HB 1419 2003
1	A bill to be entitled
2	An act relating to elder dental care; amending s.
3	409.906, F.S.; authorizing the Agency for Health Care
4	Administration to provide certain elder persons with
5	Medicaid coverage for dentures and basic preventive
6	dental care; providing an effective date.
7
8	Be It Enacted by the Legislature of the State of Florida:
9
10	Section 1. Subsection (1) of section 409.906, Florida
11	Statutes, is amended to read:
12	409.906 Optional Medicaid services.--Subject to specific
13	appropriations, the agency may make payments for services which
14	are optional to the state under Title XIX of the Social Security
15	Act and are furnished by Medicaid providers to recipients who
16	are determined to be eligible on the dates on which the services
17	were provided. Any optional service that is provided shall be
18	provided only when medically necessary and in accordance with
19	state and federal law. Optional services rendered by providers
20	in mobile units to Medicaid recipients may be restricted or
21	prohibited by the agency. Nothing in this section shall be
22	construed to prevent or limit the agency from adjusting fees,
23	reimbursement rates, lengths of stay, number of visits, or
24	number of services, or making any other adjustments necessary to
25	comply with the availability of moneys and any limitations or
26	directions provided for in the General Appropriations Act or
27	chapter 216. If necessary to safeguard the state's systems of
28	providing services to elderly and disabled persons and subject
29	to the notice and review provisions of s. 216.177, the Governor
30	may direct the Agency for Health Care Administration to amend
31	the Medicaid state plan to delete the optional Medicaid service
32	known as "Intermediate Care Facilities for the Developmentally
33	Disabled." Optional services may include:
34	(1) ADULT DENTAL AND DENTURESERVICES.--The agency may pay
35	for medically necessary, emergency dental procedures to
36	alleviate pain or infection. Emergency dental care shall be
37	limited to emergency oral examinations, necessary radiographs,
38	extractions, and incision and drainage of abscess, for a
39	recipient who is age 21 or older. However, Medicaid will not
40	provide reimbursement for dental services provided in a mobile
41	dental unit, except for a mobile dental unit:
42	(a) Owned by, operated by, or having a contractual
43	agreement with the Department of Health and complying with
44	Medicaid's county health department clinic services program
45	specifications as a county health department clinic services
46	provider.
47	(b) Owned by, operated by, or having a contractual
48	arrangement with a federally qualified health center and
49	complying with Medicaid's federally qualified health center
50	specifications as a federally qualified health center provider.
51	(c) Rendering dental services to Medicaid recipients, 21
52	years of age and older, at nursing facilities.
53	(d) Owned by, operated by, or having a contractual
54	agreement with a state-approved dental educational institution.
55
56	Notwithstanding the provisions of this subsection, the agency
57	may provide persons who are 65 or older, whose income is at or
58	below 88 percent of the federal poverty level, and whose assets
59	do not exceed specified limitations Medicaid coverage for
60	dentures and denture services and basic preventive dental care.
61	Denture services shall consist of procedures to seat dentures
62	and the repair and relining of dentures, provided by or under
63	the direction of a licensed dentist. Basic preventive dental
64	care shall consist of one nonemergency examination and one basic
65	cleaning per year.
66	Section 2. This act shall take effect upon becoming a law.