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409.901 - Definitions; ss. 409.901-409.920. - (1) “Affiliate” or “affiliated person” means any person who directly...
409.902 - Designated single state agency; payment requirements; program title; release of medical records. - (1) The Agency for Health Care Administration is designated as...
409.90201 - Recipient address update process. - History.—s. 13, ch. 2012-33; s. 203, ch. 2014-19.
409.9021 - Forfeiture of eligibility agreement. - History.—s. 4, ch. 2004-344; s. 8, ch. 2011-135.
409.9025 - Eligibility while an inmate. - (1) Notwithstanding any other provision of law other than s....
409.903 - Mandatory payments for eligible persons. - (1) Low-income families with children are eligible for Medicaid provided...
409.904 - Optional payments for eligible persons. - (1) Subject to federal waiver approval, a person who is...
409.905 - Mandatory Medicaid services. - (1) ADVANCED PRACTICE REGISTERED NURSE SERVICES.—The agency shall pay for...
409.906 - Optional Medicaid services. - (1) ADULT DENTAL SERVICES.— (a) The agency may pay for...
409.9062 - Lung transplant services for Medicaid recipients. - History.—s. 2, ch. 2002-35; s. 4, ch. 2005-133.
409.9066 - Medicare prescription discount program. - (1) As a condition of participation in the Florida Medicaid...
409.907 - Medicaid provider agreements. - (1) Each provider agreement shall require the provider to comply...
409.9071 - Medicaid provider agreements for school districts certifying state match. - (1) The agency shall reimburse school-based services as provided in...
409.9072 - Medicaid provider agreements for charter schools and private schools. - (1) Subject to a specific appropriation by the Legislature, the...
409.908 - Reimbursement of Medicaid providers. - (1) Reimbursement to hospitals licensed under part I of chapter...
409.9081 - Copayments. - (1) The agency shall require, subject to federal regulations and...
409.9082 - Quality assessment on nursing home facility providers; exemptions; purpose; federal approval required; remedies. - (1) As used in this section, the term: (a) “Net...
409.9083 - Quality assessment on privately operated intermediate care facilities for the developmentally disabled; exemptions; purpose; federal approval required; remedies. - (1) As used in this section, the term: (a) “Intermediate...
409.909 - Statewide Medicaid Residency Program. - (1) The Statewide Medicaid Residency Program is established to improve...
409.910 - Responsibility for payments on behalf of Medicaid-eligible persons when other parties are liable. - (1) It is the intent of the Legislature that Medicaid...
409.9101 - Recovery for payments made on behalf of Medicaid-eligible persons. - (1) This section may be cited as the “Medicaid Estate...
409.9102 - A qualified state Long-Term Care Insurance Partnership Program in Florida. - (1) The program shall: (a) Provide incentives for an individual...
409.911 - Disproportionate share program. - (1) DEFINITIONS.—As used in this section and the Florida Hospital...
409.9113 - Disproportionate share program for teaching hospitals. - (1) On or before September 15 of each year, the...
409.9115 - Disproportionate share program for mental health hospitals. - (1) The following formula shall be used by the agency...
409.91151 - Expenditure of funds generated through mental health disproportionate share program. - History.—s. 2, ch. 92-322; s. 187, ch. 99-8.
409.9116 - Disproportionate share/financial assistance program for rural hospitals. - (1) The following formula shall be used by the agency...
409.9118 - Disproportionate share program for specialty hospitals. - (1) The following formula shall be used by the agency...
409.91188 - Specialty prepaid health plans for Medicaid recipients with HIV or AIDS. - History.—s. 169, ch. 2000-318; s. 147, ch. 2001-277; s. 69,...
409.9119 - Disproportionate share program for specialty hospitals for children. - (1) Unless specified in the General Appropriations Act, the agency...
409.91195 - Medicaid Pharmaceutical and Therapeutics Committee. - (1) The committee shall be composed of 11 members appointed...
409.91196 - Supplemental rebate agreements; public records and public meetings exemption. - (1) The rebate amount, percent of rebate, manufacturer’s pricing, and...
409.912 - Cost-effective purchasing of health care. - (1) The agency may contract with a provider service network,...
409.91206 - Alternatives for health and long-term care reforms. - History.—s. 11, ch. 2008-143.
409.9121 - Legislative findings and intent. - History.—s. 50, ch. 93-129.
409.91212 - Medicaid managed care fraud. - (1) Each managed care plan, as defined in s. 409.920(1)(e),...
409.9122 - Medicaid managed care enrollment; HIV/AIDS patients; procedures; data collection; accounting; information system; medical loss ratio. - (1) Notwithstanding s. 409.961, if a Medicaid recipient is diagnosed...
409.9123 - Quality-of-care reporting. - (1) The recommendations of the National Committee for Quality Assurance...
409.91255 - Federally qualified health center access program. - (1) SHORT TITLE.—This section may be cited as the “Community...
409.9126 - Children with special health care needs. - (1) Except as provided in subsection (4), children eligible for...
409.9127 - Preauthorization and concurrent utilization review; conflict-of-interest standards. - (1) The Agency for Health Care Administration shall be solely...
409.9128 - Requirements for providing emergency services and care. - (1) In providing for emergency services and care as a...
409.913 - Oversight of the integrity of the Medicaid program. - (1) For the purposes of this section, the term: (a)...
409.9131 - Special provisions relating to integrity of the Medicaid program. - (1) LEGISLATIVE FINDINGS AND INTENT.—It is the intent of the...
409.9132 - Pilot project to monitor home health services. - History.—s. 21, ch. 2009-55; s. 31, ch. 2009-223; s. 44,...
409.9133 - Pilot project for home health care management. - History.—s. 22, ch. 2009-55; s. 32, ch. 2009-223; s. 17,...
409.914 - Assistance for the uninsured. - (1) The agency shall use the claims payment systems, utilization...
409.915 - County contributions to Medicaid. - (1) As used in this section, the term “state Medicaid...
409.916 - Grants and Donations Trust Fund. - (1) The agency shall deposit any funds received from pharmaceutical...
409.918 - Public Medical Assistance Trust Fund. - (1) All moneys collected pursuant to s. 395.701 shall be...
409.919 - Rules. - History.—s. 49, ch. 91-282; s. 192, ch. 99-8; s. 20,...
409.920 - Medicaid provider fraud. - (1) For the purposes of this section, the term: (a)...
409.9201 - Medicaid fraud. - (1) As used in this section, the term: (a) “Prescription...
409.9203 - Rewards for reporting Medicaid fraud. - (1) The Department of Law Enforcement or director of the...
409.9205 - Medicaid Fraud Control Unit. - (1) Except as provided in s. 110.205, all positions in...