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The Florida Statutes

The 2003 Florida Statutes

Title XXIX
Chapter 391
View Entire Chapter
Section 391.029, Florida Statutes 2003

1391.029  Program eligibility.--

(1)  The department shall establish the medical criteria to determine if an applicant for the Children's Medical Services program is an eligible individual.

(2)  The following individuals are financially eligible for the program:

(a)  A high-risk pregnant female who is eligible for Medicaid.

(b)  A child with special health care needs from birth to age 21 years who is eligible for Medicaid.

(c)  A child with special health care needs from birth to age 19 years who is eligible for a program under Title XXI of the Social Security Act.

(d)  A child with special health care needs from birth to age 21 years whose projected annual cost of care adjusts the family income to Medicaid financial criteria. In cases where the family income is adjusted based on a projected annual cost of care, the family shall participate financially in the cost of care based on criteria established by the department.

(e)  A child with special health care needs as defined in Title V of the Social Security Act relating to children with special health care needs.

(f)  An infant who receives an award of compensation under s. 766.31(1). The Florida Birth-Related Neurological Injury Compensation Association shall reimburse the Children's Medical Services Network the state's share of funding, which must thereafter be used to obtain matching federal funds under Title XXI of the Social Security Act.

The department may continue to serve certain children with special health care needs who are 21 years of age or older and who were receiving services from the program prior to April 1, 1998. Such children may be served by the department until July 1, 2000.

(3)  The department shall determine the financial and medical eligibility of children for the program. The department shall also determine the financial ability of the parents, or persons or other agencies having legal custody over such individuals, to pay the costs of health services under the program. The department may pay reasonable travel expenses related to the determination of eligibility for or the provision of health services.

(4)  Any child who has been provided with surgical or medical care or treatment under this act prior to being adopted shall continue to be eligible to be provided with such care or treatment after his or her adoption, regardless of the financial ability of the persons adopting the child.

History.--s. 6, ch. 13620, 1929; CGL 1936 Supp. 3640(6); s. 1, ch. 57-21; ss. 19, 35, ch. 69-106; s. 1, ch. 73-114; s. 178, ch. 77-147; s. 1, ch. 77-159; ss. 8, 13, 14, ch. 78-106; s. 1, ch. 78-332; s. 696, ch. 95-148; s. 8, ch. 98-288; s. 73, ch. 2003-416.

1Note.--Section 86, ch. 2003-416, provides that "[i]t is the intent of the Legislature to apply the provisions of this act to prior medical incidents, to the extent such application is not prohibited by the State Constitution or Federal Constitution, except that the changes to chapter 766, Florida Statutes, shall apply only to any medical incident for which a notice of intent to initiate litigation is mailed on or after the effective date of this act."

Note.--Subsection (3) former s. 391.046; subsection (4) former s. 391.07.

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