The purpose of these rule amendments is to incorporate by reference updates January 2007 to the Florida Medicaid Independent Laboratory Services Coverage and Limitations Handbook and the Florida Medicaid Physician Services Coverage and Limitations ...

AGENCY FOR HEALTH CARE ADMINISTRATION
Medicaid

RULE NO: RULE TITLE
59G-4.190: Independent Laboratory Services
59G-4.230: Physician Services
PURPOSE AND EFFECT: The purpose of these rule amendments is to incorporate by reference updates January 2007 to the Florida Medicaid Independent Laboratory Services Coverage and Limitations Handbook and the Florida Medicaid Physician Services Coverage and Limitations Handbook. The handbooks were revised to include Medicaid’s genetic testing policies. The effect will be to incorporate by reference in rule updates January 2007 to the Florida Medicaid Independent Laboratory Services Coverage and Limitations Handbook and the Florida Medicaid Physician Services Coverage and Limitations Handbook.
In the Notice of Rule Development that was published in Vol. 32, No. 31, Florida Administrative Weekly, on August 4, 2006, we stated that the Florida Medicaid Independent Laboratory Services Coverage and Limitations Handbook and the Florida Medicaid Physician Services Coverage and Limitations Handbook updates were effective July 2006. We changed the effective date to January 2007.
SUMMARY: The purpose of this rule amendment is to incorporate by reference in the rule updates January 2007 to the Florida Medicaid Independent Laboratory Services Coverage and Limitations Handbook and the Florida Medicaid Physician Services Coverage and Limitations Handbook. The effect will be to incorporate by reference in rule updates January 2007 to the Florida Medicaid Independent Laboratory Services Coverage and Limitations Handbook and the Florida Medicaid Physician Services Coverage and Limitations Handbook.
SUMMARY OF ESTIMATED REGULATORY COSTS: No Statement of Estimated Regulatory Cost was prepared.
Any person who wishes to provide information regarding a statement of estimated regulatory costs, or provide a proposal for a lower cost regulatory alternative must do so in writing within 21 days of this notice.
SPECIFIC AUTHORITY: 409.919 FS.
LAW IMPLEMENTED: 409.905, 409.907, 409.908, 409.9081 FS.
IF REQUESTED WITHIN 21 DAYS OF THE DATE OF THIS NOTICE, A HEARING WILL BE HELD AT THE DATE,TIME AND PLACE SHOWN BELOW(IF NOT REQUESTED, THIS HEARING WILL NOT BE HELD):
TIME AND DATE: Tuesday, January 23, 2007, 10:00 a.m.
PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Building #3, Conference Room B, Tallahassee, Florida
THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE IS: Susan Rinaldi, Bureau of Medicaid Services, 2727 Mahan Drive, Mail Stop 20, Tallahassee, Florida 32308, [phone]

THE FULL TEXT OF THE PROPOSED RULE IS:

59G-4.190 Independent Laboratory Services.

(1) No change.

(2) All independent laboratory providers enrolled in the Medicaid program must be in compliance with the provisions of the Florida Medicaid Independent Laboratory Coverage 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. Both handbooks are available from the Medicaid fiscal agent’s website at http://floridamedicaid.acs-inc.com agent. Click on Provider Support, and then on Handbooks. Paper copies of the handbooks may be obtained by calling Provider Inquiry at 1 [phone].

Specific Authority 409.919 FS. Law Implemented 409.905, 409.907, 409.908, 409.9081 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,________.

 

59G-4.230 Physician Services.

(1) No change.

(2) All physician services providers enrolled in the Medicaid program must be in compliance with the Florida Medicaid Physician Services Coverage and Limitations Handbook, January 2004, updated January 2005-1, January 2005-2, and September 2006, and January 2007, which is 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. Both handbooks are available from the Medicaid fiscal agent’s website at http://floridamedicaid.acs-inc.com. Click on Provider Support, and then on Handbooks. Paper copies of the handbooks may be obtained by calling Provider Inquiry at 1(800)377-8216.

(3) through (4) No change.

Specific Authority 409.919 FS. Law Implemented 409.905, 409.907, 409.908, 409.9081 FS. History–New 1-1-77, Revised 2-1-78, 4-1-78, 1-2-79, 1-1-80, Amended 2-8-82, 3-11-84, Formerly 10C-7.38, Amended 1-10-91, 11-5-92, 1-7-93, Formerly 10C-7.038, Amended 6-29-93, 9-6-93, Formerly 10P-4.230, Amended 6-13-94, 2-9-95, 3-10-96, 5-28-96, 3-18-98, 9-22-98, 8-25-99, 4-23-00, 8-5-01, 2-20-03, 8-5-03, 8-3-04, 8-18-05, 8-31-05, 10-26-06,_______.

NAME OF PERSON ORIGINATING PROPOSED RULE: Susan Rinaldi
NAME OF SUPERVISOR OR PERSON WHO APPROVED THE PROPOSED RULE: Christa Calamas
DATE PROPOSED RULE APPROVED BY AGENCY HEAD: December 8, 2006
DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAW: August 4, 2006