37 Fla. Stat. §641.513(1)
August 8, 2021 2:05 pm(1) In providing for emergency services and care as a covered service, a health maintenance organization may not: (a) Require prior authorization... View more
(1) In providing for emergency services and care as a covered service, a health maintenance organization may not: (a) Require prior authorization... View more
(8) “Emergency services and care” means medical screening, examination, and evaluation by a physician or, to the extent permitted by... View more
(a) Notwithstanding any provision of law, a carrier that provides any benefits with respect to services in an emergency department... View more
(II) “Emergency services”, with respect to an emergency medical condition, means: (A) A medical screening examination that is within the capability of... View more
(A) Notify the provider and covered person, within five business days after receipt of the request, that the request is... View more
(b)(1) A utilization review agent shall make a utilization review determination involving health care services which require pre-authorization and provide... View more
(d) On receipt of a request from a participating physician or provider for preauthorization, the health maintenance organization shall review... View more
(II) Coverage for a hospital stay following a normal vaginal delivery shall not be limited to less than forty-eight hours. If... View more
(3) Maternity coverage. (a)(I)(A) … all individual health care… must insure against the expense of normal pregnancy and childbirth or provide coverage... View more
(I) ”Emergency medical condition” means a medical condition that manifests itself by acute symptoms of sufficient severity, including severe pain, that... View more