The purpose of the amendment to Rule 59G-4.170, Florida Administrative Code, (F.A.C.), is to revise the Florida Medicaid Intermediate Care Facility for Individuals with Intellectual Disabilities Services Coverage Policy, ....  

  •  

    AGENCY FOR HEALTH CARE ADMINISTRATION

    Medicaid

    RULE NO.:RULE TITLE:

    59G-4.170Intermediate Care Facility for Individuals with Intellectual Disabilities Services

    PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-4.170, Florida Administrative Code, (F.A.C.), is to revise the Florida Medicaid Intermediate Care Facility for Individuals with Intellectual Disabilities Services Coverage Policy, incorporated by reference. The revised coverage policy updates policy language and specifies a new reimbursement level for providers.

    SUBJECT AREA TO BE ADDRESSED: Intermediate Care Facility for Individuals with Intellectual Disabilities Services.

    An additional area to be addressed during the workshop will be the potential regulatory impact Rule 59G-4.170, F.A.C., will have as provided for under sections 120.54 and 120.541, Florida Statutes.

    RULEMAKING AUTHORITY: 409.919 FS.

    LAW IMPLEMENTED: 409.906, 409.908, 409.913 FS.

    A RULE DEVELOPMENT WORKSHOP WILL BE HELD AT THE DATE, TIME AND PLACE SHOWN BELOW:

    DATE AND TIME: April 11, 2022, 10:30am-11:00 am

    PLACE: The Agency is offering both a remote and an in-person option to attend the hearing at the Agency for Health Care Administration, 2727 Mahan Drive, Tallahassee, Florida 32308-5407. Remote Listeners: Attendees may register for the hearing at: https://attendee.gotowebinar.com/register/2189312790600963854. After registering, a confirmation email will be received containing information about joining the webinar, and opportunities to offer comments and questions will be available.

    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: MedicaidRuleComments@ahca.myflorida.com 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 DEVELOPMENT AND A COPY OF THE PRELIMINARY DRAFT, IF AVAILABLE, IS: MedicaidRuleComments@ahca.myflorida.com

     

    THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS:

     

    59G-4.170 Intermediate Care Facility for Individuals with Intellectual Disabilities Services.

    (1) This rule applies to all providers rendering Florida Medicaid any person or entity prescribing or reviewing a request for intermediate care facility for individuals with intellectual disabilities services and to recipients all providers of intermediate care facility services who are enrolled in or registered with the Florida Medicaid program.

    (2) All  providers persons or entities described in subsection (1) must be in compliance with the provisions of the Florida Medicaid Intermediate Care Facility for Individuals with Intellectual Disabilities Services Coverage Policy, _______ July 2016, incorporated by reference. The policy is available on the Agency for Health Care Administration’s (AHCA) website at http://ahca.myflorida.com/Medicaid/review/index.shtml, and available at http://www.flrules.org/Gateway/reference.asp?No=Ref-________07010.

    (3) The Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID) Utilization Review (UR) Plan, AHCA Form 5000-3009, July 2016, is incorporated by reference. The plan is available on the AHCA website at http://ahca.myflorida.com/Medicaid/review/index.shtml, and available at http://www.flrules.org/Gateway/reference.asp?No=Ref-07011.

    (4) This rule is in effect for five years from its effective date.

     

Document Information

Purpose:
The purpose of the amendment to Rule 59G-4.170, Florida Administrative Code, (F.A.C.), is to revise the Florida Medicaid Intermediate Care Facility for Individuals with Intellectual Disabilities Services Coverage Policy, incorporated by reference. The revised coverage policy updates policy language and specifies a new reimbursement level for providers.
Rulemaking Authority:
409.919 FS.
Law:
409.906, 409.908, 409.913 FS.
Related Rules: (1)
59G-4.170. Intermediate Care Facility for the Developmentally Disabled Services, ICF/DD