| 1 | A bill to be entitled |
| 2 | An act relating to Medicaid; amending s. 409.906, F.S.; |
| 3 | authorizing the Agency for Health Care Administration to |
| 4 | pay for certain visual services prescribed to Medicaid |
| 5 | recipients regardless of age; providing an appropriation; |
| 6 | providing an effective date. |
| 7 |
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| 8 | Be It Enacted by the Legislature of the State of Florida: |
| 9 |
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| 10 | Section 1. Subsection (23) 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 | (23) CHILDREN'S VISUAL SERVICES.--The agency may pay for |
| 35 | visual examinations, eyeglasses, and eyeglass repairs for a |
| 36 | recipient younger than 21 years of age, if they are prescribed |
| 37 | by a licensed physician specializing in diseases of the eye or |
| 38 | by a licensed optometrist. Eyeglasses for adult recipients shall |
| 39 | be limited to one pair every 2 years. |
| 40 | Section 2. There are hereby appropriated the sums of |
| 41 | $3,038,915 from the General Revenue Fund, $4,353,236 from the |
| 42 | Medical Care Trust Fund, and $241,802 from the Refugee |
| 43 | Assistance Trust Fund to the Agency for Health Care |
| 44 | Administration for the 2005-2006 fiscal year to provide adult |
| 45 | vision services to Medicaid recipients. |
| 46 | Section 3. This act shall take effect July 1, 2005. |