The proposed rule amendments reflect changes in legislation for the elimination of the Silver Saver Program. The program ended December 31, 2005, as the new federal Medicare Part D prescription drug program became effective January 1, 2006.

DEPARTMENT OF CHILDREN AND FAMILY SERVICES
Economic Self-Sufficiency Program

RULE NO: RULE TITLE
65A-1.710: SSI-Related Medicaid Coverage Groups
65A-1.711: SSI-Related Medicaid Non-Financial Eligibility Criteria
65A-1.712: SSI-Related Medicaid Resource Eligibility Criteria
65A-1.713: SSI-Related Medicaid Income Eligibility Criteria
PURPOSE AND EFFECT: The proposed rule amendments reflect changes in legislation for the elimination of the Silver Saver Program. The program ended December 31, 2005, as the new federal Medicare Part D prescription drug program became effective January 1, 2006.
SUMMARY: The rule amendments remove the Silver Saver Program language from the mandatory and optional Medicaid coverage groups and eligibility criteria.
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: 409.902, 409.903, 409.904, 409.906, 409.919 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: June 12, 2006, 1:30 p.m.
PLACE: 1317 Winewood Boulevard, Building 3, Room 439, Tallahassee, Florida 32399-0700
THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE IS: Nathan Lewis, Acting Chief, Program Policy, Economic Self-Sufficiency, 1317 Winewood Boulevard, Building 3, Room 448, Tallahassee, Florida 32399-0700, Telephone [phone]

THE FULL TEXT OF THE PROPOSED RULE IS:

65A-1.710 SSI-Related Medicaid Coverage Groups.

The department covers all mandatory coverage groups and the following optional coverage groups:

(1) through (5) No change.

(6) Ron Silver Senior Drug Program.  A coverage group as defined in subsection 59G-12.002(4), F.A.C.  AHCA sets an enrollment ceiling for this program as specified in Rule 59G-12.003, F.A.C.  Four forms specific to the program are used in the eligibility determination process for this program.  The application form is CF-ES Form 2935, Silver Saver (Application), Sept. 2002, and the eligibility notices are CF-ES Form 2936, Silver Saver Drug Program Notice of Case Action, Sept. 2002, CF-ES Form 2936A, Ron Silver Senior Drug Program “Silver Saver” Notice of Case Action, October 2002, and CF-ES 2937 “Silver Saver” Redetermination Notice, Feb 2004 (all four forms are incorporated by reference).

(6)(7) No change.

(7)(8) No change.

Specific Authority 409.919 FS. Law Implemented 409.902, 409.903, 409.904, 409.906, 409.919 FS. History–New 10-8-97, Amended 1-27-99, 4-1-03, 6-13-04,_______.

 

65A-1.711 SSI-Related Medicaid Non-Financial Eligibility Criteria.

To qualify for Medicaid an individual must meet the general and categorical requirements in 42 C.F.R. Part 435, subparts E and F, with the exception that individuals who are neither aged nor disabled may qualify for breast and cervical cancer treatment, and the following program specific requirements as appropriate:

(1) through (7) No change.

(8) For the Ron Silver Senior Drug Program the individual must meet the requirements of subsection 59G-12.003(1), F.A.C.  A face-to-face interview is not required for this program.

(8) (9) No change.

Specific Authority 409.919 FS. Law Implemented 409.902, 409.903, 409.904, 409.906, 409.919 FS. History–New 10-8-97, Amended 4-1-03,________.

 

65A-1.712 SSI-Related Medicaid Resource Eligibility Criteria.

(1) Resource Limits. If an individual’s total resources are equal to or below the prescribed resource limits at any time during the month the individual is eligible on the factor of resources for that month.  The resource limit is the SSI limit specified in Rule 65A-1.716, F.A.C., with the following exceptions:

(a) through (e) No change.

(f) For the Ron Silver Senior Drug Program, there is no resource limit.

(f) (g) No change.

Specific Authority 409.919, FS. Law Implemented 409.902, 409.903, 409.904, 409.906, 409.919, FS. History–New 10-8-97, Amended 1-27-99, 4-1-03, 9-28-04, _________.

 

65A-1.713 SSI-Related Medicaid Income Eligibility Criteria.

(1) Income limits. An individual’s income must be within limits established by federal or state law and the Medicaid State Plan.  The income limits are as follows:

(a) through (j) No change.

(k) For the Ron Silver Senior Drug Program, the individual must meet the eligibility criteria specified in subsection 59G-12.003(1), F.A.C.

(k) (l) No change.

Specific Authority 409.919 FS. Law Implemented 409.902, 409.903, 409.904, 409.906, 409.919 FS. History–New 10-8-97, Amended 1-27-99, 4-1-03, 6-13-04, ________.

NAME OF PERSON ORIGINATING PROPOSED RULE: Nathan Lewis, Acting Chief
NAME OF SUPERVISOR OR PERSON WHO APPROVED THE PROPOSED RULE: Jennifer Lange, Acting Director, Economic Self-Sufficiency
DATE PROPOSED RULE APPROVED BY AGENCY HEAD: 3/8/2006
DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAW: April 7, 2005