65G-13.008. Room and Board Payments


Effective on Thursday, August 17, 2023
  • 1(1) For the Agency to authorize a room and board payment to a licensed residential facility in accordance with legislative appropriation for room and board services received by a client, the client must:

    34(a) reside in a licensed residential facility;

    41(b) have sought and obtained all available third-party benefits and benefit payments, for which the client is entitled;

    59(c) have utilized all third-party benefits and benefit payments towards the payment of room and board services, except for a personal needs allowance as set forth in Rule 65G-2.018, F.A.C.; and

    90(d) provide all records relating to receipt of third-party benefits and benefit payments to the residential facility in which the client resides.

    112(2) The licensed residential facility must request a room and board payment in accordance with this subsection.

    129(a) The licensed residential facility must submit the Room and Board Reimbursement Form, APD Form 65G-13.008 A, adopted and incorporated herein, which may be found at: 155http://www.flrules.org/Gateway/reference.asp?No=Ref-15472, 157in accordance with the instructions contained therein.

    164(b) The licensed residential facility must submit for its adult clients, at least annually or upon any change in the client’s Social Security eligibility, a copy of the most recent Supplemental Security Income (“SSI”) program award or denial letter, which demonstrates a good faith attempt to secure a benefit payment for the client to the regional office in which the facility is located. The contact information for each regional office can be found at https://apd.myflorida.com/.

    239(3) The room and board reimbursement payment for an adult must be calculated as follows:

    254(a) add together all benefit payments and third-party benefits; then

    264(b) subtract the personal need allowance, described in Rule 65G-2.018, F.A.C.; then

    276(c) subtract that total from $583.42. If the final result is zero or less, there will be no reimbursement payment.

    296(4) The room and board payment for a client under the age of 22 is $583.42, regardless of that client’s benefit payments and third-party benefits.

    321(5) This Rule shall be reviewed, and if necessary, renewed through the rulemaking process five years from the effective date.

    341Rulemaking Authority 343393.066, 344393.0662, 345393.067, 346393.501, 347402.33, FS. 349Law Implemented 351393.066, 352393.0662, 353393.067, 354402.33, FS. 356History–New 8-17-23.