The purpose of the amendment to Rule 59G-7.003 is to specify the authority and responsibility for Florida Medicaid’s third-party liability process and provide contact information for notices required to be submitted to the Florida Medicaid program.

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

RULE NO.:RULE TITLE:

59G-7.003Medicaid Third Party Liability Responsibility and Notices

PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-7.003 is to specify the authority and responsibility for Florida Medicaid’s third-party liability process and provide contact information for notices required to be submitted to the Florida Medicaid program.

SUBJECT AREA TO BE ADDRESSED: Medicaid Third Party Liability Responsibility and Notices.

An additional area to be addressed during the workshop will be the potential regulatory impact Rule 59G-7.003, Florida Administrative Code, will have as provided for under Sections 120.54 and 120.541, Florida Statutes.

RULEMAKING AUTHORITY: 409.910(22), 409.919 FS.

LAW IMPLEMENTED: 409.910 FS.

A RULE DEVELOPMENT WORKSHOP WILL BE HELD AT THE DATE, TIME AND PLACE SHOWN BELOW:

DATE AND TIME: September 15, 2015, 10:00 a.m. ‒ 11:00 a.m.

PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Conference Room C, 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: Mary McCullough. 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: Mary McCullough, Bureau of Medicaid Policy, 2727 Mahan Drive, Mail Stop 20, Tallahassee, Florida 32308-5407, telephone: [phone], e-mail: [e-mail]. Comments will be received until 5:00 p.m., on September 15, 2015.

 

THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS:

 

59G-7.003 Florida Medicaid Third-Party Liability Responsibility and Notices.

(1) Purpose. The Agency for Health Care Administration’s (AHCA) Medicaid Third-Party Liability (TPL) unit is responsible The overall responsibility for Florida Medicaid’s third-party liability pursuant to under Title XIX of the Social Security Act and Sections 409.910 and 409.9101, Florida Statutes (F.S.), also known as the Medicaid Third-Party Liability Act. Section 409.910, F.S.rests with the Office of Medicaid Third Party Liability, as delegated by the director of the Agency for Health Care Administration through the director of Medicaid.

(2) Contact Information. The telephone number for the TPL unit is (850) -488-2495;. tThe telephone number for electronic facsimile transmission is [phone] 922-4502.

(3) Notice Requirements. All Nnotices to the Florida Medicaid pursuant to Sections 409.910 and 409.9101, F.S., Program under the Medicaid Third Party Liability Act or Rule Chapter 59G-7, Florida Administrative Code (F.A.C.) must be provided in writing and delivered sent by United States (U.S.) mail, private carrier, or hand delivery to AHCA’S designated third-party liability contractor or to the following address:

Office of Florida Medicaid Third-Party Liability

Agency for Health Care Administration

Post Office Box 12900

2727 Mahan Drive, MS #19 2728 Fort Knox Boulevard

Building 3, Room 2306

Tallahassee, FLlorida 32308-5403 32317-2900

(a)(4) Notice provided to any other offices within of the Florida Medicaid Program or delivered to any other address(es) is does not effective to fulfill notice requirements of the Medicaid Third-Party Liability Act or Rule Chapter 59G-7, F.A.C.

(b)(5) Nothing in Rule Chapter 59G-7, F.A.C., does not abrogates or eliminates any obligation otherwise applicable to notify other offices of the Florida Medicaid Program.

Rulemaking Authority 409.026(8), 409.910(22) (23), 409.919 FS. Law Implemented 409.910 FS. History–New 11-13-91, Formerly 10C-35.003, Amended 10-3-96,__________.