The purpose of the amendment to Rule 59G-13.131 is to incorporate by reference the Florida Medicaid Traumatic Brain and Spinal Cord Injury Waiver Services Fee Schedule, March 2013. The amendment updates services and procedure codes. The fee schedule ...

 

AGENCY FOR HEALTH CARE ADMINISTRATION
Medicaid

RULE NO.: RULE TITLE:
59G-13.131Traumatic Brain Injury and Spinal Cord Injury Waiver Services Fee Schedule
PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-13.131, F.A.C., is to incorporate by reference the Florida Medicaid Traumatic Brain and Spinal Cord Injury Waiver Services Fee Schedule, March 2013. The amendment updates services and procedure codes. The fee schedule will reflect services currently being provided and the procedure code, modifier, reimbursement per unit, and limits for each service. The procedure code for adaptive health and wellness is being deleted. The following procedure codes are being added: emergency alert response system installation; emergency alert response system monitoring and maintenance; occupational therapy; physical therapy; and residential habilitation.
SUBJECT AREA TO BE ADDRESSED: Traumatic Brain Injury and Spinal Cord Injury Waiver Services Fee Schedule.
An additional area to be addressed during the workshop will be the potential regulatory impact Rule 59G-13.131 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: Tuesday, January 29, 2013, 3:00 p.m. - 4:00 p.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 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-13.131 Traumatic Brain Injury and Spinal Cord Injury Waiver Services Fee Schedule.

All traumatic brain and spinal cord injury 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 Traumatic Brain and Spinal Cord Injury Waiver Services Fee Schedule, March 2013 July 2009, 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 8-5-09, Amended 9-21-11,__________.