The purpose of the amendment to Rule 59G-6.090 is to incorporate by reference the Title XIX County Health Department Reimbursement Plan (the Plan), effective July 1, 2013. The rule will update the Plan to reflect changes authorized in Senate Bill ...

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

RULE NO.:RULE TITLE:

59G-6.090Payment Methodologies for County Health Departments

PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-6.090, F.A.C., is to incorporate by reference the Title XIX County Health Department Reimbursement Plan (the Plan), effective July 1, 2013. The rule will update the Plan to reflect changes authorized in Senate Bill 1500, 2013-14, General Appropriations Act, Specific Appropriation 232, which provides reimbursement rate buy back authority for County Health Departments and a recurring methodology to establish reimbursement rates.

SUMMARY: Rule 59G-6.090, F.A.C., incorporates by reference the Title XIX County Health Department Reimbursement Plan (the Plan), effective July 1, 2013. The rule will update the Plan to reflect changes authorized in Senate Bill 1500, 2013-14, General Appropriations Act, Specific Appropriation 232, which provides reimbursement rate buy back authority for County Health Departments and a recurring methodology to establish reimbursement rates.

SUMMARY OF STATEMENT OF ESTIMATED REGULATORY COSTS AND LEGISLATIVE RATIFICATION:

The Agency has determined that this will not have an adverse impact on small business or likely increase directly or indirectly regulatory costs in excess of $200,000 in the aggregate within one year after the implementation of the rule. A SERC has not been prepared by the Agency.

The Agency has determined that the proposed rule is not expected to require legislative ratification based on the statement of estimated regulatory costs or if no SERC is required, the information expressly relied upon and described herein: A checklist was prepared by the Agency to determine the need for a SERC. Based upon this information at the time of the analysis and pursuant to Section 120.541, Florida Statutes, the rule will not require legislative ratification.

Any person who wishes to provide information regarding a statement of estimated regulatory costs, or provide a proposal for a lower cost regulatory alternative must do so in writing within 21 days of this notice.

RULEMAKING AUTHORITY: 409.919 FS.

LAW IMPLEMENTED: 409.908, 409.913 FS.

IF REQUESTED WITHIN 21 DAYS OF THE DATE OF THIS NOTICE, A HEARING WILL BE HELD AT THE DATE, TIME AND PLACE SHOWN BELOW (IF NOT REQUESTED, THIS HEARING WILL NOT BE HELD):

DATE AND TIME: February 18, 2014 11:00 a.m. – 12:00 Noon

PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Conference Room C, Tallahassee, FL 32308

Pursuant to the provisions of the Americans with Disabilities Act, any person requiring special accommodations to participate in this workshop/meeting is asked to advise the agency at least 7 days before the workshop/meeting by contacting: Edwin Stephens, Medicaid Program Finance, Agency for Health Care Administration,
2727 Mahan Drive, Building 3, Mail Stop 23, Tallahassee, Florida 32308, [phone] or by e-mail at [e-mail]. If you are hearing or speech impaired, please contact the agency using the Florida Relay Service, 1(800)955-8771 (TDD) or 1(800)955-8770 (Voice).

THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE IS: Edwin Stephens, Medicaid Program Finance, Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Mail Stop 23, Tallahassee, Florida 32308, [phone] or by e-mail at [e-mail]

 

THE FULL TEXT OF THE PROPOSED RULE IS:

 

59G-6.090 Payment Methodology for County Health Departments.

Reimbursement to participating county health departments for services provided shall be in accordance with the Florida Title XIX County Health Departments Reimbursement Plan Version XI Effective Date July 1, 2013 and incorporated herein by reference, http://www.flrules.org/Gateway/reference.asp?No=Ref-_______02212. A copy of the Plan as revised may be obtained by writing to the Deputy Secretary for Medicaid, 2727 Mahan Drive, Building 3, Mail Stop 8, Tallahassee, Florida 32308.

Rulemaking Authority 409.919 FS. Law Implemented 409.908, 409.913, FS. History–New 6-3-93, Formerly 10P-6.090, Amended 3-10-94, 7-21-02, 11-21-04, 1-11-09, 3-24-10, 2-23-11, 5-3-12, 4-3-13,_________.

 

NAME OF PERSON ORIGINATING PROPOSED RULE: Edwin Stephens

NAME OF AGENCY HEAD WHO APPROVED THE PROPOSED RULE: Elizabeth Dudek

DATE PROPOSED RULE APPROVED BY AGENCY HEAD: January 14, 2014

DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAR: June 19, 2013