Agency for Health Care Administration, Medicaid

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

Familial Dysautonomia Transition Plan for Implementing the Home and Community-Based Settings Rule Requirements and the Familial Dysautonomia Waiver Renewal Request

The Agency for Health Care Administration (Agency) is submitting to the Centers for Medicare and Medicaid Services (CMS) a transition plan as specified in the 42 CFR 441.301(c)4 for the Familial Dysautonomia (FD) Waiver, which will be included in the five-year waiver renewal request. The FD Transition Plan, the waiver renewal request and the public process used to solicit public input are described in this notice.

Description of the Familial Dysautonomia Transition Plan

The Agency is submitting to CMS a transition plan for the FD Waiver in compliance with the Home and Community-Based (HCB) Settings Rule CMS 2249-F. The draft transition plan is designed to ensure that individuals receiving home and community-based services in the FD Waiver are integrated in, and have access to, supports in the community, including opportunities to seek employment, work in competitive integrated settings, engage in community life, control personal resources and maintain the rights of privacy, dignity, respect and freedom. The draft transition plan describes how the State will assess, determine compliance, remediate and monitor the waiver’s continued compliance with the HCB settings requirements. This draft transition plan outlines the State’s process with time frames that will be used to ensure compliance with the HCB Settings Rule.

The HCB Settings Rule requires public notice and a 30-day public comment period to solicit meaningful public input for consideration in the development of the transition plan prior to submission to CMS. The Agency is providing public notice on the draft transition plan to solicit meaningful public input from recipients, providers and all stakeholders prior to submission of the transition plan to CMS. The Agency will post the draft transition plan on its website for public comment beginning February 3, 2015 and ending March 5, 2015. The draft transition plan can be viewed on the Agency’s website at the following link: http://ahca.myflorida.com/Medicaid/hcbs_waivers/index.shtml.

When submitting written comments by postal service or e-mail, please have ‘FD Transition Plan’ contained in the subject line. Mail comments and suggestions to: Agency for Health Care Administration, Attention: HCBS Waivers, 2727 Mahan Drive, MS 20, Tallahassee, Florida 32308. E-mail your comments and suggestions to: [e-mail].

For more information, you may contact: Nicholas Warner at [phone] or email: [e-mail]. If you are hearing or speech impaired, please contact us using the Florida Relay Service, 1(800)955-8771 (TDD) or 1(800)955-8770 (Voice).

Description of Familial Dysautonomia Waiver and Renewal Request

The FD Waiver serves individuals with a diagnosis of FD, are three years of age or older, meet the level of care criteria for inpatient hospital care, and meet Medicaid financial eligibility requirements. The services provided under this waiver are: support coordination, dental services, respite care, non-residential support services, consumable medical supplies, durable medical equipment and behavior services.

The Agency will submit to CMS a request to renew the FD Waiver that operates under the authority specified in Section 1915(c) of the Social Security Act. The waiver renewal request is being submitted to: (1) extend the waiver period for an additional five years, (2) update the quality performance measures, (3) revise provider qualifications for support coordination, (4) change the name of the contracted vendor, (5) revise the consumer price index, (6) update the public notice process and (7) include the transition plan in compliance with the HCB Settings Rule. Prior to submission to CMS, the Agency is providing public notice of the waiver renewal request as described below and in accordance with 42 CFR 441.304(f).

The Agency is providing public notice as specified in 42 CFR 441.304(f) to solicit meaningful public input from recipients, providers and all stakeholders on the renewal request 30 days prior to submission to CMS. The Agency will post the waiver renewal request with a description of the changes on its website in conjunction with the draft transition plan. The waiver renewal request document can be viewed at the following link: http://ahca.myflorida.com/Medicaid/hcbs_waivers/index.shtml.

When submitting written comments by postal service or e-mail, please have ‘FD Waiver Renewal Request’ contained in the subject line. Mail comments and suggestions to: Agency for Health Care Administration, Attention: HCBS Waivers, 2727 Mahan Drive, MS 20, Tallahassee, Florida 32308. Email your comments and suggestions to: [e-mail].

For more information, you may contact: Nicholas Warner at [phone] or email: [e-mail]. If you are hearing or speech impaired, please contact us using the Florida Relay Service, 1(800)955-8771 (TDD) or 1(800)955-8770 (Voice).