Alternative Outcomes, Inc./Adrian Daisley; The Petitioner seeks a declaratory statement about whether a therapy clinic located in a separate office but housed in the same building and at the same physical address as a private school, is an ...

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

RULE NO.:RULE TITLE:

59G-4.001Medicaid Providers Who Bill on the CMS-1500

NOTICE IS HEREBY GIVEN that the Agency for Health Care Administration has received the petition for declaratory statement from Alternative Outcomes, Inc./Adrian Daisley. The petition seeks the agency’s opinion as to the applicability of AHCA’s Provider Reimbursement Handbook CMS-1500, Place of Service Codes, as it applies to the petitioner.

The Petitioner seeks a declaratory statement about whether a therapy clinic located in a separate office but housed in the same building and at the same physical address as a private school, is an appropriate place of service for a Developmental Disability (DD) Waiver Provider for purposes of Medicaid reimbursement.

A copy of the Petition for Declaratory Statement may be obtained by writing to: Richard Shoop, Agency Clerk, Agency for Health Care Administration, 2727 Mahan Drive, Building 3, MS 3, Tallahassee, Florida 32308.

Responses, motions to intervene, or requests for an agency hearing, §120.57(2), Fla. Stat., must be filed within 21 days of this Notice.