The purpose of the amendment to Rule 59G-13.088 is to incorporate by reference the Florida Medicaid Consumer-Directed Care Plus Program Coverage, Limitations, and Reimbursement Handbook, ____________.

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

RULE NO.:RULE TITLE:

59G-13.088Developmental Disabilities Consumer Directed Care Plus

PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-13.088, F.A.C. is to incorporate by reference the Florida Medicaid Consumer-Directed Care Plus Program Coverage, Limitations, and Reimbursement Handbook, ____________.

SUMMARY: The amendment will update the general definitions for restricted services; delete the definitions for cash check and cash receipts; update requirements for eligibility; update disenrollment overview and involuntary disenrollment; update consumer, representative and consultant responsibilities; update requirements for background screening information pursuant to the 2012 Florida Statutes’ changes; delete processing of fingerprints, state criminal record checks, purchasing plan requirements, and authorizing cash checks; update restricted services description; update behavior analysis services, behavior analysis assessment, and behavior assistant services; add vehicle modification definition and limitations and special conditions; and change the title of the rule to Consumer-Directed Care Plus Program.

SUMMARY OF STATEMENT OF ESTIMATED REGULATORY COSTS AND LEGISLATIVE RATIFICATION: The Agency has determined that this will not have an adverse impact on small business or likely increase directly or indirectly regulatory costs in excess of $200,000 in the aggregate within one year after the implementation of the rule. A SERC has not been prepared by the Agency.

The Agency has determined that the proposed rule is not expected to require legislative ratification based on the statement of estimated regulatory costs or if no SERC is required, the information expressly relied upon and described herein: A checklist was prepared by the Agency to determine the need for a SERC. Based on this information at the time of the analysis and pursuant to Section 120.541, Florida Statutes, the rule will not require legislative ratification.

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.

RULEMAKING AUTHORITY: 409.221 FS.

LAW IMPLEMENTED: 409.902, 409.907, 409.908, 409.912, 409.913, 409.221 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: March 2, 2015, 2:00 p.m. – 4:00 p.m.

PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Conference Room A, 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 24 days before the workshop/meeting by contacting: Marlon Storey, Medicaid Policy, 2727 Mahan Drive, Mail Stop 20, Tallahassee, Florida 32308-5407, telephone: [phone], e-mail: [e-mail]. 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 IS: Marlon Storey, 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 public hearing at http://ahca.myflorida.com/Medicaid/review/index.shtml. Comments will be received until 5:00 p.m. on March 9, 2015.

 

THE FULL TEXT OF THE PROPOSED RULE IS:

 

59G-13.088 Developmental Disabilities Consumer-Directed Care Plus Program.

(1) Recipients Individuals enrolled in the Individual Budgeting (iBudget) Waiver receiving Developmental Disabilities Medicaid Waivers Program for Consumer-Directed Care Plus program services, along with all program representatives, consultants, employees, vendors, and Agency for Persons with Disabilities staff must be in compliance with the provisions of the Florida Medicaid Developmental Disabilities Medicaid Waivers Consumer-Directed Care Plus Program Coverage, Limitations, and Reimbursement Handbook, ____________, July, 2012, which is incorporated by reference. The handbook is available from the Medicaid fiscal agent’s Web site at www.mymedicaid-florida.com. Select Public Information for Providers, then Provider Support, and then Provider Handbooks. Paper copies of the handbook may be obtained by calling the Provider Contact Center at [phone] and selecting Option 7.

(2) The following appendices are incorporated by reference: Appendix A; CDC+ New Participant Training Program Affirmation Form, July 2012; Appendix B: CDC+ New Participant Training Registration, July 2012; Appendix C: CDC+ Participant Refresher Training Program Affirmation Form, March 1, 2011; Appendix D: CDC+ Participant Refresher Training Registration, March 1, 2011; Appendix E: CDC+ Purchasing Plan, February 14, 2012; Appendix F: CDC+ Quick Update to My Purchasing Plan, June 1, 2009; Appendix G: Florida CDC+ Weekly Timesheet, January 1, 2011; and Appendix H: CDC+ Participant Information Update Form, November 1, 2009. These forms are available by photocopying them from the Florida Medicaid Developmental Disabilities Medicaid Waivers Consumer-Directed Care Plus Program Coverage, Limitations, and Reimbursement Handbook.

Rulemaking Authority 409.221 FS. Law Implemented 409.221, 409.902, 409.907, 409.908, 409.912, 409.913, 409.221 FS. History–New 11-12-12, Amended ____________.

 

NAME OF PERSON ORIGINATING PROPOSED RULE: Marlon Storey

NAME OF AGENCY HEAD WHO APPROVED THE PROPOSED RULE: Elizabeth Dudek

DATE PROPOSED RULE APPROVED BY AGENCY HEAD: December 15, 2014

DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAR: June 7, 2013