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 updates the rule to align with the requirements in Senate Bill 82 in relation to waiver support coordination and removes outdated language.

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: June 10, 2021, 2:00 p.m. until 2:30 p.m.

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

Remote Listeners: Attendees may register for the hearing at: https://attendee.gotowebinar.com/register/427651064643005968. After registering, a confirmation email will be received containing information about joining the webinar, and opportunities to offer comments and questions will be available.

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 5 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 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 June 11, 2021 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, _________ September 2020, 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-_____12102.

(3) The following forms are included in the Florida Medicaid Developmental Disabilities Individual Budgeting Waiver Services Coverage and Limitations Handbook, ____________September 2020, 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.

(4) This rule is in effect for five years from its effective date.

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, 10-19-20,_________.

 

NAME OF PERSON ORIGINATING PROPOSED RULE: Christina Leckinger

NAME OF AGENCY HEAD WHO APPROVED THE PROPOSED RULE: Simone Marstiller

DATE PROPOSED RULE APPROVED BY AGENCY HEAD: May 11, 2021

DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAR: March 11, 2021