The purpose of new Rule 59G-4.027 is to incorporate by reference the Florida Medicaid Behavioral Health Overlay Services Coverage and Limitations Handbook, __________. The incorporated handbook will specify coverage and limitation policies, provider ...

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

RULE NO.:RULE TITLE:

59G-4.027Behavioral Health Overlay Services

PURPOSE AND EFFECT: The purpose of new Rule 59G-4.027, F.A.C., is to incorporate by reference the Florida Medicaid Behavioral Health Overlay Services Coverage and Limitations Handbook, __________. The incorporated handbook will specify coverage and limitation policies, provider qualifications, and reimbursement information for behavioral health overlay services in juvenile justice and child welfare settings.

SUBJECT AREA TO BE ADDRESSED: Behavioral Health Overlay Services.

An additional area to be addressed during the workshop will be the potential regulatory impact the amendment to Rule 59G-4.027 will have as provided for under Sections 120.54 and 120.541, Florida Statutes.

RULEMAKING AUTHORITY: 409.919 FS.

LAW IMPLEMENTED: 409.902, 409.906, 409.907, 409.908, 409.9081, 409.912, 409.913 FS.

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

DATE AND TIME: Wednesday, June 19, 2013, 10:00 a.m. – 11:30 a.m.

PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Conference Room A, 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: Melissa Eddleman at the Bureau of Medicaid Services, [phone]. 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 IS: Melissa Eddleman, Medicaid Services, 2727 Mahan Drive, Mail Stop 20, Tallahassee, Florida 32308-5407, telephone: [phone], e-mail: [e-mail].

To download a draft copy of the reference material, if available, go to http://ahca.myflorida.com/Medicaid/review/index.shtml

 

THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS:

 

59G-4.027 Behavioral Health Overlay Services.

(1) This rule applies to all providers of behavioral health overlay services who are enrolled in the Florida Medicaid program.

(2) All providers of behavioral health overlay services must be in compliance with the provisions of the Florida Medicaid Behavioral Health Overlay Services Coverage and Limitations Handbook, __________, incorporated by reference. The handbook is available on the Medicaid fiscal agent’s Web site at www.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 Provider Services Contact Center at 1(800)289-7799 and selecting Option 7.

(3) The following forms are included in the Florida Medicaid Behavioral Health Overlay Services Coverage and Limitations Handbook and are incorporated by reference: Provider Agency Self-Certification for Behavioral Health Overlay Services in Juvenile Justice Settings, AHCA Form 5000-3516, Revised March 2013; Provider Agency Certification Form Behavioral Health Overlay Services Department of Juvenile Justice, AHCA Form 5000-3517, Revised March 2013; Certification of Eligibility for Behavioral Health Overlay Services in Juvenile Justice Settings, AHCA Form 5000-3518, Revised March 2013; Certification of Eligibility for Behavioral Health Overlay Services in Child Welfare Settings, AHCA Form 5000-3522, Revised March 2013; Provider Agency Self-Certification for Behavioral Health Overlay Services in Child Welfare Settings, AHCA Form 5000-3523, Revised March 2013; and Provider Agency Certification Form Behavioral Health Overlay Services in Child Welfare Settings, AHCA Form 5000-3524, Revised March 2013. These forms are available by photocopying them from the Florida Medicaid Behavioral Health Overlay Services Coverage and Limitations Handbook.

Rulemaking Authority 409.919 FS. Law Implemented 409.902, 409.906, 409.907, 409.908, 409.9081, 409.912, 409.913 FS. History–New __________.