The purpose of the amendment to Rule 59G-4.110, Florida Administrative Code (F.A.C.) is to incorporate by reference the Florida Medicaid Hearing Services Coverage Policy, __________.

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

RULE NO.:RULE TITLE:

59G-4.110Hearing Services

PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-4.110, Florida Administrative Code (F.A.C.) is to incorporate by reference the Florida Medicaid Hearing Services Coverage Policy, __________.

SUMMARY: The incorporated coverage policy updates service coverage information, general criteria, and standard language throughout.

SUMMARY OF STATEMENT OF ESTIMATED REGULATORY COSTS AND LEGISLATIVE RATIFICATION: The Agency has determined that this will not have an adverse impact on small business or likely increase directly or indirectly regulatory costs in excess of $200,000 in the aggregate within one year after the implementation of the rule. A SERC has not been prepared by the Agency.

The Agency has determined that the proposed rule is not expected to require legislative ratification based on the statement of estimated regulatory costs or if no SERC is required, the information expressly relied upon and described herein: A checklist was prepared by the Agency to determine the need for a SERC. Based on this information at the time of the analysis and pursuant to section 120.541, Florida Statutes, the rule will not require legislative ratification.

Any person who wishes to provide information regarding a statement of estimated regulatory costs, or provide a proposal for a lower cost regulatory alternative must do so in writing within 21 days of this notice.

RULEMAKING AUTHORITY: 409.919, 409.961 FS.

LAW IMPLEMENTED: 409.902, 409.906, 409.907, 409.908, 409.912, 409.913, 409.973 FS.

IF REQUESTED WITHIN 21 DAYS OF THE DATE OF THIS NOTICE, A HEARING WILL BE SCHEDULED AND ANNOUNCED IN THE FAR.

THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE IS: Claire Anthony-Davis, Bureau of Medicaid Policy, 2727 Mahan Drive, Mail Stop 20, Tallahassee, Florida 32308-5407, telephone: [phone], e-mail: [e-mail]. Please note that a preliminary draft of the reference material, if available, will be posted at http://ahca.myflorida.com/Medicaid/review/index.shtml. Official comments to be entered into the rule record will be received from the date of this notice until 5:00 p.m. November 29, 2016. Comments may be e-mailed to [e-mail]. For general inquiries and questions about the rule, or to request a hearing in accordance with Section 120.54(3)(c)1 FS., please contact the person specified above.

 

THE FULL TEXT OF THE PROPOSED RULE IS:

 

59G-4.110 Hearing Services.

(1) This rule applies to all providers rendering Florida Medicaid any person or entity prescribing or reviewing a request for hearing services to recipients and to all providers of hearing services who are enrolled in or registered with the Florida Medicaid program.

(2) All providers persons or entities described in subsection (1) must be in compliance with the provisions of the Florida Medicaid Hearing Services Coverage Policy, _________ June 2016, 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 available at [DOS place holder Ref-_______] http://www.flrules.org/Gateway/reference.asp?No=Ref-06744.

Rulemaking Authority 409.919, 409.961 FS. Law Implemented 409.902, 409.906, 409.907, 409.908, 409.012, 409.913, 409.973 FS. History–New 8-3-80, Amended 7-21-83, Formerly 10C-7.522, Amended 4-13-93, Formerly 10C-7.0522, Amended 12-21-97, 10-13-98, 5-7-00, 7-5-01, 2-20-03, 8-5-03, 7-27-04, 7-26-05, 8-18-05, 11-29-06, 6-29-16,_______.

 

NAME OF PERSON ORIGINATING PROPOSED RULE: Claire Anthony-Davis

NAME OF AGENCY HEAD WHO APPROVED THE PROPOSED RULE: Justin M. Senior

DATE PROPOSED RULE APPROVED BY AGENCY HEAD: October 26, 2016

DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAR: October 7, 2016