FL S0648

Defines "pediatric continuing care integrated community" as a group of affiliated businesses under common ownership that provide coordinated care for Medicaid-eligible children under 21 who are medically fragile or technology dependent, including community residential group homes, home health agencies, pediatric extended care centers, home medical equipment providers, and health care clinics

Requires Medicaid managed care plans to reimburse licensed home health agencies for private duty nursing services (by RNs and LPNs) provided in community residential group homes at 100% of the prevailing hourly rate for the geographic area

Prohibits Medicaid managed care plans from reducing reimbursement based on the number of Medicaid-eligible persons receiving private duty nursing services in the same dwelling space or on the same day within the group home

Mandates that managed care plans and affiliated businesses negotiate rates at least annually for medical services provided within pediatric continuing care integrated communities

Requires the Agency for Health Care Administration to seek federal approval within 30 days of the act becoming law, including any necessary state plan amendments or Medicaid waivers, with implementation upon federal approval