The purpose of the amendment to Rule 59G-4.085, Florida Administrative Code is to incorporate by reference the Florida Medicaid Early Intervention Services Coverage Policy, __________________.

 

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 is to incorporate by reference the Florida Medicaid Early Intervention Services Coverage Policy, __________________.

SUMMARY: The incorporated coverage policy will specify recipient eligibility, provider requirements, service coverage, and reimbursement information.

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 FS.

LAW IMPLEMENTED: 409.906, 409.908 FS.

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

DATE AND TIME: May 9, 2017, 11:00 a.m. to 11:30 a.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 IS: Luc Toussaint, Medicaid Services, 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 public hearing 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. May 10, 2017. Comments may be e-mailed to [e-mail]. For general inquiries and questions about the rule, please contact the person specified above.

 

THE FULL TEXT OF THE PROPOSED RULE 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,_______.

 

NAME OF PERSON ORIGINATING PROPOSED RULE: Luc Toussaint

NAME OF AGENCY HEAD WHO APPROVED THE PROPOSED RULE: Justin Senior

DATE PROPOSED RULE APPROVED BY AGENCY HEAD: April 5, 2017

DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAR: March 8, 2017