The purpose of promulgating rule 59G-4.015 is to incorporate by reference the revised Florida Medicaid Ambulance Transportation Services Coverage and Limitations Handbook, February 2006. Effective February 10, 2006, ambulance providers billing on ...

AGENCY FOR HEALTH CARE ADMINISTRATION
Medicaid

RULE NO: RULE TITLE
59G-4.015: Ambulance Transportation Services
59G-4.330: Transportation Services
PURPOSE AND EFFECT: The purpose of promulgating rule 59G-4.015 is to incorporate by reference the revised Florida Medicaid Ambulance Transportation Services Coverage and Limitations Handbook, February 2006. Effective February 10, 2006, ambulance providers billing on paper must use the CMS-1500 claim form instead of the Emergency Transportation 131 and Non-Emergency 131-A claim forms. The handbook was revised to replace references to the Emergency Transportation 131 and Non-Emergency 131-A claim forms with references to the CMS-1500 claim form. The effect of promulgating rule 59G-4.015 will be to incorporate the revised Florida Medicaid Ambulance Transportation Services Coverage and Limitations Handbook, February 2006, into rule.
The purpose the rule amendment to 59G-4.330 is to delete reference to ambulance transportation from the rule. Because Medicaid has separate handbooks for ambulance transportation services and non-emergency transportation services provided by other types of transportation vendors, Medicaid is promulgating a new rule for ambulance services and deleting the references to ambulance services from rule 59G-4.330, Transportation Services. The effect of the rule amendment to 59G-4.330 will be to delete references to ambulance transportation services from the rule.
SUMMARY: The purpose of this rule 59G-4.015 is to incorporate by reference the revised Florida Medicaid Ambulance Transportation Services Coverage and Limitations Handbook, February 2006. The effect of promulgating rule 59G-4.015 will be to incorporate the revised Florida Medicaid Ambulance Transportation Services Coverage and Limitations Handbook, February 2006, into rule.
The purpose of the rule amendment to 59G-4.330 is to delete the references to ambulance services from rule 59G-4.330, Transportation Services. The effect of the rule amendment to 59G-4.330 will be to delete references to ambulance transportation services from the rule.
SUMMARY OF ESTIMATED REGULATORY COSTS: No Statement of Estimated Regulatory Cost was prepared.
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.
SPECIFIC AUTHORITY: 409.919, FS.
LAW IMPLEMENTED: 409.905, 409.908, 409.9081, FS.
IF REQUESTED WITHIN 21 DAYS OF THE DATE OF THIS NOTICE, A HEARING WILL BE HELD AT THE TIME, DATE AND PLACE SHOWN BELOW(IF NOT REQUESTED, THIS HEARING WILL NOT BE HELD):
TIME AND DATE: Tuesday, May 16, at 10:00 a.m.
PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Bldg. 3, Conference Room B.
THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE IS: Glen Davis, Medicaid Services, 2727 Mahan Drive, Mail Stop 20, Tallahassee, Florida 32308-5407, [phone].

THE FULL TEXT OF THE PROPOSED RULE IS:

59G-4.015 Ambulance Transportation Services.

(1) This rule applies to all ambulance transportation providers enrolled in the Florida Medicaid program.

(2)  All ambulance transportation providers enrolled in the Medicaid program must be in compliance with the Florida Medicaid Ambulance Transportation Services Coverage and Limitations Handbook, February 2006, incorporated by reference, and the Florida Medicaid Provider Reimbursement Handbook, CMS-1500, which is incorporated by reference in 59G-4.001, F.A.C.  Both handbooks are available from the Medicaid fiscal agent’s website at http://floridamedicaid.acs-inc.com.  Click on Provider Support, and then on Handbooks.  Paper copies of the handbooks may be obtained by calling Provider Inquiry at 800-377-8216.

Specific Authority 409.919, FS.

Law Implemented 409.905, 409.907, 409.908, 409.9081, FS.

History—New

59G-4.330 Transportation Services.

(1) No Change

(2) No Change

(3)  All ambulance transportation providers enrolled in the Medicaid program must comply with the provisions of the Florida Medicaid Ambulance Transportation Services Coverage, Limitations and Reimbursement Handbook, July 2005, incorporated by reference.  The handbook is available from the Medicaid fiscal agent’s website at http://floridamedicaid.acs-inc.com.  Click on Provider Support, and then on Handbooks.  A paper copy of the handbook may be obtained by calling Provider Inquiry at 800-377-8216.

(4)  The following forms that are included in the Florida Medicaid Ambulance Transportation Services Coverage, Limitations and Reimbursement Handbook are incorporated by reference:  the Emergency Transportation 131 Claim Form, 10/2003, and the Non-Emergency Transportation 131-A Claim Form, 10/2003.  The forms are available from the Medicaid fiscal agent. 

Specific Authority 409.919, FS.

Law Implemented 409.902, 409.905, 409.907, 409.908, 409.9081, 409.910, 409.913, FS.

History–New 1-1-77, Amended 10-1-77, 1-27-81, 8-28-84, Formerly 10C-7.45, Amended 4-13-93, Formerly 10C-7.045, Amended 1-7-98, 12-15-05, _________.

NAME OF PERSON ORIGINATING PROPOSED RULE: Glen Davis
NAME OF SUPERVISOR OR PERSON WHO APPROVED THE PROPOSED RULE: Alan Levine, Secretary
DATE PROPOSED RULE APPROVED BY AGENCY HEAD: April 6, 2006
DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAW: January 20, 2006