The purpose of the amendment to Rule 59G-4.250 is to incorporate by reference the Florida Medicaid Prescribed Drug Services Coverage Policy, __________. The incorporated coverage policy will specify recipient eligibility, provider requirements, ...

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

RULE NO.:RULE TITLE:

59G-4.250Prescribed Drug Services

PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-4.250 is to incorporate by reference the Florida Medicaid Prescribed Drug Services Coverage Policy, __________. The incorporated coverage policy will specify recipient eligibility, provider requirements, service coverage, and reimbursement information.

SUBJECT AREA TO BE ADDRESSED: Prescribed Drug Services.

An additional area to be addressed during the workshop will be the potential regulatory impact Rule 59G-4.250, Florida Administrative Code, will have as provided for under sections 120.54 and 120.541, Florida Statutes.

RULEMAKING AUTHORITY: 409.919 FS.

LAW IMPLEMENTED: 409.902, 409.906(20), 409.907, 409.908, 409.912, 409.913 FS.

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

DATE AND TIME: October 8, 2015, 9:00 a.m. ‒ 11:00 a.m.

PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Conference Room D, 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: Susan Williams. 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: Susan William, 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 workshop at http://ahca.myflorida.com/Medicaid/review/index.shtml. Comments will be received until 5:00 p.m., the day of the workshop.

 

THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS:

 

59G-4.250 Prescribed Drug Services.

(1) This rule applies to all providers of prescribed drug services who are enrolled in or registered with the Florida Medicaid program.

(2) All providers of prescribed drug services must be in compliance with the provisions of the Florida Medicaid Prescribed Drug Services Coverage Policy,                , Limitations and Reimbursement Handbook, updated July 2014, which is incorporated by reference., The policy handbook is available from the Medicaid fiscal agent’s Web site at http://portal.flmmis.com/flpublic www.mymedicaid-florida.com. Select Public Information for Providers, then Provider Support, and then Provider Handbooks.

(3) The following forms are incorporated by reference: MPDS2012-1-23, Request for Reconsideration June 2012; MPDS2012-1-24, Your Right to a Fair Hearing, June 2012; MPDS2012-1-25, Request to Change Lock-in Pharmacy, June 2012; and MPDS2012-1-26, Recipient Pharmacy Lock-in Referral Form, June 2012. These forms may be accessed at www.ahca.myflorida.com/Medicaid/Prescribed_Drug/lockin.shtml.

Rulemaking Authority: 409.919 FS. Law Implemented 409.902, 409.906(20), 409.907 409.908, 409.912 409.913 FS. History– New 1-1-77, Amended 6-30-77, 10-1-77, 2-1-78, 4-1-78, 9-28-78, 6-1-79, 2-28-80, 11-11-81, 7-3-84, Formerly 10C-7.42, Amended 3-11-86, 12-5-88, 6-4-90, 10-29-90, 5-20-92, 4-11-93, Formerly 10C-7.042, Amended 12-28-95, 8-3-97, 2-11-98, 9-13-99, 7-20-00, 1-29-01, 4-24-01, 10-6-02, 12-7-06, 11-3-08, 6-19-12, 7-2-14,               .