Transcription of Florida Medicaid
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Florida Medicaid
August 2019 Outpatient Hospital Services Coverage Policy Agency for Health Care Administration August 2019 Florida Medicaid Florida Medicaid Outpatient Hospital Services Coverage Policy August 2019 i Table of Contents Introduction .. 1 Florida Medicaid Policies .. 1 Statewide Medicaid Managed Care Plans .. 1 Legal Authority .. 1 Definitions .. 1 Eligible Recipient .. 2 General Criteria .. 2 Who Can Receive .. 2 Coinsurance and Copayment .. 2 Eligible Provider .. 2 General Criteria .. 2 Who Can Provide .. 2 Coverage Information .. 2 General Criteria .. 2 Specific Criteria .. 2 Early and Periodic Screening, Diagnosis, and Treatment .. 4 Exclusion .. 4 General Non-Covered Criteria .. 4 Specific Non-Covered Criteria .. 4 Documentation .. 4 General Criteria .. 4 Specific Criteria .. 4 Authorization .. 5 General Criteria .. 5 Specific Criteria .. 5 Reimbursement .. 5 General Criteria.
Florida Medicaid recipients. It must be used in conjunction with Florida Medicaid’s General Policies (as defined in section 1.3) and any applicable service-specific and claim reimbursement policies with which providers must comply. Note: All Florida Medicaid policies are promulgated in Rule Division 59G, Florida Administrative Code (F.A.C.).
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