The purpose of the amendment to Rule 59G-6.010 is to incorporate by reference Florida Title XIX Long-term Care Reimbursement Plan, Version XLII, effective July 1, 2014, (the Plan). The amendment will update the Plan to reflect changes to the payment ...

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

RULE NO.:RULE TITLE:

59G-6.010Payment Methodology for Nursing Home Services

PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-6.010, F.A.C., is to incorporate by reference Florida Title XIX Long-term Care Reimbursement Plan, Version XLII, effective July 1, 2014, (the Plan). The amendment will update the Plan to reflect changes to the payment methodology for nursing home services as authorized in House Bill 5001, 2014-15 General Appropriations Act, Specific Appropriation 241, as follows:

1. $1,115,714,105 is provided to buy back nursing facility rate reductions effective on or after January 1, 2008.

2. A transition to a single rate-setting period effective September 1 of each year. Rates shall be established on July 1, 2014 for a six-month rate period, January 1, 2015 for an eight-month rate period, and annually on September 1 thereafter.

3. Editorial and technical changes to remove obsolete language and reorganize existing language.

SUBJECT AREA TO BE ADDRESSED: Payment Methodology for Nursing Home Services.

An additional area to be addressed during the workshop will be the potential regulatory impact the amendment to Rule 59G-6.010, F.A.C., will have as provided for under Sections 120.54 and 120.541, F.S.

RULEMAKING AUTHORITY: 409.919 FS.

LAW IMPLEMENTED: 409.908, 409.9082, 409.913 FS.

IF REQUESTED IN WRITING AND NOT DEEMED UNNECESSARY BY THE AGENCY HEAD, A RULE DEVELOPMENT WORKSHOP WILL BE HELD AT THE DATE, TIME AND PLACE SHOWN BELOW:

DATE AND TIME: Monday, July 28, 2014, 10:00 a.m. ‒ 11:00 a.m.

PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Conference Room C, 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: Edwin Stephens 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 ROPOSED RULE DEVELOPMENT AND A COPY OF THE PRELIMINARY DRAFT, IF AVAILABLE, IS: Edwin Stephens, Medicaid Services, 2727 Mahan Drive, Mail Stop 20, Tallahassee, Florida 32308-5407, telephone: [phone], e-mail: [e-mail]

Comments will be received until 5:00 p.m. on Monday, August 4, 2014.

THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS NOT AVAILABLE.