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Care Coordination/Care Management in Florida

Rural health networks are responsible for establishing agreements with health care providers to manage care for patients.1

The Florida Legislature established the following programs:

  • A statewide comprehensive and coordinated interdisciplinary program of early hearing impairment screening, identification, and follow-up care for newborns;2
  • A comprehensive program dealing with the early detection and prevention of chronic diseases is required to make knowledge and therapy available to everyone to reduce death and illness3

The Children’s Medical Services program must provide children with special health care needs a family-centered, comprehensive, and coordinated statewide managed system of care that links community-based health care with multidisciplinary, regional and tertiary pediatric specialty care.4

Medicaid managed care plans must have well-defined programs for recognizing patient-centered medical homes and providing for increased compensation recognized medical homes.5 The Agency for Health Care Administration and Department of Elderly Affairs must seek a federal waiver to implement a Medicaid home and community-based waiver targeted to persons with Alzheimer’s disease.6

Patients have the right to participate in treatment and discharge planning.7

Nursing homes and hospices must provide interdisciplinary medical care for patients.8

If a patient is transferred to another health care provider, the patient’s records should be transferred as well.9

 

Footnotes

  • 1. Florida Statutes § 381.0406
  • 2. Florida Statutes § 383.145
  • 3. Florida Statutes §§ 385.102; 385.103
  • 4. Florida Statutes §§ 391.016; 394.491
  • 5. Florida Statutes § 400.966
  • 6. Florida Statutes § 430.502
  • 7. Florida Statutes §§ 394.459; 458.324; 459.0125
  • 8. Florida Statutes § 400.611
  • 9. Florida Statutes §§ 400.491; 400.6095; 401.30

 

Care Coordination/Care Management in Florida

Subtopic Statute/Regulation Description
Care Coordination/Care Management F.S.A. § 381.026 Florida Patient’s Bill of Rights and Responsibilities This law was passed to promote a general understanding of patients’ rights and...
F.S.A. § 395.301 Itemized patient bill; form and content prescribed by agency A licensed facility not operated by the state must inform patient at admission and...
F.S.A. § 397.501 “Rights of individuals seeking substance abuse services under the public health law” Classifies substance abuse records and information...
F.S.A. § 408.05 Florida Center for Health Information and Policy Analysis The Agency for Health Care Administration has established the Florida Center for Health...
Florida Administrative Code § 58A-2.009 “Coordinated care program under the Department of Elder Affairs regulations” Hospice staff must develop a care plan that was drafted by...
Florida Administrative Code § 58A-2.0232 “Advance directives and do not resuscitate orders (DNRO) under the Department of Elder Affairs regulations” Each hospice must not...
Florida Administrative Code § 59A-3.254 “Patient rights and care under the Agency for Health Care Administration regulations”   Hospitals must develop policies and...
Florida Administrative Code § 59A-3.279 “Itemized patient bill under the Agency for Health Care Administration regulations”   Within 7 days following discharge or...
Florida Administrative Code § 59A-4.106 “Facility policies under the Agency for Health Care Administration regulations”   Nursing homes must provide each resident, at...
Florida Administrative Code § 59A-5.0065 “Patient rights under the Agency for Health Care Administration regulations”   Every ambulatory surgical center must develop...
Florida Administrative Code § 59A-8.020 “Acceptance of patients or clients under the Agency for Health Care Administration regulations”   Home health agencies must be...
Florida Administrative Code § 59A-8.0215 “Plan of care or clients under the Agency for Health Care Administration regulations”   Home health agencies must establish a...
Florida Administrative Code § 59A-8.0245 “Advance directives under the Agency for Health Care Administration regulations”   Each home health agency must have written...
Florida Administrative Code § 64B5-13.005 “Disciplinary guidelines under the Department of Health regulations” The Board of Dentistry may fine or suspend, deny, place on probation...
Florida Administrative Code § 64B8-30.015 “Disciplinary guidelines under the Department of Health regulations” The Board of Medicine may discipline and fine a physician assistant...
Florida Administrative Code § 65E-11.005 “Behavioral health services standards under the Department of Children and Family Services regulations” Providers who deliver behavioral...
Florida Administrative Code § 65E-4.016 “Mental health residential treatment facilities under the Department of Department of Children and Family Services regulations” Mental...
Florida Statutes § 381.026 “Florida Patient’s Bill of Rights and Responsibilities under the public health law” Each health care facility or provider must...
Florida Statutes § 381.0261 “Summary of patient’s bill of rights; distribution; penalty under the public health law” The Department of Health must publish a...
Florida Statutes § 381.0406 “Rural health networks under the public health law” Rural health networks are established to provide quality health care services to...
Florida Statutes § 383.04 “Prophylactic required for eyes of infants under the public health law” Every physician, midwife, or other person in attendance at the...
Florida Statutes § 383.145 “Newborn and infant hearing screening under the public health law” The Florida Legislature intended to provide a statewide comprehensive...
Florida Statutes § 383.31 “Selection of clients; informed consent under the public health law” Each licensed birth center must ensure that each patient signs a...
Florida Statutes § 383.311 “Education and orientation for birth center clients and their families under the public health law” Birth center clients and their...
Florida Statutes § 384.31 “Testing of pregnant women; duty of the attendant under the Control of Sexually Transmissible Disease Act” Every person, including...
Florida Statutes § 385.102 “Legislative intent under the public health law” The Florida legislature believes that chronic diseases exist in high proportion among...
Florida Statutes § 385.103 “Community intervention programs under the public health law” The Department of Health is responsible for assisting county health...
Florida Statutes § 391.016 “Purposes and functions under the public health law” The Children’s Medical Services program must provide children with special...
Florida Statutes § 393.13 “Treatment of persons with developmental disabilities under the public health law” Individuals with developmental disabilities have a...
Florida Statutes § 394.459 “Rights of patients under the Mental Health Act”  Patients who are receiving mental health treatment have the following rights:...
Florida Statutes § 394.4685 “Transfer of patients among facilities under the public health law” A patient who has been admitted to a health care facility for...
Florida Statutes § 394.491 “Guiding principles for the child and adolescent mental health treatment and support system under the Comprehensive Child and Adolescent Mental...
Florida Statutes § 395.107 “Urgent care centers; publishing and posting schedule of charges; penalties under the public health law” An urgent care center must...
Florida Statutes § 395.301 “Itemized patient bill; form and content prescribed by agency under the public health law” A hospital must notify each patient during...
Florida Statutes § 400.022 “Nursing home residents’ rights under the public health law” Nursing home residents have the following rights and responsibilities...
Florida Statutes § 400.0255 “Resident transfer or discharge; requirements and procedures; hearings under the public health law” A nursing home resident may challenge...
Florida Statutes § 400.102 “Action by agency against licensee; grounds under the public health law” Nursing homes are prohibited from: Intentionally or...
Florida Statutes § 400.165 “Itemized resident billing, form and content prescribed by the agency under the public health law” Nursing homes must provide a resident...
Florida Statutes § 400.172 “Respite care provided in nursing home facilities under the public health” Each person admitted for respite care in a nursing home has...
Florida Statutes § 400.487 “Home health service agreements; physician’s, physician assistant’s, and advanced registered nurse practitioner’s treatment...
Florida Statutes § 400.491 “Clinical records under the public health law” A home health agency must maintain clinical records for each patient and maintain them for...
Florida Statutes § 400.6095 “Patient admission; assessment; plan of care; discharge; death under the public health law” Each hospice must make its services available...
Florida Statutes § 400.611 “Interdisciplinary records of care; confidentiality under the public health law” Hospice agencies must keep up-to-date, interdisciplinary...
Florida Statutes § 400.9935 “Clinic responsibilities under the Health Care Clinic Act” Each health care clinic must appoint a medical director who is responsible for...
Florida Statutes § 401.30 “Records under the Raymond H. Alexander, M.D., Emergency Medical Transportation Services Act” Emergency medical service organizations...
Florida Statutes § 401.445 “Emergency examination and treatment of incapacitated persons under the Raymond H. Alexander, M.D., Emergency Medical Transportation Services...
Florida Statutes § 401.45 “Denial of emergency treatment; civil liability under the Raymond H. Alexander, M.D., Emergency Medical Transportation Services Act” A...
Florida Statutes § 409.966 “Eligible plans; selection under the social welfare law” The Agency for Health Care Administration must compile and publish a databook...
Florida Statutes § 430.502 “Alzheimer’s disease; memory disorder clinics and day care and respite care programs under the Department of Elderly Affairs Act” A...
Florida Statutes § 456.072 “Grounds for discipline; penalties; enforcement under the regulation of professions and occupations law” Health care professionals may...
Florida Statutes § 458.323 “Itemized patient billing under the regulation of professions and occupations law” A physician must provide, upon request, an itemized...
Florida Statutes § 458.324 “Breast cancer; information on treatment alternatives under the regulation of professions and occupations law” Every physician must...
Florida Statutes § 458.325 “Electroconvulsive and psychosurgical procedures under the regulation of professions and occupations law”  A patient must provide...
Florida Statutes § 459.012 “Itemized patient statement under the regulation of professions and occupations law” An osteopathic physician must provide, upon request...
Florida Statutes § 459.0125 “Breast cancer; information on treatment alternatives under the regulation of professions and occupations law” Every osteopathic...
Florida Statutes § 460.41 “Itemized patient statement under the regulation of professions and occupations law” A chiropractor must provide, upon request, an...
Florida Statutes § 460.413 “Grounds for disciplinary action; action by board or department under the regulation of professions and occupations law” Chiropractors...
Florida Statutes § 461.009 “Itemized patient billing under the regulation of professions and occupations law” A podiatrist must provide, upon request, an itemized...
Florida Statutes § 461.013 “Grounds for disciplinary action; action by the board; investigations by department under the regulation of professions and occupations law...
Florida Statutes § 466.028 “Grounds for disciplinary action; action by the board under the regulation of professions and occupations law” Dentists and dental...
Florida Statutes § 467.015 “Responsibilities of the midwife under the regulation of professions and occupations law” A midwife must ensure that patients sign an...
Florida Statutes § 467.016 “Informed consent under the regulation of professions and occupations law” A midwife must use an informed consent form that is developed...
Florida Statutes § 641.3007 “HIV infection and AIDS for contract purposes under the Health Maintenance Organization Act” A health maintenance organization may not...
Florida Statutes § 743.065 “Unwed pregnant minor or minor mother; consent to medical services for minor or minor child valid under the domestic relations law” A...
Florida Statutes § 744.3115 “Advance directives for health care under the domestic relations law” In each legal proceeding where a guardian is appointed for an...
Florida Statutes § 760.40 “Genetic testing, informed consent, confidentiality, penalties, notice of use of results under the civil rights law” Genetic tests may...
Florida Statutes § 765.102 “Legislative findings and intent under the civil rights law” Every person has the fundamental right of self-determination regarding...
Florida Statutes § 765.109 “Immunity from liability; weight of proof; presumption under the civil rights law” A health care facility or provider who carries out a...
Florida Statutes § 765.110 “Health care facilities and providers; discipline under the civil rights law” A health care facility must provide each patient with...
Florida Statutes § 765.1103 “Pain management and palliative care under the civil rights law” A patient must be given information concerning pain management and...
Florida Statutes § 765.1105 “Transfer of a patient under the civil rights law” A health care provider or facility that refuses to comply with a patient’s...
Florida Statutes § 765.1115 “Falsification, forgery, or willful concealment, cancellation, or destruction of directive or revocation or amendment; penalties under the...
Florida Statutes § 765.112 “Recognition of advance directive executed in another state under the civil rights law” An advance directive executed in another state...
Florida Statutes § 765.113 “Restrictions on providing consent under the civil rights law” Unless the principal expressly delegates such authority to the surrogate...
Florida Statutes § 765.202 “Designation of a health care surrogate under the Florida Health Care Surrogate Act” A health care advance directive is a written...
Florida Statutes § 765.204 “Capacity of principal; procedure under the Florida Health Care Surrogate Act” A patient is presumed to be capable for making his or her...
Florida Statutes § 765.205 “Responsibility of the surrogate under the Florida Health Care Surrogate Act” A patient’s surrogate must: Have the authority to...
Florida Statutes § 765.302 “Procedure for making a living will; notice to physician under the Life-Prolonging Procedure Act of Florida” Any adult may make a living...
Florida Statutes § 765.401 “The proxy under the civil rights law” If an incapacitated or developmentally disabled patient has not executed an advance directive,...
Florida Statutes § 766.103 “Florida Medical Consent Law under the torts law” A health care provider may not be sued for treating, examining, or operating on a...