The purpose of the amendment to Rule 59G-4.190 is to incorporate by reference the Florida Medicaid Independent Laboratory Services Coverage and Limitations Handbook, December 2012. The handbook provides coverage for new procedures including Oncotype ...

 

AGENCY FOR HEALTH CARE ADMINISTRATION
Medicaid

RULE NO.:RULE TITLE:
59G-4.190Independent Laboratory Services
PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-4.190 is to incorporate by reference the Florida Medicaid Independent Laboratory Services Coverage and Limitations Handbook, December 2012. The handbook provides coverage for new procedures including Oncotype Dx® and criteria for reimbursement and incorporates a fee schedule. It includes independent laboratory provider qualifications, enrollment requirements, and services coverage and limitations.
SUBJECT AREA TO BE ADDRESSED: Independent Laboratory Services.
An additional area to be addressed during the workshop will be the potential regulatory impact the amendment to Rule 59G-4.190 will have as provided for under sections 120.54 and 120.541, F.S.
RULEMAKING AUTHORITY: 409.919 FS.
LAW IMPLEMENTED: 409.902, 409.905, 409.907, 409.908, 409,9081, 409.912, 409.913 FS.
A RULE DEVELOPMENT WORKSHOP WILL BE HELD AT THE DATE, TIME AND PLACE SHOWN BELOW:
DATE AND TIME: Wednesday, February 13, 2013, 1:30 p.m. - 2:30 p.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: Carol Roberts at the Bureau of Medicaid Services, [phone]. 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 IS: Carol Roberts, Medicaid Services, 2727 Mahan Drive, Mail Stop 20, Tallahassee, Florida 32308-5407, telephone: [phone], e-mail: [e-mail] .

THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS:

59G-4.190 Independent Laboratory Services.

(1) This rule applies to all freestanding clinical laboratories enrolled in the Medicaid program.

(2) All independent laboratory providers enrolled in the Medicaid program must be in compliance with the provisions of the Florida Medicaid Independent Laboratory Services Coverage and Limitations Handbook, December 2012, October 2003, updated January 2005-1 and January 2007, incorporated by reference, and the Florida Medicaid Provider Reimbursement Handbook, CMS-1500, which is incorporated by reference in Rule 59G-4.001, F.A.C. The Both handbooks is are available from the Medicaid fiscal agent’s Web site at www.mymedicaid-florida.com website at http://florida medicaid.acs-inc.com. Select Public Information for Providers, then Click on Provider Support, and then on Provider Handbooks. A paper copy Paper copies of the handbooks may be obtained by calling the Provider Services Contact Center at 1-800-289-7799 and selecting Option 7 Provider Enrollment at [phone].

Rulemaking Specific Authority 409.919 FS. Law Implemented 409.902, 409.905, 409.907, 409.908, 409.9081,  409.912, 409.913 FS. History–New 1-1-77, Amended 10-11-81, Formerly 10C-7.41, Amended 6-30-92, Formerly 10C-7.041, Amended 9-28-94, 1-9-96, 10-20-96, 9-14-97, 3-22-00, 5-16-01, 2-14-02, 8-25-03, 9-3-03, 10-27-03, 8-18-05, 5-7-07_________.