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Florida Administrative Code (Last Updated: November 11, 2024) |
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65. Department of Children and Families |
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65A. Economic Self-Sufficiency Program |
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65A-1. Public Assistance Programs |
1(1) Aliens who would be eligible for Medicaid but for their immigration status are eligible only for emergency medical services. Section 22409.901(10), F.S., 24defines emergency medical conditions.
28(2) The Utilization Review Committee (URC) or medical provider will determine if the medical condition warrants emergency medical services and, if so, the projected duration of the emergency medical condition. The projected duration of the emergency medical condition will be the eligibility period provided that all other criteria are continuously satisfied.
79(3) Emergency services are limited to 30 consecutive days without prior approval. For continued coverage beginning with the 31st day prior authorization must be obtained from the Agency for Health Care Administration (Medicaid Program Office).
114Rulemaking Authority 116409.919 FS. 118Law Implemented 120409.904, 121409.919 FS. 123History–New 10-8-97.
Related Statutes:
Related DOAH Cases (3)
- 15-003876MPI Agency For Health Care Administration vs. Lee Memorial Health System Gulf Coast Medical Center
- 14-003606MPI Agency For Health Care Administration vs. Cape Memorial Hospital, Inc., D/B/A Cape Coral Hospital
- 12-002757RU Bayfront Medical Center, Inc., Cape Memorial Hospital, Inc., D/B/A Cape Coral Hospital; Cgh Hospital, Ltd., D/B/A Coral Gables Hospital; Delray Medical Center, Inc., D/B/A Delray Medical Center; Lee Memorial Health System; Et Al. vs. Agency For Health Care Administration