September 19, 2020
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       Florida Senate - 2010                                    SB 2278
       
       
       
       By Senator Hill
       
       
       
       
       1-01371-10                                            20102278__
    1                        A bill to be entitled                      
    2         An act relating to hospital outpatient services;
    3         amending s. 409.905, F.S.; authorizing the Agency for
    4         Health Care Administration to pay for hospital
    5         outpatient services provided to Medicaid recipients
    6         under the direction of a licensed advanced registered
    7         nurse practitioner; providing an exception to limits
    8         on payment for hospital outpatient services provided
    9         to Medicaid recipients for services provided in
   10         certain clinics; providing an effective date.
   11  
   12  Be It Enacted by the Legislature of the State of Florida:
   13  
   14         Section 1. Subsection (6) of section 409.905, Florida
   15  Statutes, is amended to read:
   16         409.905 Mandatory Medicaid services.—The agency may make
   17  payments for the following services, which are required of the
   18  state by Title XIX of the Social Security Act, furnished by
   19  Medicaid providers to recipients who are determined to be
   20  eligible on the dates on which the services were provided. Any
   21  service under this section shall be provided only when medically
   22  necessary and in accordance with state and federal law.
   23  Mandatory services rendered by providers in mobile units to
   24  Medicaid recipients may be restricted by the agency. Nothing in
   25  this section shall be construed to prevent or limit the agency
   26  from adjusting fees, reimbursement rates, lengths of stay,
   27  number of visits, number of services, or any other adjustments
   28  necessary to comply with the availability of moneys and any
   29  limitations or directions provided for in the General
   30  Appropriations Act or chapter 216.
   31         (6) HOSPITAL OUTPATIENT SERVICES.—The agency shall pay for
   32  preventive, diagnostic, therapeutic, or palliative care and
   33  other services provided to a recipient in the outpatient portion
   34  of a hospital licensed under part I of chapter 395, and provided
   35  under the direction of a licensed physician, licensed advanced
   36  registered nurse practitioner, or licensed dentist, except that
   37  payment for such care and services is limited to $1,500 per
   38  state fiscal year per recipient, unless an exception has been
   39  made by the agency, and with the exception of a Medicaid
   40  recipient under age 21 or a Medicaid recipient of any age who is
   41  receiving such care in a community-based clinic of a publicly
   42  owned hospital, in which case the only limitation is medical
   43  necessity.
   44         Section 2. This act shall take effect July 1, 2010.

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