FL S0568

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

Requires managed care plans and their subcontractors to allow Medicaid enrollees to choose any qualified durable medical equipment or complex rehabilitation technology provider within the plan's network

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

Establishes a grievance resolution procedure for enrollees to file complaints if they believe they were denied the right to choose their provider within the network

Takes effect July 1, 2026