CS for SB 580 First Engrossed (ntc) 2016580e1 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. 8 9 Be It Enacted by the Legislature of the State of Florida: 10 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.