Chiropractic Services  

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    AGENCY FOR HEALTH CARE ADMINISTRATION

    Medicaid

    RULE NO.:RULE TITLE:

    59G-4.040Chiropractic 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. 41 No. 117, June 17, 2015 issue of the Florida Administrative Register.

    (2) All providers of chiropractic services must be in compliance with the provisions of the Florida Medicaid Chiropractic Services Coverage Policy,__________, incorporated by reference. The policy is available from the Medicaid fiscal agent’s Web site at http://portal.flmmis.com/flpublic. www.mymedicaid-florida.com. Select Public Information for Providers, then Provider Support, and then Provider Handbooks.

     

    The following changes were made to the Florida Medicaid Chiropractic Services Coverage Policy:

     

    The Table of Contents was updated to reflect changes made in the coverage policy.

    Section 1.1.1, Medicaid Policies, first paragraph, third sentence now reads:

    A provider who renders more than one type of Florida Medicaid service will have more than one coverage and limitations handbook or coverage policy with which they must comply.

    Section 1.1.1, Medicaid Policies, second paragraph now reads:

    Note: Policies are available on the Florida Medicaid fiscal agent’s Web site at http://portal.flmmis.com/flpublic. All policies are incorporated by reference in Rule Division 59G, Florida Administrative Code (F.A.C.).

    Section 1.1.2, Statewide Medicaid Managed Care Plans, third sentence now reads:

    Providers must comply with the coverage requirements outlined in this policy, unless otherwise specified in the Agency for Health Care Administration’s (AHCA) contract with the Florida Medicaid managed care plan.

    Section 1.3.1, Coverage and Limitations Handbook or Coverage Policy, now reads:

    A policy document that contains coverage information about a Florida Medicaid service.

    Section 2.2, Who Can Receive, first sentence now reads:

    Florida Medicaid recipients requiring medically necessary chiropractic services.

    Section 3.1, General Criteria, bullets now read:

    Directly enrolled with Florida Medicaid if providing services through a fee-for-service delivery system

    Registered with Florida Medicaid if providing services through a managed care plan

    Section 3.2, Who Can Provide, now reads:

    Practitioners licensed within their scope of practice to perform this service.

    Section 4.2, Specific Criteria, introductory sentence now reads:

    Florida Medicaid reimburses for the following:

    Section 4.3, Place of Service, was deleted.

    Section 7.1, General Criteria, the first sentence was deleted.

    Section 8.1, General Criteria, now reads:

    The reimbursement information below is applicable to the fee-for-service delivery system, unless otherwise specified.

    Section 8.5, Rate, now reads:

    For a schedule of rates, as incorporated by reference in Rule 59G-4.002, F.A.C., see http://portal.flmmis.com/flpublic.

Document Information

Related Rules: (1)
59G-4.040. Chiropractic Services