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Florida Administrative Code (Last Updated: October 28, 2024) |
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59. Agency for Health Care Administration |
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59G. Medicaid |
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59G-6. Reimbursement To Providers |
1(1) Reimbursement to participating inpatient hospitals for services provided shall be in accordance with the Florida Title XIX Inpatient Hospital Reimbursement Plan (the Plan), Version XLIV, effective July 1, 2017, 31http://www.flrules.org/Gateway/reference.asp?No=Ref-09420, 33incorporated by reference. 36The Plan is applicable to the fee-for-service delivery system.
45(2) A copy of the Plan as revised may be obtained by writing to the Bureau of Medicaid Program Finance, Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Mail Stop 8, Tallahassee, Florida 32308.
81(3) The Provider Reimbursement Manual CMS PUB. 15-1, is incorporated by reference, 93http://www.flrules.org/Gateway/reference.asp?No=Ref-08256, 95and available at https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Paper-Based-Manuals-Items/CMS021929.html. 99The following 101cost reports 103are 104included in the Plan and are 110incorporated by reference: CMS-2552-96, June 2003, 116http://www.flrules.org/Gateway/reference.asp?No=Ref-07058; 118and CMS-2552-10, October 2012, 122http://www.flrules.org/Gateway/reference.asp?No=Ref-07059124. These 126cost reports 128are available on the Centers for Medicare and Medicaid Services website at http://www.cms.gov/Research-Statistics-Data-and-Systems/Files-for-Order/CostReports/Hospital-1996-form.html and http://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Downloads/R3P240f.pdf, respectively.
144Rulemaking Authority 146409.919 FS. 148Law Implemented 150409.905, 151409.908, 152409.909, 153409.913, 154409.9113, 155409.9115, 156409.9116, 157409.9118, 158409.9119 FS. 160History–New 10-31-85, Formerly 10C-7.391, Amended 10-1-86, 1-10-89, 11-19-89, 3-26-90, 8-14-90, 9-30-90, 9-16-91, 4-6-92, 11-30-92, 6-30-93, Formerly 10C-7.0391, Amended 4-10-94, 8-15-94, 1-11-95, 5-13-96, 7-1-96, 12-2-96, 11-30-97, 9-16-98, 11-10-99, 9-20-00, 3-31-02, 1-8-03, 7-3-03, 2-1-04, 2-16-04, 2-17-04, 8-10-04, 10-12-04, 1-10-06, 4-19-06, 12-11-06, 3-4-08, 6-10-08, 1-11-09, 3-24-10, 7-5-10, 7-15-10, 2-23-11, 10-30-12, 4-23-14, 1-19-15, 6-15-15, 7-11-16, 7-10-17, 7-12-18.
