The purpose of the amendment to Rule 59G-4.030 is to incorporate by reference the Florida Medicaid Obstetrical Services Coverage Policy, __________. The incorporated coverage policy will specify recipient eligibility, provider requirements, service ...

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

RULE NO.:RULE TITLE:

59G-4.030Birth Center and Licensed Midwife Services

PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-4.030, F.A.C. is to incorporate by reference the Florida Medicaid Obstetrical Services Coverage Policy, __________. The incorporated coverage policy will specify recipient eligibility, provider requirements, service coverage, and reimbursement information. The amendment also changes the name of the rule to Obstetrical Services.

SUBJECT AREA TO BE ADDRESSED: Rules 59G-4.030, F.A.C., Birth Center and Licensed Midwife Services and 59G-4.264, F.A.C., Regional Perinatal Intensive Care Center Services. An additional area to be addressed during the workshop will be the potential regulatory impact Rules 59G-4.030 and 59G-4.264, Florida Administrative Code, will have as provided for under sections 120.54 and 120.541, Florida Statutes.

RULEMAKING AUTHORITY: 409.919 FS.

LAW IMPLEMENTED: 409.902, 409.906, 409.907, 409.908, 409.912, 409.913 FS.

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

DATE AND TIME: November 19, 2015, 10:00 a.m. ‒ 11:30 a.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: Kathleen Core. 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: Kathleen Core, 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., November 20, 2015.

 

THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS:

 

59G-4.030 Obstetrical Birth Center and Licensed Midwife Services.

(1) This rule applies to any person or entity prescribing or reviewing a request for obstetrical services and to all providers of obstetrical birth center and licensed midwife services who are enrolled in or registered with the Florida Medicaid program.

(2) All persons or entities described in subsection (1) providers of birth center and licensed midwife services must be in compliance with the provisions of the Florida Medicaid Obstetrical Birth Center and Licensed Midwife Services Coverage Policy and Limitations Handbook, _____,  May 2014, available at http://www.flrules.org/Gateway/reference.asp?No=Ref-04026 incorporated by reference. The policy handbook is available from the Florida Medicaid fiscal agent’s Web site at http://portal.flmmis.com/flpublic 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.

Rulemaking Authority 409.919 FS. Law Implemented 409.902, 409.906, 409.907, 409.908, 409.9081, 409.912, 409.913 FS. History–New 4-18-85, Formerly 10C-7.532, Amended 8-18-92, Formerly 10C-7.0532, Amended 4-22-96, 3-11-98, 10-13-98, 5-24-99, 4-23-00, 8-5-01, 2-20-03, 8-5-0, 7-27-04, 8-18-05, 5-21-14, ________.