1 agency, and with the exception of a Medicaid recipient under 2 age 21, in which case the only limitation is medical 3 necessity. 4 (7) INDEPENDENT LABORATORY SERVICES.--The agency shall 5 pay for medically necessary diagnostic laboratory procedures 6 ordered by a licensed physician or other licensed practitioner 7 of the healing arts which are provided for a recipient in a 8 laboratory that meets the requirements for Medicare 9 participation and is licensed under chapter 483, if required. 10 (8) NURSING FACILITY SERVICES.--The agency shall pay 11 for 24-hour-a-day nursing and rehabilitative services for a 12 recipient in a nursing facility licensed under part II of 13 chapter 400 or in a rural hospital, as defined in s. 395.602, 14 or in a Medicare certified skilled nursing facility operated 15 by a hospital, as defined by s. 395.002(11), that is licensed 16 under part I of chapter 395, and in accordance with provisions 17 set forth in s. 409.908(2)(a), which services are ordered by 18 and provided under the direction of a licensed physician. 19 However, if a nursing facility has been destroyed or otherwise 20 made uninhabitable by natural disaster or other emergency and 21 another nursing facility is not available, the agency must pay 22 for similar services temporarily in a hospital licensed under 23 part I of chapter 395 provided federal funding is approved and 24 available. 25 (9) PHYSICIAN SERVICES.--The agency shall pay for 26 covered services and procedures rendered to a recipient by, or 27 under the personal supervision of, a person licensed under 28 state law to practice medicine or osteopathic medicine. These 29 services may be furnished in the physician's office, the 30 Medicaid recipient's home, a hospital, a nursing facility, or 31 elsewhere, but shall be medically necessary for the treatment 6 File original & 9 copies 04/24/01 hap0011 02:23 pm 01371-hhsa-733335
HOUSE AMENDMENT Bill No. HB 1371 Amendment No. ___ (for drafter's use only) 1 of an injury, illness, or disease within the scope of the 2 practice of medicine or osteopathic medicine as defined by 3 state law. The agency shall not pay for services that are 4 clinically unproven, experimental, or for purely cosmetic 5 purposes. 6 (10) PORTABLE X-RAY SERVICES.--The agency shall pay 7 for professional and technical portable radiological services 8 ordered by a licensed physician or other licensed practitioner 9 of the healing arts which are provided by a licensed 10 professional in a setting other than a hospital, clinic, or 11 office of a physician or practitioner of the healing arts, on 12 behalf of a recipient. 13 (11) RURAL HEALTH CLINIC SERVICES.--The agency shall 14 pay for outpatient primary health care services for a 15 recipient provided by a clinic certified by and participating 16 in the Medicare program which is located in a federally 17 designated, rural, medically underserved area and has on its 18 staff one or more licensed primary care nurse practitioners or 19 physician assistants, and a licensed staff supervising 20 physician or a consulting supervising physician. 21 (12) TRANSPORTATION SERVICES.--The agency shall ensure 22 that appropriate transportation services are available for a 23 Medicaid recipient in need of transport to a qualified 24 Medicaid provider for medically necessary and 25 Medicaid-compensable services, provided a client's ability to 26 choose a specific transportation provider shall be limited to 27 those options resulting from policies established by the 28 agency to meet the fiscal limitations of the General 29 Appropriations Act. The agency may pay for transportation and 30 other related travel expenses as necessary only if these 31 services are not otherwise available. 7 File original & 9 copies 04/24/01 hap0011 02:23 pm 01371-hhsa-733335
HOUSE AMENDMENT Bill No. HB 1371 Amendment No. ___ (for drafter's use only) 1 Section 2. Section 409.906, Florida Statutes, is 2 amended to read: 3 409.906 Optional Medicaid services.--Subject to 4 specific appropriations, the agency may make payments for 5 services which are optional to the state under Title XIX of 6 the Social Security Act and are furnished by Medicaid 7 providers to recipients who are determined to be eligible on 8 the dates on which the services were provided. Any optional 9 service that is provided shall be provided only when medically 10 necessary and in accordance with state and federal law. 11 Optional services rendered by providers in mobile units to 12 Medicaid recipients may be restricted or prohibited by the 13 agency. Nothing in this section shall be construed to prevent 14 or limit the agency from adjusting fees, reimbursement rates, 15 lengths of stay, number of visits, or number of services, or 16 making any other adjustments necessary to comply with the 17 availability of moneys and any limitations or directions 18 provided for in the General Appropriations Act or chapter 216. 19 If necessary to safeguard the state's systems of providing 20 services to elderly and disabled persons and subject to the 21 notice and review provisions of s. 216.177, the Governor may 22 direct the Agency for Health Care Administration to amend the 23 Medicaid state plan to delete the optional Medicaid service 24 known as "Intermediate Care Facilities for the Developmentally 25 Disabled." Optional services may include: 26 (1) ADULT DENTURE SERVICES.--The agency may pay for 27 dentures, the procedures required to seat dentures, and the 28 repair and reline of dentures, provided by or under the 29 direction of a licensed dentist, for a recipient who is age 21 30 or older. However, Medicaid will not provide reimbursement for 31 dental services provided in a mobile dental unit, except for a 8 File original & 9 copies 04/24/01 hap0011 02:23 pm 01371-hhsa-733335
HOUSE AMENDMENT Bill No. HB 1371 Amendment No. ___ (for drafter's use only) 1 mobile dental unit: 2 (a) Owned by, operated by, or having a contractual 3 agreement with the Department of Health and complying with 4 Medicaid's county health department clinic services program 5 specifications as a county health department clinic services 6 provider. 7 (b) Owned by, operated by, or having a contractual 8 arrangement with a federally qualified health center and 9 complying with Medicaid's federally qualified health center 10 specifications as a federally qualified health center 11 provider. 12 (c) Rendering dental services to Medicaid recipients, 13 21 years of age and older, at nursing facilities. 14 (d) Owned by, operated by, or having a contractual 15 agreement with a state-approved dental educational 16 institution. 17 (2) ADULT HEALTH SCREENING SERVICES.--The agency may 18 pay for an annual routine physical examination, conducted by 19 or under the direction of a licensed physician, for a 20 recipient age 21 or older, without regard to medical 21 necessity, in order to detect and prevent disease, disability, 22 or other health condition or its progression. 23 (3) AMBULATORY SURGICAL CENTER SERVICES.--The agency 24 may pay for services provided to a recipient in an ambulatory 25 surgical center licensed under part I of chapter 395, by or 26 under the direction of a licensed physician or dentist. 27 (4) BIRTH CENTER SERVICES.--The agency may pay for 28 examinations and delivery, recovery, and newborn assessment, 29 and related services, provided in a licensed birth center 30 staffed with licensed physicians, certified nurse midwives, 31 and midwives licensed in accordance with chapter 467, to a 9 File original & 9 copies 04/24/01 hap0011 02:23 pm 01371-hhsa-733335
HOUSE AMENDMENT Bill No. HB 1371 Amendment No. ___ (for drafter's use only) 1 recipient expected to experience a low-risk pregnancy and 2 delivery. 3 (5) CASE MANAGEMENT SERVICES.--The agency may pay for 4 primary care case management services rendered to a recipient 5 pursuant to a federally approved waiver, and targeted case 6 management services for specific groups of targeted 7 recipients, for which funding has been provided and which are 8 rendered pursuant to federal guidelines. The agency is 9 authorized to limit reimbursement for targeted case management 10 services in order to comply with any limitations or directions 11 provided for in the General Appropriations Act. 12 Notwithstanding s. 216.292, the Department of Children and 13 Family Services may transfer general funds to the Agency for 14 Health Care Administration to fund state match requirements 15 exceeding the amount specified in the General Appropriations 16 Act for targeted case management services. 17 (6) CHILDREN'S DENTAL SERVICES.--The agency may pay 18 for diagnostic, preventive, or corrective procedures, 19 including orthodontia in severe cases, provided to a recipient 20 under age 21, by or under the supervision of a licensed 21 dentist. Services provided under this program include 22 treatment of the teeth and associated structures of the oral 23 cavity, as well as treatment of disease, injury, or impairment 24 that may affect the oral or general health of the individual. 25 However, Medicaid will not provide reimbursement for dental 26 services provided in a mobile dental unit, except for a mobile 27 dental unit: 28 (a) Owned by, operated by, or having a contractual 29 agreement with the Department of Health and complying with 30 Medicaid's county health department clinic services program 31 specifications as a county health department clinic services 10 File original & 9 copies 04/24/01 hap0011 02:23 pm 01371-hhsa-733335
HOUSE AMENDMENT Bill No. HB 1371 Amendment No. ___ (for drafter's use only) 1 provider. 2 (b) Owned by, operated by, or having a contractual 3 arrangement with a federally qualified health center and 4 complying with Medicaid's federally qualified health center 5 specifications as a federally qualified health center 6 provider. 7 (c) Rendering dental services to Medicaid recipients, 8 21 years of age and older, at nursing facilities. 9 (d) Owned by, operated by, or having a contractual 10 agreement with a state-approved dental educational 11 institution. 12 (7) CHIROPRACTIC SERVICES.--The agency may pay for 13 manual manipulation of the spine and initial services, 14 screening, and X rays provided to a recipient by a licensed 15 chiropractic physician. 16 (8) COMMUNITY MENTAL HEALTH SERVICES.--The agency may 17 pay for rehabilitative services provided to a recipient by a 18 mental health or substance abuse provider licensed by the 19 agency and under contract with the agency or the Department of 20 Children and Family Services to provide such services. Those 21 services which are psychiatric in nature shall be rendered or 22 recommended by a psychiatrist, and those services which are 23 medical in nature shall be rendered or recommended by a 24 physician or psychiatrist. The agency must develop a provider 25 enrollment process for community mental health providers which 26 bases provider enrollment on an assessment of service need. 27 The provider enrollment process shall be designed to control 28 costs, prevent fraud and abuse, consider provider expertise 29 and capacity, and assess provider success in managing 30 utilization of care and measuring treatment outcomes. 31 Providers will be selected through a competitive procurement 11 File original & 9 copies 04/24/01 hap0011 02:23 pm 01371-hhsa-733335
HOUSE AMENDMENT Bill No. HB 1371 Amendment No. ___ (for drafter's use only) 1 or selective contracting process. In addition to other 2 community mental health providers, the agency shall consider 3 for enrollment mental health programs licensed under chapter 4 395 and group practices licensed under chapter 458, chapter 5 459, chapter 490, or chapter 491. The agency is also 6 authorized to continue operation of its behavioral health 7 utilization management program and may develop new services if 8 these actions are necessary to ensure savings from the 9 implementation of the utilization management system. The 10 agency shall coordinate the implementation of this enrollment 11 process with the Department of Children and Family Services 12 and the Department of Juvenile Justice. The agency is 13 authorized to utilize diagnostic criteria in setting 14 reimbursement rates, to preauthorize certain high-cost or 15 highly utilized services, to limit or eliminate coverage for 16 certain services, or to make any other adjustments necessary 17 to comply with any limitations or directions provided for in 18 the General Appropriations Act. 19 (9) DIALYSIS FACILITY SERVICES.--Subject to specific 20 appropriations being provided for this purpose, the agency may 21 pay a dialysis facility that is approved as a dialysis 22 facility in accordance with Title XVIII of the Social Security 23 Act, for dialysis services that are provided to a Medicaid 24 recipient under the direction of a physician licensed to 25 practice medicine or osteopathic medicine in this state, 26 including dialysis services provided in the recipient's home 27 by a hospital-based or freestanding dialysis facility. 28 (10) DURABLE MEDICAL EQUIPMENT.--The agency may 29 authorize and pay for certain durable medical equipment and 30 supplies provided to a Medicaid recipient as medically 31 necessary. 12 File original & 9 copies 04/24/01 hap0011 02:23 pm 01371-hhsa-733335
HOUSE AMENDMENT Bill No. HB 1371 Amendment No. ___ (for drafter's use only) 1 (11) HEALTHY START SERVICES.--The agency may pay for a 2 continuum of risk-appropriate medical and psychosocial 3 services for the Healthy Start program in accordance with a 4 federal waiver. The agency may not implement the federal 5 waiver unless the waiver permits the state to limit enrollment 6 or the amount, duration, and scope of services to ensure that 7 expenditures will not exceed funds appropriated by the 8 Legislature or available from local sources. If the Health 9 Care Financing Administration does not approve a federal 10 waiver for Healthy Start services, the agency, in consultation 11 with the Department of Health and the Florida Association of 12 Healthy Start Coalitions, is authorized to establish a 13 Medicaid certified-match program for Healthy Start services. 14 Participation in the Healthy Start certified-match program 15 shall be voluntary, and reimbursement shall be limited to the 16 federal Medicaid share to Medicaid-enrolled Healthy Start 17 coalitions for services provided to Medicaid recipients. The 18 agency shall take no action to implement a certified-match 19 program without ensuring that the amendment and review 20 requirements of ss. 216.177 and 216.181 have been met. 21 (12) HEARING SERVICES.--The agency may pay for hearing 22 and related services, including hearing evaluations, hearing 23 aid devices, dispensing of the hearing aid, and related 24 repairs, if provided to a recipient by a licensed hearing aid 25 specialist, otolaryngologist, otologist, audiologist, or 26 physician. 27 (13) HOME AND COMMUNITY-BASED SERVICES.--The agency 28 may pay for home-based or community-based services that are 29 rendered to a recipient in accordance with a federally 30 approved waiver program. 31 (14) HOSPICE CARE SERVICES.--The agency may pay for 13 File original & 9 copies 04/24/01 hap0011 02:23 pm 01371-hhsa-733335
HOUSE AMENDMENT Bill No. HB 1371 Amendment No. ___ (for drafter's use only) 1 all reasonable and necessary services for the palliation or 2 management of a recipient's terminal illness, if the services 3 are provided by a hospice that is licensed under part VI of 4 chapter 400 and meets Medicare certification requirements. 5 (15) INTERMEDIATE CARE FACILITY FOR THE 6 DEVELOPMENTALLY DISABLED SERVICES.--The agency may pay for 7 health-related care and services provided on a 24-hour-a-day 8 basis by a facility licensed and certified as a Medicaid 9 Intermediate Care Facility for the Developmentally Disabled, 10 for a recipient who needs such care because of a developmental 11 disability. 12 (16) INTERMEDIATE CARE SERVICES.--The agency may pay 13 for 24-hour-a-day intermediate care nursing and rehabilitation 14 services rendered to a recipient in a nursing facility 15 licensed under part II of chapter 400, if the services are 16 ordered by and provided under the direction of a physician. 17 (17) OPTOMETRIC SERVICES.--The agency may pay for 18 services provided to a recipient, including examination, 19 diagnosis, treatment, and management, related to ocular 20 pathology, if the services are provided by a licensed 21 optometrist or physician. 22 (18) PHYSICIAN ASSISTANT SERVICES.--The agency may pay 23 for all services provided to a recipient by a physician 24 assistant licensed under s. 458.347 or s. 459.022. 25 Reimbursement for such services must be not less than 80 26 percent of the reimbursement that would be paid to a physician 27 who provided the same services. 28 (19) PODIATRIC SERVICES.--The agency may pay for 29 services, including diagnosis and medical, surgical, 30 palliative, and mechanical treatment, related to ailments of 31 the human foot and lower leg, if provided to a recipient by a 14 File original & 9 copies 04/24/01 hap0011 02:23 pm 01371-hhsa-733335
HOUSE AMENDMENT Bill No. HB 1371 Amendment No. ___ (for drafter's use only) 1 podiatric physician licensed under state law. 2 (20) PRESCRIBED DRUG SERVICES.--The agency may pay for 3 medications that are prescribed for a recipient by a physician 4 or other licensed practitioner of the healing arts authorized 5 to prescribe medications and that are dispensed to the 6 recipient by a licensed pharmacist or physician in accordance 7 with applicable state and federal law. 8 (21) REGISTERED NURSE FIRST ASSISTANT SERVICES.--The 9 agency may pay for all services provided to a recipient by a 10 registered nurse first assistant as described in s. 464.027. 11 Reimbursement for such services may not be less than 80 12 percent of the reimbursement that would be paid to a physician 13 providing the same services. 14 (22) STATE HOSPITAL SERVICES.--The agency may pay for 15 all-inclusive psychiatric inpatient hospital care provided to 16 a recipient age 65 or older in a state mental hospital. 17 (23) VISUAL SERVICES.--The agency may pay for visual 18 examinations, eyeglasses, and eyeglass repairs for a 19 recipient, if they are prescribed by a licensed physician 20 specializing in diseases of the eye or by a licensed 21 optometrist. 22 (24) CHILD-WELFARE-TARGETED CASE MANAGEMENT.--The 23 Agency for Health Care Administration, in consultation with 24 the Department of Children and Family Services, may establish 25 a targeted case-management pilot project in those counties 26 identified by the Department of Children and Family Services 27 and for the community-based child welfare project in Sarasota 28 and Manatee counties, as authorized under s. 409.1671. These 29 projects shall be established for the purpose of determining 30 the impact of targeted case management on the child welfare 31 program and the earnings from the child welfare program. 15 File original & 9 copies 04/24/01 hap0011 02:23 pm 01371-hhsa-733335
HOUSE AMENDMENT Bill No. HB 1371 Amendment No. ___ (for drafter's use only) 1 Results of the pilot projects shall be reported to the Child 2 Welfare Estimating Conference and the Social Services 3 Estimating Conference established under s. 216.136. The number 4 of projects may not be increased until requested by the 5 Department of Children and Family Services, recommended by the 6 Child Welfare Estimating Conference and the Social Services 7 Estimating Conference, and approved by the Legislature. The 8 covered group of individuals who are eligible to receive 9 targeted case management include children who are eligible for 10 Medicaid; who are between the ages of birth through 21; and 11 who are under protective supervision or postplacement 12 supervision, under foster-care supervision, or in shelter care 13 or foster care. The number of individuals who are eligible to 14 receive targeted case management shall be limited to the 15 number for whom the Department of Children and Family Services 16 has available matching funds to cover the costs. The general 17 revenue funds required to match the funds for services 18 provided by the community-based child welfare projects are 19 limited to funds available for services described under s. 20 409.1671. The Department of Children and Family Services may 21 transfer the general revenue matching funds as billed by the 22 Agency for Health Care Administration. 23 Section 3. This act shall take effect July 1, 2001. 24 25 26 ================ T I T L E A M E N D M E N T =============== 27 And the title is amended as follows: 28 On page 1, lines 2 through 6 29 remove from the title of the bill: all of said lines 30 31 and insert in lieu thereof: 16 File original & 9 copies 04/24/01 hap0011 02:23 pm 01371-hhsa-733335
HOUSE AMENDMENT Bill No. HB 1371 Amendment No. ___ (for drafter's use only) 1 An act relating to Medicaid services; amending 2 s. 409.905, F.S.; providing that the Agency for 3 Health Care Administration may restrict the 4 provision of mandatory services by mobile 5 providers; amending s. 409.906, F.S.; providing 6 that the agency may restrict or prohibit the 7 provision of services by mobile providers; 8 providing that Medicaid will not provide 9 reimbursement for dental services provided in 10 mobile dental units, except for certain units; 11 providing an effective date. 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 17 File original & 9 copies 04/24/01 hap0011 02:23 pm 01371-hhsa-733335