FL S1156

Increases the Medicaid fee schedule utilization cap for home health aides for medically fragile children from 8 hours per day to 12 hours per day and 40 hours per week, at a minimum rate of $25 per hour; hours exceeding 40 per week require justification that no other qualified provider is available and approval from the home health agency and managed care plan

Requires home health agencies to report all adverse incidents (including death, brain or spinal damage, permanent disfigurement, fractures, and sensory/neurological limitations) occurring under a home health aide's care to the Agency for Health Care Administration and the managed care plan within 48 hours

Revises training program requirements from 85 hours to 76 hours, including 40 hours of standard home health aide training, 20 hours of skills training tailored to the child's individualized care needs, and 16 hours of clinical training specific to the eligible relative under registered nurse supervision

Directs the Agency for Health Care Administration to seek federal approval and waivers to allow Medicaid private duty nursing and home health providers to participate in the program and to exclude income earned as a home health aide for medically fragile children from Medicaid eligibility determinations

Requires the agency to submit all necessary federal approval requests within 60 days of the act becoming law and to initiate rulemaking to implement the program changes; the act takes effect immediately upon becoming law