The purpose of this proposed rule amendment to is to incorporate by reference update January 2008 to the Florida Medicaid Therapy Services Coverage and Limitations Handbook. The handbook was updated to include the Prepaid Therapy Program, which was ...  


  • RULE NO: RULE TITLE
    59G-4.320: Therapy Services
    PURPOSE AND EFFECT: The purpose of this proposed rule amendment to is to incorporate by reference update January 2008 to the Florida Medicaid Therapy Services Coverage and Limitations Handbook. The handbook was updated to include the Prepaid Therapy Program, which was authorized by Section 409.912(42), F.S., and the General Appropriations Act for fiscal year 2005-2006. Certain eligibility categories of recipients under the age of 21 who are not enrolled in a managed care program, except for MediPass and the Children’s Medical Services Network, will be enrolled in the Prepaid Therapy Program for the provision of their therapy services. Recipients who are otherwise excluded from managed care will not be enrolled. The Agency for Health Care Administration (AHCA), Division of Medicaid will contract with vendors to administer the provision of therapy services to Medicaid recipients who are enrolled in the Prepaid Therapy Program. The effect of the rule amendment to Rule 59G-4.320, F.A.C., will be to incorporate by reference in rule update January 2008 to the Florida Medicaid Therapy Services Coverage and Limitations.
    SUBJECT AREA TO BE ADDRESSED: Therapy Services.
    SPECIFIC AUTHORITY: 409.919 FS.
    LAW IMPLEMENTED: 409.905, 409.908, 409.912 FS.
    IF REQUESTED IN WRITING AND NOT DEEMED UNNECESSARY BY THE AGENCY HEAD, A RULE DEVELOPMENT WORKSHOP WILL BE HELD AT THE DATE, TIME AND PLACE SHOWN BELOW:
    TIME AND DATE: Tuesday, September 25, 2007, 2:00 p.m.
    PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Building #3, Conference Room D, Tallahassee, Florida
    THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE DEVELOPMENT AND A COPY OF THE PRELIMINARY DRAFT, IF AVAILABLE, IS: Karen Girard, Agency for Health Care Administration, Bureau of Medicaid Services, 2727 Mahan Drive, MS 20, Tallahassee, Florida 32308, (850)668-4573, girardk@ahca.myflorida.com

    THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS:

    59G-4.320 Therapy Services.

    (1) No change.

    (2) All therapy providers enrolled in the Medicaid program must be in compliance with the Florida Medicaid Therapy Services Coverage and Limitations Handbook, October 2003, updated January 2008, incorporated by reference, and the Florida Medicaid Provider Reimbursement Handbook, CMS-1500, which is incorporated in Rule 59G-4.001, F.A.C. Both handbooks are available from the Medicaid fiscal agent’s website at http://floridamedicaid.acs-inc.com. Click on Provider Support, and then on Handbooks. Paper copies of the handbooks may be obtained by calling the Medicaid fiscal agent at (800)377-8216.

    Specific Authority 409.919 FS. Law Implemented 409.905, 409.908, 409.912 FS. History–New 5-24-92, Amended 4-12-93, Formerly 10C-7.068, Amended 5-4-94, 12-26-95, 3-9-99, 12-2-03,_________.