Florida Senate - 2021                                     SB 852
       By Senator Brodeur
       9-00564A-21                                            2021852__
    1                        A bill to be entitled                      
    2         An act relating to Medicaid modernization; amending s.
    3         409.906, F.S.; authorizing Medicaid to reimburse for
    4         certain remote evaluation and patient monitoring
    5         services; providing an effective date.
    7  Be It Enacted by the Legislature of the State of Florida:
    9         Section 1. Subsection (28) is added to section 409.906,
   10  Florida Statutes, to read:
   11         409.906 Optional Medicaid services.—Subject to specific
   12  appropriations, the agency may make payments for services which
   13  are optional to the state under Title XIX of the Social Security
   14  Act and are furnished by Medicaid providers to recipients who
   15  are determined to be eligible on the dates on which the services
   16  were provided. Any optional service that is provided shall be
   17  provided only when medically necessary and in accordance with
   18  state and federal law. Optional services rendered by providers
   19  in mobile units to Medicaid recipients may be restricted or
   20  prohibited by the agency. Nothing in this section shall be
   21  construed to prevent or limit the agency from adjusting fees,
   22  reimbursement rates, lengths of stay, number of visits, or
   23  number of services, or making any other adjustments necessary to
   24  comply with the availability of moneys and any limitations or
   25  directions provided for in the General Appropriations Act or
   26  chapter 216. If necessary to safeguard the state’s systems of
   27  providing services to elderly and disabled persons and subject
   28  to the notice and review provisions of s. 216.177, the Governor
   29  may direct the Agency for Health Care Administration to amend
   30  the Medicaid state plan to delete the optional Medicaid service
   31  known as “Intermediate Care Facilities for the Developmentally
   32  Disabled.” Optional services may include:
   34         (a)The agency may pay for remote evaluation of recorded
   35  video and images, including interpretation and followup with the
   36  recipient within 24 business hours, not originating from a
   37  related evaluation and monitoring service provided within the
   38  previous 7 days or leading to an evaluation and monitoring
   39  service or a procedure within the next 24 hours or at the
   40  soonest available appointment.
   41         (b)The agency may pay for remote patient monitoring
   42  services, including remote monitoring of physiologic parameters,
   43  supply of devices with daily recording or programmed alert
   44  transmission, and remote physiologic monitoring treatment
   45  management services requiring interactive communication with the
   46  recipient and provider.
   47         Section 2. This act shall take effect July 1, 2021.