Florida Statutes
Part III - Medicaid (Ss. 409.901-409.9205)
409.9072 - Medicaid provider agreements for charter schools and private schools.


(1) Subject to a specific appropriation by the Legislature, the agency shall reimburse private schools as defined in s. 1002.01 and schools designated as charter schools under s. 1002.33 which are Medicaid providers for school-based services pursuant to the rehabilitative services option provided under 42 U.S.C. s. 1396d(a)(13) to children younger than 21 years of age with specified disabilities who are eligible for both Medicaid and part B or part H of the Individuals with Disabilities Education Act (IDEA) or the exceptional student education program, or who have an individualized educational plan.
(2) Schools that wish to enroll as Medicaid providers and receive Medicaid reimbursement under this section must apply to the agency for a provider agreement and must agree to:
(a) Verify Medicaid eligibility. The agency shall work cooperatively with a private school or a charter school that is a Medicaid provider to facilitate the school’s verification of Medicaid eligibility.
(b) Develop and maintain the financial and individual education plan records needed to document the appropriate use of state and federal Medicaid funds.
(c) Comply with all state and federal Medicaid laws, rules, regulations, and policies, including, but not limited to, those related to the confidentiality of records and freedom of choice of providers.
(d) Be responsible for reimbursing the cost of any state or federal disallowance that results from failure to comply with state or federal Medicaid laws, rules, or regulations.

(3) The types of school-based services for which schools may be reimbursed under this section are those included in s. 1011.70(1). Private schools and charter schools may not be reimbursed by the agency for providing services that are excluded by that subsection.
(4) Within 90 days after a private school or a charter school applies to enroll as a Medicaid provider under this section, the agency may conduct a review to ensure that the school has the capability to comply with its responsibilities under subsection (2). A finding by the agency that the school has the capability to comply does not relieve the school of its responsibility to correct any deficiencies or to reimburse the cost of the state or federal disallowances identified pursuant to any subsequent state or federal audits.
(5) For reimbursements to private schools and charter schools under this section, the agency shall apply the reimbursement schedule developed under s. 409.9071(5). Health care practitioners engaged by a school to provide services under this section must be enrolled as Medicaid providers and meet the qualifications specified under 42 C.F.R. s. 440.110, as applicable. Each school’s continued participation in providing Medicaid services under this section is contingent upon the school providing to the agency an annual accounting of how the Medicaid reimbursements are used.
(6) For Medicaid provider agreements issued under this section, the agency’s and the school’s confidentiality is waived in relation to the state’s efforts to control Medicaid fraud. The agency and the school shall provide any information or documents relating to this section to the Medicaid Fraud Control Unit in the Department of Legal Affairs, upon request, pursuant to the Attorney General’s authority under s. 409.920.
History.—s. 18, ch. 2016-65.

Structure Florida Statutes

Florida Statutes

Title XXX - Social Welfare

Chapter 409 - Social and Economic Assistance

Part III - Medicaid (Ss. 409.901-409.9205)

409.901 - Definitions; ss. 409.901-409.920.

409.902 - Designated single state agency; payment requirements; program title; release of medical records.

409.90201 - Recipient address update process.

409.9021 - Forfeiture of eligibility agreement.

409.9025 - Eligibility while an inmate.

409.903 - Mandatory payments for eligible persons.

409.904 - Optional payments for eligible persons.

409.905 - Mandatory Medicaid services.

409.906 - Optional Medicaid services.

409.9062 - Lung transplant services for Medicaid recipients.

409.9066 - Medicare prescription discount program.

409.907 - Medicaid provider agreements.

409.9071 - Medicaid provider agreements for school districts certifying state match.

409.9072 - Medicaid provider agreements for charter schools and private schools.

409.908 - Reimbursement of Medicaid providers.

409.9081 - Copayments.

409.9082 - Quality assessment on nursing home facility providers; exemptions; purpose; federal approval required; remedies.

409.9083 - Quality assessment on privately operated intermediate care facilities for the developmentally disabled; exemptions; purpose; federal approval required; remedies.

409.909 - Statewide Medicaid Residency Program.

409.910 - Responsibility for payments on behalf of Medicaid-eligible persons when other parties are liable.

409.9101 - Recovery for payments made on behalf of Medicaid-eligible persons.

409.9102 - A qualified state Long-Term Care Insurance Partnership Program in Florida.

409.911 - Disproportionate share program.

409.9113 - Disproportionate share program for teaching hospitals.

409.9115 - Disproportionate share program for mental health hospitals.

409.91151 - Expenditure of funds generated through mental health disproportionate share program.

409.9116 - Disproportionate share/financial assistance program for rural hospitals.

409.9118 - Disproportionate share program for specialty hospitals.

409.91188 - Specialty prepaid health plans for Medicaid recipients with HIV or AIDS.

409.9119 - Disproportionate share program for specialty hospitals for children.

409.91195 - Medicaid Pharmaceutical and Therapeutics Committee.

409.91196 - Supplemental rebate agreements; public records and public meetings exemption.

409.912 - Cost-effective purchasing of health care.

409.91206 - Alternatives for health and long-term care reforms.

409.9121 - Legislative findings and intent.

409.91212 - Medicaid managed care fraud.

409.9122 - Medicaid managed care enrollment; HIV/AIDS patients; procedures; data collection; accounting; information system; medical loss ratio.

409.9123 - Quality-of-care reporting.

409.91255 - Federally qualified health center access program.

409.9126 - Children with special health care needs.

409.9127 - Preauthorization and concurrent utilization review; conflict-of-interest standards.

409.9128 - Requirements for providing emergency services and care.

409.913 - Oversight of the integrity of the Medicaid program.

409.9131 - Special provisions relating to integrity of the Medicaid program.

409.9132 - Pilot project to monitor home health services.

409.9133 - Pilot project for home health care management.

409.914 - Assistance for the uninsured.

409.915 - County contributions to Medicaid.

409.916 - Grants and Donations Trust Fund.

409.918 - Public Medical Assistance Trust Fund.

409.919 - Rules.

409.920 - Medicaid provider fraud.

409.9201 - Medicaid fraud.

409.9203 - Rewards for reporting Medicaid fraud.

409.9205 - Medicaid Fraud Control Unit.