AGENCY FOR HEALTH CARE ADMINISTRATION
MedicaidRULE NO: RULE TITLE
59G-4.140: Hospice ServicesNOTICE 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. 33, No. 26, June 29, 2007 issue of the Florida Administrative Weekly.
These changes are in response to comments received from the Joint Administrative Procedures Committee.
59G-4.140(2). We revised the first sentence to read, “All hospice services providers enrolled in the Medicaid program must comply with the Florida Medicaid Hospice Services Coverage and Limitations Handbook, October 2003, updated January 2005, and January 2006, and January 2007, incorporated by reference, and the Florida Medicaid Provider Reimbursement Handbook, UB-04 92, incorporated by reference in Rule 59G-4.003160, F.A.C.” We have not yet filed Rule 59G-4.003, F.A.C., but we will be filing it prior to filing the rule amendment to Rule 59G-4.140, F.A.C.
The rule incorporates by reference update January 2007 to the Florida Medicaid Hospice Services Coverage and Limitations Handbook. The following changes were made to the handbook:
Page 1-1, Legal Authority. We added page 1-1 to the update; and in the second paragraph, last sentence, we corrected the state authority to read, “Chapter 400, Part IV.”
Page 1-2 Hospice Provider Qualifications. In the first paragraph, first sentence, we corrected the citation to read, “Chapter 400, Part IV.”
Page 1-2 Purpose of Handbook. In the note, last sentence, we corrected the rule reference to read, “The Florida Medicaid Provider General Handbook is incorporated by reference in Rule 59G-5.020, F.A.C.; and the Florida Medicaid Provider Reimbursement Handbook, UB-04, is incorporated by reference in Rule 59G-4.003, F.A.C.” We have not yet filed Rule 59G-4.003, , F.A.C., but we will be filing it prior to filing the rule amendment to Rule 59G-4.140, F.A.C.
Page 1-3 Health Insurance Portability and Accountability Act. In the second note, we added the handbook chapter where the information regarding claims processing is located. The corrected note reads, “For more information regarding claims processing changes in Florida Medicaid because of HIPAA, see Chapter 1 in the Florida Medicaid Provider Reimbursement Handbook, UB-04.”
Page 1-5 Home Health Aides. In the third paragraph, we corrected the citations to read, “Home health aide duties must be performed under the supervision of a RN in accordance with Section. 400.6105, F.S., and Rule 58A-2.0141, F.A.C.”
Page 1-5 Hospice Volunteers. In the first paragraph, we corrected the citations to read, “Volunteers must complete orientation and training that is consistent with acceptable standards of hospice practice and must be supervised by a designated hospice employee in accordance with Section 400.6105, F.S., and Rule 58A-2.017, F.A.C.”
Page 2-19 Nursing Services. We corrected the citations to read, “The per diem rate includes nursing services as specified in the plan of care and provided by an RN or LPN under the supervision of a registered nurse in accordance with Section 400.6105, F.S. and Rule 58A-2.0141, F.A.C.”
Page 2-20 Hospice Physician Services. In the first paragraph, second sentence, we provided the full title for the abbreviation HCPCS so that the sentence reads, “Medicaid reimbursement for hospice physician services is limited to the Healthcare Common Procedure Coding System (HCPCS) procedure codes listed on the Hospice Physician Services Fee Schedule.”
Page 2-27 Room and Board Reimbursement for a Medicaid-Certified Bed. We clarified the policy that room and board reimbursement for hospice recipients residing in a nursing facility does not include the day of discharge from hospice, by adding, “(The hospice will be reimbursed for hospice services on the day of discharge, but not for room and board.)”
