CS/HB 1177 2023
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F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
A bill to be entitled 1
An act relating to dental care; amending s. 409.906, 2
F.S.; authorizing Medicaid reimbursement for dental 3
services provided by mobile dental units having 4
contractual relationships with specified entities; 5
defining the term "mobile dental unit"; providing an 6
effective date. 7
8
Be It Enacted by the Legislature of the State of Florida: 9
10
Section 1. Paragraph (c) of subsection (1) and subsection 11
(6) of section 409.906, Florida Statutes, are amended to read: 12
409.906 Optional Medicaid services. —Subject to specific 13
appropriations, the agency may make payments for services which 14
are optional to the state under Title XIX of the Social Security 15
Act and are furnished by Medicaid providers to recipients who 16
are determined to be eligible on the dates on which the services 17
were provided. Any optional service that is provided shall be 18
provided only when medically necessary and in accordance with 19
state and federal law . Optional services rendered by providers 20
in mobile units to Medicaid recipients may be restricted or 21
prohibited by the agency. Nothing in this section shall be 22
construed to prevent or limit the agency from adjusting fees, 23
reimbursement rates, lengths of s tay, number of visits, or 24
number of services, or making any other adjustments necessary to 25
CS/HB 1177 2023
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F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
comply with the availability of moneys and any limitations or 26
directions provided for in the General Appropriations Act or 27
chapter 216. If necessary to safeguard the state's systems of 28
providing services to elderly and disabled persons and subject 29
to the notice and review provisions of s. 216.177, the Governor 30
may direct the Agency for Health Care Administration to amend 31
the Medicaid state plan to delete the optional Medicaid service 32
known as "Intermediate Care Facilities for the Developmentally 33
Disabled." Optional services may include: 34
(1) ADULT DENTAL SERVICES. — 35
(c) However, Medicaid will not provide reimbursement for 36
dental services provided by in a mobile dental unit, except for 37
a mobile dental unit: 38
1. Owned by, operated by, or having a contractual 39
agreement with the Department of Health and complying with 40
Medicaid's county health department clinic services program 41
specifications as a county health department clinic services 42
provider. 43
2. Owned by, operated by, or having a contractual 44
arrangement with a federally qualified health center and 45
complying with Medicaid's federally qualified health center 46
specifications as a federally qualified health center provid er. 47
3. Rendering dental services to Medicaid recipients, 21 48
years of age and older, at nursing facilities. 49
4. Owned by, operated by, or having a contractual 50
CS/HB 1177 2023
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F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
agreement with a state -approved dental educational institution. 51
5. Having a contractual relat ionship with a nonprofit 52
community health center. 53
6. Having a contractual relationship with a federally 54
approved Head Start center. 55
56
For purposes of this paragraph, the term "mobile dental unit" 57
means a nonfacility unit in which dental equipment used in the 58
practice of dentistry is transported to and used on a temporary 59
basis at an out-of-office location. 60
(6) CHILDREN'S DENTAL SERVICES. —The agency may pay for 61
diagnostic, preventive, or corrective procedures, including 62
orthodontia in severe cases, provided to a recipient under age 63
21, by or under the supervision of a licensed dentist. The 64
agency may also reimburse a health access setting as defined in 65
s. 466.003 for the remediable tasks that a licensed dental 66
hygienist is authorized to perform under s. 466.024(2). Services 67
provided under this program include treatment of the teeth and 68
associated structures o f the oral cavity, as well as treatment 69
of disease, injury, or impairment that may affect the oral or 70
general health of the individual. However, Medicaid will not 71
provide reimbursement for dental services provided by in a 72
mobile dental unit, except for a m obile dental unit: 73
(a) Owned by, operated by, or having a contractual 74
agreement with the Department of Health and complying with 75
CS/HB 1177 2023
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F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
Medicaid's county health department clinic services program 76
specifications as a county health department clinic services 77
provider. 78
(b) Owned by, operated by, or having a contractual 79
arrangement with a federally qualified health center and 80
complying with Medicaid's federally qualified health center 81
specifications as a federally qualified health center provider. 82
(c) Rendering dental services to Medicaid recipients, 21 83
years of age and older, at nursing facilities. 84
(d) Owned by, operated by, or having a contractual 85
agreement with a state -approved dental educational institution. 86
(e) Having a contractual relationship with a no nprofit 87
community health center. 88
(f) Having a contractual relationship with a federally 89
approved Head Start center. 90
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For purposes of this subsection, the term "mobile dental unit" 92
means a nonfacility unit in which dental equipment used in the 93
practice of dentistry is transported to and used on a temporary 94
basis at an out-of-office location. 95
Section 2. This act shall take effect July 1, 2023. 96