CS for SB 580                              First Engrossed (ntc)
    1                        A bill to be entitled                      
    2         An act relating to reimbursement to health access
    3         settings for dental hygiene services for children;
    4         amending s. 409.906, F.S.; authorizing reimbursement
    5         for children’s dental services provided by licensed
    6         dental hygienists in certain circumstances; providing
    7         an effective date.
    9  Be It Enacted by the Legislature of the State of Florida:
   11         Section 1. Subsection (6) of section 409.906, Florida
   12  Statutes, is amended to read:
   13         409.906 Optional Medicaid services.—Subject to specific
   14  appropriations, the agency may make payments for services which
   15  are optional to the state under Title XIX of the Social Security
   16  Act and are furnished by Medicaid providers to recipients who
   17  are determined to be eligible on the dates on which the services
   18  were provided. Any optional service that is provided shall be
   19  provided only when medically necessary and in accordance with
   20  state and federal law. Optional services rendered by providers
   21  in mobile units to Medicaid recipients may be restricted or
   22  prohibited by the agency. Nothing in this section shall be
   23  construed to prevent or limit the agency from adjusting fees,
   24  reimbursement rates, lengths of stay, number of visits, or
   25  number of services, or making any other adjustments necessary to
   26  comply with the availability of moneys and any limitations or
   27  directions provided for in the General Appropriations Act or
   28  chapter 216. If necessary to safeguard the state’s systems of
   29  providing services to elderly and disabled persons and subject
   30  to the notice and review provisions of s. 216.177, the Governor
   31  may direct the Agency for Health Care Administration to amend
   32  the Medicaid state plan to delete the optional Medicaid service
   33  known as “Intermediate Care Facilities for the Developmentally
   34  Disabled.” Optional services may include:
   35         (6) CHILDREN’S DENTAL SERVICES.—The agency may pay for
   36  diagnostic, preventive, or corrective procedures, including
   37  orthodontia in severe cases, provided to a recipient under age
   38  21, by or under the supervision of a licensed dentist. The
   39  agency may also reimburse a health access setting as defined in
   40  s. 466.003 for the remediable tasks that a licensed dental
   41  hygienist is authorized to perform under s. 466.024(2). Services
   42  provided under this program include treatment of the teeth and
   43  associated structures of the oral cavity, as well as treatment
   44  of disease, injury, or impairment that may affect the oral or
   45  general health of the individual. However, Medicaid will not
   46  provide reimbursement for dental services provided in a mobile
   47  dental unit, except for a mobile dental unit:
   48         (a) Owned by, operated by, or having a contractual
   49  agreement with the Department of Health and complying with
   50  Medicaid’s county health department clinic services program
   51  specifications as a county health department clinic services
   52  provider.
   53         (b) Owned by, operated by, or having a contractual
   54  arrangement with a federally qualified health center and
   55  complying with Medicaid’s federally qualified health center
   56  specifications as a federally qualified health center provider.
   57         (c) Rendering dental services to Medicaid recipients, 21
   58  years of age and older, at nursing facilities.
   59         (d) Owned by, operated by, or having a contractual
   60  agreement with a state-approved dental educational institution.
   61         Section 2. This act shall take effect July 1, 2016.