The purpose of the amendment to Rule 59G-4.025, Florida Administrative Code (F.A.C.) is to incorporate by reference the Florida Medicaid Assistive Care Services Coverage Policy, __________.

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

RULE NO.:RULE TITLE:

59G-4.025Assistive Care Services

PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-4.025, Florida Administrative Code (F.A.C.) is to incorporate by reference the Florida Medicaid Assistive Care 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, 409.961 FS.

LAW IMPLEMENTED: 409.906, 409.912, 409.973 FS.

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

DATE AND TIME: May 11, 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 IS: Shameria Davis, 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 public hearing at http://ahca.myflorida.com/Medicaid/review/index.shtml. Official comments to be entered into the rule record will be received from the date of this notice until 5:00 p.m. May 12, 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-4.025Assistive Care Services.

(1) This rule applies to all providers rendering Florida Medicaid assistive care services to recipients service providers enrolled in Medicaid under Section 409.906, F.S., who provide assistive care services.

(2) All providers must comply with the provisions of the Florida Medicaid Assistive Care Services Coverage Policy, __________, incorporated by reference, and available on the Agency for Health Care Administration’s Web site at http://ahca.myflorida.com/Medicaid/review/index.shtml, and at [DOS place holder Ref-_______]. 

(2) All assistive care service providers enrolled in Medicaid program must be in compliance with the Florida Medicaid Assistive Care Services Coverage and Limitations Handbook, July 2009 which is 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. Both handbooks are available from the Medicaid fiscal agent’s Web Portal at http://mymedicaid-florida.com. Click on Public Information for Providers, then on Provider Support, and then on Provider Handbooks. Paper copies of the handbooks may be obtained by calling the Provider Contact Center at 1(800) 289-7799 and selecting Option 7.

(3) The following forms that are included in the Florida Medicaid Assistive Care Services Coverage and Limitations Handbook are incorporated by reference:

(a) Appendix B contains the Certification of Medical Necessity for Medicaid Assistive Care Services, AHCA-Med Serv Form 035, July 2009, one page. The form is available from the Medicaid fiscal agent’s Web Portal at http://mymedicaid-florida.com. Click on Public Information for Providers, then on Provider Support, and then on Forms or by photocopying it from the handbook.

(b) Appendix C contains the Resident Service Plan for Assistive Care Services, AHCA-Med Serv Form 036, July 2009, three pages. The form is available from the Medicaid fiscal agent’s Web Portal at http://mymedicaid-florida.com. Click on Public Information for Providers, then on Provider Support, and then on Forms or by photocopying it from the handbook.

(c) Appendix D contains the Resident Service Log for Medicaid Assistive Care Services, AHCA-Med Serv Form 037, July 2009, one page. The form is available from the Medicaid fiscal agent’s Web Portal at http://mymedicaid-florida.com. Click on Public Information for Providers, then on Provider Support, and then on Forms or by photocopying it from the handbook.

Rulemaking Authority 409.919, 409.961 FS. Law Implemented 409.906, 409.912, 409.973 FS. History–New 11-28-01, Amended 7-20-10,______.

 

NAME OF PERSON ORIGINATING PROPOSED RULE: Shameria Davis

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

DATE PROPOSED RULE APPROVED BY AGENCY HEAD: April 05, 2017

DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAR: October 4, 2016