Child Health Services Targeted Case Management

 

AGENCY FOR HEALTH CARE ADMINISTRATION
Medicaid

RULE NO.: RULE TITLE:
59G-8.700: Child Health Services Targeted Case Management

NOTICE OF CHANGE

Notice is hereby given that the following changes have been made to the proposed rule in accordance with subparagraph 120.54(3)(d)1., F.S., published in Vol. 38, No. 4, January 27, 2012 issue of the Florida Administrative Weekly.

The following changes have been made to the proposed rule.

PURPOSE AND EFFECT: The purpose is to adopt a new rule for Child Health Services Targeted Case Management. The rule will incorporate by reference a new handbook, June 2012.

 

THE FULL TEXT OF THE PROPOSED RULE IS:

59G-8.700 Child Health Services Targeted Case Management.

Individuals enrolled as Child Health Services targeted case managers must be in compliance with the Child Health Services Targeted Case Management Handbook, June 2012 October 2011, which is incorporated by reference. Medicaid will reimburse only targeted case management services that are provided by enrolled individual treating providers employed or contracted with an enrolled targeted case management group provider or agency. Such enrolled provider or agency is not permitted to subcontract with another provider or agency for service delivery. The handbook is available from the Medicaid fiscal agent’s Web site at 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 Medicaid fiscal agent at [phone] and selecting option 7.

The following changes have been made to the Child Health Services Targeted Case Management Handbook.

Page 1-6 Medicaid Individual Provider Type. The last paragraph is changed to read:

ARNPs and nurses must submit a copy of their current Florida license with the application. Applicants are required to submit a copy of their degree and appropriate documentation verifying the required experience, as stated on page 1-4 of this handbook.

Page 1-6 CMS Early Steps and Medical Foster Care Program Enrollment Requirements. Paragraph is changed to read:

The Department of Health Early Steps Program and the Medical Foster Care Program may require additional information and documents to enroll in their programs. Contact the Department of Health Early Step and Medical Foster Care local program offices for their most current requirement information.

Page 1-7 Site Visits. Paragraph is deleted.

Page 2-12 Required Documentation, continued. Three bullets are added as follows:

The case notes must:

•       Clearly reflect if the recipient accepted or declined the service(s) in the service plan;
•       Clearly indicate the estimated timeline for obtaining the needed service(s), not to exceed six months;
•       Re-evaluate the service plan every six months.

Page 2-12 Self-Referral or Conflict of Interest. Entire section is deleted.

Page 2-13 Freedom of Choice Requirement: Entire section is deleted.