The purpose of the amendment to Rule 59G-1.010, Florida Administrative Code, (F.A.C.), is to incorporate by reference the revised Florida Medicaid Definitions Policy,________.

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

RULE NO.:RULE TITLE:

59G-1.010Definitions

PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-1.010, Florida Administrative Code, (F.A.C.), is to incorporate by reference the revised Florida Medicaid Definitions Policy,________.

SUMMARY: The revised coverage policy clarifies conditions for meeting “Medically Necessary or Medical Necessity."

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, 409.961 FS.

LAW IMPLEMENTED: 409.901-409.9205, 409.973 FS.

A HEARING WILL BE HELD AT THE DATE, TIME AND PLACE SHOWN BELOW:

DATE AND TIME: April 3, 2024, from 2:00 to 2:30 p.m.

PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Building 3, 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 7 days before the workshop/meeting by contacting: [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: [e-mail]

 

THE FULL TEXT OF THE PROPOSED RULE IS:

 

59G-1.010 Definitions.

(1) This rule applies to all providers rendering Florida Medicaid services to recipients.

(2) All providers must be in compliance with the provisions of the Florida Medicaid Definitions Policy, ______________August 2017, incorporated by reference. The policy is available on the Agency for Health Care Administration’s website at http://ahca.myflorida.com/Medicaid/review/index.shtml, and at http://www.flrules.org/Gateway/reference.asp?No=Ref-_____08567.

(3) This rule is in effect for 5 years from its effective date.

Rulemaking Authority 409.919, 409.961 FS. Law Implemented 409.901-.920, 409.973 FS. History–New 4-29-93, Formerly 10P-1.010, Amended 6-24-98, 4-16-06, 9-18-17, _________.

 

NAME OF PERSON ORIGINATING PROPOSED RULE: Susan Hamrick

NAME OF AGENCY HEAD WHO APPROVED THE PROPOSED RULE: Jason Weida

DATE PROPOSED RULE APPROVED BY AGENCY HEAD: February 28, 2024

DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAR: December 22, 2022