Florida Statutes Part I - General Provisions (Ss. 391.011-391.097)
- 391.011 - Short Title.
The provisions of this chapter may be cited as the “Children’s Medical Services Act.”History.—s. 1, ch. 78-106; s. 2, ch. 98-288.
- 391.016 - Purposes And Functions.
The Children’s Medical Services program is established for the following purposes and authorized to perform the following functions:(1) Provide to children with special health care needs...
- 391.021 - Definitions.
When used in this act, the term:(1) “Children’s Medical Services network” or “network” means a statewide managed care service system that includes health care providers, as...
- 391.025 - Applicability And Scope.
(1) The Children’s Medical Services program consists of the following components:(a) The newborn screening program established in s. 383.14.(b) The regional perinatal intensive care centers program established in...
- 391.026 - Powers And Duties Of The Department.
The department shall have the following powers, duties, and responsibilities:(1) To provide or contract for the provision of health services to eligible individuals.(2) To provide services to...
- 391.028 - Administration.
(1) The Director of Children’s Medical Services must be a physician licensed under chapter 458 or chapter 459 who has specialized training and experience in the...
- 391.029 - Program Eligibility.
(1) Eligibility for the Children’s Medical Services program is based on the diagnosis of one or more chronic and serious medical conditions and the family’s need...
- 391.0315 - Benefits.
Benefits provided under the program for children with special health care needs shall be equivalent to benefits provided to children as specified in ss. 409.905...
- 391.035 - Provider Qualifications.
(1) The department shall establish the criteria to designate health care providers to participate in the Children’s Medical Services network. The department shall follow, whenever available,...
- 391.037 - Physicians; Private Sector Services.
It is not a violation of s. 112.313(7) for a physician licensed under chapter 458 or chapter 459 who is providing private sector services to...
- 391.045 - Reimbursement.
(1) The department shall reimburse health care providers for services rendered through the Children’s Medical Services network using cost-effective methods, including, but not limited to, capitation,...
- 391.047 - Third-party Payments.
The Children’s Medical Services program shall comply with s. 402.24, concerning third-party liabilities and recovery of third-party payments for health services.History.—s. 12, ch. 98-288.
- 391.055 - Service Delivery Systems.
(1) The program shall apply managed care methods to ensure the efficient operation of the Children’s Medical Services network. Such methods include, but are not limited...
- 391.065 - Health Care Provider Agreements.
The department is authorized to establish health care provider agreements for participation in the Children’s Medical Services program.History.—s. 14, ch. 98-288.
- 391.071 - Quality Of Care Requirements.
The Children’s Medical Services program shall develop quality of care and service integration standards and reporting requirements for health care providers that participate in the...
- 391.081 - Grievance Reporting And Resolution Requirements.
The department shall adopt and implement a system to provide assistance to eligible individuals and health care providers to resolve complaints and grievances. To the...
- 391.095 - Program Integrity.
The department shall operate a system to oversee the activities of Children’s Medical Services program participants, and health care providers and their representatives, to prevent...
- 391.097 - Research And Evaluation.
(1) The department may initiate, fund, and conduct research and evaluation projects to improve the delivery of children’s medical services. The department may cooperate with public...
Last modified: September 23, 2016