The purpose of the amendment to Rule 59G-4.140 is to incorporate by reference the new Medicaid Hospice Services Coverage and Limitations Handbook, March 2013. This update includes: 1) corrections to the fiscal agent contact information; 2) policy ...

 

AGENCY FOR HEALTH CARE ADMINISTRATION
Medicaid

RULE NO.:RULE TITLE:
59G-4.140Hospice Services
PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-4.140, F.A.C., is to incorporate by reference the new Medicaid Hospice Services Coverage and Limitations Handbook, March 2013. This update includes: 1) corrections to the fiscal agent contact information; 2) policy changes and forms necessary to comply with new federal regulations regarding hospice services for children (i.e., Section 1905 (o)(1) of the Social Security Act which allows children on hospice to continue to receive curative care); 3) changes in policy and forms regarding how hospice services may be coordinated with home and community based services waivers; 4) information regarding three new revenue codes which were implemented October 1, 2010; and 5) changes to the process for submitting hospice enrollment and dis-enrollment forms to the Department of Children and Families, including changes to the distribution lists on the bottom of required forms.
SUBJECT AREA TO BE ADDRESSED: Hospice Services.
An additional area to be addressed during the workshop will be the potential regulatory impact Rule 59G-4.140, F.A.C., will have as provided for under Sections 120.54 and 120.541, F.S.
RULEMAKING AUTHORITY: 409.919 FS.
LAW IMPLEMENTED: 409.902, 409.906, 409.907, 409.908, 409.912, 409.913 FS.
A RULE DEVELOPMENT WORKSHOP WILL BE HELD AT THE DATE, TIME AND PLACE SHOWN BELOW:
DATE AND TIME: Thursday, January 24, 2013, 2:00 p.m. - 3:00 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: Barbara Hengstebeck 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: Barbara Hengstebeck, 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-4.140 Hospice Services.

(1) No change.

(2) All hospice services providers enrolled in the Medicaid program must comply with the Florida Medicaid Hospice Services Coverage and Limitations Handbook, March 2013, October 2003, updated January 2005, January 2006, and January 2007, incorporated by reference, and the Florida Medicaid Provider Reimbursement Handbook, UB-04, incorporated by reference in Rule 59G-4.003, F.A.C. The Both handbooks is are available from the Medicaid fiscal agent’s Web web site at www.mymedicaid-florida.com  http://floridamedicaid.acs-inc.com. Select Public Information for Providers, then Click on Provider Support, and then on Provider Handbooks. Paper copies of the handbooks may be obtained by calling the Provider Services Contact Center at 1-800-289-7799 and selecting Option 7.   Medicaid fiscal agent at [phone].

(3) The following forms that are incorporated by reference included in the Florida Medicaid Hospice Services Coverage and Limitations Handbook are incorporated by reference: AHCA 5000-20, March 2013 July 1999, Florida Medicaid Hospice Care Services Referral for Medicaid Eligibility; AHCA 5000-21, March 2013 July 1999, Florida Medicaid Hospice Care Services Election Statement; AHCA-5000-21S, March 2013 July 1999, Servicios de Hospice Del Programa – De Medicaid en la Florida Declaracion de Eleccion; AHCA 5000-22, March 2013 July 1999, Florida Medicaid Hospice Care Services Revocation or Change Statement; AHCA 5000-22S, March 2013 July 1999, Servicios Hospice – Medicaid de la Florida, Revocacion o Declaracion de Cambio; AHCA 5000-23, March 2013 July 1999, Notice of Change in Recipient’s Hospice Status; AHCA 5000-24, March 2013 July 1999, Notice of Hospice Election Nursing Facility; AHCA 5000-29, October 2003, Notice of Hospice Election Waiver; AHCA 5000-30, October 2003, Cooperative Agreement for a Hospice and Medicaid Waiver Enrolled Recipient; AHCA 5000-30A, March 1, 2013 October 2003, Attachment to Cooperative Agreement for a Hospice and Medicaid Waiver Enrolled Recipient; and AHCA 5000-3509, March 1, 2013, Florida Medicaid Hospice Care Services Election Statement for Children Under Age 21. These forms are available from the Medicaid fiscal agent.

Rulemaking Specific Authority 409.919 FS. Law Implemented 409.902, 409.906, 409.907, 409.908, 409.912, 409.913 FS. History–New 1-1-87, Amended 10-9-90, 5-13-92, 10-8-92, Formerly 10C-7.0533, Amended 2-14-95, 12-27-95, 9-21-99, 8-4-04, 10-2-05, 8-27-06, 12-24-07,_____________.