The purpose of the amendment to Rule 59G-4.027, Florida Administrative Code (F.A.C.), is to incorporate by reference the Florida Medicaid Behavioral Health Overlay Services Coverage Policy, __________. The incorporated coverage policy will specify ...

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

RULE NO.:RULE TITLE:

59G-4.027Behavioral Health Overlay Services

PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-4.027, Florida Administrative Code (F.A.C.), is to incorporate by reference the Florida Medicaid Behavioral Health Overlay Services Coverage Policy, __________. The incorporated coverage policy will specify recipient eligibility, provider requirements, service coverage, and reimbursement information.

SUBJECT AREA TO BE ADDRESSED: Behavioral Health Overlay Services.

RULEMAKING AUTHORITY: 409.919, 409.961 FS.

LAW IMPLEMENTED: 409.902, 409.905, 409.907, 409.908, 409.912, 409.913, 409.973 FS.

A RULE DEVELOPMENT WORKSHOP WILL BE HELD AT THE DATE, TIME AND PLACE SHOWN BELOW:

DATE AND TIME: November 14, 2018 from 9:30 a.m. to 10:00 a.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: Matt Brackett. 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: Matt Brackett, 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. Official comments to be entered into the rule record will be received until 5:00 p.m. on November 15, 2018 and may be e-mailed to [e-mail]. For general inquiries and questions about the rule, please contact the person specified above.

 

THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS:

 

59G-4.027 Behavioral Health Overlay Services.

(1) This rule applies to all providers rendering of behavioral health overlay services who are enrolled in the Florida Medicaid behavioral health overlay services to recipients program.

(2) All providers of behavioral health overlay services must be in compliance with the provisions of the Florida Medicaid Behavioral Health Overlay Services Coverage Policy, _______and Limitations Handbook, March 2014, available at http://www.flrules.org/Gateway/reference.asp?No=Ref-03748, incorporated by reference. The policy handbook is available on the Agency for Health Care Administration’s Medicaid fiscal agent’s website at http://ahca.myflorida.com/Medicaid/review/index.shtml, and at [DOS place holder Ref-_______]. www.mymedicaid-florida.com. Select Public Information for Providers, then Provider Support, and then Provider Handbooks. Paper copies of the handbook may be obtained by calling the Provider Services Contact Center at 1(800)289-7799 and selecting Option 7.

(3) The following forms are included in the Florida Medicaid Behavioral Health Overlay Services Coverage and Limitations Handbook and are incorporated by reference: Certification of Eligibility, AHCA Form 5000-3522, Revised March 2014; Provider Agency Self-Certification, AHCA Form 5000-3523, Revised March 2014. These forms are available by photocopying them from the Florida Medicaid Behavioral Health Overlay Services Coverage and Limitations Handbook.

Rulemaking Authority 409.919, 409.961 FS. Law Implemented 409.902, 409.906, 409.907, 409.908, 409.9081, 409.912, 409.913, 409.973 FS. History–New 3-13-14,________.