Regulation detail

Fla. Admin. Code r. 65E-16.002

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Fla. Admin. Code r. 65E-16.002 removed

65E-16.002 Individual Eligibility Criteria

Jurisdiction: FL Agency: Florida Department of Children and Families
CMHC (60%) MH_RESIDENTIAL (40%) OUTPATIENT (60%) PSYCH_FACILITY (80%)
Plain-English summary

This rule establishes clinical and financial eligibility criteria for individuals seeking to participate in Florida's Indigent Psychiatric Medication Program (IPMP). Clinically, applicants must belong to a Department priority population and must not currently be admitted to a state mental health treatment facility, inpatient psychiatric hospital, or crisis stabilization unit. Financially, applicants must have net family income at or below 150% of the Federal Poverty Guidelines and must lack third-party insurance or other funding sources for psychotropic medications, with a limited exception for medications not covered or authorized by existing insurance.

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Regulation text
65E-16.002 Individual Eligibility Criteria.
To be eligible for the Program, individuals must meet the following clinical and financial eligibility criteria. 
(1) To meet the clinical criteria, individuals:
(a) Must be a member of at least one (1) of the Department’s priority populations, as defined in Section 394.674(1), F.S.; and
(b) Must not currently be admitted to a state mental health treatment facility, an inpatient psychiatric hospital, or a crisis stabilization unit.
(2) To meet the financial eligibility criteria, individuals:
(a) Must have a net family income at or below 150 percent of the Federal Poverty Income Guidelines, as published annually in the Federal Register; and 
(b) Must lack third-party insurance, including Medicaid, or other funding sources for psychotropic medications.
If individuals have third party insurance for psychiatric medications but the prescribed medication is not covered or not authorized, they may receive IPMP psychiatric medications until the prescribed medication is covered or authorized by the third-party insurer.
Rulemaking Authority 394.676(2) FS. Law Implemented 394.676 FS. History–New 9-19-19.