Fla. Stat. 409.91188
Specialty prepaid health plans for Medicaid recipients with HIV or AIDS

The Agency for Health Care Administration is authorized to contract with specialty prepaid health plans and pay them on a prepaid capitated basis to provide Medicaid benefits to Medicaid-eligible recipients who have human immunodeficiency syndrome (HIV) or acquired immunodeficiency syndrome (AIDS). The agency shall apply for and is authorized to implement federal waivers or other necessary federal authorization to implement the prepaid health plans authorized by this section. The agency shall procure the specialty prepaid health plans through a competitive procurement. In awarding a contract to a managed care plan, the agency shall take into account price, quality, accessibility, linkages to community-based organizations, and the comprehensiveness of the benefit package offered by the plan. The agency may bid the HIV/AIDS specialty plans on a county, regional, or statewide basis. Qualified plans must be licensed under chapter 641. The agency shall monitor and evaluate the implementation of this waiver program if it is approved by the Federal Government. To improve coordination of medical care delivery and to increase cost efficiency for the Medicaid program in treating HIV disease, the Agency for Health Care Administration shall seek all necessary federal waivers to allow participation in the MediPass HIV disease management program for Medicare beneficiaries who test positive for HIV infection and who also qualify for Medicaid benefits such as prescription medications not covered by Medicare.

Source: Section 409.91188 — Specialty prepaid health plans for Medicaid recipients with HIV or AIDS, https://www.­flsenate.­gov/Laws/Statutes/2024/0409.­91188 (accessed Aug. 7, 2025).

409.901
Definitions 409.902
Designated single state agency 409.903
Mandatory payments for eligible persons 409.904
Optional payments for eligible persons 409.905
Mandatory Medicaid services 409.906
Optional Medicaid services 409.907
Medicaid provider agreements 409.908
Reimbursement of Medicaid providers 409.909
Statewide Medicaid Residency Program 409.910
Responsibility for payments on behalf of Medicaid-eligible persons when other parties are liable 409.911
Disproportionate share program 409.912
Cost-effective purchasing of health care 409.913
Oversight of the integrity of the Medicaid program 409.914
Assistance for the uninsured 409.915
County contributions to Medicaid 409.916
Grants and Donations Trust Fund 409.918
Public Medical Assistance Trust Fund 409.919
Rules 409.920
Medicaid provider fraud 409.9021
Forfeiture of eligibility agreement 409.9025
Eligibility while an inmate 409.9062
Lung transplant services for Medicaid recipients 409.9063
Coverage of continuous glucose monitors for Medicaid recipients 409.9066
Medicare prescription discount program 409.9071
Medicaid provider agreements for school districts certifying state match 409.9072
Medicaid provider agreements for charter schools and private schools 409.9081
Copayments 409.9082
Quality assessment on nursing home facility providers 409.9083
Quality assessment on privately operated intermediate care facilities for the developmentally disabled 409.9101
Recovery for payments made on behalf of Medicaid-eligible persons 409.9102
A qualified state Long-Term Care Insurance Partnership Program in Florida 409.9113
Disproportionate share program for teaching hospitals 409.9115
Disproportionate share program for mental health hospitals 409.9116
Disproportionate share/financial assistance program for rural hospitals 409.9118
Disproportionate share program for specialty hospitals 409.9119
Disproportionate share program for specialty hospitals for children 409.9121
Legislative findings and intent 409.9122
Medicaid managed care enrollment 409.9123
Quality-of-care reporting 409.9126
Children with special health care needs 409.9127
Preauthorization and concurrent utilization review 409.9128
Requirements for providing emergency services and care 409.9131
Special provisions relating to integrity of the Medicaid program 409.9132
Pilot project to monitor home health services 409.9133
Pilot project for home health care management 409.9134
Agency to distinguish certain services as to skilled home health services 409.9201
Medicaid fraud 409.9203
Rewards for reporting Medicaid fraud 409.9205
Medicaid Fraud Control Unit 409.90201
Recipient address update process 409.90637
Agency to seek federal approval for coverage and reimbursement authority for mobile crisis response services 409.90638
Agency to seek federal approval to implement acute hospital care at home program in state Medicaid program 409.91151
Expenditure of funds generated through mental health disproportionate share program 409.91188
Specialty prepaid health plans for Medicaid recipients with HIV or AIDS 409.91195
Medicaid Pharmaceutical and Therapeutics Committee 409.91196
Supplemental rebate agreements 409.91206
Alternatives for health and long-term care reforms 409.91212
Medicaid managed care fraud 409.91235
Agency review and report on medications, treatments, and services for sickle cell disease 409.91255
Federally qualified health center access program 409.91256
Training, Education, and Clinicals in Health (TEACH) Funding Program

Current through Fall 2025

§ 409.91188. Specialty prepaid health plans for Medicaid recipients with HIV or AIDS's source at flsenate​.gov