The purpose of the amendment to Rule 59G-4.085, F.A.C., is to incorporate by reference the Florida Medicaid Early Intervention Services Coverage and Limitations Handbook. The amendment updates Early Intervention Services policy, clarifies existing ...

AGENCY FOR HEALTH CARE ADMINISTRATION
Medicaid

RULE NO.: RULE TITLE:
59G-4.085: Early Intervention Services
PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-4.085, F.A.C., is to incorporate by reference the Florida Medicaid Early Intervention Services Coverage and Limitations Handbook. The amendment updates Early Intervention Services policy, clarifies existing policy and incorporates Medicaid Early Intervention Services forms. Eligibility criteria are being updated to align with the Department of Health/Early Steps policies. Clarification of existing policies is being added to ensure a better understanding of policy requirements. Medicaid forms are being removed from the Department of Health, Early Steps Program policy handbook and are being incorporated into the Medicaid Early Intervention Services Program Coverage and Limitations Handbook.
SUBJECT AREA TO BE ADDRESSED: Early Intervention Services.
An additional area to be addressed during the workshop will be the potential regulatory impact Rule 59G-4.085, F.A.C., 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, 409.912, 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: Monday, August 22, 2011, 10:30 a.m. – 11:30 a.m.
PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Conference Room B, 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: Gail Underwood 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: Gail Underwood, Medicaid Services, 2727 Mahan Drive, Mail Stop 20, Tallahassee, Florida 32308-5407, telephone: [phone], e-mail: [e-mail]. To download a draft copy of this rule, if available, go to http://ahca.myflorida.com/Medicaid/review/index.shtml.

THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS:

59G-4.085 Early Intervention Services.

(1) No change.

(2) All Early Intervention Services providers enrolled in the Medicaid program must be in compliance with the Florida Medicaid Early Intervention Services Coverage and Limitations Handbook,________August 2007, incorporated by reference, and the Florida Medicaid Provider Reimbursement Handbook, CMS-1500, which is incorporated by reference in Rule 59G-4.001, F.A.C. The Both handbooks is are available from the Medicaid fiscal agent’s Web site website at mymedicaid-florida.com http://floridamedicaid.acs-inc.com. Select Public Information for Providers, then Provider Support, and then Provider Handbooks Click on Provider Support, and then on Handbooks. Paper copies of the handbook may be obtained by calling the Medicaid fiscal agent at 1(800)289-7799 and selecting option 7 [phone].

(3) The following forms are incorporated by reference: Children’s Medical Services Early Steps Certification for Provider of Early Intervention Services, AHCA-Med Serv Form 020, August 2007, one page; and Early Steps, Children’s Medical Services, Medicaid Freedom of Choice/Conflict of Interest Statement, AHCA-Med Serv Form 021, August 2007, one page. These forms are available on the Early Steps provider website at http://www.cms-kids.com/ESproviders.htm. The following form that is included in the Florida Medicaid Early Intervention Services Coverage and Limitations Handbook is incorporated by reference: Early Intervention Services Request to Exceed Medicaid Limitations Form, AHCA-Med Serv Form 019, August 2007, four pages, Appendix B. The form is available by photocopying it from the Florida Medicaid Early Intervention Services Coverage and Limitations Handbook.

Rulemaking Specific Authority 409.919 FS. Law Implemented 409.902, 409.905, 409.906, 409.907, 409.908, 409.912, 409.913 FS. History–New 4-30-00, Amended 8-9-04, 5-22-06, 1-10-08,________.