Medicaid/Hospice Care
Florida Medicaid is governed by Title XIX of the Social Security Act, Title
42 of the Code of Federal Regulations, Chapter 409 Florida Statutes, and Chapter
59G, Florida Administrative Code. On admission to a hospice, each patient must
receive information concerning advance directives. The state of Florida provides
Medicaid services for hospice care to all eligible Medicaid recipients. The
hospice care corresponds to the Medicare guidelines for eligibility and periods
of care. The patient may have a responsibility to pay a portion of the cost
of hospice care. That portion can range from zero to any dollar amount and is
determined by the Florida Department of Children and Families (DCF). Some Medicaid
recipients, such as the elderly or disabled, are exempt from referral to DCF
and have no financial obligation to pay for hospice
Advance health directives
Chapter 765, Florida Statutes is legislation regarding health care advance directives,
to ensure that an incapacitated person's decisions about health care will still
be respected. State rules 58A-2.0232,59A-3.254, 59A-4.107.59A-8.0245, and 59A-12.013,
Florida Administrative Code, require that hospitals, nursing homes, home health
agencies, hospices, and health maintenance organizations (HMOs) provide their
patients with written information concerning health care advance directives.
Do not resuscitate
order
Chapter 64E-2.031, Florida Administrative Code, is legislation regarding the
Do Not Resuscitate Order (DNRO), form 1896 (revised December 2002), often referred
to as the yellow form because it must be either the original on
canary-yellow paper, or a copy made onto similar yellow-colored paper. It must
be signed by an individual or the individual's health care representative and
the individual's physician. While earlier forms will be recognized, it's recommended
that patients obtain and complete this form. The Florida DNRO is recognized
only in Florida. The bottom of the yellow form has a patient identification
device that can be removed from the form, completed, and laminated to
be carried by the individual. It is equally valid to the DNRO form 1896. The
DNRO should be prominently displayed in the home. It is also advised that the
patient identification device be displayed in a bracelet, for example, rather
than in a wallet or purse, as emergency medical personnel aren't likely to have
the time to look for the DNRO identification device before beginning resuscitation.

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