The Rule adopts standards for diabetes outpatient self-management educational services provided by health maintenance organizations and health insurers.

AGENCY FOR HEALTH CARE ADMINISTRATION
Cost Management and Control

RULE NO.: RULE TITLE:
59B-17.001: Diabetes Outpatient Self-Management Training and Educational Services Standards
PURPOSE AND EFFECT: The Rule adopts standards for diabetes outpatient self-management educational services provided by health maintenance organizations and health insurers.
SUMMARY:
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 been prepared by the agency.
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: 627.6408 (3), 627.65745(3), 641.31(26)( c), F.S.
LAW IMPLEMENTED: 627.6408 (3), 627.65745(3), 641.31(26)(c), F.S
IF REQUESTED WITHIN 21 DAYS OF THE DATE OF THIS NOTICE, A HEARING WILL BE HELD AT THE DATE,TIME AND PLACE SHOWN BELOW(IF NOT REQUESTED, THIS HEARING WILL NOT BE HELD):
DATE AND TIME: February 20, 2013 2:00pm to 3:00pm EST
PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Plans and Construction Conference Room, Tallahassee, Florida 32308.
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 48 hours before the workshop/meeting by contacting: Diana Picolo at the Bureau of Managed Health Care, [phone]. 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: Diana Picolo, Bureau of Managed Health Care, [phone]

THE FULL TEXT OF THE PROPOSED RULE IS:

59B-17.001 Requirements.

All health insurance policies, group health insurance policies and health maintenance contracts subject to the requirements of sections 627.6408, 627.65745 and 641.31, F.S., shall provide, if the patient’s treating physician or a physician who specializes in the treatment of diabetes certifies that such services are necessary:

Diabetes outpatient self-management training and education services based on the current standards endorsed by the American Diabetes Association as outlined in the “National Standards for Diabetes Self-Management Education and Support” published in Diabetes Care, September 20, 2012, and subsequent annual updates, which are incorporated by reference.  Copies of these standards are available from the Agency for Health Care Administration, Bureau of Managed Health Care, 2727 Mahan Drive, Mail Stop 26, Tallahassee, FL, 32308, or the American Diabetes Association at 1701 North Beauregard Street, Alexandria, VA 22311.

Rulemaking Authority 627.6408(3), 627.65745(3), 641.31(26), F.S.  Law Implemented 627.6408, 627.65745, 641.31, F.S.  History—New XX-XX-2012

NAME OF PERSON ORIGINATING PROPOSED RULE: Diana Picolo, AHC Administrator
NAME OF AGENCY HEAD WHO APPROVED THE PROPOSED RULE: Elizabeth Dudek, Secretary
DATE PROPOSED RULE APPROVED BY AGENCY HEAD: November 27, 2012
DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAR: July 20, 2012