House Bill hb1371

    Florida House of Representatives - 2001                HB 1371

        By Representative Betancourt






  1                      A bill to be entitled

  2         An act relating to optional Medicaid services;

  3         amending s. 409.906, F.S.; restricting Medicaid

  4         reimbursement for adult denture and children's

  5         dental services rendered in a mobile dental

  6         unit; providing an effective date.

  7

  8  Be It Enacted by the Legislature of the State of Florida:

  9

10         Section 1.  Subsections (1) and (6) of section 409.906,

11  Florida Statutes, are amended to read:

12         409.906  Optional Medicaid services.--Subject to

13  specific appropriations, the agency may make payments for

14  services which are optional to the state under Title XIX of

15  the Social Security Act and are furnished by Medicaid

16  providers to recipients who are determined to be eligible on

17  the dates on which the services were provided.  Any optional

18  service that is provided shall be provided only when medically

19  necessary and in accordance with state and federal law.

20  Nothing in this section shall be construed to prevent or limit

21  the agency from adjusting fees, reimbursement rates, lengths

22  of stay, number of visits, or number of services, or making

23  any other adjustments necessary to comply with the

24  availability of moneys and any limitations or directions

25  provided for in the General Appropriations Act or chapter 216.

26  If necessary to safeguard the state's systems of providing

27  services to elderly and disabled persons and subject to the

28  notice and review provisions of s. 216.177, the Governor may

29  direct the Agency for Health Care Administration to amend the

30  Medicaid state plan to delete the optional Medicaid service

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    Florida House of Representatives - 2001                HB 1371

    573-150-01






  1  known as "Intermediate Care Facilities for the Developmentally

  2  Disabled."  Optional services may include:

  3         (1)  ADULT DENTURE SERVICES.--The agency may pay for

  4  dentures, the procedures required to seat dentures, and the

  5  repair and reline of dentures, provided by or under the

  6  direction of a licensed dentist, for a recipient who is age 21

  7  or older. However, Medicaid reimbursement shall not be

  8  provided for dental treatment rendered in a mobile dental

  9  unit, regardless of location, with the following exceptions:

10         (a)  A mobile dental unit owned or operated by the

11  Department of Health, complying with Medicaid's county health

12  department clinic services program specifications as a county

13  health department clinic services provider.

14         (b)  A mobile dental unit owned by, operated by, or

15  having a contractual arrangement with a federally qualified

16  health center, complying with Medicaid's federally qualified

17  health center specifications as a federally qualified health

18  center provider.

19         (c)  A mobile dental unit rendering dental services to

20  Medicaid recipients, 21 years of age and older, at nursing

21  facilities.

22         (6)  CHILDREN'S DENTAL SERVICES.--The agency may pay

23  for diagnostic, preventive, or corrective procedures,

24  including orthodontia in severe cases, provided to a recipient

25  under age 21, by or under the supervision of a licensed

26  dentist.  Services provided under this program include

27  treatment of the teeth and associated structures of the oral

28  cavity, as well as treatment of disease, injury, or impairment

29  that may affect the oral or general health of the individual.

30  However, Medicaid reimbursement shall not be provided for

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    Florida House of Representatives - 2001                HB 1371

    573-150-01






  1  dental treatment rendered in a mobile dental unit, regardless

  2  of location, with the following exceptions:

  3         (a)  A mobile dental unit owned or operated by the

  4  Department of Health, complying with Medicaid's county health

  5  department clinic services program specifications as a county

  6  health department clinic services provider.

  7         (b)  A mobile dental unit owned by, operated by, or

  8  having a contractual arrangement with a federally qualified

  9  health center, complying with Medicaid's federally qualified

10  health center specifications as a federally qualified health

11  center provider.

12         (c)  A mobile dental unit rendering dental services to

13  Medicaid recipients, 21 years of age and older, at nursing

14  facilities.

15         Section 2.  This act shall take effect upon becoming a

16  law.

17

18            *****************************************

19                          HOUSE SUMMARY

20
      Limits Medicaid reimbursement of adult denture or
21    children's dental services rendered in a mobile dental
      unit to services provided to Medicaid specifications in
22    units owned or operated by the Department of Health
      providing county health department clinic services; units
23    owned or operated by, or contracted with, a federally
      qualified health center; or units rendering dental
24    services at nursing facilities to Medicaid recipients age
      21 and older.
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