The purpose of the amendment to Rule 59G-4.025, F.A.C., Assistive Care Services, is to incorporate by reference in rule the Florida Medicaid Assistive Care Services Coverage and Limitations Handbook, July 2009, and to update the reference to the ...

AGENCY FOR HEALTH CARE ADMINISTRATION
Medicaid

RULE NO: RULE TITLE
59G-4.025: Assistive Care Services
PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-4.025, F.A.C., Assistive Care Services, is to incorporate by reference in rule the Florida Medicaid Assistive Care Services Coverage and Limitations Handbook, July 2009, and to update the reference to the Florida Medicaid Provider Reimbursement Handbook, CMS-1500. The effect of the amendment will permit the Agency to implement updated policies and procedures that have been made to the new handbook.
SUMMARY: Rule 59G-4.025, F.A.C., Assistive Care Services, is being revised to clarify and update information provided in the new Florida Medicaid Assistive Care Services Coverage and Limitations Handbook, July 2009, which is incorporated by reference. The new handbook is a separate handbook from the Assisted Living for the Elderly Waiver Services Program.
SUMMARY OF STATEMENT 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: 409.906, 409.912 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:
DATE AND TIME: Monday, March 1, 2010, 9:00 a.m. – 10:00 a.m.
PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Conference Room B, Tallahassee, Florida 32308-5407
THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE IS: Carol Schultz, Medicaid Services, 2727 Mahan Drive, Mail Stop 20, Tallahassee, Florida 32308-5407, [phone], [e-mail]

THE FULL TEXT OF THE PROPOSED RULE IS:

59G-4.025 Assistive Care Services.

(1) No change.

(2) All assistive care service providers enrolled in Medicaid program must be in compliance with the Florida Medicaid Assistive Care Services and Assisted Living for the Elderly Waiver Coverage and Limitations Handbook, July 2009 which is incorporated by reference in Rule 59G-8.200, F.A.C., and the Florida Medicaid Provider Reimbursement Handbook, CMS-1500 HCFA-1500 and Child Health Check-Up 221, which is incorporated by reference in Rule 59G-4.001 59G-5.020, F.A.C. Both handbooks 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 Provider Handbooks. Paper copies of the handbooks may be obtained by calling the Provider Contact Center at [phone] and selecting Option 7.

(3) The following forms that are included in the Florida Medicaid Assistive Care Services Coverage and Limitations Handbook are incorporated by reference:

(a) Appendix B contains the Certification of Medical Necessity for Medicaid Assistive Care Services, AHCA-Med Serv Form 035, July 2009, one page. The form 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 Forms or by photocopying it from the handbook.

(b) Appendix C contains the Resident Service Plan for Assistive Care Services, AHCA-Med Serv Form 036, July 2009, three pages. The form 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 Forms or by photocopying it from the handbook.

(c) Appendix D contains the Resident Service Log for Medicaid Assistive Care Services, AHCA-Med Serv Form 037, July 2009, one page. The form 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 Forms or by photocopying it from the handbook.

Rulemaking Specific Authority 409.919 FS. Law Implemented 409.906, 409.912 FS. History–New 11-28-01, Amended________.

NAME OF PERSON ORIGINATING PROPOSED RULE: Carol Schultz
NAME OF AGENCY HEAD WHO APPROVED THE PROPOSED RULE: Thomas W. Arnold, Secretary
DATE PROPOSED RULE APPROVED BY AGENCY HEAD: January 15, 2010
DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAW: May 8, 2009