The purpose of this rule is to implement the Florida Medicaid Psychiatric Hospital Inpatient Services Program. The program will reimburse psychiatric hospitals licensed under Chapter 395, F.S. that provide inpatient psychiatric services to Medicaid ...

AGENCY FOR HEALTH CARE ADMINISTRATION
Medicaid

RULE NO: RULE TITLE
59G-4.265: Psychiatric Hospital Inpatient Services
PURPOSE AND EFFECT: The purpose of this rule is to implement the Florida Medicaid Psychiatric Hospital Inpatient Services Program. The program will reimburse psychiatric hospitals licensed under Chapter 395, F.S. that provide inpatient psychiatric services to Medicaid recipients age 65 and older who meet the Medicaid Institutional Care Program eligibility requirements. The rule incorporates by reference the Florida Medicaid Psychiatric Hospital Inpatient Services Coverage and Limitations Handbook, September 2007. The handbook will describe recipient eligibility, the covered services, service requirements, and reimbursement that will be available under the Medicaid Psychiatric Hospital Inpatient Services Program. The effect of the rule will be to the implement Florida Medicaid Psychiatric Hospital Inpatient Services Program and incorporate by reference in the rule the Florida Medicaid Psychiatric Hospital Inpatient Services Coverage and Limitations Handbook, September 2007.
SUBJECT AREA TO BE ADDRESSED: Psychiatric Hospital Inpatient Services.
SPECIFIC AUTHORITY: 409.919 FS.
LAW IMPLEMENTED: 409.906, 409.908 FS.
IF REQUESTED IN WRITING AND NOT DEEMED UNNECESSARY BY THE AGENCY HEAD, A RULE DEVELOPMENT WORKSHOP WILL BE HELD AT THE DATE, TIME AND PLACE SHOWN BELOW:
TIME AND DATE: Monday, June 11, 2007, 2:00 p.m.
PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Conference Room B, Tallahassee, Florida 32308
THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE DEVELOPMENT AND A COPY OF THE PRELIMINARY DRAFT, IF AVAILABLE, IS: Allison Carver, Medical/Health Care Program Analyst, Medicaid Services, 2727 Mahan Drive Mail Stop #20, Tallahassee, FL 32308, 414-6249, [e-mail]

THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS:

59G-4.265 Psychiatric Hospital Inpatient Services.

(1) This rule applies to psychiatric hospitals licensed under Chapter 395, F.S. that provide inpatient psychiatric services to Medicaid recipients age 65 and older who meet the Medicaid Institutional Care Program eligibility requirements.

(2) All psychiatric hospitals licensed under Chapter 395, F.S. that provide inpatient psychiatric services to Medicaid recipients age 65 and older who meet the Medicaid Institutional Care Program eligibility requirements must be in compliance with the provisions of the Florida Medicaid Psychiatric Hospital Inpatient Services Coverage and Limitations Handbook, September 2007, incorporated by reference, and the Florida Medicaid Provider Reimbursement Handbook, Institutional 021, which is incorporated in Rule 59G-4.200, F.A.C. Both handbooks are available from the Medicaid fiscal agent’s website at http://floridamedicaid. acs-inc.com. Click on Provider Support, and then on Handbooks. Paper copies of the handbooks may be obtained by calling the Medicaid fiscal agent at [phone].

Specific Authority 409.919 FS. Law Implemented 409.905, 409.908, FS. History–New_________.