The purpose of new Rule 59G-4.205 is to incorporate by reference the new Florida Medicaid Practitioner Services Coverage and Limitations Handbook, October 2012. The new handbook applies to all Medicaid enrolled Physicians, Advanced Registered Nurse ...

AGENCY FOR HEALTH CARE ADMINISTRATION
Medicaid

RULE NO.: RULE TITLE:
59G-4.205: Practitioner Services
PURPOSE AND EFFECT: The purpose of new Rule 59G-4.205 is to incorporate by reference the new Florida Medicaid Practitioner Services Coverage and Limitations Handbook, October 2012. The new handbook applies to all Medicaid enrolled Physicians, Advanced Registered Nurse Practitioners, Physician Assistants, Anesthesiologist Assistants, and Registered Nurse First Assistants. Enrolled practitioners listed above must be in compliance with all provisions and requirements of the handbook. This includes policy clarification and updated information regarding billing.
SUBJECT AREA TO BE ADDRESSED: Practitioner Services.
An additional area to be addressed during the workshop will be the potential regulatory impact Rule 59G-4.205 will have as provided for under sections 120.54 and 120.541, F.S.
RULEMAKING AUTHORITY: 409.919 FS.
LAW IMPLEMENTED: 409.902, 409.905, 409.906, 409.907, 409.908, 409.9081, 409.912, 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: Wednesday, August 15, 2012, 1:00 p.m. –3:00 p.m.
PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Conference Room A, 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: Kathleen Core 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, IF AVAILABLE, IS: Kathleen Core, Medicaid Services, 2727 Mahan Drive, Mail Stop 20, Tallahassee, Florida. 32308-5407, telephone: [phone], e-mail: [e-mail].

THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS:

59G-4.205 Practitioner Services.

(1) This rule applies to all Physicians, Advanced Registered Nurse Practitioners, Physician Assistants, Anesthesiologist Assistants, and Registered Nurse First Assistants enrolled in the Medicaid program.

(2) All practitioner providers listed above and enrolled in the Medicaid program must be in compliance with the Florida Medicaid Practitioner Services Coverage and Limitations Handbook, October 2012, which is incorporated by reference. The handbook 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 Provider Handbooks. A paper copy of the handbook may be obtained by calling the Provider Contact Center at [phone] and selecting Option 7.

Rulemaking Authority 409.919 FS. Law Implemented 409.902, 409.905, 409.906, 409.907, 409.908, 409.9081, 409.912, 409.913 FS. History–New_________.