The purpose of the amendment to Rule 59G-4.058, Florida Administrative Code (F.A.C.), is to incorporate by reference the Florida Medicaid County Health Department School Based Services Coverage Policy, _________, and revise the rule title.

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

RULE NO.:RULE TITLE:

59G-4.058Medicaid County Health Department Certified Match Program

PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-4.058, Florida Administrative Code (F.A.C.), is to incorporate by reference the Florida Medicaid County Health Department School Based Services Coverage Policy, _________, and revise the rule title.

SUMMARY: The incorporated coverage policy will specify recipient eligibility, provider requirements, service coverage, and reimbursement information. The rule title will be revised to Medicaid County Health Department School Based Services.

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.

The Agency has determined that the proposed rule is not expected to require legislative ratification based on the statement of estimated regulatory costs or if no SERC is required, the information expressly relied upon and described herein: A checklist was prepared by the Agency to determine the need for a SERC. Based on this information at the time of the analysis and pursuant to section 120.541, Florida Statutes, the rule will not require legislative ratification.

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: 409.9071, 409.908 FS.

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

DATE AND TIME: August 20, 2018 from 3:00 p.m. to 3:30 p.m.

PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Building 3, 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: Matt Brackett. 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: Matt Brackett, Bureau of Medicaid Policy, 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 public hearing at http://ahca.myflorida.com/Medicaid/review/index.shtml. Official comments to be entered into the rule record will be received from the date of this notice until 5:00 p.m. August 21, 2018. Comments may be e-mailed to [e-mail]. For general inquiries and questions about the rule, please contact the person specified above.

 

THE FULL TEXT OF THE PROPOSED RULE IS:

 

59G-4.058 Medicaid County Health Department School Based Services Certified Match Program.

(1) This rule applies to providers rendering school based services in county health departments enrolled in the Medicaid County Health Department Certified Match Program to recipients, as described in Section 409.9122, F.S.

(2) All county health department providers enrolled in Medicaid under the County Health Department Certified Match Program must be in compliance with the provisions of the Florida Medicaid County Health Department School Based Certified Match Program Services Coverage Policy,_______,Coverage and Limitations Handbook, October 2003, incorporated by reference. The policy is available on the Agency for Health Care Administration’s Web site at http://ahca.myflorida.com/Medicaid/review/index.shtml, and at [DOS place holder Ref-_______]., and the Florida Medicaid Provider Reimbursement Handbook, CMS-1500, which is incorporated by reference, in Rule 59G-4.001, F.A.C. Both handbooks are available from the Medicaid fiscal agent

(3) The following forms are included in the Florida Medicaid County Health Department School Based Services Coverage Policy,_______, and are incorporated by reference: Quarterly Certification of State Expenditures By County Health Departments, AHCA Form 5000-______,______ and County Health Department Agreement Credentialed Behavioral Health Providers, AHCA Form 5000-______,______.

Rulemaking Authority 409.919 FS. Law Implemented 381.0056, 381.0057, 409.905, 409.9071, 409.908, 409.9122 FS. History–New 6-21-00, Amended 11-17-03,________.

 

NAME OF PERSON ORIGINATING PROPOSED RULE: Matt Brackett

NAME OF AGENCY HEAD WHO APPROVED THE PROPOSED RULE: Justin M. Senior

DATE PROPOSED RULE APPROVED BY AGENCY HEAD: July 17, 2018

DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAR: April 6, 2018