AGENCY FOR HEALTH CARE ADMINISTRATION
RULE NO.:RULE TITLE:
59G-1.045Medicaid Forms
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. 118, June 18, 2015 issue of the Florida Administrative Register.
Under paragraph (2)(b) add the following:
(c) Pre-Admission Screening and Resident Review (PASRR) Resident Review (RR) – Evaluation Request for a Significant Change for Serious Mental Illness (SMI) and/or Intellectual Disability or Related Conditions (ID), AHCA MedServ Form 004 Part A1,____________
Please note that a preliminary draft of the reference material is available at http://ahca.myflorida.com/Medicaid/review/index.shtml.
