The purpose of Rule 59G-4.192 is to incorporate by reference the Florida Medicaid Long-term Care Program Coverage Policy, __________. The incorporated coverage policy will specify recipient eligibility, provider requirements, covered services, and ...

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

RULE NO.: RULE TITLE:

59G-4.192: Statewide Medicaid Managed Care Long-term Care Program

PURPOSE AND EFFECT: The purpose of Rule 59G-4.192, F.A.C. is to incorporate by reference the Florida Medicaid Long-term Care Program Coverage Policy, __________. The incorporated coverage policy will specify recipient eligibility, provider requirements, covered services, and consideration of caregiver availability in the care planning and service authorization process. The rule title is also changed to Long-term Care Program.

SUBJECT AREA TO BE ADDRESSED: Statewide Medicaid Managed Care Long-term Care Program.

An additional area to be addressed during the workshop will be the potential regulatory impact Rule 59G-4.192, Florida Administrative Code, will have as provided for under sections 120.54 and 120.541, Florida Statutes.

RULEMAKING AUTHORITY: 409.919, 409.961 FS.

LAW IMPLEMENTED: 409.978, 409.979 FS.

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

DATE AND TIME: December 4, 2015. 10:00 a.m.-11:00 a.m.

PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Conference Room D, 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: Kelly Raborn 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: Kelly Raborn, 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 business day after the workshop.

 

THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS:

59G-4.192 Long-term Care Program.

(1) This rule applies to any person or entity who are requesting Statewide Medicaid Managed Care (SMMC) Long-term Care (LTC) Program services, any person or entity who is prescribing or reviewing a request for SMMC LTC Program services, and to all providers of SMMC LTC Program services who are registered or enrolled with the Florida Medicaid program.

(2) All persons or entities described in subsection (1) must be in compliance with the provisions of the Florida Medicaid Long-term Care Program Coverage Policy, __________, incorporated by reference. The policy is available from the Florida Medicaid fiscal agent’s Web site at http://portal.flmmis.com/flpublic.

Rulemaking Authority 409.919, 409.961 FS. Law Implemented 409.978, 409.979 History–New ________.