The purpose of the amendment to Rule 59G-4.260, Florida Administrative Code (F.A.C.), is to incorporate by reference the Florida Medicaid Prescribed Pediatric Extended Care Services Coverage Policy, __________. The incorporated coverage policy will ...

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

RULE NO.:RULE TITLE:

59G-4.260Prescribed Pediatric Extended Care Services

PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-4.260, Florida Administrative Code (F.A.C.), is to incorporate by reference the Florida Medicaid Prescribed Pediatric Extended Care Services Coverage Policy, __________. The incorporated coverage policy will specify recipient eligibility, provider requirements, coverage policies, and reimbursement information.

SUBJECT AREA TO BE ADDRESSED: Prescribed Pediatric Extended Care Services.

An additional area to be addressed during the workshop will be the potential regulatory impact Rule 59G-4.260, F.A.C., will have as provided for under sections 120.54 and 120.541, F.S.

RULEMAKING AUTHORITY: 409.919 FS.

LAW IMPLEMENTED: 409.902, 409.905, 409.907, 409.908, 409.912, 409.913 FS.

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

DATE AND TIME: May 9, 2017, 2:30 p.m. to 3:00 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: Shameria Davis. 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: Shameria Davis, 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 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 May 10, 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-4.260 Prescribed Pediatric Extended Care Services.

(1) This rule applies to all providers rendering Florida Medicaid pPrescribed pPediatric eExtended cCare (PPEC) services providers to recipients enrolled in the Florida Medicaid program.

(2) All providers Florida Medicaid enrolled prescribed pediatric extended care service providers must be in compliance with the provisions of the Florida Medicaid Prescribed Pediatric Extended Care Services Coverage Policy and Limitations Handbook, ___________September 2013, available at http://www.flrules.org/Gateway/reference.asp?No=Ref-03068, incorporated by reference. The policy handbook is available on the Agency for Health Care Administration’s Web site from the Medicaid fiscal agent’s Web site at http://ahca.myflorida.com/Medicaid/review/index.shtml, and at [DOS place holder Ref-_______] www.mymedicaid-florida.com. Select Public Information for Providers, then Provider Support, and then Provider Handbooks. Paper copies of the handbook may be obtained by calling the Provider Services Contact Center at 1(800) 289-7799 and selecting Option 7.

(3) The following form is included in the Prescribed Pediatric Extended Care Services Coverage and Limitations Handbook and is incorporated by reference: Appendix B, Physician Plan of Care for PPEC Services Form, AHCA-Med Serv Form 5000-3507, Revised February 2013.

Rulemaking Authority 409.919 FS. Law Implemented 409.902, 409.905, 409.907, 409.908, 409.912, 409.913 FS. History–New 8-27-91, Amended 4-21-92, 3-9-93, Formerly 10C-7.0471, Amended 2-11-96, 2-22-00, 5-11-04, 4-24-07, 9-4-13, ________.