FL H1323

Establishes asset transfer limitations for Medicaid eligibility determinations for nursing facility services, institutional hospice services, and home and community-based waiver programs for transfers made after July 1, 2013

Requires personal services contracts with relatives to meet six conditions to avoid being counted as asset transfers without fair compensation, including non-duplication of other services, direct benefit to individual, documented hourly rates comparable to professional standards, and prospective-only cost basis

Mandates Department of Children and Families determine institutional spouses ineligible for Medicaid if they or their representatives refuse to provide information about community spouses or cooperate in pursuing court-ordered medical support or Medicaid expense recovery

Authorizes Agency for Health Care Administration to pursue recovery of all Medicaid-covered expenses and court-ordered medical support from community spouses who refuse to make assets available to institutional spouses

Allows Department of Children and Families to adopt rules for implementation and makes the act effective upon becoming law