The purpose of new Rule 59G-4.295 is to incorporate by reference the Florida Medicaid Specialized Therapeutic Services Coverage and Limitations Handbook, ______ 2013. The incorporated handbook will specify coverage and limitation policies, provider ...

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

RULE NO.:RULE TITLE:

59G-4.295Specialized Therapeutic Services

PURPOSE AND EFFECT: The purpose of new Rule 59G-4.295, F.A.C., is to incorporate by reference the Florida Medicaid Specialized Therapeutic Services Coverage and Limitations Handbook, ______ 2013. The incorporated handbook will specify coverage and limitation policies, provider qualifications, and reimbursement information for specialized therapeutic services.

SUBJECT AREA TO BE ADDRESSED: Specialized Therapeutic Services.

An additional area to be addressed during the workshop will be the potential regulatory impact the amendment to Rule 59G-4.295 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, 2:30 p.m. – 4:00 p.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-4.295 Specialized Therapeutic Services.

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

(2) All providers of specialized therapeutic services must be in compliance with the provisions of the Florida Medicaid Specialized Therapeutic 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 Specialized Therapeutic Services Coverage and Limitations Handbook and are incorporated by reference: Authorization for Comprehensive Behavioral Health Assessment, AHCA Form 5000-3511, Revised; Comprehensive Behavioral Health Assessment Agency and Practitioner Certification, AHCA Form 5000-3512, Revised; Specialized Therapeutic Foster Care Provider Agency Certification, AHCA Form 5000-3513, Revised; Authorization for Specialized Therapeutic Foster Care, AHCA Form 5000-3514, Revised; Authorization for Crisis Intervention, AHCA Form 5000-3515, Revised; Provider Agency Acknowledgement for Therapeutic Group Care Services, AHCA Form 5000-3519, Revised; Therapeutic Group Care Services Provider Agency Certification, AHCA Form 5000-3520, Revised; and Authorization for Therapeutic Group Care Services, AHCA Form 5000-3521, Revised. These forms are available by photocopying them from the Florida Medicaid Specialized Therapeutic 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__________.