Jan. 11, 2016

DEPARTMENT RESUMES CLINICAL ELIGIBILITY SCREENINGS FOR CMS PLAN

Rule 64C-2.002, F.A.C. becomes effective

Contact:
Communications Office
NewsMedia@flhealth.gov
(850) 245-4111

Tallahassee, Fla.—Today, the Florida Department of Health resumed clinical eligibility screening for the Children’s Medical Services (CMS) Managed Care Plan. The department’s rule, developed in partnership with health care professionals and other stakeholders, pertaining to the screening became effective today. Throughout the rulemaking process, the department worked with the Agency for Health Care Administration to ensure children with the most severe diagnoses could continue to enroll in the CMS Plan.

“I am pleased that through the collaboration of the department, CMS medical directors, parents and other stakeholders we are now able to resume clinical eligibility screenings,” said Chief Operating Officer Jennifer Tschetter. “The department is focused on ensuring that children with serious and chronic health care needs receive the care and services they need to live the fullest life possible.”

The new process includes a two-part approach to clinical eligibility screening – a physician-based, auto-eligibility process using diagnostic codes for chronic and serious conditions and a parent-based survey to ensure that all financially eligible children with special health care needs are given the option to enroll in the CMS Plan.

For more information about the CMS Plan, please visit CMSPlan.floridahealth.gov.

About the Florida Department of Health

The department works to protect, promote and improve the health of all people in Florida through integrated state, county and community efforts.

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