The purpose of the amendment to Rule 59G-4.250, Florida Administrative Code (F.A.C.), is to incorporate by reference the Florida Medicaid Prescribed Drug Services Coverage Policy, __________. The amendment includes technical ....

 

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, Florida Administrative Code (F.A.C.), is to incorporate by reference the Florida Medicaid Prescribed Drug Services Coverage Policy, __________. The amendment includes technical changes and updates policy language, revises immunization and vaccine coverage to include all recipients pursuant to the federal Inflation Reduction Act and adds Florida Medicaid coverage for continuous glucose monitors to the prescribed drugs benefit in accordance with section 409.9063, Florida Statutes.

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, 409.961 FS.

LAW IMPLEMENTED: 409.902, 409.906, 409.9063, 409.907, 409.908, 409.912, 409.913, 409.963 FS.

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

DATE AND TIME: September 22, 2023, from 1:30 p.m. to 2:00 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 7 days before the workshop/meeting by contacting: [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 DEVELOPMENT AND A COPY OF THE PRELIMINARY DRAFT, IF AVAILABLE, IS: [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. September 25 2023, and may be emailed to [e-mail].

 

THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS:

 

59G-4.250 Prescribed Drug Services.

(1) This rule applies to all providers rendering Florida Medicaid prescribed drug services to recipients.

(2) All providers must be in compliance with the provisions of the Florida Medicaid Prescribed Drug Services Coverage Policy, ­­­­___________December 2017, incorporated by reference. The policy is available on the Agency for Health Care Administration’s website at http://ahca.myflorida.com/Medicaid/review/index.shtml, and at https://www.flrules.org/Gateway/reference.asp?No=Ref-______08824.

(3) This rule is in effect for five years from its effective date.

Rulemaking Authority 409.919, 409.961 FS. Law Implemented 409.902, 409.906, 409.9063, 409.907, 409.908, 409.912, 409.913, 409.973 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, 12-24-17,_________.