The purpose of new Rule 59G-4.310 is to implement the Florida Medicaid Targeted Case Management Services for Children at Risk of Abuse and Neglect Coverage and Limitations Handbook, __________. This handbook will cover a set of interrelated ...

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

RULE NO.:RULE TITLE:

59G-4.310Targeted Case Management for Children at Risk of Abuse and Neglect

PURPOSE AND EFFECT: The purpose of new Rule 59G-4.310 is to implement the Florida Medicaid Targeted Case Management Services for Children at Risk of Abuse and Neglect Coverage and Limitations Handbook, __________. This handbook will cover a set of interrelated activities under which a case manager locates, coordinates, and monitors appropriate services for a recipient. Services may be provided only in the following Florida counties: Broward, Duval, Hillsborough, Martin, Miami-Dade, Palm Beach, and Pinellas. Matching Medicaid funds are provided by a children’s services council or local governmental entities in these counties.

SUMMARY: The new handbook pertains to all targeted case management for children at risk of abuse and neglect providers enrolled in the Florida Medicaid program. Enrolled practitioners listed above must be in compliance with all provisions of the handbook. This handbook will allow case managers to assist recipients in the target group to gain access to medical, social, educational, and other services.

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 FS.

LAW IMPLEMENTED: 409.902, 409.906, 409.907, 409.908, 409.9081, 409.912, 409.913 FS.

A HEARING WILL BE HELD AT THE DATE, TIME AND PLACE SHOWN BELOW:

DATE AND TIME: Friday, January 3, 2014, 3:00 p.m. − 4:00 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: Melissa Eddleman 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 IS: Melissa Eddleman, Medicaid Services, 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 prior to the public hearing at http://ahca.myflorida.com/Medicaid/review/index.shtml. Comments will be received until 5:00 p.m. on Friday, January 10, 2014.

 

THE FULL TEXT OF THE PROPOSED RULE IS:

59G-4.310 Targeted Case Management for Children at Risk of Abuse and Neglect.

(1) This rule applies to all providers of targeted case management for children at risk of abuse and neglect who are enrolled in the Florida Medicaid program.

(2) All providers of targeted case management for children at risk of abuse and neglect must be in compliance with the provisions of the Florida Medicaid Targeted Case Management Services for Children at Risk of Abuse and Neglect Coverage and Limitations Handbook, , incorporated by reference. The handbook is available from the Medicaid fiscal agent’s Web site at www.mymedicaid-florida.com. Select Public Information for Providers, then Provider Support, and then Provider Handbooks. Paper copies of the handbook may be obtained by calling the Provider Services Contact Center at 1-800-289-7799 and selecting Option 7.

(3) The following forms, included in the Florida Medicaid Targeted Case Management Services for Children at Risk of Abuse and Neglect Coverage and Limitations Handbook, are incorporated by reference: Contractor Certification for Children’s Services Council, AHCA Form 5000-3535, revised; Case Manager Supervisor Certification, AHCA Form 5000-3536, revised; Case Manager Certification, AHCA Form 5000-3537, revised; Child Certification, AHCA Form 5000-3538, revised; Provider Agency Certification for Children’s Services Council, AHCA Form 5000-3539,; Certification of Funds, AHCA Form 5000-3532, revised. These forms are available by photocopying them from the Florida Medicaid Targeted Case Management Services for Children at Risk of Abuse and Neglect Coverage and Limitations Handbook. The handbook is available from the Medicaid fiscal agent.

Rulemaking Authority 409.919 FS. Law Implemented 409.902, 409.906, 409.907, 409.908, 409.9081, 409.912, 409.913 FS. History–New_______________.

 

NAME OF PERSON ORIGINATING PROPOSED RULE: Melissa Eddlemen

NAME OF AGENCY HEAD WHO APPROVED THE PROPOSED RULE: Elizabeth Dudek

DATE PROPOSED RULE APPROVED BY AGENCY HEAD: October 17, 2013

DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAR: October 9, 2012