The purpose of Rule 59G-4.192, Florida Administrative Code, is to incorporate by reference the Florida Medicaid Statewide Medicaid Managed Care Long-term Care Program Coverage Policy, __________.

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

RULE NO.:RULE TITLE:

59G-4.192Statewide Medicaid Managed Care Long-term Care Program

PURPOSE AND EFFECT: The purpose of Rule 59G-4.192, Florida Administrative Code, is to incorporate by reference the Florida Medicaid Statewide Medicaid Managed Care Long-term Care Program Coverage Policy, __________.

SUMMARY: The incorporated coverage policy will specify recipient eligibility, provider requirements, covered services, and consideration of caregiver availability in the care planning and service authorization process.

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.

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, 409.961, FS.

LAW IMPLEMENTED: 409.978, 409.979, FS.

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

DATE AND TIME: January 27, 2017, 1:30 to 2:30 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: Kelly Raborn. 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: Kelly Raborn, 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 public 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. January 30, 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-4.192Statewide Medicaid Managed Care Long-term Care Program.

(1) This rule applies to all providers rendering Florida Medicaid Statewide Medicaid Managed Care Long-term Care Program services to recipients.

(2) All providers must be in compliance with the provisions of the Florida Medicaid Statewide Medicaid Managed Care Long-term Care Program Coverage Policy, __________, incorporated by reference. The policy is available on the Agency for Health Care Administration’s website at http://ahca.myflorida.com/Medicaid/review/index.shtml, and at [DOS place holder Ref-_______].

Rulemaking Authority 409.919, 409.961 FS. Law Implemented 409.978, 409.979 FS. History–New________.

 

NAME OF PERSON ORIGINATING PROPOSED RULE: Kelly Raborn

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

DATE PROPOSED RULE APPROVED BY AGENCY HEAD: January 03, 2017

DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAR: March 2, 2016