The purpose of the amendment to Rule 59G-4.035, Florida Administrative Code (F.A.C.), is to incorporate by reference the Florida Medicaid School Based Services Coverage Policy, _________, and revise the rule title. The incorporated coverage policy ...

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

RULE NO.:RULE TITLE:

59G-4.035Medicaid Certified School Match Program

PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-4.035, Florida Administrative Code (F.A.C.), is to incorporate by reference the Florida Medicaid School Based Services Coverage Policy, _________, and revise the rule title. The incorporated coverage policy will specify recipient eligibility, provider requirements, service coverage, and reimbursement information. The rule title will be revised to Medicaid School Based Services.

SUBJECT AREA TO BE ADDRESSED: Medicaid Certified School Match Program.

An additional area to be addressed during the workshop will be the potential regulatory impact Rule 59G-4.035, F.A.C., will have as provided for under sections 120.54 and 120.541, Florida Statutes

RULEMAKING AUTHORITY: 409.919 FS.

LAW IMPLEMENTED: 409.9071, 409.9072, 409.908 FS.

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

DATE AND TIME: April 20, 2018, 2:00 p.m. to 2:30 p.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: Matt Brackett. 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: Matt Brackett, Bureau of Medicaid Policy, 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. Official comments to be entered into the rule record will be received until 5:00 p.m. on April 23, 2018 and may be e-mailed to [e-mail]. For general inquiries and questions about the rule, please contact the person specified above.

 

THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS:

 

59G-4.035 Medicaid Certified School Based Services Match Program.

(1) This rule applies to public, private, or charter schools providing school based services to recipients all school districts enrolled in the Medicaid certified school match program, as described in Section 409.9071, F.S.

(2) All school district providers enrolled in Medicaid under the certified school match program must be in compliance with the Florida Medicaid Certified School Based Services Coverage Policy,________,Match Coverage and Limitations Handbook, January 2005, incorporated by reference. The policy is available on the Agency for Health Care Administration’s Web site at http://ahca.myflorida.com/Medicaid/review/index.shtml, and at [DOS place holder Ref-_______]. , and the Florida Medicaid Provider Reimbursement Handbook, CMS-1500, which is incorporated by reference in Rule 59G-4.001, F.A.C. Both handbooks are available from the Medicaid fiscal agent.

(3) The following forms are included in the Florida Medicaid School Based Services Coverage Policy,_______, and are incorporated by reference: Agreement For Assuring That School District Behavioral Health Providers Are Credentialed, AHCA Form 5000-______,______, Agreement For Assuring That School District Nursing Services Providers Are Credentialed, AHCA Form 5000-______,______, and, Agreement For Assuring That School District Therapy Services Providers Are Credentialed, AHCA Form 5000-______,______.

Rulemaking Authority 409.919 FS. Law Implemented 409.905, 409.906, 409.9071,409.9072, 409.908, 409.9122, 409.9126, 1011.70 FS. History–New 4-9-98, Amended 11-23-99, 5-27-01, 10-31-02, 10-28-03, 1-10-06,_______.