The proposed amendment to Rule 59G-13.131, F.A.C., incorporates by reference the Traumatic Brain Injury and Spinal Cord Injury Waiver Services Fee Schedule, July 2010 The fee schedule is being changed to add two new services, transition case ...

AGENCY FOR HEALTH CARE ADMINISTRATION
Medicaid

RULE NO: RULE TITLE
59G-13.131: Traumatic Brain and Spinal Cord Injury Waiver Services Fee Schedule
PURPOSE AND EFFECT: The proposed amendment to Rule 59G-13.131, F.A.C., incorporates by reference the Traumatic Brain Injury and Spinal Cord Injury Waiver Services Fee Schedule, July 2010 The fee schedule is being changed to add two new services, transition case management and transition home modifications, that are specific to nursing home transition activities and available only to those recipients who have transitioned on to the waiver from a nursing home placement. This rule is the stand alone rule for the Fee Schedule for services available under the Traumatic Brain Injury and Spinal Cord Injury (TBI/SCI) waiver. This revised fee schedule adds services specific to nursing home transition and increases the number of services from 12 to 14.
SUBJECT AREA TO BE ADDRESSED: Traumatic Brain Injury and Spinal Cord Injury Waiver Services Fee Schedule.
SPECIFIC AUTHORITY: 409.919 FS.
LAW IMPLEMENTED: 409.906, 409.908, 409.912 FS.
IF REQUESTED IN WRITING AND NOT DEEMED UNNECESSARY BY THE AGENCY HEAD, A RULE DEVELOPMENT WORKSHOP WILL BE HELD AT THE DATE, TIME AND PLACE SHOWN BELOW:
TIME AND DATE: Tuesday, May 11, 2010, 3:00 p.m. – 4:00 p.m.
PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Conference Room C, 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: Arlene Walker at the Bureau of Medicaid Services, [phone]. 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: Arlene Walker, Medicaid Services, 2727 Mahan Drive, Mail Stop 20, Tallahassee, Florida 32308-5407, telephone: [phone], e-mail: [e-mail]

THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS:

59G-13.131 Traumatic Brain Injury and Spinal Cord Injury Waiver Services Fee Schedule.

All traumatic brain and spinal cord injury waiver services providers and their billing agents who submit claims on their behalf must be in compliance with the provisions of the Florida Medicaid Traumatic Brain and Spinal Cord Injury Waiver Services Fee Schedule, July 2010 October 2007, which is incorporated by reference. The fee schedule 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 Fee Schedules. Paper copies of the fee schedule may be obtained by calling the Provider Contact Center at [phone] and selecting option 7.

Rulemaking Authority 409.919 FS. Law Implemented 409.906, 409.908, 409.912 FS. History–New 8-5-09, Amended________.