The purpose of the amendment to Rule 59G-4.320 is to incorporate by reference the Florida Medicaid Physical Therapy Services Coverage Policy, __________. The incorporated coverage policy will specify recipient eligibility, provider requirements, ...

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

RULE NO.:RULE TITLE:

59G-4.320Therapy Services

PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-4.320, F.A.C. is to incorporate by reference the Florida Medicaid Physical Therapy Services Coverage Policy, __________. The incorporated coverage policy will specify recipient eligibility, provider requirements, service coverage, and reimbursement information. The amendment also revises the rule title to Physical Therapy Services.

SUBJECT AREA TO BE ADDRESSED: Rules 59G-4.320, Therapy Services; 59G-4.318, Occupational Therapy Services; 59G-4.322, Respiratory Therapy Services; and 59G-4.324, Speech-Language Pathology Services. An additional area to be addressed during the workshop will be the potential regulatory impact Rules 59G-4.320, 59G-4.322, 59G-4.324, and 59G-4.218, Florida Administrative Code, will have as provided for under sections 120.54 and 120.541, Florida Statutes.

RULEMAKING AUTHORITY: 409.919 FS.

LAW IMPLEMENTED: 409.902, 409.905, 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: October 28, 2015, 9:30 a.m. ‒ 12:30 p.m.

PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Conference Room C, 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: LaKera Reddick. 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: LaKera Reddick, 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 workshop at http://ahca.myflorida.com/Medicaid/review/index.shtml. Comments will be received until 5:00 p.m., on the day of the workshop.

 

THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS:

 

59G-4.320 Physical Therapy Services.

(1) This rule applies to any person or entity prescribing or reviewing a request for physical therapy services and all providers of physical therapy services providers who are enrolled in or registered with the Florida Medicaid program.

(2) All persons or entities described in subsection (1) therapy providers enrolled in the Medicaid program must be in compliance with the provisions of the Florida Medicaid Physical Therapy

Services Coverage Policy,__________ and Limitations Handbook, August 2013, available at http://www.flrules.org/Gateway/reference.asp?No=Ref-03069, incorporated by reference. The policy handbook is available from the Florida Medicaid fiscal agent’s Web site at http://portal.flmmis.com/flpublic www.mymedicaid-florida.com. Select Public Information for Providers, then Provider Support, and then Handbook. Paper copies of the handbooks may be obtained by calling the Medicaid fiscal agent at [phone] and selecting Option 4.

Rulemaking Authority 409.919 FS. Law Implemented 409.902, 409.905, 409.907, 409.908, 409.912, 409.913 FS. History–New 5-24-92, Amended 4-12-93, Formerly 10C-7.068, Amended 5-4-94, 12-26-95, 3-9-99, 12-2-03, 12-3-08, 8-22-13, __________.