The purpose of the amendment to Rule 59G-4.200 is to incorporate by reference the Florida Medicaid Nursing Facility Services Coverage Policy, __________. The incorporated coverage policy will specify recipient eligibility, provider requirements, ...

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

RULE NO.:RULE TITLE:

59G-4.200Nursing Facility Services

PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-4.200, F.A.C. is to incorporate by reference the Florida Medicaid Nursing Facility Services Coverage Policy, __________. The incorporated coverage policy will specify recipient eligibility, provider requirements, coverage policies, and reimbursement information. In addition, the policy removes restriction for psychiatric services in nursing homes.

SUBJECT AREA TO BE ADDRESSED: Nursing Facility Services.

RULEMAKING AUTHORITY: 409.919 FS.

LAW IMPLEMENTED: 409.902, 409.905, 409.908, 409.912, 409.913 FS.

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

DATE AND TIME: Thursday, May 21, 2015, 10:00 a.m. – 11:00 a.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: Virginia Yon, Medicaid Services, 2727 Mahan Drive, Mail Stop #20, Tallahassee, Florida 32308-5407, telephone: [phone], e-mail: [e-mail]. 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: Virginia Yon, Medicaid Services, 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 workshop at http://ahca.myflorida.com/Medicaid/review/index.shtml. Comments will be received until 5.p.m. on Thursday, May 28, 2015.

 

THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS:

 

59G-4.200 Nursing Facility Services.

(1) This rule applies to all providers of nursing facility services who are enrolled facilities licensed under Chapter 400, Part II, F.S., certified by the Agency for Health Care Administration for participation in or registered with the Florida Medicaid program for nursing facility care under Section 409.902, F.S.

(2) All providers of participating nursing facility services providers must be in compliance comply with the provisions of the Florida Medicaid Nursing Facility Services Coverage Policy and Limitations Handbook, ________, October 2003, updated July 2004, erratum to the July 2004 update, and the corresponding Florida Medicaid Provider Reimbursement Handbook, Institutional 021, October 2003, which are incorporated by reference. Both handbooks are available from the Medicaid fiscal agent. The policy is available from the Medicaid fiscal agent’s Web site at http://portal.flmmis.com/flpublic

(3) The following forms that are included in the Florida Medicaid Nursing Facility Services Coverage and Limitations Handbook are incorporated by reference: AHCA Form 5210-001, August 2000, Nurse Aide Training and Competency Evaluation Program Invoice, available from the Medicaid area offices; CF-ES 2506, Feb. 2003, Client Discharge/Change Notice, available from the Department of Children and Family Services district offices; CF-ES 2506A, May 2003, Client Referral/Notice, available from the Department of Children and Family Services district offices; PASRR Checklist, October 2003, may be photocopied from the Florida Medicaid Nursing Facility Services Coverage and Limitations Handbook; and AHCA Form 5000-3300, April 02, Medicaid Nursing Facility/ICF-DD Contribution Notice, available from the Medicaid area offices.

Rulemaking Specific Authority 409.919 FS. Law Implemented Chapter 400 Part II, 409.902, 409.905, 409.908, 409.912, 409.913 FS. History–New 1-1-77, Amended 6-13-77, 10-1-77, 1-1-78, 2-1-78, 12-28-78, 2-14-80, 4-5-83, 1-1-84, 8-29-84, 9-1-84, 9-5-84, 7-1-85, Formerly 10C-7.48, Amended 8-19-86, 6-1-89, 7-2-90, 6-4-92, 8-5-92, 11-2-92, 7-20-93, Formerly 10C-7.048, Amended 11-28-95, 5-9-99, 10-15-00, 10-4-01, 2-10-04, 9-28-04, 8-31-05, 7-23-06, ____________.