reglab/housing_qa huggingface dataset:
FL Stat § 391.025 (2021)
2021 Florida Statutes|Title XXIX - Public Health|Chapter 391 - Children's Medical Services|Part I - General Provisions (Ss. 391.011-391.097)|391.025 - Applicability and scope.

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 ss. 383.15-383.19.(c) The developmental evaluation and intervention program, including the Early Steps Program.(d) The Children’s Medical Services network.(2) The Children’s Medical Services program shall not be deemed an insurer and is not subject to the licensing requirements of the Florida Insurance Code or the rules adopted thereunder.History.—s. 5, ch. 98-288; s. 10, ch. 2000-253; s. 409, ch. 2003-261; s. 72, ch. 2003-416; s. 16, ch. 2004-350; s. 76, ch. 2012-184; s. 89, ch. 2014-17; s. 4, ch. 2016-238.
FL Stat § 391.028 (2021)
2021 Florida Statutes|Title XXIX - Public Health|Chapter 391 - Children's Medical Services|Part I - General Provisions (Ss. 391.011-391.097)|391.028 - Administration.

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 provision of health care to children and who has recognized skills in leadership and the promotion of children’s health programs. The director shall be the deputy secretary and the Deputy State Health Officer for Children’s Medical Services and is appointed by and reports to the State Surgeon General. The director may appoint such other staff as necessary for the operation of the program subject to the approval of the State Surgeon General.(2) The director shall provide for an operational system using such department staff and contract providers as necessary. The program shall implement the following program activities under physician supervision on a statewide basis:(a) Case management services for network participants;(b) Management and oversight of local program activities;(c) Medical and financial eligibility determination for the program in accordance with s. 391.029;(d) Determination of a level of care and medical complexity for long-term care services;(e) Authorizing services in the program and developing spending plans;(f) Development of treatment plans; and(g) Resolution of complaints and grievances from participants and health care providers.(3) Each Children’s Medical Services area office shall be directed by a physician licensed under chapter 458 or chapter 459 who has specialized training and experience in the provision of health care to children. The director of a Children’s Medical Services area office shall be appointed by the director from the active panel of Children’s Medical Services physician consultants.History.—s. 9, ch. 78-106; s. 17, ch. 96-403; s. 33, ch. 97-237; s. 7, ch. 98-288; s. 26, ch. 99-397; s. 45, ch. 2008-6; s. 78, ch. 2012-184.Note.—Subsection (1) former s. 391.051.
FL Stat § 391.029 (2021)
2021 Florida Statutes|Title XXIX - Public Health|Chapter 391 - Children's Medical Services|Part I - General Provisions (Ss. 391.011-391.097)|391.029 - Program eligibility.

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 for specialized services.(2) The following individuals are eligible to receive services through the program:(a) A high-risk pregnant female who is enrolled in Medicaid.(b) Children with serious special health care needs from birth to 21 years of age who are enrolled in Medicaid.(c) Children with serious special health care needs from birth to 19 years of age who are enrolled in a program under Title XXI of the Social Security Act.(3) Subject to the availability of funds, the following individuals may receive services through the program:(a) Children with serious special health care needs from birth to 21 years of age who do not qualify for Medicaid or Title XXI of the Social Security Act but who are unable to access, due to lack of providers or lack of financial resources, specialized services that are medically necessary or essential family support services. Families shall participate financially in the cost of care based on a sliding fee scale established by the department.(b) Children with special health care needs from birth to 21 years of age, as provided in Title V of the Social Security Act.(c) An infant who receives an award of compensation under s. 766.31(1). The Florida Birth-Related Neurological Injury Compensation Association shall reimburse the Children’s Medical Services Network the state’s share of funding, which must thereafter be used to obtain matching federal funds under Title XXI of the Social Security Act.(4) Any child who has been provided with surgical or medical care or treatment under this act prior to being adopted and has serious and chronic special health needs shall continue to be eligible to be provided with such care or treatment after his or her adoption, regardless of the financial ability of the persons adopting the child.History.—s. 6, ch. 13620, 1929; CGL 1936 Supp. 3640(6); s. 1, ch. 57-21; ss. 19, 35, ch. 69-106; s. 1, ch. 73-114; s. 178, ch. 77-147; s. 1, ch. 77-159; ss. 8, 13, 14, ch. 78-106; s. 1, ch. 78-332; s. 696, ch. 95-148; s. 8, ch. 98-288; s. 73, ch. 2003-416; s. 39, ch. 2004-5; s. 17, ch. 2004-350; s. 79, ch. 2012-184.Note.—Subsection (3) former s. 391.046; subsection (4) former s. 391.07.
FL Stat § 391.0315 (2021)
2021 Florida Statutes|Title XXIX - Public Health|Chapter 391 - Children's Medical Services|Part I - General Provisions (Ss. 391.011-391.097)|391.0315 - Benefits.

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 and 409.906. The department may offer additional benefits for early intervention services, respite services, genetic testing, genetic and nutritional counseling, and parent support services, if such services are determined to be medically necessary.History.—s. 9, ch. 98-288; s. 27, ch. 99-397; s. 80, ch. 2012-184.
FL Stat § 391.035 (2021)
2021 Florida Statutes|Title XXIX - Public Health|Chapter 391 - Children's Medical Services|Part I - General Provisions (Ss. 391.011-391.097)|391.035 - Provider qualifications.

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, national guidelines for selecting health care providers to serve children with special health care needs.(2) The department shall require that all health care providers under contract with the program be duly licensed in the state, if such licensure is available, and meet such criteria as may be established by the department.(3) The department may initiate agreements with other state or local governmental programs or institutions for the coordination of health care to eligible individuals receiving services from such programs or institutions.(4) Notwithstanding any other law, the department may contract with health care providers licensed in another state to provide health services to participants in the Children’s Medical Services program when necessary due to an emergency or in order to provide specialty services or greater convenience to the participants for receiving timely and effective health care services. The department may adopt rules to administer this subsection.History.—ss. 6, 7, ch. 78-106; s. 10, ch. 98-288; s. 18, ch. 2004-350.Note.—Subsection (2) former s. 391.036; subsection (3) former s. 391.041.
FL Stat § 391.037 (2021)
2021 Florida Statutes|Title XXIX - Public Health|Chapter 391 - Children's Medical Services|Part I - General Provisions (Ss. 391.011-391.097)|391.037 - Physicians; private sector services.

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 clients of the department or who is employed by or has a contractual relationship with any business entity or agency that is a contract provider for the department to also be employed by the department to provide services under this chapter or chapter 39 if:(1) The physician does not enter into contracts with the department on behalf of any business entity or agency with whom the physician is employed or has an employment or contractual relationship.(2) The physician’s private sector employment or contractual relationship does not create a conflict between the physician’s private sector interests and public duties or impede the full and faithful discharge of the physician’s public duties as an employee of the department.(3) The physician’s employment with the department does not compromise the ability of department clients to make a voluntary choice among department-referred physicians and private providers for their medical services.History.—s. 16, ch. 2001-53.
FL Stat § 391.045 (2021)
2021 Florida Statutes|Title XXIX - Public Health|Chapter 391 - Children's Medical Services|Part I - General Provisions (Ss. 391.011-391.097)|391.045 - Reimbursement.

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, discounted fee-for-service, unit costs, and cost reimbursement. Medicaid reimbursement rates shall be utilized to the maximum extent possible, where applicable.(2) Reimbursement to the Children’s Medical Services program for services provided to children with special health care needs who participate in the Florida Kidcare program and who are not Medicaid recipients shall be on a capitated basis.History.—s. 11, ch. 98-288.
FL Stat § 391.047 (2021)
2021 Florida Statutes|Title XXIX - Public Health|Chapter 391 - Children's Medical Services|Part I - General Provisions (Ss. 391.011-391.097)|391.047 - Third-party payments.

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.
FL Stat § 391.055 (2021)
2021 Florida Statutes|Title XXIX - Public Health|Chapter 391 - Children's Medical Services|Part I - General Provisions (Ss. 391.011-391.097)|391.055 - Service delivery systems.

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 to, capitation payments, utilization management and review, prior authorization, and case management.(2) The components of the network are:(a) Qualified primary care physicians who shall serve as the gatekeepers and who shall be responsible for the provision or authorization of health services to an eligible individual who is enrolled in the Children’s Medical Services network.(b) Comprehensive specialty care arrangements that meet the requirements of s. 391.035 to provide acute care, specialty care, long-term care, and chronic disease management for eligible individuals.(c) Case management services.(3) The Children’s Medical Services network may contract with school districts participating in the certified school match program pursuant to ss. 409.908(21) and 1011.70 for the provision of school-based services, as provided for in s. 409.9071, for Medicaid-eligible children who are enrolled in the Children’s Medical Services network.(4) If a newborn has an abnormal screening result for metabolic or other hereditary and congenital disorders which is identified through the newborn screening program pursuant to s. 383.14, the newborn shall be referred to the Children’s Medical Services program for additional testing, medical management, early intervention services, or medical referral.History.—s. 13, ch. 98-288; s. 978, ch. 2002-387; s. 19, ch. 2004-350; s. 31, ch. 2016-65; s. 23, ch. 2017-129.
FL Stat § 391.065 (2021)
2021 Florida Statutes|Title XXIX - Public Health|Chapter 391 - Children's Medical Services|Part I - General Provisions (Ss. 391.011-391.097)|391.065 - Health care provider agreements.

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.
FL Stat § 391.071 (2021)
2021 Florida Statutes|Title XXIX - Public Health|Chapter 391 - Children's Medical Services|Part I - General Provisions (Ss. 391.011-391.097)|391.071 - Quality of care requirements.

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 Children’s Medical Services program. The program shall ensure that these standards are not duplicative of other standards and requirements for health care providers.History.—s. 15, ch. 98-288.
FL Stat § 391.081 (2021)
2021 Florida Statutes|Title XXIX - Public Health|Chapter 391 - Children's Medical Services|Part I - General Provisions (Ss. 391.011-391.097)|391.081 - Grievance reporting and resolution requirements.

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 greatest extent possible, the department shall use existing grievance reporting and resolution processes. The department shall ensure that the system developed for the Children’s Medical Services program does not duplicate existing grievance reporting and resolution processes.History.—s. 16, ch. 98-288.
FL Stat § 391.095 (2021)
2021 Florida Statutes|Title XXIX - Public Health|Chapter 391 - Children's Medical Services|Part I - General Provisions (Ss. 391.011-391.097)|391.095 - Program integrity.

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 fraudulent and abusive behavior, overutilization and duplicative utilization, and neglect of participants and to recover overpayments as appropriate. For the purposes of this section, the terms “abuse” and “fraud” have the meanings provided in s. 409.913. The department shall refer incidents of suspected fraud and abuse, and overutilization and duplicative utilization, to the appropriate regulatory agency.History.—s. 17, ch. 98-288.
FL Stat § 391.097 (2021)
2021 Florida Statutes|Title XXIX - Public Health|Chapter 391 - Children's Medical Services|Part I - General Provisions (Ss. 391.011-391.097)|391.097 - Research and evaluation.

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 and private agencies engaged in work of a similar nature.(2) The Children’s Medical Services network shall be included in any evaluation conducted in accordance with the provisions of Title XXI of the Social Security Act as enacted by the Legislature.History.—s. 10, ch. 78-106; s. 18, ch. 98-288.Note.—Former s. 391.061.
FL Stat § 391.221 (2021)
2021 Florida Statutes|Title XXIX - Public Health|Chapter 391 - Children's Medical Services|Part II - Children’s Medical Services Councils and Panels (Ss. 391.221, 391.223)|391.221 - Statewide Children’s Medical Services Network Advisory Council.

391.221 Statewide Children’s Medical Services Network Advisory Council.—(1) The State Surgeon General may appoint a Statewide Children’s Medical Services Network Advisory Council for the purpose of acting as an advisory body to the department. Specifically, the duties of the council shall include, but not be limited to:(a) Recommending standards and credentialing requirements for health care providers rendering health services to Children’s Medical Services network participants.(b) Making recommendations to the director of Children’s Medical Services concerning the selection of health care providers for the Children’s Medical Services network.(c) Reviewing and making recommendations concerning network health care provider or participant disputes that are brought to the attention of the advisory council.(d) Providing input to the Children’s Medical Services program on the policies governing the Children’s Medical Services network.(e) Reviewing the financial reports and financial status of the network and making recommendations concerning the methods of payment and cost controls for the network.(f) Reviewing and recommending the scope of benefits for the network.(g) Reviewing network performance measures and outcomes and making recommendations for improvements to the network and its maintenance and collection of data and information.(2) The council shall be composed of 12 members representing the private health care provider sector, families with children who have special health care needs, the Agency for Health Care Administration, the Chief Financial Officer, the Florida Chapter of the American Academy of Pediatrics, an academic health center pediatric program, and the health insurance industry. Members shall be appointed for 4-year, staggered terms. In no case shall an employee of the Department of Health serve as a member or as an ex officio member of the advisory council. A vacancy shall be filled for the remainder of the unexpired term in the same manner as the original appointment. A member may not be appointed to more than two consecutive terms. However, a member may be reappointed after being off the council for at least 2 years.(3) Members shall receive no compensation, but shall be reimbursed for per diem and travel expenses in accordance with the provisions of s. 112.061.History.—s. 23, ch. 98-288; s. 44, ch. 99-397; s. 410, ch. 2003-261; s. 46, ch. 2008-6.
FL Stat § 391.223 (2021)
2021 Florida Statutes|Title XXIX - Public Health|Chapter 391 - Children's Medical Services|Part II - Children’s Medical Services Councils and Panels (Ss. 391.221, 391.223)|391.223 - Technical advisory panels.

391.223 Technical advisory panels.—The State Surgeon General may establish technical advisory panels to assist in developing specific policies and procedures for the Children’s Medical Services program.History.—s. 25, ch. 98-288; s. 46, ch. 99-397; s. 47, ch. 2008-6.
FL Stat § 391.301 (2021)
2021 Florida Statutes|Title XXIX - Public Health|Chapter 391 - Children's Medical Services|Part III - Early Steps Program (Ss. 391.301-391.308)|391.301 - Early Steps Program; establishment and goals.

391.301 Early Steps Program; establishment and goals.—(1) The Early Steps Program is established within the department to serve infants and toddlers who are at risk of developmental disabilities based on a physical or mental condition and infants and toddlers with developmental delays by providing developmental evaluation and early intervention and by providing families with training and support services in a variety of home and community settings in order to enhance family and caregiver competence, confidence, and capacity to meet their child’s developmental needs and desired outcomes.(2) The program may include screening and referral services at all hospitals providing Level II or Level III neonatal intensive care services, in order to promptly identify newborns with disabilities or with conditions associated with risks of developmental delays so that families may gain as early as possible the services and skills they need to support their infants’ development.(3) The program must integrate information and coordinate services with other programs serving infants and toddlers, including, but not limited to, the Healthy Start program, the newborn screening program, and the Blind Babies Program.(4) The program must:(a) Provide services to enhance the development of infants and toddlers with disabilities and delays.(b) Expand the recognition by health care providers, families, and the public of the significant brain development that occurs during a child’s first 3 years of life.(c) Maintain the importance of the family in all areas of the child’s development and support the family’s participation in early intervention services and decisions affecting the child.(d) Operate a comprehensive, coordinated interagency system of early intervention services and supports in accordance with part C of the federal Individuals with Disabilities Education Act.(e) Ensure timely evaluation, individual planning, and early intervention services necessary to meet the unique needs of eligible infants and toddlers.(f) Build the service capacity and enhance the competencies of health care providers serving infants and toddlers with unique needs and abilities.(g) Ensure programmatic and fiscal accountability through establishment of a high-capacity data system, active monitoring of performance indicators, and ongoing quality improvement.History.—s. 12, ch. 89-379; s. 25, ch. 91-282; s. 7, ch. 94-140; s. 26, ch. 98-288; s. 51, ch. 2004-350; s. 6, ch. 2016-238.Note.—Former s. 383.215(1), (2).
FL Stat § 391.302 (2021)
2021 Florida Statutes|Title XXIX - Public Health|Chapter 391 - Children's Medical Services|Part III - Early Steps Program (Ss. 391.301-391.308)|391.302 - Definitions.

391.302 Definitions.—As used in ss. 391.301-391.308, the term:(1) “Developmental delay” means a condition, identified and measured through appropriate instruments and procedures, which may delay physical, cognitive, communication, social or emotional, or adaptive development.(2) “Developmental disability” means a condition, identified and measured through appropriate instruments and procedures, which may impair physical, cognitive, communication, social or emotional, or adaptive development.(3) “Developmental intervention” or “early intervention” means individual and group therapies and services needed to enhance both the infant’s or toddler’s growth and development and family functioning. The term includes habilitative services and assistive technology devices, rehabilitative services and assistive technology devices, and parent support and training.(4) “Habilitative services and devices” means health care services and assistive technology devices that help a child maintain, learn, or improve skills and functioning for daily living.(5) “Infant or toddler” or “child” means a child from birth until the child’s third birthday.(6) “Local program office” means an office that administers the Early Steps Program within a municipality, county, or region.(7) “Rehabilitative services and devices” means restorative and remedial services that maintain or enhance the current level of functioning of a child if there is a possibility of improvement or reversal of impairment.History.—s. 12, ch. 89-379; s. 7, ch. 94-140; s. 1039, ch. 95-148; s. 20, ch. 2004-350; s. 7, ch. 2016-238.Note.—Former s. 383.215(3).
FL Stat § 394.451 (2021)
2021 Florida Statutes|Title XXIX - Public Health|Chapter 394 - Mental Health|Part I - Florida Mental Health Act (Ss. 394.451-394.47892)|394.451 - Short title.

394.451 Short title.—This part shall be known as “The Florida Mental Health Act” or “The Baker Act.”History.—s. 1, ch. 71-131.