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Allergy Services

Florida Medicaid’s Covered Services and HCBS Waivers

Allergy Services

Medicaid reimburses for allergy services to provide diagnostic and therapeutic procedures relating to hypersensitivity disorders that may be manifested by generalized systemic reactions as well as by localized reactions in any organ system of the body.

Medicaid reimburses for allergy services including:

  • In vitro specific IgE tests
  • Intracutaneous skin tests
  • Percutaneous skin tests
  • Ingestion challenge testing

Allergen immunotherapy as follows:

  • Up to 156 doses every 366 days, per recipient, for procedure codes 95144 and 95165
  • Up to 52 doses every 366 days, per recipient, for procedure codes 95145-95149 and 95170

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 allergy 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.