The purpose of the amendment to Rule 59G-4.295, Florida Administrative Code (F.A.C.) is to incorporate by reference the Florida Medicaid Therapeutic Group Care Services Coverage Policy,_________. The incorporated coverage policy will specify ...  

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    AGENCY FOR HEALTH CARE ADMINISTRATION

    Medicaid

    RULE NO.: RULE TITLE:

    59G-4.295: Specialized Therapeutic Services

    PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-4.295, Florida Administrative Code (F.A.C.) is to incorporate by reference the Florida Medicaid Therapeutic Group Care Services Coverage Policy,_________. The incorporated coverage policy will specify recipient eligibility, provider requirements, service coverage, and reimbursement information. The amendment also revises the rule title to Therapeutic Group Care Services.

    SUBJECT AREA TO BE ADDRESSED: Specialized Therapeutic Services.

    RULEMAKING AUTHORITY: 409.919, 409.961 FS.

    LAW IMPLEMENTED: 409.902, 409.906, 409.907, 409.908, 409.912, 409.913, 409.973 FS.

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

    DATE AND TIME: May 4, 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: Tracy Thompson. 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: Tracy Thompson, Bureau of Medicaid Policy, 2727 Mahan Drive, Mail Stop 20, Tallahassee, Florida 32308-5407, telephone: (850)412-4270, e-mail: Tracy.Thompson@ahca.myflorida.com.

    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 5, 2017 and may be e-mailed to MedicaidRuleComments@ahca.myflorida.com. For general inquiries and questions about the rule, please contact the person specified above.

     

    THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS:

    59G-4.295 Specialized Therapeutic Group Care Services.

    (1) This rule applies to all providers rendering Florida Medicaid of specialized therapeutic group care services to recipients who are enrolled in the Florida Medicaid program.

    (2) All providers of specialized therapeutic services must be in compliance with the provisions of the Florida Medicaid Specialized Therapeutic Group Care Services Coverage Policy and Limitations Handbook, March 2014, available at http://www.flrules.org/Gateway/reference.asp?No=Ref-03750,______, incorporated by reference. The policy handbook is available on the Agency for Health Care Administration’s 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 forms are included in the Florida Medicaid Specialized Therapeutic Services Coverage and Limitations Handbook and are incorporated by reference: Authorization for Comprehensive Behavioral Health Assessment, AHCA Form 5000-3511, Revised March 2014; Comprehensive Behavioral Health Assessment Agency and Practitioner Self-Certification, AHCA Form 5000-3512, Revised March 2014; Specialized Therapeutic Foster Care Provider Agency Self-Certification, AHCA Form 5000-3513, Revised March 2014; Authorization for Specialized Therapeutic Foster Care, AHCA Form 5000-3514, Revised March 2014; Authorization for Crisis Intervention, AHCA Form 5000-3515, Revised March 2014; Provider Agency Acknowledgement for Therapeutic Group Care Services, AHCA Form 5000-3519, Revised March 2014; and Authorization for Therapeutic Group Care Services, AHCA Form 5000-3521, Revised March 2014. These forms are available by photocopying them from the Florida Medicaid Specialized Therapeutic Services Coverage and Limitations Handbook.

    Rulemaking Authority 409.919, 409.961 FS. Law Implemented 409.902, 409.906, 409.907, 409.908, 409.912, 409.913, 409.973 FS. History–New 3-13-14, ______.

     

Document Information

Subject:
Specialized Therapeutic Services.
Purpose:
The purpose of the amendment to Rule 59G-4.295, Florida Administrative Code (F.A.C.) is to incorporate by reference the Florida Medicaid Therapeutic Group Care Services Coverage Policy,_________. The incorporated coverage policy will specify recipient eligibility, provider requirements, service coverage, and reimbursement information. The amendment also revises the rule title to Therapeutic Group Care Services.
Rulemaking Authority:
409.919, 409.961 FS.
Law:
409.902, 409.906, 409.907, 409.908, 409.912, 409.913, 409.973 FS.
Contact:
Tracy Thompson, Bureau of Medicaid Policy, 2727 Mahan Drive, Mail Stop 20, Tallahassee, Florida 32308-5407, telephone: 850-412-4270, e-mail: Tracy.Thompson@ahca.myflorida.com. 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 5, 2017 and may be e-mailed to MedicaidRuleComments@ahca....
Related Rules: (1)
59G-4.295. Specialized Therapeutic Services