The purpose of Rule 59G-6.035, Florida Administrative Code (F.A.C.), is to establish Florida Medicaid’s reimbursement process for publicly owned or operated emergency transportation services providers that qualify for the Certified Public ...

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

RULE NO.:RULE TITLE:

59G-6.035Certified Public Expenditures for Emergency Services

PURPOSE AND EFFECT: The purpose of Rule 59G-6.035, Florida Administrative Code (F.A.C.), is to establish Florida Medicaid’s reimbursement process for publicly owned or operated emergency transportation services providers that qualify for the Certified Public Expenditures Program appropriated by the Florida Legislature.

SUBJECT AREA TO BE ADDRESSED: Certified Public Expenditures Program for Emergency Transportation Services.

RULEMAKING AUTHORITY: 409.919 FS.

LAW IMPLEMENTED: 409.908 FS.

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

DATE AND TIME: January 3, 2017, 1:30 p.m. to 2:30 p.m.

PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Building 3, 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: Luc Toussaint. 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: Luc Toussaint, 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. Official comments to be entered into the rule record will be received until 5:00 p.m. on January 4, 2017 and may be e-mailed to [e-mail]. For general inquiries and questions about the rule, please contact the person specified above.

 

THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS:

 

59G-6.035 Certified Public Expenditures Program for Emergency Transportation Services.

(1) This rule applies to all publicly owned or operated emergency transportation services providers rendering Florida Medicaid emergency transportation services to recipients under the fee-for-service delivery system.

(2) Providers must submit AHCA Form 5000-0035,_____ Emergency Medical Transportation Integrated Disclosure and Medicaid Cost Report General Information and Certification, incorporated by reference, and available at http://ahca.myflorida.com/Medicaid/Finance/finance/LIP-DSH/PEMT/index.shtml, and at [DOS Placeholder] to the Agency for Health Care Administration (AHCA) annually, to be eligible to use certified public expenditure funds as state match in order to receive federal financial participation. . The form must be completed in accordance with AHCA Form 5000-0035A,_____ Emergency Medical Transportation Services Cost Report Instructions, incorporated by reference, and available at http://ahca.myflorida.com/Medicaid/Finance/finance/PEMT/index.shtml, and at [DOS Placeholder].   

(3) Funds are appropriated from the Medical Care Trust Fund for the Certified Public Expenditures Program for Emergency Transportation Services and are supplemental to the reimbursement rates on the Florida Medicaid Ambulance Transportation Services Fee Schedule, incorporated by reference in Rule 59G-4.002, Florida Administrative Code.

(4) The Provider Reimbursement Manual CMS PUB. 15-1, is incorporated by reference, and available at https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Paper-Based-Manuals-Items/CMS021929.html, and at http://www.flrules.org/Gateway/reference.asp?No=Ref-07043.

(5) The OMB Circular A-87, is incorporated by reference, and available at https://www.whitehouse.gov/omb/circulars_a087_2004, and at [DOS Placeholder___].

Rulemaking Authority 409.919 FS. Law Implemented 409.908 FS. History-New,____________.