Florida Senate - 2024                                    SB 1358
       
       
        
       By Senator Martin
       
       
       
       
       
       33-01416-24                                           20241358__
    1                        A bill to be entitled                      
    2         An act relating to Medicaid billing for behavioral
    3         health services; amending s. 409.908, F.S.;
    4         authorizing advanced practice registered nurse and
    5         physician assistant services to be billed under a
    6         supervising physician’s Medicaid provider number under
    7         certain circumstances; providing an effective date.
    8          
    9  Be It Enacted by the Legislature of the State of Florida:
   10  
   11         Section 1. Subsection (27) is added to section 409.908,
   12  Florida Statutes, to read:
   13         409.908 Reimbursement of Medicaid providers.—Subject to
   14  specific appropriations, the agency shall reimburse Medicaid
   15  providers, in accordance with state and federal law, according
   16  to methodologies set forth in the rules of the agency and in
   17  policy manuals and handbooks incorporated by reference therein.
   18  These methodologies may include fee schedules, reimbursement
   19  methods based on cost reporting, negotiated fees, competitive
   20  bidding pursuant to s. 287.057, and other mechanisms the agency
   21  considers efficient and effective for purchasing services or
   22  goods on behalf of recipients. If a provider is reimbursed based
   23  on cost reporting and submits a cost report late and that cost
   24  report would have been used to set a lower reimbursement rate
   25  for a rate semester, then the provider’s rate for that semester
   26  shall be retroactively calculated using the new cost report, and
   27  full payment at the recalculated rate shall be effected
   28  retroactively. Medicare-granted extensions for filing cost
   29  reports, if applicable, shall also apply to Medicaid cost
   30  reports. Payment for Medicaid compensable services made on
   31  behalf of Medicaid-eligible persons is subject to the
   32  availability of moneys and any limitations or directions
   33  provided for in the General Appropriations Act or chapter 216.
   34  Further, nothing in this section shall be construed to prevent
   35  or limit the agency from adjusting fees, reimbursement rates,
   36  lengths of stay, number of visits, or number of services, or
   37  making any other adjustments necessary to comply with the
   38  availability of moneys and any limitations or directions
   39  provided for in the General Appropriations Act, provided the
   40  adjustment is consistent with legislative intent.
   41         (27) The services provided by an advanced practice
   42  registered nurse or a physician assistant acting within his or
   43  her scope of practice who is providing behavioral health
   44  services under the general supervision of a physician may be
   45  billed under the supervising physician’s Medicaid provider
   46  number when the supervising physician is not in the building,
   47  but is available to render assistance to the advanced practice
   48  registered nurse or physician assistant.
   49         Section 2. This act shall take effect July 1, 2024.