| 1 | Representative(s) Garcia offered the following: |
| 2 |
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| 3 | Amendment (with directory and title amendments) |
| 4 | Between lines 994 and 995, insert: |
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| 6 | (51) By July 1, 2005, the agency shall develop a plan for |
| 7 | implementing the delivery of comprehensive vision care services |
| 8 | to Medicaid recipients through a capitated prepaid arrangement. |
| 9 | The plan shall include contracting with a private entity or |
| 10 | entities to provide for the comprehensive vision care services |
| 11 | through a capitated prepaid arrangement. However, the entity |
| 12 | must: |
| 13 | (a) Be licensed under chapter 627. |
| 14 | (b) Have sufficient financial resources. |
| 15 | (c) Have a contracted provider network that has statewide |
| 16 | coverage. |
| 17 | (d) Have experience in providing medical and surgical |
| 18 | vision care services. |
| 19 | (e) Have experience with the implementation of large |
| 20 | statewide contracts. As used in this section, the term "vision |
| 21 | care services" means covered vision services, including routine, |
| 22 | medical, and surgical vision care services that are available to |
| 23 | Medicaid recipients. If necessary, the agency shall seek federal |
| 24 | approval to contract with a single entity meeting these |
| 25 | requirements to provide vision care services to all Medicaid |
| 26 | recipients. The entity must offer sufficient choice of providers |
| 27 | within its network to ensure access to care for the recipient |
| 28 | and the opportunity to select a provider with whom the recipient |
| 29 | is satisfied. |
| 30 |
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| 31 | =========== D I R E C T O R Y A M E N D M E N T ========== |
| 32 | Remove line 703 and insert: |
| 33 | 409.912, Florida Statutes, is amended, and subsections (50) and |
| 34 | (51) are |
| 35 |
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| 36 | ================ T I T L E A M E N D M E N T ============= |
| 37 | Remove line 22 and insert: |
| 38 | inclusive care for certain children; requiring a plan for |
| 39 | comprehensive vision care services; amending s. 409.9122, |