The purpose of the amendment to Rule 59G-4.025, Florida Administrative Code (F.A.C.) is to incorporate by reference the Florida Medicaid Assistive Care Services Coverage Policy, __________. The incorporated coverage policy will specify recipient ...

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

RULE NO.:RULE TITLE:

59G-4.025Assistive Care Services

PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-4.025, Florida Administrative Code (F.A.C.) is to incorporate by reference the Florida Medicaid Assistive Care Services Coverage Policy, __________. The incorporated coverage policy will specify recipient eligibility, provider requirements, service coverage, and reimbursement information.

SUBJECT AREA TO BE ADDRESSED: Assistive Care Services. An additional area to be addressed during the workshop will be the potential regulatory impact Rule 59G-4.025, F.A.C., will have as provided for under sections 120.54 and 120.541, Florida Statutes.

RULEMAKING AUTHORITY: 409.919, 409.961 FS.

LAW IMPLEMENTED: 409.906, 409.912, 409.973 FS.

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

DATE AND TIME: October 24, 2016, 1:00 p.m. – 2:00 p.m.

PLACE: In Person: Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Tallahassee, Florida 32308-5407. Remote Listeners: Register to view the presentation at https://attendee.gotowebinar.com/register/2284030175668993537. A call number will be provided upon successful registration through which, remote attendees may listen to the discussion via telephone.

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: Shameria Davis. 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: Shameria Davis, Bureau of Medicaid Policy, 2727

Mahan Drive, Mail Stop 20, Tallahassee, Florida 32308-5407, telephone: [phone], email:

[e-mail]

 

THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS:

 

59G-4.025 Assistive Care Services.

(1) This rule applies to all providers rendering Florida Medicaid assistive care services to recipients service providers enrolled in Medicaid under Section 409.906, F.S., who provide assistive care services.

(2) All providers must comply with the provisions of the Florida Medicaid Assistive Care Services Coverage Policy, __________, incorporated by reference, and available on the Agency for Health Care Administration’s website at http://ahca.myflorida.com/Medicaid/review/index.shtml, and at [DOS place holder Ref-_______]. 

(2) All assistive care service providers enrolled in Medicaid program must be in compliance with the Florida Medicaid Assistive Care Services Coverage and Limitations Handbook, July 2009 which is 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. Both handbooks are available from the Medicaid fiscal agent’s Web Portal at http://mymedicaid-florida.com. Click on Public Information for Providers, then on Provider Support, and then on Provider Handbooks. Paper copies of the handbooks may be obtained by calling the Provider Contact Center at 1(800) 289-7799 and selecting Option 7.

(3) The following forms that are included in the Florida Medicaid Assistive Care Services Coverage and Limitations Handbook are incorporated by reference:

(a) Appendix B contains the Certification of Medical Necessity for Medicaid Assistive Care Services, AHCA-Med Serv Form 035, July 2009, one page. The form is available from the Medicaid fiscal agent’s Web Portal at http://mymedicaid-florida.com. Click on Public Information for Providers, then on Provider Support, and then on Forms or by photocopying it from the handbook.

(b) Appendix C contains the Resident Service Plan for Assistive Care Services, AHCA-Med Serv Form 036, July 2009, three pages. The form is available from the Medicaid fiscal agent’s Web Portal at http://mymedicaid-florida.com. Click on Public Information for Providers, then on Provider Support, and then on Forms or by photocopying it from the handbook.

(c) Appendix D contains the Resident Service Log for Medicaid Assistive Care Services, AHCA-Med Serv Form 037, July 2009, one page. The form is available from the Medicaid fiscal agent’s Web Portal at http://mymedicaid-florida.com. Click on Public Information for Providers, then on Provider Support, and then on Forms or by photocopying it from the handbook.

Rulemaking Authority 409.919, 409.961 FS. Law Implemented 409.906, 409.912, 409.973 FS. History–New 11-28-01, Amended 7-20-10,______.