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Integumentary Services

Florida Medicaid’s Covered Services and HCBS Waivers

Integumentary Services

Medicaid reimburses for integumentary services to provide diagnostic and therapeutic procedures relating to disorders of the skin and associated structures.

Medicaid reimburses for integumentary services including:

  • Active wound care management
  • Dermatological procedures
  • Integumentary surgical services including:
  • Breast reconstruction
  • Gynecomastia surgery for post-pubescent male recipients, under the age of 21 years who have undergone conservative treatment for at least three to six months prior to the request for surgery
  • Reduction mammoplasty

This service is one of the minimum covered services for all Managed Medical Assistance plans serving Medicaid enrollees.

Eligibility

Florida Medicaid recipients requiring medically necessary integumentary services.

Resource Information

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.