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FL H0389
Bill
Status
Failed
6/16/2025
Primary Sponsor
Felicia Simone Robinson
Click for details
AI Summary
- Medicaid managed care plan enrollees may receive care from out-of-network Medicaid providers if they cannot access an in-network provider in a timely manner consistent with reasonable access standards set by Agency for Health Care Administration (AHCA) rule
- Enrollees may also use out-of-network Medicaid providers when another appropriate Medicaid provider is located closer to the enrollee's residence than any in-network provider
- Managed care plans must reimburse nonparticipating Medicaid providers at the applicable Medicaid rate for services rendered under the plan
- Amends sections 409.967 and 409.975, Florida Statutes, to add these out-of-network access requirements to both AHCA's contract standards and the managed medical assistance program's provider network rules
- Effective date is July 1, 2025
Legislative Description
Managed Care Plan Network Access
Last Action
Died in Health Care Facilities & Systems Subcommittee
6/16/2025
Committee Referrals
Health Care Facilities & Systems Subcommittee2/12/2025
Full Bill Text
No bill text available