The purpose of the amendment to Rule 59G-4.087, Florida Administrative Code (F.A.C.) is to clarify the policy language. The amendment replaces references to “child health check-up” with “well child visit” and updates the Florida Medicaid Evaluation ...

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

RULE NO.:RULE TITLE:

59G-4.087Evaluation and Management Services

PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-4.087, Florida Administrative Code (F.A.C.) is to clarify the policy language. The amendment replaces references to “child health check-up” with “well child visit” and updates the Florida Medicaid Evaluation and Management Services Coverage Policy.

SUBJECT AREA TO BE ADDRESSED: Evaluation and Management Services.

An additional area to be addressed during the workshop will be the potential regulatory impact Rule 59G-4.087, 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: 409.902, 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: October 11, 2018, 10:30 a.m. to 11:00 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: Aaron Messer. 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: Aaron Messer, 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. Official comments to be entered into the rule record will be received until 5:00 p.m. on October 12, 2018 and may be e-mailed to [e-mail]. For general inquiries and questions about the rule, please contact the person specified above.

 

THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS:

 

59G-4.087 Evaluation and Management Services.

(1) This rule applies to all providers rendering Florida Medicaid any person or entity prescribing or reviewing a request for evaluation and management services to recipients. and to all providers of evaluation and management services 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 Evaluation and Management Services Coverage Policy,________ June 2016, incorporated by reference. The policy is available on the Agency for Health Care Administration’s Web site website at http://ahca.myflorida.com/Medicaid/review/index.shtml, and at http://www.flrules.org/Gateway/reference.asp?No=________ Ref-06775.

Rulemaking Authority 409.919, 409.961 FS. Law Implemented 409.902, 409.905, 409.907, 409.908, 409.912, 409.913, 409.973 FS. History–New 6-29-16, Amended-              .