AGENCY FOR HEALTH CARE ADMINISTRATION
RULE NO.:RULE TITLE:
59G-4.330Non-Emergency Transportation Services
NOTICE OF CHANGE
Notice is hereby given that the following changes have been made to the proposed rule in accordance with subparagraph 120.54(3)(d)1., F.S., published in Vol. 45 No. 168, August 28, 2019 issue of the Florida Administrative Register.
The Florida Medicaid Non-Emergency Transportation Services Coverage Policy has been changed as follows:
Section 1.0, Introduction, through Section 4.0, Coverage Information, No Change.
Section 5.0, Exclusion.
Subsection 5.1, General Non-Covered Criteria, No Change.
Subsection 5.2, Specific Non-Covered Criteria, now reads:
Florida Medicaid does not cover the following:
•NET services delivered by a transportation network company for services other than those specified under sections 409.905 and 409.973, F.S.
•NET services for recipients enrolled in the following recipient program codes:
Qualified Medicare Beneficiary (QMB)
Qualified Medicare Beneficiary Renal (QMBR)
Special Low Income Beneficiaries (SLMB)
Qualifying Individuals (QI1)
Working Disabled (WD)
Legal aliens (ALIEN)
Family Planning Waiver (FP)
Program of All-inclusive Care for the Elderly (PACE)
•NET services to an out-of-state facility when AHCA closes or decertifies a nursing facility
•NET services when transportation is included in another Florida Medicaid compensable service
•Salaries, fees, or other compensation for professional health care attendants or escorts
•Time spent waiting on a recipient to receive a service
•Telephone communications with recipients, their representatives, caregivers, and other providers, except for services rendered in accordance with Rule 59G-1.057, F.A.C.
•Transportation that can otherwise be provided, or arranged, through a home and community-based waiver in which the recipient is enrolled
•Transporting a recipient from a hospital or facility to a behavioral health care facility, if the recipient is receiving services pursuant to the Baker Act (Chapter 394, F.S.)
•Visits to hospitalized or institutionalized family members
Section 6.0, Documentation through Section 8.0, Reimbursement, No Change.
There are no changes to the Rule text.
