Florida Medicaid’s Covered Services and HCBS Waivers
Medicaid reimburses for neurology services to provide for the diagnosis and treatment of diseases and disorders of the nervous system.
Medicaid reimburses for neurology services including:
- Autonomic function testing
- Electrodiagnostics, including nerve conduction studies and electromyography
- Electroencephalograph for sleep studies and seizure activity
- Evoked potentials and reflex tests
- Intrathecal baclofen therapy pump placement, removal, or revision
- Muscle and range of motion testing
- Muscle testing and guidance for chemodevervation
- Polysomnography and sleep studies indicated for the following:
- Diagnosis of sleep related breathing disorders
- Continuous Positive Airway Pressure titration in recipient’s sleep related breathing disorders
- Documenting the presence of obstructive sleep apnea prior to surgical interventions
- Assessment of treatment results in some cases, with a multiple sleep latency test in the evaluation of suspected narcolepsy
- Evaluating sleep related behaviors that are injurious, and in certain atypical or unusual parasomnias
- Up to two nerve conduction velocity studies for polyneuropathy in diabetes per year, per recipient
- Vagus nerve stimulator placement, removal, or revision for intractable epilepsy
This service is one of the minimum covered services for all Managed Medical Assistance plans serving Medicaid enrollees.
Florida Medicaid recipients requiring medically necessary neurological services.
Information on Medicaid health plans and services is available on the Statewide Medicaid Managed Care webpage.
The Florida Medicaid coverage policies, fee schedules, and Rule are available on the Agency Website.