The purpose of Rule 59G-13.015, F.A.C., is to incorporate by reference the Adult Cystic Fibrosis Waiver Services Procedure Codes and Fee Schedule, March 2007. The fee schedule for the Adult Cystic Fibrosis (ACF) waiver will be a new, stand-alone ...

AGENCY FOR HEALTH CARE ADMINISTRATION
Medicaid

RULE NO.: RULE TITLE:
59G-13.015: Adult Cystic Fibrosis Waiver Services Procedure
PURPOSE AND EFFECT: The purpose of Rule 59G-13.015, F.A.C., is to incorporate by reference the Adult Cystic Fibrosis Waiver Services Procedure Codes and Fee Schedule, March 2007. The fee schedule for the Adult Cystic Fibrosis (ACF) waiver will be a new, stand-alone rule.
SUMMARY: The fee schedule establishes a list of procedures and associated fees for services to be delivered by qualified providers to ACF waiver participants.
SUMMARY OF STATEMENT OF ESTIMATED REGULATORY COSTS: The Agency has determined that this will not have an adverse impact on small business or likely increase directly or indirectly regulatory costs in excess of $200,000 in the aggregate within one year after the implementation of the rule. An SERC has not been prepared by the agency.
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.
RULEMAKING AUTHORITY: 409.919 FS.
LAW IMPLEMENTED: 393.066, 409.902, 409.906, 409.907, 409.908, 409.912, 409.913 FS.
IF REQUESTED WITHIN 21 DAYS OF THE DATE OF THIS NOTICE, A HEARING WILL BE HELD AT THE DATE, TIME AND PLACE SHOWN BELOW:
DATE AND TIME: Thursday, July 7, 2011, 1:30 p.m. – 2:30 p.m.
PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Conference Room D, 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: Arlene Walker 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 IS: Arlene Walker, Agency for Health Care Administration, Bureau of Medicaid Services, 2727 Mahan Drive, Mail Stop 20, Tallahassee, Florida 32308-5407, telephone: [phone], e-mail: [e-mail]

THE FULL TEXT OF THE PROPOSED RULE IS:

59G-13.015 Adult Cystic Fibrosis Waiver Services Procedure Codes and Fee Schedule.

(1) This rule applies to all adult cystic fibrosis waiver services providers enrolled in the Medicaid program.

(2) All adult cystic fibrosis waiver services providers and their billing agents who submit claims on their behalf must be in compliance with the provisions of the Florida Medicaid Adult Cystic Fibrosis Procedure Codes and Fee Schedule, March 2007, which is incorporated by reference. The fee schedule is available from the Medicaid fiscal agent’s Web site at www.mymedicaid-florida.com. Select Public Information for Providers, then Provider Support, and then Fee Schedules. Paper copies of the fee schedule may be obtained by calling the Provider Contact Center at 1(800)289-7799 and selecting option 7.

Rulemaking Authority 409.919 FS. Law Implemented 393.066, 409.902, 409.906, 409.907, 409.908, 409.912, 409.913 FS. History– New________.

NAME OF PERSON ORIGINATING PROPOSED RULE: Arlene Walker
NAME OF AGENCY HEAD WHO APPROVED THE PROPOSED RULE: Elizabeth Dudek
DATE PROPOSED RULE APPROVED BY AGENCY HEAD: March 21, 2011
DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAW: May 28, 2010