Senate Bill sb2650

    Florida Senate - 2003                                  SB 2650

    By Senator Bullard





    39-1563-03                                         See HB 1419

  1                      A bill to be entitled

  2         An act relating to elder dental care; amending

  3         s. 409.906, F.S.; authorizing the Agency for

  4         Health Care Administration to provide certain

  5         elder persons with Medicaid coverage for

  6         dentures and basic preventive dental care;

  7         providing an effective date.

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

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11         Section 1.  Subsection (1) of section 409.906, Florida

12  Statutes, is amended to read:

13         409.906  Optional Medicaid services.--Subject to

14  specific appropriations, the agency may make payments for

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

16  the Social Security Act and are furnished by Medicaid

17  providers to recipients who are determined to be eligible on

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

19  service that is provided shall be provided only when medically

20  necessary and in accordance with state and federal law.

21  Optional services rendered by providers in mobile units to

22  Medicaid recipients may be restricted or prohibited by the

23  agency. Nothing in this section shall be construed to prevent

24  or limit the agency from adjusting fees, reimbursement rates,

25  lengths of stay, number of visits, or number of services, or

26  making any other adjustments necessary to comply with the

27  availability of moneys and any limitations or directions

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

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

30  services to elderly and disabled persons and subject to the

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

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CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2003                                  SB 2650
    39-1563-03                                         See HB 1419




 1  direct the Agency for Health Care Administration to amend the

 2  Medicaid state plan to delete the optional Medicaid service

 3  known as "Intermediate Care Facilities for the Developmentally

 4  Disabled." Optional services may include:

 5         (1)  ADULT DENTAL AND DENTURE SERVICES.--The agency may

 6  pay for medically necessary, emergency dental procedures to

 7  alleviate pain or infection. Emergency dental care shall be

 8  limited to emergency oral examinations, necessary radiographs,

 9  extractions, and incision and drainage of abscess, for a

10  recipient who is age 21 or older. However, Medicaid will not

11  provide reimbursement for dental services provided in a mobile

12  dental unit, except for a mobile dental unit:

13         (a)  Owned by, operated by, or having a contractual

14  agreement with the Department of Health and complying with

15  Medicaid's county health department clinic services program

16  specifications as a county health department clinic services

17  provider.

18         (b)  Owned by, operated by, or having a contractual

19  arrangement with a federally qualified health center and

20  complying with Medicaid's federally qualified health center

21  specifications as a federally qualified health center

22  provider.

23         (c)  Rendering dental services to Medicaid recipients,

24  21 years of age and older, at nursing facilities.

25         (d)  Owned by, operated by, or having a contractual

26  agreement with a state-approved dental educational

27  institution.

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29  Notwithstanding the provisions of this subsection, the agency

30  may provide persons who are 65 or older, whose income is at or

31  below 88 percent of the federal poverty level, and whose

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    Florida Senate - 2003                                  SB 2650
    39-1563-03                                         See HB 1419




 1  assets do not exceed specified limitations Medicaid coverage

 2  for dentures and denture services and basic preventive dental

 3  care. Denture services shall consist of procedures to seat

 4  dentures and the repair and relining of dentures, provided by

 5  or under the direction of a licensed dentist. Basic preventive

 6  dental care shall consist of one nonemergency examination and

 7  one basic cleaning per year.

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

 9  law.

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CODING: Words stricken are deletions; words underlined are additions.