The purpose of this rule amendment is to incorporate by reference the revised Florida Medicaid Dental Services Coverage and Limitations Handbook, January 2006. The handbook revisions include policy clarifications and a revised Medicaid Orthodontics ...

AGENCY FOR HEALTH CARE ADMINISTRATION
Medicaid

RULE NO: RULE TITLE
59G-4.060: Dental Services
PURPOSE AND EFFECT: The purpose of this rule amendment is to incorporate by reference the revised Florida Medicaid Dental Services Coverage and Limitations Handbook, January 2006. The handbook revisions include policy clarifications and a revised Medicaid Orthodontics Initial Assessment Form and Medicaid Behavioral Management Report Form. The effect will be to incorporate by reference in the rule the Florida Medicaid Dental Services Coverage and Limitations Handbook, January 2006.
SUMMARY: The purpose of the proposed rule amendment is to incorporate by reference the revised Florida Medicaid Dental Services Coverage and Limitations Handbook, January 2006. The effect will be to incorporate by reference in the rule the Florida Medicaid Dental Services Coverage and Limitations Handbook, January 2006.
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: 409.906, 409.908 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: Monday, May 15, 2006, 1:30 p.m.
PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Building #3, Conference Room B, Tallahassee, Florida.
THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE IS: Mary Cerasoli, Bureau of Medicaid Services, 2727 Mahan Drive, Mail Stop 20, Tallahassee, Florida, 32308, [phone].

THE FULL TEXT OF THE PROPOSED RULE IS:

59G-4.060 Dental Services.

(1) No change.

(2) All dental services providers enrolled in the Medicaid program must be in compliance with the Florida Medicaid Dental Services Coverage and Limitations Handbook, January 2006 2004, updated January 2005, and the Florida Medicaid Provider Reimbursement Handbook, Dental 111, October 2003, which are 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. All handbooks are available from the Medicaid fiscal agent’s website at http://floridamedicaid.acs-inc.com agent. Click on Provider Support, and then on Handbooks. Paper copies of the handbooks may be obtained by calling Provider Inquiry at [phone].

(3) The following forms form that are is included in the Florida Medicaid Dental Services Coverage and Limitations Handbook are is incorporated by reference: Medicaid Orthodontic Initial Assessment Form (IAF), January 2006 2005, five two pages, located in Appendix A; and the Medicaid Behavioral Management Report, January 2006, one page, located in Appendix F. The forms form are is available by photocopying them it from the handbook.

Specific Authority 409.919 FS. Law Implemented 409.906, 409.908, 409.912 FS. History–New 7-10-80, Amended 2-19-81, 10-27-81, 7-21-83, Formerly 10C-7.523, Amended 9-11-90, 11-3-92, Formerly 10C-7.0523, Amended 6-29-93, Formerly 10P-4.060, Amended 7-19-94, 7-16-96, 3-11-98, 10-13-98, 12-28-98, 6-10-99, 4-23-00, 4-24-01, 7-5-01, 2-20-03, 8-5-03, 1-8-04, 10-12-04, 6-28-05, _________.

NAME OF PERSON ORIGINATING PROPOSED RULE: Mary Cerasoli
NAME OF SUPERVISOR OR PERSON WHO APPROVED THE PROPOSED RULE: Alan Levine
DATE PROPOSED RULE APPROVED BY AGENCY HEAD: April 6, 2006
DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAW: January 27, 2006