The purpose of the amendment to Rule 59G-4.205 is to incorporate by reference the Florida Medicaid Practitioner Services Coverage and Limitations Handbook, __________________.

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

RULE NO.:RULE TITLE:

59G-4.205Practitioner Services

PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-4.205, F.A.C., is to incorporate by reference the Florida Medicaid Practitioner Services Coverage and Limitations Handbook, _______________.

SUMMARY: The amendment updates policy to allow separate reimbursement of the vagus nerve stimulator device, enrollment of practitioners who provide interpretation of diagnostic tests from distant sites, clarifies obstetrical ultrasound policy for multiple gestations, clarifies infusion services policy, and clarifies hospice policy for adult transplant recipients.

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: 409.902, 409.905, 409.906, 409.907, 409.908, 409.9081, 409.912, 409.913 FS.

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

DATE AND TIME: Thursday, January 30, 2014, 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: Eleanor Cofer 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 IS: Eleanor Cofer, Medicaid Services, 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. Comments will be received until 5:00 p.m. on Thursday, February 6, 2014.

 

THE FULL TEXT OF THE PROPOSED RULE IS:

 

59G-4.205 Practitioner Services.

(1) This rule applies to all physicians, advanced registered nurse practitioners, physician assistants, anesthesiologist assistants, and registered nurse first assistants enrolled in the Florida Medicaid program.

(2) All practitioner providers listed above and enrolled in the Medicaid program must be in compliance with the provisions of the Florida Medicaid Practitioner Services Coverage and Limitations Handbook, ____________December 2012, incorporated by reference. The handbook 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 Provider Handbooks. Paper copies A paper copy of the handbook may be obtained by calling the Provider Services Contact Center at 1-800-289-7799 and selecting Option 7.

Rulemaking Authority 409.919 FS. Law Implemented 409.902, 409.905, 409.906, 409.907, 409.908, 409.9081, 409.912, 409.913 FS. History–New 6-11-13, Amended___________.

 

NAME OF PERSON ORIGINATING PROPOSED RULE: Eleanor Cofer

NAME OF AGENCY HEAD WHO APPROVED THE PROPOSED RULE: Elizabeth Dudek

DATE PROPOSED RULE APPROVED BY AGENCY HEAD: December 2, 2013

DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAR: July 26, 2013