Senate Bill sb2110

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    Florida Senate - 2001                                  SB 2110

    By Senator Silver





    38-1109-01

  1                      A bill to be entitled

  2         An act relating to Medicaid; amending s.

  3         409.906, F.S.; providing that Medicaid will not

  4         provide reimbursement for dental services

  5         provided in mobile dental units, except for

  6         certain units; 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 Senate - 2001                                  SB 2110
    38-1109-01




  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 will not provide reimbursement for

  8  dental services provided in a mobile dental unit, except for a

  9  mobile dental unit:

10         (a)  Owned or operated by the Department of Health, in

11  compliance with the Medicaid County Health Department Clinic

12  Services program specifications as a County Health Department

13  provider.

14         (b)  Owned or operated by or under contract with a

15  Federally Qualified Health Center, in compliance with the

16  Medicaid Federally Qualified Health Center specifications as a

17  Federally Qualified Health Center provider.

18         (c)  That provides dental services to Medicaid

19  recipients, age 21 and over, at a nursing facility.

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

21  for diagnostic, preventive, or corrective procedures,

22  including orthodontia in severe cases, provided to a recipient

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

24  dentist.  Services provided under this program include

25  treatment of the teeth and associated structures of the oral

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

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

28  However, Medicaid will not provide reimbursement for dental

29  services provided in a mobile dental unit, except for a mobile

30  dental unit:

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    Florida Senate - 2001                                  SB 2110
    38-1109-01




  1         (a)  Owned or operated by the Department of Health, in

  2  compliance with the Medicaid County Health Department Clinic

  3  Services program specifications as a County Health Department

  4  provider.

  5         (b)  Owned or operated by or under contract with a

  6  Federally Qualified Health Center, in compliance with the

  7  Medicaid Federally Qualified Health Center specifications as a

  8  Federally Qualified Health Center provider.

  9         (c)  That provides dental services to Medicaid

10  recipients, age 21 and over, at a nursing facility.

11         Section 2.  This act shall take effect July 1, 2001.

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14                          SENATE SUMMARY

15    Provides that Medicaid will not reimburse for dental
      services provided in mobile dental health units, except
16    for certain units.

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