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Florida Medicaid

Draft Rule General Medicaid Policy Agency for Health care Administration _____ Florida Medicaid Florida Medicaid General Medicaid Policy Revised Date: Draft Rule i Table of Contents Introduction .. 1 Description .. 1 Definitions .. 1 General Provider Requirements .. 1 Eligibility Identification and Verification .. 1 Protecting Recipient Information .. 2 Right to Refuse Services .. 2 Solicitation (Patient Brokering) .. 2 Recipients or Providers that are Out of the Country .. 2 Out-of-State Services-Emergency .. 2 Out-of-State Services-Non-Emergency .. 2 Recipient Eligibility Information .. 3 Billing the Recipient .. 4 Billing for Missed Appointments .. 5 Billing for Administrative Costs .. 5 Contributions to a Facility.

F.A.C., provides Medicaid assistance to pay for the cost of an eligible recipient’s nursing facility care and general medical coverage, when determined by the Department of Elder Affairs (DOEA) Comprehensive Assessment and Review for Long-Term Care Services (CARES) to be in need of nursing facility services.

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