The purpose of Rule 59G-6.035, Florida Administrative Code (F.A.C.), is to establish Florida Medicaid’s reimbursement process for publicly owned or operated emergency transportation services providers that qualify for the Certified Public ...

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

RULE NO.:RULE TITLE:

59G-6.035Certified Public Expenditures for Emergency Services

PURPOSE AND EFFECT: The purpose of Rule 59G-6.035, Florida Administrative Code (F.A.C.), is to establish Florida Medicaid’s reimbursement process for publicly owned or operated emergency transportation services providers that qualify for the Certified Public Expenditures Program appropriated by the Florida Legislature.

SUMMARY: This rule describes the Certified Public Expenditures Program for Emergency Transportation Services.

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 on 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 FS.

A HEARING WILL BE HELD AT THE DATE, TIME AND PLACE SHOWN BELOW:

DATE AND TIME: February 16, 2017, 2:00 p.m. to 3:00 p.m.

PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Tallahassee, Florida 32308-5407.

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 48 hours before the workshop/meeting by contacting: Luc Toussaint. 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: Luc Toussaint, Bureau of Medicaid Policy, 2727 Mahan Drive, Mail Stop 20, Tallahassee, Florida 32308-5407, telephone: [phone], e-mail: [e-mail].

Please note that a preliminary draft of the reference material, if available, will be posted prior to the hearing at http://ahca.myflorida.com/Medicaid/review/index.shtml. Official comments to be entered into the rule record will be received from the date of this notice until 5:00 p.m. February 17, 2017. Comments may be e-mailed to [e-mail]. For general inquiries and questions about the rule, please contact the person specified above.

 

THE FULL TEXT OF THE PROPOSED RULE IS:

 

59G-6.035 Certified Public Expenditures Program for Emergency Transportation Services.

(1) This rule applies to all publicly owned or operated emergency transportation services providers

rendering Florida Medicaid emergency transportation services to recipients under the fee-for-service delivery system.

(2) Providers must submit AHCA Form 5000-0035,_____ Emergency Medical Transportation Integrated Disclosure and Medicaid Cost Report General Information and Certification, incorporated by reference, and available at http://ahca.myflorida.com/Medicaid/Finance/finance/LIP-DSH/PEMT/index.shtml, and at [DOS Placeholder] to the Agency for Health Care Administration (AHCA) annually, to be eligible to use certified public expenditure funds as state match in order to receive federal financial participation. The form must be completed in accordance with AHCA Form 5000-0035A,_____ Emergency Medical Transportation Services Cost Report Instructions, incorporated by reference, and available at http://ahca.myflorida.com/Medicaid/Finance/finance/PEMT/index.shtml, and at [DOS Placeholder].   

(3) Funds are appropriated from the Medical Care Trust Fund for the Certified Public Expenditures Program for Emergency Transportation Services and are supplemental to the reimbursement rates on the Florida Medicaid Ambulance Transportation Services Fee Schedule, incorporated by reference in Rule 59G-4.002, Florida Administrative Code.

(4) The Provider Reimbursement Manual CMS PUB. 15-1, is incorporated by reference, and available at https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Paper-Based-Manuals-Items/CMS021929.html, and at http://www.flrules.org/Gateway/reference.asp?No=Ref-07043.

(5) The OMB Circular A-87, is incorporated by reference, and available at https://www.whitehouse.gov/omb/circulars_a087_2004, and at [DOS Placeholder___].

Rulemaking Authority 409.919 FS. Law Implemented 409.908 FS. History-New,____________.

 

NAME OF PERSON ORIGINATING PROPOSED RULE: Luc Toussaint

NAME OF AGENCY HEAD WHO APPROVED THE PROPOSED RULE: Justin M. Senior

DATE PROPOSED RULE APPROVED BY AGENCY HEAD: January 17, 2017

DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAR: December 19, 2016