The purpose of the rule amendment to Rule 59G-13.030, F.A.C., is to incorporate by reference the revised Florida Medicaid Aged and Disabled Adult Waiver Services Coverage and Limitations Handbook, January 2009. The revised handbook contains updated ...

AGENCY FOR HEALTH CARE ADMINISTRATION
Medicaid

RULE NO: RULE TITLE
59G-13.030: Aged and Disabled Adult Waiver Services
59G-13.031: Aged and Disabled Adult Waiver Services Procedure Codes and Fee Schedule
59G-13.032: Aged and Disabled Adult Waiver Disposable Incontinence Medical Supplies Procedure Codes and Fee Schedule
PURPOSE AND EFFECT: The purpose of the rule amendment to Rule 59G-13.030, F.A.C., is to incorporate by reference the revised Florida Medicaid Aged and Disabled Adult Waiver Services Coverage and Limitations Handbook, January 2009. The revised handbook contains updated policies and procedures for Aged and Disabled Adult Waiver Services and policy for the Aging Out Program. The effect will be to incorporate by reference in rule the Florida Medicaid Aged and Disabled Adult Waiver Services Coverage and Limitations Handbook, January 2009.
The purpose of Rule 59G-13.031, F.A.C., is to incorporate by reference the Aged and Disabled Adult Waiver Services Procedure Codes and Fee Schedule, January 2009. The effect will be to incorporate by reference in rule the Aged and Disabled Adult Waiver Services Procedure Codes and Fee Schedule, January 2009.
The purpose of Rule 59G-13.032, F.A.C., is to incorporate by reference in rule the Aged and Disabled Adult Waiver Disposable Incontinence Medical Supplies Procedure Codes and Fee Schedule, January 2009, and Quality Standards, January 2009. The effect will be to incorporate by reference in rule the Aged and Disabled Adult Waiver Disposable Incontinence Medical Supplies Procedure Codes and Fee Schedule, January 2009, and Quality Standards, January 2009.
SUBJECT AREA TO BE ADDRESSED: Aged and Disabled Adult Waiver Services, the Aged and Disabled Adult Waiver Services Procedure Codes and Fee Schedule, and the Aged and Disabled Adult Waiver Disposable Incontinence Medical Supplies Procedure Codes and Fee Schedule.
SPECIFIC AUTHORITY: 409.919 FS.
LAW IMPLEMENTED: 409.906, 409.907, 409.908, 409.912 FS.
IF REQUESTED IN WRITING AND NOT DEEMED UNNECESSARY BY THE AGENCY HEAD, A RULE DEVELOPMENT WORKSHOP WILL BE HELD AT THE DATE, TIME AND PLACE SHOWN BELOW:
TIME AND DATE: Tuesday, January 6, 2009, 10:00 a.m.
PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Conference Room B, Tallahassee, Florida 32308
THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE DEVELOPMENT AND A COPY OF THE PRELIMINARY DRAFT, IF AVAILABLE, IS: Carol Schultz, Medicaid Services, 2727 Mahan Drive, Building 3, Mail Stop 20, Tallahassee, Florida 32308-5407, [phone], [e-mail]

THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS:

59G-13.030 Aged and Disabled Adult Waiver Services.

The Department of Children and Family Services (DCFS) forms are available from DCFS. The Department of Elder Affairs (DOEA) forms are available from DOEA. The Agency for Health Care Administration (AHCA) forms are available by photocopying the forms in this handbook.

(1) No change.

(2) All aged and disabled adult waiver services providers enrolled in the Medicaid program must be in compliance with the Florida Medicaid Aged and Disabled Adult Waiver Services Coverage and Limitations Handbook, January 2009 March 2004, updated August 2005, incorporated by reference, and the Florida Medicaid Provider Reimbursement Handbook, CMS-1500, Non-Institutional 081 which is incorporated by reference in Rule 59G-4.001 13.001, F.A.C. Both handbooks are available from the Medicaid fiscal agent’s Web Portal at http://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 Medicaid fiscal agent at [phone] and selecting option 7.

(3) The following forms that are included in the Florida Medicaid Aged and Disabled Adult Waiver Services Coverage and Limitations Handbook are incorporated by reference:

(a) Appendix A B contains the Adult Services Client Assessment Screening for Consideration for Community-Based Programs, CF-AA Form 3019 1022, PDF 10/2006 08/2004, eight four pages. The form is available from the Department of Children and Families website at: http://www.dcf.state.fl.us/publications/eforms/aa3019.pdf. Appendix C contains the Florida Department of Children and Family Services and Florida Department of Elder Affairs, CF-MED 3008, Oct. 96, two pages;

(b) Appendix D contains the Notification of Level of Care, DOEA-CARES Form 603 (Revised March 2003), one page.; The form is mailed to the provider by the Department of Elder Affairs, CARES Unit. Appendix E contains the Notice of Hospice Election Waiver, AHCA Form 5000-29, March 2004, one page, and the Cooperative Agreement for a Hospice and Medicaid Waiver Enrolled Recipient, AHCA Form 5000-30, March 2004, two pages.

(c) Appendix E contains the Aged and Disabled Adult Services Waiver Agreement of Expectations, AHCA-Med Serv Form 033, July 2008, two pages. The form is available by photocopying it from the handbook.

(d) Appendix H contains the Request for Approval for Care Plan Services Increase, CF-AA 1116, PDF 05/2004, two pages. The form is available from the Department of Children and Families website at http://www.dcf.state.fl.us/publications/eforms/aa1116.pdf.

(e) Appendix I contains the Aged/Disabled Adult Waiver Aging Out Plan of Care, AHCA-Med Serv Form 047, January 2009, five pages. The form is available by photocopying it from the handbook.

(4) The following forms that are included in the Florida Medicaid Aged and Disabled Adult Waiver Services Coverage and Limitations Handbook are incorporated by reference in other Florida Administrative rules.

(a) Appendix A B also contains the Department of Elder Affairs Assessment Instrument, DOEA Form 701B, eight pages, which is incorporated by reference in Rule 58A-1.010, F.A.C. The form is available from DOEA’s website at http://elderaffairs.state.fl.us/english/pdfs/doea701b.pdf.

(b) Appendix B contains the Medical Certification for Nursing Facility/Home and Community Based Services Form (MCNF/HCBS), AHCA-Med Serv Form 3008, May 2008, two pages. It is incorporated by reference in Rule 59G-4.200, F.A.C. The form is available on the DOEA website at http://elderaffairs.state.fl.us/english/cares.html.

(c) Appendix C contains the Informed Consent Form, AHCA-Med Serv Form 2040, May 2008, in English and Spanish, one page, available from the Department of Elder Affairs website at http://elderaffairs.state.fl.us/english/CARES/3008ppp.html.

(d) Appendix F contains the Notice of Hospice Election Waiver; AHCA 5000-29, October 2003, one page; the Cooperative Agreement for a Hospice and Medicaid Waiver Enrolled Recipient; AHCA 5000-30, October 2003, one page; and the Attachment to Cooperative Agreement for a Hospice and Medicaid Waiver Enrolled Recipient; AHCA 5000-30A, October 2003, one page. These forms are incorporated by reference in Rule 59G-4.140, F.A.C. The forms are available by photocopying them from the handbook or 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.

(e) Appendix G contains the Department of Elder Affairs Care Plan, DOEA Form #203A, Revised July 2001, one page. The form is incorporated by reference in Rule 58A-1.010, F.A.C. It is available from the Department of Elder Affairs lead agencies.

Specific Authority 409.919 FS. Law Implemented 409.906, 409.907, 409.908, 409.912 FS. History–New 6-1-05, Amended 4-17-06, _________.

 

59G-13.031 Aged and Disabled Adult Waiver Services Procedure Codes and Fee Schedule.

(1) This rule applies to all aged and disabled adult waiver services providers enrolled in the Medicaid program.

(2) All aged and disabled adult waiver services providers enrolled in the Medicaid program must be in compliance with the Aged and Disabled Adult Waiver Services Procedure Codes and Fee Schedule, January 2009, which is incorporated by reference. The Procedure Codes and Fee Schedule 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 Fee Schedules. Paper copies may be obtained from the Agency for Health Care Administration, Bureau of Medicaid Services, 2727 Mahan Drive, M.S. 20, Tallahassee, Florida 32308.

Specific Authority 409.919 FS. Law Implemented 409.906, 409.908 FS. History–New________.

 

59G-13.032 Aged and Disabled Adult Waiver Disposable Incontinence Medical Supplies Procedure Codes and Fee Schedule.

(1) This rule applies to all aged and disabled adult waiver services providers enrolled in the Medicaid program.

(2) All aged and disabled adult waiver services providers enrolled in the Medicaid program must be in compliance with the Aged and Disabled Adult Waiver Disposable Incontinence Medical Supplies Procedure Codes and Fee Schedule, January 2009, and Quality Standards, January 2009, which are incorporated by reference. The Aged and Disabled Adult Waiver Disposable Incontinence Medical Supplies Procedure Codes and Fee Schedule and Quality Standards 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 Fee Schedules. Paper copies may be obtained from the Agency for Health Care Administration, Bureau of Medicaid Services, 2727 Mahan Drive, M.S. 20, Tallahassee, Florida 32308.

Specific Authority 409.919 FS. Law Implemented 409.906, 409.908 FS. History–New________.