Fla. Admin. Code R. 65A-1.715

Current through Reg. 50, No. 222; November 13, 2024
Section 65A-1.715 - Emergency Medical Services for Aliens
(1) Aliens who would be eligible for Medicaid but for their immigration status are eligible only for emergency medical services. Section 409.901(10), F.S., defines emergency medical conditions.
(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.
(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).

Fla. Admin. Code Ann. R. 65A-1.715

Rulemaking Authority 409.919 FS. Law Implemented 409.904, 409.919 FS.

New 10-8-97.

New 10-8-97.