Outpatient Hospital Services  

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    AGENCY FOR HEALTH CARE ADMINISTRATION

    Medicaid

    RULE NO.:RULE TITLE:

    59G-4.160Outpatient Hospital Services

    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. 42 No. 77, April 20, 2016 issue of the Florida Administrative Register.

    59G-4.160Outpatient Hospital Services

    (1) No change.

    (2) No change.

    (3) The United States Department of Health and Human Services’ Consent for Sterilization Form - HHS-687 (10/12), is incorporated by reference and available at http://www.hhs.gov/opa/pdfs/consent-for-sterilization-english-updated.pdf.

    The following changes have been made to the Outpatient Hospital Services Coverage Policy:

    Section 6.2, Specific Criteria, bullets now read:

    State of Florida Abortion Certification Form - AHCA-Med Serv Form 011,_____

    State of Florida Exception to Hysterectomy Acknowledgement Requirement – ETA-5001,______

    State of Florida Hysterectomy Acknowledgement Form – HAF-5000,_____

Document Information

Related Rules: (1)
59G-4.160. Outpatient Hospital Services