Agency for Health Care Administration policy updates
Track new and updated Agency for Health Care Administration policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| SUNOSI (solriamfetol) Coverage Criteria | Agency For Health Care Administration | Clinical | Pharmacy & Specialty Drugs | Modified | Jul 1, 2026 |
| Florida Title XIX Federally Qualified Health Center and Rural Health Clinic Reimbursement Plan | Agency For Health Care Administration | Reimbursement | — | Modified | Oct 1, 2025 |
| Anti-Migraine Criteria | Agency For Health Care Administration | Clinical | Pharmacy & Specialty Drugs | Modified | Jul 9, 2025 |
| Medical Record Requirements for Incontinence Supplies in the Long-Term Care (LTC) Program | Agency For Health Care Administration | Administrative | — | Modified | Jan 10, 2024 |
| Updated MMA Physician Incentive Program (MPIP) Requirements Year 7 | Agency For Health Care Administration | Reimbursement | — | Modified | Jan 1, 2023 |
| Community Pharmacy Dispensed Over-the-Counter (OTC) COVID-19 Home Tests | Agency For Health Care Administration | Clinical | Laboratory/Pathology | Modified | Jan 4, 2022 |
| Florida Managed Medical Assistance Program Section 1115 Demonstration Waiver Authorities | Agency For Health Care Administration | Administrative | — | Modified | Jul 31, 2014 |
| Managed Medical Assistance Program | Agency For Health Care Administration | Administrative | — | Modified | Jul 31, 2014 |
| Managed Medical Assistance Program | Agency For Health Care Administration | Other | — | Modified | Jul 31, 2014 |
| Medicaid Eligibility — State Residency | Agency For Health Care Administration | Administrative | — | Modified | Feb 1, 2014 |
OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.
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Coverage data is sourced from publicly available payer medical policy documents and updated as payers publish revisions. Read more about where our data comes from. Always consult the primary payer source for clinical decision-making.