The purpose of the amendment to Rule 59G-4.300, Florida Administrative Code (F.A.C.) is to incorporate by reference the Florida Medicaid State Mental Health Hospital Services Coverage Policy, __________. The incorporated coverage policy will specify ...

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

RULE NO.:RULE TITLE:

59G-4.300State Mental Health Hospital Services

PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-4.300, Florida Administrative Code (F.A.C.) is to incorporate by reference the Florida Medicaid State Mental Health Hospital Services Coverage Policy, __________. The incorporated coverage policy will specify recipient eligibility, provider requirements, service coverage, and reimbursement information.

SUBJECT AREA TO BE ADDRESSED: State Mental Health Hospital Services.

RULEMAKING AUTHORITY: 409.919 FS.

LAW IMPLEMENTED: 409.906, 409.908 FS.

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

DATE AND TIME: September 20, 2017 from 2:00 p.m. to 2:30 p.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: Lakera Reddick. 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: Lakera Reddick, 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 September 21, 2017 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:

 

(1) This rule applies to all providers rendering Florida Medicaid state mental health hospital hospitals services to recipients that provide long term inpatient mental health services to Medicaid recipients age 65 and older who meet the Medicaid Institutional Care Program eligibility requirements.

(2) All providers state mental hospitals that provide long term inpatient mental health services to Medicaid recipients age 65 and older who meet the Medicaid Institutional Care Program eligibility requirements must be in compliance with the provisions of the Florida Medicaid State Mental Health Hospital Services Coverage Policy,_____ and Limitations Handbook, January 2010, incorporated by reference, AHCA-Med Serv Form 034, January 2008, incorporated by reference, and the Florida Medicaid Provider Reimbursement Handbook, UB 04, July 2008, which is incorporated in Rule 59G-4.200, F.A.C. The policy is Both handbooks are available on from the Agency for Health Care Administration’s website Medicaid fiscal agent’s Web Portal at http://ahca.myflorida.com/Medicaid/review/index.shtml, and at [DOS place holder Ref-_______] http://mymedicaid-florida.com. Click on Public Information for Providers, then on Provider Support, and then on Provider Handbooks. Paper copies of the handbooks may be obtained by calling the Medicaid fiscal agent at 1(800) 289-7799 and selecting Option 7.

(3) The Physician Certification State Mental Health Hospital Services Form – AHCA Med Serv Form 034, January 2008, is incorporated by reference, and available at http://ahca.myflorida.com/Medicaid/review/index.shtml, and [DOS place holder Ref-_______].

Rulemaking Authority 409.919 FS. Law Implemented 409.906409.905, 409.908 FS. History–New 5-29-06, Amended 6-30-10,_____.