Rule 59A-12.012, F.A.C., outlines the requirements for Health Maintenance Organizations internal risk management programs.

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Health Facility and Agency Licensing

RULE NO.:RULE TITLE:

59A-12.012Internal Risk Management Program

PURPOSE AND EFFECT: Rule 59A-12.012, F.A.C., outlines the requirements for Health Maintenance Organizations internal risk management programs.

SUMMARY: The Agency is proposing to amend Rule 59A-12.012, F.A.C., to amend an online annual incident reporting form removing the required license number of risk managers for health maintenance organizations due to the deregulation of this profession.

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.

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: 641.55, 641.56, FS.

LAW IMPLEMENTED: 641.55, FS.

IF REQUESTED WITHIN 21 DAYS OF THE DATE OF THIS NOTICE, A HEARING WILL BE HELD AT THE DATE, TIME AND PLACE SHOWN BELOW:

DATE AND TIME: October 11, 2019, 3:00 p.m.- 4:00 p.m.

PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Building #1, Conference Room 100, Tallahassee, FL 32308.

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 3 days before the workshop/meeting by contacting: Sean Massey at [phone] or email at: [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 IS: Sean Massey at [phone] or email at: [e-mail].

 

THE FULL TEXT OF THE PROPOSED RULE IS:

 

59A-12.012 Internal Risk Management Program.

(1) through (5) No change.

(6) Annual reports must be submitted to the Agency summarizing the incident reports that were filed in the organization during the preceding calendar year pertaining to services rendered on the premises of the organization as defined in Section 641.55, F.S. Annual reports must be submitted electronically to the Agency as required in Section 641.55, F.S., on Annual Report, AHCA Form 3140-5002 OL, May 2018 Dec 2001, https://www.flrules.org/Gateway/reference.asp?No=Ref-XXXXX09080, which is hereby incorporated by reference and may be obtained from the Agency’s annual reporting system located at: https://apps.ahca.myflorida.com/adverseincidentreport/. 

(7) No change.

Rulemaking Authority 641.55, 641.56 FS. Law Implemented 641.55 FS. History–New 1-28-88, Amended 3-11-92, Formerly 10D-100.012, Amended 11-13-17, ______.

 

NAME OF PERSON ORIGINATING PROPOSED RULE: Sean Massey

NAME OF AGENCY HEAD WHO APPROVED THE PROPOSED RULE: Mary C. Mayhew

DATE PROPOSED RULE APPROVED BY AGENCY HEAD: July 17, 2019

DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAR: February 5, 2018