Published on: 27870154. : Rule 59G-4.070, Florida Administrative Code, (F.A.C.), is being repealed. Requirements contained within this rule are no longer necessary as the Durable Medical Equipment and Medical Supply Services Coverage and Limitations ....
Published on: 14815506. The Agency is scheduling a workshop in Tallahassee, FL for the purpose of discussing the Florida Medicaid Durable Medical Equipment and Medical Supply Services Coverage and Limitations Handbook. The Agency is proposing additional changes to the handbook as follows: streamlining the format of the handbook and clarifying policy language.; Wednesday, July 30, 2014 from 3:00 p.m. to 4:00 p.m.; Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Conference Room D, Tallahassee, Florida 32308-5407
Published on: 14560105. that on April 30, 2014, the Agency for Health Care Administration (“AHCA”) issued a Final Order Granting Petition for Variance from or Waiver of Rule 59G-4.070, Florida Administrative Code. The Final Order was entered in response to the Am-Med Diabetic Supplies, Inc. d/b/a Beyond Medical USA’s document entitled, “Petition for Waiver or Variance” (the “Petition”), filed with the Agency Clerk on January 31, 2014. The Petition was published in the Florida Administrative Register on February 21, 2014. Am-Med Diabetic Supplies, Inc. d/b/a Beyond Medical USA (“Petitioner”) seeks a variance or waiver from Rule 59G-4.070, Florida Administrative Code.
Rule 59G-4.070, Florida Administrative Code, entitled Florida Medicaid Durable Medical Equipment and Medical Supply Services Coverage and Limitations Handbook, applies to all durable medical equipment and supply providers enrolled in the Medicaid program. Pursuant to Rule 59G-4.070, Florida Administrative Code, “[a]ll durable medical equipment and medical supply providers enrolled in the Medicaid program must be in compliance with the Florida Medicaid Durable Medical Equipment and Medical Supply Services Coverage and Limitations Handbook, July 2010, incorporated by reference, and the Florida Medicaid Provider Reimbursement Handbook, CMS-1500, which is incorporated by reference in Rule 59G-4.001, F.A.C.” Petitioner seeks a variance or waiver from that portion of the Florida Medicaid Durable Medical Equipment and Medical Supply Services Coverage and Limitations Handbook, July 2010, which precludes Medicaid DME and medical supply providers from having the same street address as another Medicaid DME and medical supply provider.
On April 30, 2014, AHCA issued the Final Order Granting Petition for Variance from or Waiver of Rule 59G-4.070, Florida Administrative Code. The Petition provided sufficient facts that constitute competent, substantial evidence, pursuant to section 120.542(8), Florida Statues, to support a variance or waiver from that portion of the Florida Medicaid Durable Medical Equipment and Medical Supply Services Coverage and Limitations Handbook, July 2010, which precludes Medicaid DME and medical supply providers from having the same street address as another Medicaid DME and medical supply provider.
Published on: 14211584. Waiver or Variance ("Petition") from Am-Med Diabetic Supplies, Inc. d/b/a Beyond Medical USA ("Petitioner"). Petitioner seeks a variance from or wavier of limited provisions of Rule 59G-4.070, Florida Administrative Code, entitled Durable Medical Equipment and Medical Supplies. Rule 59G-4.070, Florida Administrative Code (the "rule"), incorporates by reference the Florida Medicaid Durable Medical Equipment and Medical Supply Services Coverage and Limitations Handbook, July 2010 (the "handbook"); and applies to all durable medical equipment and supply providers enrolled in the Medicaid program. The rule specifies that all durable medical equipment and medical supply providers enrolled in the Medicaid program must be in compliance with the handbook. Petitioner seeks a permanent variance from or waiver of the handbook provision which precludes Medicaid DME and medical supply providers from having the same street address as another Medicaid DME and medical supply provider.
Published on: 12523881. Durable Medical Equipment and Medical Supplies.; Tuesday, February 19, 2013 from 3:00 p.m. to 4:00 p.m.
The rule development workshop has been rescheduled for this date and time.; Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Conference Room D, Tallahassee, Florida 32308-5407
Published on: 12449967. The purpose of the amendment to Rule 59G-4.070 is to incorporate by reference the Florida Medicaid Durable Medical Equipment and Supply Services Coverage and Limitations Handbook, March 2013. A revision to the handbook is needed to update the prior authorization requirements for durable medical equipment. This revision will clarify policy regarding 1) how to submit prior authorization requests and 2) the circumstances and qualifications under which Florida Medicaid will allow reimbursement for covered services. Other policies have been added and updated since the last promulgated handbook revision. The revised Florida Medicaid Durable Medical Equipment and Medical Supply Services Coverage and Limitations Handbook also provide guidelines for reimbursement of services performed by durable medical equipment providers.