The purpose of the amendment to Rule 59G-4.190 is to incorporate by reference the Florida Medicaid Laboratory 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-4.190Independent Laboratory Services

PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-4.190, F.A.C. is to incorporate by reference the Florida Medicaid Laboratory 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 Laboratory Services.

SUBJECT AREA TO BE ADDRESSED: Rules 59G-4.190, F.A.C., Independent Laboratory Services; 59G-4.087, F.A.C., Evaluation and Management and Child Health Check-Up Services; and 59G-4.240, F.A.C., Portable X-Ray Services. An additional area to be addressed during the workshop will be the potential regulatory impact Rules 59G-4.190, 59G-4.087, and 59G-4.240, Florida Administrative Code, will have as provided for under sections 120.54 and 120.541, Florida Statutes.

RULEMAKING AUTHORITY: 409.919 FS.

LAW IMPLEMENTED: 409.905, 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 24, 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: Jessica Kenny. 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: Jessica Kenny, 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 November 25, 2015.

 

THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS:

 

59G-4.190 Independent Laboratory Services.

(1) This rule applies to any person or entity prescribing or reviewing a request for laboratory services and to all providers of laboratory services all freestanding clinical laboratories who are enrolled in or registered with the Florida Medicaid program.

(2) All persons or entities described in subsection (1) independent laboratory providers enrolled in the Medicaid program must be in compliance with the provisions of the Florida Medicaid Independent Laboratory Services Coverage Policy and Limitations Handbook, _________, October 2003, updated January 2005-1 and January 2007, 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. The policy is Both handbooks are available from the Florida Medicaid fiscal agent’s Web site website at http://portal.flmmis.com/flpublic. http://floridamedicaid.acs-inc.com. Click on Provider Support, and then on Handbooks. Paper copies of the handbooks may be obtained by calling Provider Enrollment at 1(800) 377-8216.

Rulemaking Authority 409.919 FS. Law Implemented 409.905, 409.907, 409.908, 409.9081, 409.912, 409.913 FS. History–New 1-1-77, Amended 10-11-81, Formerly 10C-7.41, Amended 6-30-92, Formerly 10C-7.041, Amended 9-28-94, 1-9-96, 10-20-96, 9-14-97, 3-22-00, 5-16-01, 2-14-02, 8-25-03, 9-3-03, 10-27-03, 8-18-05, 5-7-07,___________.