FL H0531

Prohibits Medicaid managed care plans from conducting medical necessity reviews during prepayment or postpayment review for equipment, supplies, or services that already received prior authorization

Requires managed care plans and their subcontractors to provide coverage for durable medical equipment and complex rehabilitation technology from any qualified in-network provider the enrollee chooses

Directs the Agency for Health Care Administration to adopt rules authorizing enrollee provider choice within the network for durable medical equipment and complex rehabilitation technology

Establishes a grievance resolution procedure for enrollees to file complaints if denied the right to choose their in-network provider for covered equipment

Takes effect July 1, 2026