The purpose of the amendment to Rule 59G-4.197, Florida Administrative Code is to incorporate by reference the Florida Medicaid Medical Foster Care Services Coverage Policy, __________, and revise the rule title.

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

RULE NO.:RULE TITLE:

59G-4.197Medical Foster Care

PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-4.197, Florida Administrative Code is to incorporate by reference the Florida Medicaid Medical Foster Care Services Coverage Policy, __________, and revise the rule title.

SUMMARY: The incorporated coverage policy will specify recipient eligibility, provider requirements, service coverage, and reimbursement information. The amendment also changes the name of the rule to Medical Foster Care Services.

SUMMARY OF STATEMENT OF ESTIMATED REGULATORY COSTS AND LEGISLATIVE RATIFICATION:

The Agency has determined that this will not have an adverse impact on small business or likely increase directly or indirectly regulatory costs in excess of $200,000 in the aggregate within one year after the implementation of the rule. A SERC has not been prepared by the Agency.

The Agency has determined that the proposed rule is not expected to require legislative ratification based on the statement of estimated regulatory costs or if no SERC is required, the information expressly relied upon and described herein: A checklist was prepared by the Agency to determine the need for a SERC. Based on this information at the time of the analysis and pursuant to section 120.541, Florida Statutes, the rule will not require legislative ratification.

Any person who wishes to provide information regarding a statement of estimated regulatory costs, or provide a proposal for a lower cost regulatory alternative must do so in writing within 21 days of this notice.

RULEMAKING AUTHORITY: 409.919 FS.

LAW IMPLEMENTED: 409.902, 409.903, 409.905, 409.908, 409.912, 409.913 FS.

A HEARING WILL BE HELD AT THE DATE, TIME AND PLACE SHOWN BELOW:

DATE AND TIME: September 6, 2017, 10:00 a.m. to 10:30 a.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 48 hours before the workshop/meeting by contacting: Shameria Davis.. 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 IS: Shameria Davis, Bureau of Medicaid Policy, 2727 Mahan Drive, Mail Stop 20, Tallahassee, Florida 32308-5407, telephone: [phone], e-mail: [e-mail].

Please note that a preliminary draft of the reference material, if available, will be posted prior to the public hearing at http://ahca.myflorida.com/Medicaid/review/index.shtml. Official comments to be entered into the rule record will be received from the date of this notice until 5:00 p.m. September 7, 2017. Comments may be e-mailed to [e-mail]. For general inquiries and questions about the rule, please contact the person specified above.

 

THE FULL TEXT OF THE PROPOSED RULE IS:

 

59G-4.197 Medical Foster Care Services.

(1) This rule applies to all Medical Foster Care (MFC) providers rendering Florida Medicaid medical foster care services to recipients enrolled in the Medicaid program.

(2) All providers Medicaid-enrolled Medical Foster Care (MFC) providers must be in compliance with the provisions of the Florida Medicaid Medical Foster Care Services Coverage Policy and Limitations Handbook, _______ February 2007, incorporated by reference, and the Florida Medicaid Provider Reimbursement Handbook, CMS-1500, which is incorporated in Rule 59G-4.001, F.A.C. The policy is Both handbooks are available on the Agency for Health Care Administration’s from the Medicaid fiscal agent’s Web site website at http://ahca.myflorida.com/Medicaid/review/index.shtml, and at [DOS place holder Ref-_______] http://portal.flmmis.com/flpublic http://floridamedicaid.acs-inc.com. Click on Provider Support, and then on Handbooks. Paper copies of the handbooks may be obtained by calling the Provider Enrollment at 1(800) 377-8216.

(3) The following form that is included in the Florida Medicaid Medical Foster Care Services Coverage and Limitations Handbook is incorporated by reference: Validation Level of Reimbursement Tool, AHCA-Med Serv Form 014, February 2007, Appendix A, two pages.

Rulemaking Authority 409.919 FS. Law Implemented 409.902, 409.903, 409.905, 409.908, 409.912, 409.913 FS. History–New 2-22-00, Amended 3-6-01, 3-1-04, 8-15-07, _______.

 

NAME OF PERSON ORIGINATING PROPOSED RULE: Shameria Davis

NAME OF AGENCY HEAD WHO APPROVED THE PROPOSED RULE: Justin M. Senior

DATE PROPOSED RULE APPROVED BY AGENCY HEAD: July 31, 2017

DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAR: April 29, 2016