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FL S1240
Bill
AI Summary
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Revises the definition of "children with special health care needs" by removing the requirement that conditions be "serious" - now includes children under 21 with chronic physical, developmental, behavioral, or emotional conditions requiring care beyond what is generally required by children
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Establishes "clinical eligibility" as the formal process to determine if a child has a special health care need, which must be determined through an assessment instrument or review of documentation from a health care practitioner
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Requires the Department of Health to notify parents or guardians of children found clinically ineligible for Children's Medical Services of their right to request another eligibility determination and to appeal under Chapter 120
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Exempts the Children's Medical Services Network from the 10% regional enrollment cap that applies to other specialty plans under Medicaid managed care
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Directs the Department of Health to adopt implementing rules while continuing to use existing rule 64C-2.002 for clinical eligibility determinations until new rules are adopted
Legislative Description
Children's Medical Services Eligibility and Enrollment
Last Action
Died in Appropriations Subcommittee on Health and Human Services
3/11/2016