The purpose of the amendment to Rule 59G-13.015 is to incorporate by reference the Florida Medicaid Adult Cystic Fibrosis Procedure Codes and Fee Schedule, March 2013. The amendment updates services and procedure codes. The fee schedule will reflect ...

 

AGENCY FOR HEALTH CARE ADMINISTRATION
Medicaid

RULE NO.: RULE TITLE:
59G-13.015Adult Cystic Fibrosis Waiver Services Procedure Codes and Fee Schedule
PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-13.015, F.A.C., is to incorporate by reference the Florida Medicaid Adult Cystic Fibrosis Procedure Codes and Fee Schedule, March 2013. The amendment updates services and procedure codes. The fee schedule will reflect the services currently being provided and the procedure code, modifier, code description, billable unit, fee, and limits for each service. Procedure codes related to acupuncture, exercise therapy, nutritional consultation, and transportation are being deleted. The procedure code name for case management is being changed to community support coordination. A procedure code for home delivered meals is being added.
SUBJECT AREA TO BE ADDRESSED: Adult Cystic Fibrosis Waiver Services Procedure Codes and Fee Schedule
An additional area to be addressed during the workshop will be the potential regulatory impact the amendment to Rule 59G-13.015, F.A.C., will have as provided for under Sections 120.54 and 120.541, F.S.
RULEMAKING AUTHORITY: 409.919 FS.
LAW IMPLEMENTED: 409.902, 409.906, 409.907, 409.908, 409.912, 409.913 FS.
A RULE DEVELOPMENT WORKSHOP WILL BE HELD AT THE DATE, TIME AND PLACE SHOWN BELOW:
DATE AND TIME: Wednesday, January 23, 2013, 10:30 a.m. - 11:30 a.m.
PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Conference Room D, 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: Caryl Jefferson at the Bureau of Medicaid Services, [phone]. 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 DEVELOPMENT AND A COPY OF THE PRELIMINARY DRAFT, IF AVAILABLE, IS: Caryl Jefferson, Medicaid Services, 2727 Mahan Drive, Mail Stop 20, Tallahassee, Florida 32308-5407, telephone: [phone], e-mail: [e-mail]

THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS:

59G-13.015 Adult Cystic Fibrosis Waiver Services Procedure Codes and Fee Schedule.

(1) This rule applies to all adult cystic fibrosis waiver services providers enrolled in the Medicaid program.

(2) All adult cystic fibrosis waiver services providers and their billing agents, who submit claims on the provider’s their behalf, must be in compliance with the provisions of the Florida Medicaid Adult Cystic Fibrosis Procedure Codes and Fee Schedule, March 2013 March 2007, which is incorporated by reference. The fee schedule is available from the Medicaid fiscal agent’s Web site at www.mymedicaid-florida.com. Select Public Information for Providers, then Provider Support, and then Fee Schedules. Paper copies of the fee schedule may be obtained by calling the Provider Services Contact Center at 1-800-[phone] and selecting Ooption 7.

Rulemaking Authority 409.919 FS. Law Implemented 409.902, 409.906, 409.907, 409.908, 409.912, 409.913 FS. History–New 9-21-11, Amended _________.