HOUSE AMENDMENT

                                                  Bill No. HB 1117

    Amendment No. 1 (for drafter's use only)

                            CHAMBER ACTION
              Senate                               House
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  5                                           ORIGINAL STAMP BELOW

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11  The Committee on Health Regulation offered the following:

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13         Amendment 

14         On page 2, line 2, after "objection"

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16  insert:

17         The initial examinations for detecting pediatric

18  congenital and ocular abnormalities in the newborn or infant

19  and any followup examinations required by law shall be a

20  covered benefit, reimbursable under Medicaid as an expense

21  compensated supplemental to the per diem rate for Medicaid

22  patients enrolled in MediPass or Medicaid patients covered by

23  a fee for service program. For Medicaid patients enrolled in

24  HMOs, providers shall be reimbursed directly by the Medicaid

25  Program Office at the Medicaid rate. This service may not be

26  considered a covered service for the purposes of establishing

27  the payment rate for Medicaid HMOs. All health insurance

28  policies and health maintenance organizations as provided

29  under ss. 627.6416, 627.6579, and 641.31(30), except for

30  supplemental policies that only provide coverage for specific

31  diseases, hospital indemnity, or Medicare supplement, or to

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    File original & 9 copies    02/12/02
    hcs0005                     02:35 pm         01117-hr  -152371




                                                   HOUSE AMENDMENT

                                                  Bill No. HB 1117

    Amendment No. 1 (for drafter's use only)





  1  the supplemental policies, shall compensate providers for the

  2  covered benefit as an expense compensated supplemental to the

  3  contracted rate. Nonhospital-based providers shall be eligible

  4  to bill Medicaid for the professional and technical component

  5  of each procedure code.

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    File original & 9 copies    02/12/02
    hcs0005                     02:35 pm         01117-hr  -152371