This bill amends section 409.904 of the Florida Statutes to establish a presumption of continued Medicaid eligibility for individuals who are permanently disabled and receiving specific Medicaid-covered services, such as institutional care, hospice, or home and community-based services. It mandates that these individuals be presumed eligible for continued coverage during redetermination processes, with the Agency for Health Care Administration required to maintain payments for these services unless there is a material change in the individual's disability or economic status. In such cases, the individual or their caregiver must notify the agency and the Department of Children and Families, which may then conduct a redetermination of eligibility.

Additionally, the bill defines "permanently disabled" as a person who has been certified by a licensed physician as having a permanent disability. The agency is tasked with seeking federal authorization to exempt these permanently disabled individuals from annual redetermination of eligibility by October 1, 2025. The bill also requires the agency and the Department of Children and Families to develop a process to facilitate necessary notifications regarding changes in status. The act is set to take effect on July 1, 2025.

Statutes affected:
S 7032 Filed: 409.904