Medical Foster Care

AGENCY FOR HEALTH CARE ADMINISTRATION
Medicaid

RULE NO: RULE TITLE
59G-4.197: Medical Foster Care

NOTICE OF CHANGE

Notice is hereby given that the following changes have been made to the proposed rule in accordance with subparagraph 120.54(3)(d)1., F.S., published in Vol. 33 No. 14, April 6, 2007 issue of the Florida Administrative Weekly.

These changes are in response to comments received from the Joint Administrative Procedures Committee.

We will continue to cite Sections 409.902 and 409.903, F.S., as laws implemented.

The rule incorporates by reference the Florida Medicaid Medical Foster Care Services Coverage and Limitations Handbook, February 2007. The following changes were made to the handbook:

Page 2-2, Definition of Medically Complex: We removed the “a” before the word “chronic” and pluralized the words “disease” and “condition.”

Page 2-2, Definition of Medically Necessary: We rewrote the first two sentences to read, “Medicaid reimburses for services that do not duplicate another provider’s service and are determined to be medically necessary. Per Rule 59G-1.010, F.A.C., to be medically necessary, services must meet the following conditions: . . . .”

Page 2-14, Medicaid Transportation: We deleted the note referencing the Florida Medicaid Non-Emergency Medical Transportation (NEMT) Services Coverage and Limitations Handbook, because the handbook does not yet exist.