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FL S0778
Bill
AI Summary
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Creates section 430.84, Florida Statutes, establishing the Program of All-Inclusive Care for the Elderly (PACE), allowing the Agency for Health Care Administration to approve entities to deliver PACE services to individuals needing nursing facility level care
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Requires prospective PACE organizations to submit applications including evidence of ability to meet federal CMS requirements, market studies, and business plans with financial projections; limits one PACE organization per defined geographic service area
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Mandates that organizations granted initial state approval submit complete federal PACE applications within 12 months or lose approval
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Requires the CARES program to determine medical eligibility within 21 days of receiving complete applications; allows contractors to provide services to applicants pending final eligibility determination with retroactive Medicaid payment if approved
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Exempts PACE organizations from chapter 641 (health maintenance organization) requirements and mandates compliance with CMS quality and performance standards for program oversight
Legislative Description
Program of All-Inclusive Care for the Elderly
Last Action
Died in Appropriations
5/3/2019