The purpose of the amendment to Rule 59G-4.085 is to incorporate by reference the Florida Medicaid Early Intervention Services Coverage and Limitations Handbook, __________________. The amendment updates eligibility criteria to align with the ...

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

RULE NO.:RULE TITLE:

59G-4.085Early Intervention Services

PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-4.085, F.A.C., is to incorporate by reference the Florida Medicaid Early Intervention Services Coverage and Limitations Handbook, ____________. The amendment updates eligibility criteria to align with the Department of Health/Early Steps policies, clarifies existing early intervention services policy, and incorporates required forms.

SUBJECT AREA TO BE ADDRESSED: Early Intervention Services.

An additional area to be addressed during the workshop will be the potential regulatory impact the amendment to Rule 59G-4.085 will have as provided for under Sections 120.54 and 120.541, Florida Statutes.

RULEMAKING AUTHORITY: 409.919 FS.

LAW IMPLEMENTED: 409.905, 409.908 FS.

A RULE DEVELOPMENT WORKSHOP WILL BE HELD AT THE DATE, TIME AND PLACE SHOWN BELOW:

DATE AND TIME: Friday, August 30, 2013, from 10:00 a.m. to 11:00 a.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: Gail Underwood 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: Gail Underwood, Medicaid Services, 2727 Mahan Drive, Mail Stop 20, Tallahassee, Florida 32308-5407, telephone: [phone], e-mail: [e-mail]

Please note that a preliminary draft of the reference material, if available, will be posted prior to the workshop at: http://ahca.myflorida.com/Medicaid/review/index.shtml

 

THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS:

 

59G-4.085 Early Intervention Services.

(1) This rule applies to all providers of eEarly iIntervention sServices who are providers enrolled in the Florida Medicaid program.

(2) All providers of eEarly iIntervention sServices providers enrolled in the Medicaid program must be in compliance with the provisions of the Early Intervention Services Coverage and Limitations Handbook, __________ CMS-1500, which is incorporated by reference in Rule 59G-4001, F.A.C. The Both handbooks is are available from the Medicaid fiscal agent’s Web site at www.mymedicaid-florida.com. Select Public Information for Providers, then Click on Provider Support, and then Provider on 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. Paper copies of the handbooks may be obtained by calling the Medicaid fiscal agent at [phone].

(3) The following forms are included in the Florida Medicaid Early Intervention Services Coverage and Limitations Handbook and are incorporated by reference: Early Intervention Services Request to Exceed Medicaid Limitations Form, AHCA Form 5000-3534, January 2013; Children’s Medical Services Early Steps Certification for Providers of Early Intervention Services, AHCA-Med Serv Form 020, August 2007, one page; and Early Steps, Children’s Medical Services, Medicaid Freedom of Choice and /Conflict of Interest Statement, AHCA-Med Serv Form 5000-3540 021, February 2013 August 2007, one page; Early Intervention Services Session(s) Plan of Care (Optional), AHCA Form 5000-3533, January 2013. The forms are available from the Medicaid fiscal agent’s Web site at www.mymedicaid-florida.com. Select Public Information for Providers, then Provider Support, and then Forms. Paper copies of the forms may be obtained by calling the Provider Services Contact Center at 1(800)289-7799 and selecting Option 7. These forms are available on the Early Steps provider Web site at http://www.coms-kids.com/ESproviders.htm. The following form that is included in the Florida Medicaid Early Intervention Services Coverage and Limitations Handbook is incorporated by reference: Early Intervention Services to Requst to Exceed Medicaid Limitations Form, AHCA-Med Serv Form 019, August 2007, four pages, Appendix B. The form is available by photocopy from the Florida Medicaid Early Interventiuon Services Coverage and Limitations Handbook.

Rulemaking Authority 409.919 FS. Law Implemented 409.905, 409.908 FS. History–New 4-30-00, Amended 8-9-04, 5-22-06, 1-10-08,__________.