Bill > S0152

This bill amends Florida's Medicaid provider network regulations, focusing primarily on establishing more detailed requirements for provider networks, especially for dental services. The bill requires Medicaid managed care plans and providers to negotiate mutually acceptable rates, methods, and payment terms, with specific provisions mandating that dental plans pay dentists at rates set by the state agency. The legislation introduces extensive new requirements for dental provider listings in network databases, including minimum patient care hours, specialty categorization, and detailed service reporting. Providers must now specify the exact services they offer, whether they accept new patients, and their experience with treating patients with intellectual or developmental disabilities. The bill also adds requirements for categorizing dental services, such as preventive care, restorative care, sedation options, and emergency care access. Additionally, the bill makes technical amendments to several related statutes to ensure consistent cross-referencing and updates to the state's Medicaid management framework. These changes aim to improve transparency, access, and quality of care within Florida's Medicaid managed care system, with a particular emphasis on enhancing dental service provider information and network adequacy.

https://www.flsenate.gov/Session/Bill/2026/152