The purpose of the proposed rule is to incorporate changes to the Florida Title XIX Long-Term Care Reimbursement Plan (the Plan) payment methodology, effective July 1, 2008. 1. Section IV. J.3. of the Title XIX Long-Term Care Reimbursement Plan has ...  


  • RULE NO: RULE TITLE
    59G-6.010: Payment Methodology for Nursing Home Services
    PURPOSE AND EFFECT: The purpose of the proposed rule is to incorporate changes to the Florida Title XIX Long-Term Care Reimbursement Plan (the Plan) payment methodology, effective July 1, 2008.
    1. Section IV. J.3. of the Title XIX Long-Term Care Reimbursement Plan has been modified as follows:
    As part of the operating component, interim rate adjustments shall be granted to reflect increases in the cost of premiums for general or professional liability insurance policies and payments into qualifying self-insurance funds as defined in CMS 15-1, 2162, if the change in cost of premiums and payments to the provider is at least $5,000 and would cause a change of one percent or more in the provider’s current total per diem rate.
    2. Section IV. J.4. of the Title XIX Long-Term Care Reimbursement Plan has been modified to include a reference to Section IV. J.3 above.
    SUMMARY: The Florida Title XIX Long-Term Care Reimbursement Plan has been modified to clarify an interim rate provision as it pertains to General and Professional Liability Insurance.
    SUMMARY OF STATEMENT OF ESTIMATED REGULATORY COSTS: No Statement of Estimated Regulatory Cost was prepared.
    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.
    SPECIFIC AUTHORITY: 409.919 FS.
    LAW IMPLEMENTED: 409.908 FS.
    IF REQUESTED WITHIN 21 DAYS OF THE DATE OF THIS NOTICE, A HEARING WILL BE HELD AT THE DATE,TIME AND PLACE SHOWN BELOW(IF NOT REQUESTED, THIS HEARING WILL NOT BE HELD):
    DATE AND TIME: November 18, 2008, 9:00 a.m. – 10:00 a.m.
    PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Conference Room C, Tallahassee, Florida 32308
    THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE IS: Edwin Stephens, Medicaid Program Analysis, Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Room 2120B, Mail Stop 21, Tallahassee, Florida 32308, (850)414-2756 or by e-mail at stephene@ahca.myflorida.com

    THE FULL TEXT OF THE PROPOSED RULE IS:

    59G-6.010 Payment Methodology for Nursing Home Services

    Reimbursement to participating nursing homes for services provided shall be in accord with the Florida Title XIX Long-Term Care Reimbursement Plan, Version XXXIV XXXIII Effective Date July 1, 2008 January 1, 2008 and incorporated herein by reference. A copy of the Plan as revised may be obtained by writing to the Deputy Secretary for Medicaid, 2727 Mahan Drive, Mail Stop 8, Tallahassee, Florida 32308. The Plan incorporates Provider Reimbursement Manual (CMS Pub. 15-1).

    Specific Authority 409.919 FS. Law Implemented 409.908 FS. History–New 7-1-85, Amended 10-1-85, Formerly 10C-7.482, Amended 7-1-86, 1-1-88, 3-26-90, 9-30-90, 12-17-90, 9-15-91, 3-26-92, 10-22-92, 4-13-93, 6-27-93, Formerly 10C-7.0482, Amended 4-10-94, 9-22-94, 5-22-95, 11-27-95, 11-6-97, 2-14-99, 10-18-99, 1-11-00, 4-24-00, 9-20-00, 11-20-01, 2-20-02, 7-14-02, 1-8-03, 6-11-03, 12-3-03, 2-16-04, 7-21-04, 10-12-04, 4-19-06, 8-26-07, 2-12-08, 9-22-08,________.


    NAME OF PERSON ORIGINATING PROPOSED RULE: Edwin Stephens
    NAME OF AGENCY HEAD WHO APPROVED THE PROPOSED RULE: Holly Benson
    DATE PROPOSED RULE APPROVED BY AGENCY HEAD: October 13, 2008
    DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAW: June 27, 2008

Document Information

Comments Open:
10/24/2008
Summary:
The Florida Title XIX Long-Term Care Reimbursement Plan has been modified to clarify an interim rate provision as it pertains to General and Professional Liability Insurance.
Purpose:
The purpose of the proposed rule is to incorporate changes to the Florida Title XIX Long-Term Care Reimbursement Plan (the Plan) payment methodology, effective July 1, 2008. 1. Section IV. J.3. of the Title XIX Long-Term Care Reimbursement Plan has been modified as follows: As part of the operating component, interim rate adjustments shall be granted to reflect increases in the cost of premiums for general or professional liability insurance policies and payments into qualifying self-...
Rulemaking Authority:
409.919 FS.
Law:
409.908 FS.
Contact:
Edwin Stephens, Medicaid Program Analysis, Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Room 2120B, Mail Stop 21, Tallahassee, Florida 32308, (850)414-2756 or by e-mail at stephene@ahca.myflorida.com
Related Rules: (1)
59G-6.010. Payment Methodology for Nursing Home Services