The purpose of the amendment to Rule 59G-4.050 is to incorporate by reference the Florida Medicaid Community Behavioral Health Services Coverage and Limitations Handbook, October 2012. The handbook is being revised to remove the enrollment ...

 

AGENCY FOR HEALTH CARE ADMINISTRATION
Medicaid

RULE NO.: RULE TITLE:
59G-4.050: Community Behavioral Health Services
PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-4.050 is to incorporate by reference the Florida Medicaid Community Behavioral Health Services Coverage and Limitations Handbook, October 2012. The handbook is being revised to remove the enrollment requirement for Medicaid behavioral health providers to have an active contract with the Substance Abuse and Mental Health (SAMH) circuit or regional office for the location in which the provider will render services. This handbook adds descriptions and policy for the Medicaid behavioral health managed care plans. In addition, this handbook modifies various staff qualifications, policy requirements for community behavioral health services, and updates forms and fiscal agent information.
SUBJECT AREA TO BE ADDRESSED: Community Behavioral Health Services
An additional area to be addressed during the workshop will be the potential regulatory impact to Rule 59G-4.050 under sections 120.54 and 120.541, F.S.
RULEMAKING AUTHORITY: 409.919 FS.
LAW IMPLEMENTED: 409.902, 409.906, 409.907, 409.908, 409.9081, 409.912, 409.913 FS.
A RULE DEVELOPMENT WORKSHOP WILL BE HELD AT THE DATE, TIME AND PLACE SHOWN BELOW:
DATE AND TIME: Tuesday, November 6, 2012 from 10:00 a.m. to 12:00 p.m.
PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Conference Room A, 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: Melissa Eddleman 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: Melissa Eddleman, 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-4.050 Community Behavioral Health Services.

(1) This rule applies to all community behavioral mental health services providers enrolled in the Medicaid program.

(2) All community behavioral health services providers enrolled in the Medicaid program must be in compliance with the Florida Medicaid Community Behavioral Health Coverage and Limitations Handbook, October 2012 2004, incorporated by reference, and the Florida Medicaid Provider Reimbursement Handbook, CMS-1500, which is incorporated by reference in Rule 59G-4.001, F.A.C. The handbooks is are available on 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 of the handbooks may be obtained by calling the Provider Services Contact Center at 1(800) 289-7799 and selecting Option 7.  Next, click on Provider Support, and then click on Handbooks.

(3) The following forms that are included in the Florida Medicaid Community Behavioral Health Coverage and Limitations Handbook are incorporated by reference: Temporary Limited Service Authorization, October 2012 2004; Authorization for Comprehensive Behavioral Health Assessment, October 2012 2004; Comprehensive Behavioral Health Assessment  Agency and Practitioner Provider Certification, October 2012 2004; Specialized Therapeutic Foster Care Provider Agency Certification, October 2012 2004; Authorization for Specialized Therapeutic Foster Care, October 2012 2004; Authorization for Crisis Intervention, October 2012 2004; Provider Agency Self Certification  Form Behavioral Health Overlay Services In Department of Juvenile Justice Settings, October 2012 2004; Provider Agency Certification Form Behavioral Health Overlay Services In Department of Juvenile Justice Settings, October 2012 2004; Certification of Eligibility for Behavioral Health Overlay Services In Department of Juvenile Justice Settings, October 2012 2004; Provider Agency Acknowledgement for Self-Certification Form Therapeutic Group Home Services, October 2012 2004; Therapeutic Group Care Services Provider Agency Certification, October 2012 2004; Authorization for Therapeutic Group Care Services, October 2012 2004; Certification of Eligibility for Behavioral Health Overlay Services In Child Welfare Settings, October 2012 2004; Provider Agency Self-Certification For Form Behavioral Health Overlay Services In Child Welfare Settings, October 2012 2004; Provider Agency Certification For Form Behavioral Health Overlay Services In Child Welfare Settings, October 2012 2004; and Provider Agency Pre-Enrollment Certification For Community Behavioral Health services, October 2012. These forms are available by photocopying them from the Florida Medicaid Community Behavioral Health Coverage and Limitations Handbook. The handbook is available from the Medicaid fiscal agent.

Rulemaking Specific Authority 409.919 FS. Law Implemented 409.902, 409.906, 409.907, 409.908, 409.9081, 409.912, 409.913 FS. History–New 1-27-82, Amended 10-25-84, Formerly 10C-7.525, Amended 1-19-94, Formerly 10C-7.0525, Amended 9-21-98, 11-14-00, 1-19-05, __________________.