The Agency for Healthcare Administration issued eight Medicaid advisories announcing that policies designed to make it easier for patients to access healthcare and for providers to bill for care were being rescinded.
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“The State of Florida has led the national effort to distribute COVID-19 vaccines and now maintains an adequate supply of COVID-19 vaccines for every eligible Floridian who wishes to be vaccinated. The data shows Florida is well positioned to move into pre-pandemic activity, ”the email alerts began.
Effective July 1, the state will again limit the frequency and duration of Medicaid behavioral health services.
And starting July 15, the state will reinstate pre-authorization requirements for behavioral health services. In addition, Medicaid wrap around payments to federally approved health centers will revert to a quarterly payment schedule, effective July 1.
During the pandemic, the state allowed centers to request money on a monthly basis to help with cash flow. Medicaid is also restoring prior authorization requirements for pre-admission hospital transfers, including inter-facility transfers, transfers to long-term care hospitals, and transfers to nursing facilities.
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Effective July 1, Medicaid is also reinstating the pre-admission screening and screening requirements for residents for nursing home placement.
The state will also require nursing homes to have a 95% occupancy limit to receive Medicaid reimbursement for so-called “stay-in-bed” days.
Although this change takes place on July 1, Medicaid will not begin assessing the occupancy rate of 95% until October.
In addition, effective July 1, prescribed pediatric long-term care centers will no longer be permitted to provide home care services.
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