The purpose of the amendment to Rule 59G-4.190, Florida Administrative Code (F.A.C.), is to incorporate by reference the Florida Medicaid Laboratory Services Coverage Policy, _______. The amendment aligns policy language ....

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

RULE NO.:RULE TITLE:

59G-4.190Laboratory Services

PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-4.190, Florida Administrative Code (F.A.C.), is to incorporate by reference the Florida Medicaid Laboratory Services Coverage Policy, _______. The amendment aligns policy language with updated standard policy language and includes coverage of Rapid Whole Genome Sequencing (rWGS) for recipients 20 years of age or younger.

SUBJECT AREA TO BE ADDRESSED: Rules 59G-4.190, F.A.C., Laboratory Services and 59G-4.150, F.A.C., Inpatient Hospital Services. An additional area to be addressed during the workshop will be the potential regulatory impact Rules 59G-4.190, F.A.C., and 59G-4.150, F.A.C., will have as provided for under sections 120.54 and 120.541, Florida Statutes.

RULEMAKING AUTHORITY: 409.919, 409.961 FS.

LAW IMPLEMENTED: 409.905, 409.907, 409.908, 409.912, 409.913, 409.973 FS.

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

DATE AND TIME: September 13, 2023, from 1:00 p.m. to 2:00 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 7 days before the workshop/meeting by contacting: [e-mail]. 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: [e-mail]. Please note that a preliminary draft of the reference material, if available, will be posted prior to the workshop at https://ahca.myflorida.com/medicaid/rules. Official comments to be entered into the rule record will be received until 5:00 p.m. on September 14, 2023, and may be emailed to [e-mail].

 

THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS:

 

59G-4.190 Laboratory Services.

(1) This rule applies to all any person or entity prescribing or reviewing a request for laboratory services and to all providers rendering of Florida Medicaid laboratory services to recipients who are enrolled in or registered with the Florida Medicaid program.

(2) All providers persons or entities described in subsection (1), must be in compliance with the provisions of the Florida Medicaid Laboratory Services Coverage Policy, ________ June 2016, incorporated by reference. The policy is available on the Agency for Health Care Administration’s website at http://ahca.myflorida.com/Medicaid/review/index.shtml, and available at http://www.flrules.org/Gateway/reference.asp?No=Ref-          06760.

(3)              This rule is effective for 5 years after its effective date.

Rulemaking Authority 409.919, 409.961 FS. Law Implemented 409.905, 409.907, 409.908, 409.912, 409.913, 409.973 FS. History–New 1-1-77, Amended 10-11-81, Formerly 10C-7.41, Amended 6-30-92, Formerly 10C-7.041, Amended 9-28-94, 1-9-96, 10-20-96, 9-14-97, 3-22-00, 5-16-01, 2-14-02, 8-25-03, 9-3-03, 10-27-03, 8-18-05, 5-7-07, 6-29-16,________.