The purpose of the amendment to Rule 59G-13.015 is to incorporate by reference the Florida Medicaid Adult Cystic Fibrosis Waiver Services Procedure Codes and Fee Schedule, ___________________. The amendment updates services and procedure codes.

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

RULE NO.:RULE TITLE:

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

PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-13.015, F.A.C., is to incorporate by reference the Florida Medicaid Adult Cystic Fibrosis Waiver Services Procedure Codes and Fee Schedule, ___________________. The amendment updates services and procedure codes.

SUMMARY: The revised fee schedule will reflect the services currently being provided and the procedure code, modifier, code description, billable unit, fee, and limits for each service.

SUMMARY OF STATEMENT OF ESTIMATED REGULATORY COSTS AND LEGISLATIVE RATIFICATION:

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. A 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: 409.902, 409.906, 409.907, 409.908, 409.912, 409.913 FS.

A HEARING WILL BE HELD AT THE DATE, TIME AND PLACE SHOWN BELOW:

DATE AND TIME: Friday, August 9, 2013, 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: Caryl Jefferson 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: Caryl Jefferson, Medicaid Services, 2727 Mahan Drive, Mail Stop 20, Tallahassee, Florida 32308-5407, telephone: [phone], e-mail: [e-mail].

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

 

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 providers of adult cystic fibrosis waiver services who are providers enrolled in the Florida Medicaid program.

(2) All providers of adult cystic fibrosis waiver services providers and their billing agents, who submit claims on the provider’s their behalf, must be in compliance with the provisions of the Florida Medicaid Adult Cystic Fibrosis Waiver Services 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 Services Contact Center at 1-800-[phone] and selecting Ooption 7.

Rulemaking Authority 409.919 FS. Law Implemented 409.902, 409.906, 409.907, 409.908, 409.912, 409.913 FS. History–New 9-21-11, Amended _________.

 

NAME OF PERSON ORIGINATING PROPOSED RULE: Caryl Jefferson

NAME OF AGENCY HEAD WHO APPROVED THE PROPOSED RULE: Elizabeth Dudek

DATE PROPOSED RULE APPROVED BY AGENCY HEAD: June 17, 2013

DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAR: January 4, 2013