The purpose of the amendment to Rule 59G-4.199, Florida Administrative Code (F.A.C.), is to incorporate by reference the Florida Medicaid Targeted Case Management Services Coverage Policy, __________, and to revise the rule title. The incorporated ...

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

RULE NO.:RULE TITLE:

59G-4.199Mental Health Targeted Case Management

PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-4.199, Florida Administrative Code (F.A.C.), is to incorporate by reference the Florida Medicaid Targeted Case Management Services Coverage Policy, __________, and to revise the rule title. The incorporated coverage policy will specify recipient eligibility, provider requirements, service coverage, and reimbursement information. The amendment also revises the rule title to Targeted Case Management Services.

SUBJECT AREA TO BE ADDRESSED: Mental Health Targeted Case Management Services.

An additional area to be addressed during the workshop will be the potential regulatory impact Rule 59G-4.199, F.A.C., will have as provided for under sections 120.54 and 120.541, Florida Statutes.

RULEMAKING AUTHORITY: 409.919, 409.961 FS.

LAW IMPLEMENTED: 409.906, 409.907, 409.908, 409.973 FS.

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

DATE AND TIME: March 21, 2018 from 2:00 p.m. 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 48 hours before the workshop/meeting by contacting: Marquita Bey-Link. 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: Marquita Bey-Link, Bureau of 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 workshop at http://ahca.myflorida.com/Medicaid/review/index.shtml. Official comments to be entered into the rule record will be received until 5:00 p.m. on March 22, 2018 and may be e-mailed to [e-mail]. For general inquiries and questions about the rule, please contact the person specified above.

 

THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS:

59G-4.199 Mental Health Targeted Case Management Services.

(1) This rule applies to all mental health targeted case management providers rendering Florida Medicaid targeted case management services to recipients enrolled in the Medicaid Mental Health Targeted Case Management Program.

(2) All Medicaid-enrolled mental health targeted case management providers must be in compliance with the provisions of the Florida Medicaid Mental Health Targeted Case Management Coverage Policy and Limitations Handbook, _______, July 2006, updated June 2007, incorporated by reference., and the Florida Medicaid Provider Reimbursement Handbook, Non-Institutional 081, which is incorporated by reference in Rule 59G-13.001, F.A.C. The policy is Both handbooks are available on from the Agency for Health Care Administration’s Medicaid fiscal agent’s Web site website at http://ahca.myflorida.com/Medicaid/review/index.shtml, and available at [DOS place holder Ref-_______].http://portal.flmmis.com/flpublic http://floridamedicaid.acs-inc.com. Click on Provider Support, and then on Handbooks. Paper copies of the handbooks may be obtained by calling the Medicaid fiscal agent at 1(800) 377-8216.

(3) The following forms that are included in the Florida Medicaid Mental Health Targeted Case Management Coverage and Limitations Handbook are incorporated by reference: Agency Certification, Children’s Mental Health Targeted Case Management, AHCA-Med Serv Form 022, June 2007, in Appendix B, one page; Agency Certification, Adult Mental Health Targeted Case Management, AHCA-Med Serv Form 023, June 2007, in Appendix C, one page; Agency Certification, Intensive Case Management Team Services, Adult Mental Health Targeted Case Management, AHCA-Med Serv Form 024, June 2007, in Appendix D, one page; Case Management Supervisor Certification, Children’s Mental Health Targeted Case Management, AHCA-Med Serv Form 025, July 2006, in Appendix E, one page; Case Management Supervisor Certification, Adult Mental Health Targeted Case Management, AHCA-Med Serv Form 026, July 2006, in Appendix F, one page; Case Manager Certification, Children’s Mental Health Targeted Case Management, AHCA-Med Serv Form 027, July 2006, in Appendix G, one page; Case Manager Certification, Adult Mental Health Targeted Case Management, AHCA-Med Serv Form 028, July 2006, in Appendix H, one page; Children’s Certification, Children’s Mental Health Targeted Case Management, AHCA-Med Serv Form 029, July 2006, in Appendix I, one page; Adult Certification, Adult Mental Health Targeted Case Management, AHCA-Med Serv Form 030, July 2006, in Appendix J, one page; Adult Certification, Intensive Case Management Team Services, Adult Mental Health Targeted Case Management, AHCA-Med Serv Form 031, July 2006, in Appendix K, two pages; Medicaid 30-Day Certification for Children’s or Adult Mental Health Targeted Case Management, AHCA-Med Serv Form 032, June 2007, in Appendix L, one page. The forms are available by photocopying them from the Florida Medicaid Mental Health Targeted Case Management Coverage and Limitations Handbook.

Rulemaking Authority 409.919,409.961 FS. Law Implemented 409.906, 409.907, 409.908, 409.973 FS. History–New 6-21-06, Amended 1-2-08, _________.