No. SB 1026
Filed under Healthcare.
Community Health Worker Services; Authorizing the Agency for Health Care Administration to pay for specified community health worker services as an optional Medicaid service, subject to certain coverage requirements; defining the term “community health worker”; adding community health worker services to the list of Medicaid services authorized for reimbursement on a fee-for-service basis, etc.
Plain English Summary
AI-GENERATEDLets Florida Medicaid pay for community health worker services -- including health coaching, translation, home visits, transportation arranging, and care coordination -- as a new optional fee-for-service benefit.
Defines a covered 'community health worker' as a trusted frontline public health worker serving a community's health and social needs, expressly including community health representatives, promotores de salud, and community-based organization staff.
Separately makes community health worker services a mandatory minimum benefit that Medicaid managed care plans must cover, and requires the agency to write rules spelling out exactly which services qualify.
AIAdds an optional Medicaid service letting the agency pay for community health worker services -- a broad list including health promotion, wellness coaching, cultural mediation, translation, health system navigation, patient advocacy, appointment outreach, home visits, transportation arranging, and care coordination.
AIAdds community health worker services to the list of services that Medicaid managed care plans shall cover, at a minimum, making this benefit mandatory for managed care enrollees rather than merely an optional service the agency may choose to pay for.
AIDefines a covered 'community health worker' as a frontline public health worker who is a trusted member of, or has a close understanding of, the community served, expressly including community health representatives, promotores de salud, and workers at community-based organizations.
AIThe agency must adopt rules to implement this new benefit, including rules that establish which specific community health worker services are eligible for payment, meaning the broad statutory list is not self-executing until rules are adopted.