Postsurgical Recovery Homes; Creating the "Postsurgical Recovery Home Safety Act"; providing licensure requirements to operate a postsurgical recovery home; requiring inspections before issuing a license and annually thereafter; prohibiting operating or advertising a postsurgical recovery home without a license; prohibiting a postsurgical recovery home from providing patient care without meeting certain staffing requirements, etc.
Parity for Nonnursing Services Under Long-term Managed Care Plans; Beginning on specified date, requiring AHCA to reimburse nonnursing services provided by licensed providers at same rate or higher than rate it reimburses unlicensed providers for such services under Medicaid long-term managed care program; requires agency annually to adjust rate for licensed providers; requires agency, within specified timeframe, to seek any Medicaid waiver or state plan amendment necessary to implement rate changes.
Parity for Nonnursing Services Under Long-term Managed Care Plans; Beginning on a specified date, requiring the Agency for Health Care Administration to reimburse nonnursing services provided by licensed providers at the same rate or higher than the rate it reimburses unlicensed providers for such services under the Medicaid long-term managed care program; requiring the agency annually to adjust the rate for licensed providers, etc.
Managed Care Plans; Revising Medicaid managed care contract requirements to prohibit managed care plans from reviewing certain prior authorization claims for medical necessity; requiring that managed care plans provide coverage for durable medical equipment and complex rehabilitation technology from a qualified provider, from within the provider network, of the enrollee’s choosing, etc.
