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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.

A policy document found in Rule Division 59G, F.A.C. that provides instructions on how to bill for services. 1.4.2 Coverage and Limitations Handbook or Coverage Policy A policy document found in Rule Division 59G, F.A.C. that contains coverage information about a Florida Medicaid service. 1.4.3 General Policies

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