The purpose of the amendment to Rule 59G-13.081, Florida Administrative Code (F.A.C.), is to update the Florida Medicaid Developmental Disabilities Individual Budgeting Waiver Services Provider Rate Table.

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

RULE NO.:RULE TITLE:

59G-13.081Developmental Disabilities Individual Budgeting Waiver Services Provider Rate Table

PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-13.081, Florida Administrative Code (F.A.C.), is to update the Florida Medicaid Developmental Disabilities Individual Budgeting Waiver Services Provider Rate Table.

SUMMARY: The amendment adds new procedure codes for new services, clarifies current service limits and updates for the current fiscal year.

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: 393.501, 409.919 FS.

LAW IMPLEMENTED: 393.0662, 409.902, 409.906, 409.907, 409.908, 409.912, 409.913 FS.

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

DATE AND TIME: February 21, 2023 from 2:00 p.m. to 3:00 p.m.

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

Remote Listeners: Attendees may register for the hearing at: https://attendee.gotowebinar.com/register/5300285290742420565. After registering, a confirmation email will be received containing information about joining the webinar, and opportunities to offer comments and questions will be available.

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 5 days before the workshop/meeting by contacting: [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: [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 until 5:00 p.m. on February 22, 2023, and may be e-mailed to [e-mail].

 

THE FULL TEXT OF THE PROPOSED RULE IS:

 

59G-13.081 Developmental Disabilities Individual Budgeting Waiver Services Provider Rate Table.

(1) This rule applies to all providers that render Florida Medicaid Developmental Disabilities Individual Budgeting Waiver services to recipients.

(2) Florida Medicaid reimburses providers in accordance with the Florida Medicaid Developmental Disabilities Individual Budgeting Waiver Services Provider Rate Table, __________September 2021, incorporated by reference. The fee schedule is available on the Agency for Health Care Administration’s Web site at http://ahca.myflorida.com/Medicaid/review/index.shtml, and at http://www.flrules.org/Gateway/reference.asp?No=Ref-_______13441.

(3) This rule is in effect for 5 years from its effective date.

 The Agency will review this rule five years from the effective date and repromulgate, amend or repeal the rule as appropriate, in accordance with Section 120.54, F.S., and Chapter 1-1, F.A.C.

Rulemaking Authority 409.919, 393.0661 FS. Law Implemented 393.0661, 409.902, 409.906, 409.908, 409.912, 409.913 FS. History–New 5-29-06, Amended 11-15-07, 10-13-08, 3-13-13, 3-14-16, 8-3-16, 6-10-18, 12-15-20, 9-6-21, _________.

 

NAME OF PERSON ORIGINATING PROPOSED RULE: Catherine McGrath

NAME OF AGENCY HEAD WHO APPROVED THE PROPOSED RULE: Jason Weida

DATE PROPOSED RULE APPROVED BY AGENCY HEAD: January 19, 2023

DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAR: September 7, 2022