The Florida Senate

391.029  Program eligibility.--

(1)  The department shall establish the medical criteria to determine if an applicant for the Children's Medical Services program is an eligible individual.

(2)  The following individuals are financially eligible for the program:

(a)  A high-risk pregnant female who is eligible for Medicaid.

(b)  A child with special health care needs from birth to age 21 years who is eligible for Medicaid.

(c)  A child with special health care needs from birth to age 19 years who is eligible for a program under Title XXI of the Social Security Act.

(d)  A child with special health care needs from birth to age 21 years whose projected annual cost of care adjusts the family income to Medicaid financial criteria. In cases where the family income is adjusted based on a projected annual cost of care, the family shall participate financially in the cost of care based on criteria established by the department.

(e)  A child with special health care needs as defined in Title V of the Social Security Act relating to children with special health care needs.

The department may continue to serve certain children with special health care needs who are 21 years of age or older and who were receiving services from the program prior to April 1, 1998. Such children may be served by the department until July 1, 2000.

(3)  The department shall determine the financial and medical eligibility of children for the program. The department shall also determine the financial ability of the parents, or persons or other agencies having legal custody over such individuals, to pay the costs of health services under the program. The department may pay reasonable travel expenses related to the determination of eligibility for or the provision of health services.

(4)  Any child who has been provided with surgical or medical care or treatment under this act prior to being adopted shall continue to be eligible to be provided with such care or treatment after his or her adoption, regardless of the financial ability of the persons adopting the child.

History.--s. 6, ch. 13620, 1929; CGL 1936 Supp. 3640(6); s. 1, ch. 57-21; ss. 19, 35, ch. 69-106; s. 1, ch. 73-114; s. 178, ch. 77-147; s. 1, ch. 77-159; ss. 8, 13, 14, ch. 78-106; s. 1, ch. 78-332; s. 696, ch. 95-148; s. 8, ch. 98-288.

Note.--Subsection (3) former s. 391.046; subsection (4) former s. 391.07.