The purpose of the amendment to Rule 59G-4.190, Florida Administrative Code, (F.A.C.), is to incorporate by reference the Florida Medicaid Laboratory Services Coverage Policy,________.

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

RULE NO.:RULE TITLE:

59G-4.190Laboratory Services

PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-4.190, Florida Administrative Code, (F.A.C.), is to incorporate by reference the Florida Medicaid Laboratory Services Coverage Policy,________.

SUMMARY: The amendment aligns policy language with updated standard policy language and includes coverage of Rapid Whole Genome Sequencing (rWGS) for recipients 20 years of age or younger.

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: 409.905, 409.907, 409.908, 409.912, 409.913, 409.973 FS.

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

DATE AND TIME: January 12, 2024, from 10:30 a.m. to 11:00 a.m.

PLACE: Agency for Health Care Administration, 2727 Mahan Drive, 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 7 days before the workshop/meeting by contacting: [e-mail].. 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: [e-mail]. Please note that a preliminary draft of the reference material, if available, will be posted prior to the hearing at https://ahca.myflorida.com/medicaid/review/Rules.shtml. Official comments to be entered into the rule record will be received until 5:00 p.m., January 15, 2024. Comments may be emailed to [e-mail].

 

THE FULL TEXT OF THE PROPOSED RULE IS:

 

59G-4.190 Laboratory Services.

(1) This rule applies to all any person or entity prescribing or reviewing a request for laboratory services and to all providers rendering of Florida Medicaid laboratory services to recipients 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 Laboratory 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 http://www.flrules.org/Gateway/reference.asp?No=Ref-          06760.

(3)              This rule is effective for 5 years after its effective date.

Rulemaking Authority 409.919, 409.961 FS. Law Implemented 409.905, 409.907, 409.908, 409.912, 409.913, 409.973 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, 6-29-16,________.

 

NAME OF PERSON ORIGINATING PROPOSED RULE: John Mattson

NAME OF AGENCY HEAD WHO APPROVED THE PROPOSED RULE: Jason Weida

DATE PROPOSED RULE APPROVED BY AGENCY HEAD: December 6, 2023

DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAR: August 28, 2023