The purpose of the amendment to Rule 59G-13.070, Florida Administrative Code (F.A.C.), is to update the Florida Medicaid Developmental Disabilities Individual Budgeting Waiver Services Coverage and Limitations Handbook.

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

RULE NO.:RULE TITLE:

59G-13.070Developmental Disabilities Individual Budgeting Waiver Services

PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-13.070, Florida Administrative Code (F.A.C.), is to update the Florida Medicaid Developmental Disabilities Individual Budgeting Waiver Services Coverage and Limitations Handbook.

SUMMARY: The amendment adds language regarding the development and implementation of the Agency for Persons with Disabilities’ data management system called iConnect, which will be used by APD for documentation of service provision by waiver providers and Waiver Support Coordinators, adds clarifying language where necessary, makes technical edits, and updates rates for respiratory therapy 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: 393.501, 409.919, FS.

LAW IMPLEMENTED: 393.0662, 409.902, 409.906, 409.907, 409.908, 409.912, 409.913 FS.

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

DATE AND TIME: February 28, 2020, 3:00 p.m. to 3:30 p.m.

PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Tallahassee, Florida 32308-5407.

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 http://ahca.myflorida.com/Medicaid/review/index.shtml. Official comments to be entered into the rule record will be received until 5:00 p.m. on March 2, 2020 and may be e-mailed to [e-mail].

 

THE FULL TEXT OF THE PROPOSED RULE IS:

 

59G-13.070 Developmental Disabilities Individual Budgeting Waiver Services.

(1) This rule applies to all providers rendering Florida Medicaid Developmental Disabilities Individual Budgeting Waiver services to recipients.

(2) All providers must be in compliance with the provisions of the Florida Medicaid Developmental Disabilities Individual Budgeting Waiver Services Coverage and Limitations Handbook, _____June 2018 incorporated by reference. The handbook is available on the Agency for Health Care Administration’s Web site at http://ahca.myflorida.com/Medicaid/review/index.shtml, and at http://www.flrules.org/Gateway/reference.asp?No=Ref-______09414.

(3) The following forms are included in the Florida Medicaid Developmental Disabilities Individual Budgeting Waiver Services Coverage and Limitations Handbook, ______June 2018 , in the order they appear in the handbook, and are incorporated by reference.

(a) Medicaid Waiver Services Agreement, AHCA Form 5000-3553, September 2015.

(b) Functional Community Assessment Form, AHCA Form 5000-3556, September 2015.

(c) Housing Survey Form, AHCA Form 5000-3552, September 2015.

(d) Financial Profile, AHCA Form 5000-3557, September 2015.

(e) Trainers/Trainer Agreement Form, AHCA Form 5000-3554, June 2018.

Rulemaking Authority 393.501, 409.919 FS. Law Implemented 393.0662, 409.902, 409.906, 409.907, 409.908, 409.912, 409.913 FS. History‒New 9-3-15, Amended 7-10-17, 6-10-18,________.

 

NAME OF PERSON ORIGINATING PROPOSED RULE: Rebecca Best

NAME OF AGENCY HEAD WHO APPROVED THE PROPOSED RULE: Mary C. Mayhew

DATE PROPOSED RULE APPROVED BY AGENCY HEAD: January 29, 2020

DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAR: September 9, 2019