The purpose of the amendment to Rule 59G-4.085, Florida Administrative Code (F.A.C.), is to incorporate by reference the Florida Medicaid Early Intervention Services Coverage Policy, __________. The incorporated coverage policy will specify ...

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

RULE NO.:RULE TITLE:

59G-4.085Early Intervention Services

PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-4.085, Florida Administrative Code (F.A.C.), is to incorporate by reference the Florida Medicaid Early Intervention Services Coverage Policy. The incorporated coverage policy will specify recipient eligibility, provider requirements, service coverage, and reimbursement information.

SUBJECT AREA TO BE ADDRESSED: Early Intervention Services.

An additional area to be addressed during the workshop will be the potential regulatory impact Rule 59G-4.085, 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 FS.

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

DATE AND TIME: March 22, 2017 from to 2:30 p.m. 3:30 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: Luc Toussaint. 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: Luc Toussaint, 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 23, 2017 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-4.085 Early Intervention Services.

(1) This rule applies to all providers rendering Florida Medicaid eEarly iIntervention sServices to recipients providers enrolled in the Medicaid program.

(2) All Early Intervention Services providers enrolled in the Medicaid program must be in compliance with the provisions of the Florida Medicaid Early Intervention Services Coverage Policy, _____, and Limitations Handbook, August 2007, incorporated by reference, and the Florida Medicaid Provider Reimbursement Handbook, CMS-1500, which is incorporated by reference in Rule 59G-4.001, F.A.C. The policy is Both handbooks are available on the Agency for Health Care Administration’s from the Medicaid fiscal agent’s Web site at http://ahca.myflorida.com/Medicaid/review/index.shtml, and at [DOS place holder Ref-_______].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 are incorporated by reference: Children’s Medical Services Early Steps Certification for Provider of Early Intervention Services, AHCA-Med Serv Form 020, August 2007, one page; and Early Steps, Children’s Medical Services, Medicaid Freedom of Choice/Conflict of Interest Statement, AHCA-Med Serv Form 021, August 2007, one page. These forms are available on the Early Steps provider website at http://www.cms-kids.com/ESproviders.htm. The following form that is included in the Florida Medicaid Early Intervention Services Coverage and Limitations Handbook is incorporated by reference: Early Intervention Services Request to Exceed Medicaid Limitations Form, AHCA-Med Serv Form 019, August 2007, four pages, Appendix B. The form is available by photocopying it from the Florida Medicaid Early Intervention Services Coverage and Limitations Handbook.

Rulemaking Authority 409.919 FS. Law Implemented 409.906 409.905, 409.908 FS. History–New 4-30-00, Amended 8-9-04, 5-22-06, 1-10-08,_______.