The purpose of the amendment to Rule 59G-13.081 is to incorporate by reference the Florida Medicaid Developmental Disabilities Individual Budgeting Waiver Services Provider Rate Table, __________________.

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

RULE NO.:RULE TITLE:

59G-13.081Developmental Disabilities Home and Community Based Medicaid Waiver Services Tiers 1 through 4 and Individual Budgeting Waivers Provider Rate Tables

PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-13.081, F.A.C. is to incorporate by reference the Florida Medicaid Developmental Disabilities Individual Budgeting Waiver Services Provider Rate Table, __________________.

SUMMARY: The amendment updates the following services: life skills development (adult day training), personal supports, residential habilitation - intensive behavioral, respite, speech therapy assessment, occupational therapy, physical therapy, respiratory therapy, and speech therapy. Tiers 1 through 4 are deleted and the title of the rule is changed to Developmental Disabilities Individual Budgeting Waiver Services Provider Rate Table.

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: 409.919 FS.

LAW IMPLEMENTED: 393.0661, 409.902, 409.906, 409.908, 409.912, 409.913 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, 11:00 a.m. – 12:00 Noon

PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Conference Room C, 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 hours before the workshop/meeting by contacting: Virginia Hardcastle, Medicaid Services, 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: Virginia Hardcastle, Medicaid Services, 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-13.081 Developmental Disabilities Home and Community Based Medicaid Waiver Services Tiers 1 through 4 and Individual Budgeting Waiver Services Waivers Provider Rate Table Tables.

(1) This rule applies to all providers of Ddevelopmental Ddisabilities home and community based services Tiers 1 through 4 Waiver providers and Individual Budgeting Waiver services providers who are enrolled in the Florida Medicaid program.

(2) All providers of Ddevelopmental Ddisabilities home and community based services Tiers 1 through 4 providers and Individual Budgeting Waiver services providers who are enrolled in the Florida Medicaid program must be in compliance with the provisions of the Florida Medicaid Developmental Disabilities Home and Community Based Medicaid Waiver Services Tiers 1 through 4 and Individual Budgeting Waiver Services Waivers Provider Rate Table Tables, ________July 1, 2011, which are incorporated by reference. The fee schedule is rate tables are available from the Medicaid fiscal agent’s Web site at www.mymedicaid-florida.com. Select Public Information for Providers, then Provider Support, and then Fee Schedules. Paper copies of the rate tables may be obtained by calling the Provider Services Contact Center at 1(800) 289-7799 and selecting Option 7.

Rulemaking Authority 409.919 FS. Law Implemented 393.0661, 409.902, 409.906, 409.908, 409.912, 409.913 FS. History–New 5-29-06, Amended 11-15-07, 10-13-08, 3-13-13, __________.

 

NAME OF PERSON ORIGINATING PROPOSED RULE: Virginia Hardcastle

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

DATE PROPOSED RULE APPROVED BY AGENCY HEAD: December 19, 2014

DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAR: September 15, 2014