State Mental Health Hospital Services  


  • RULE NO: RULE TITLE
    59G-4.300: State Mental Health Hospital Services
    NOTICE OF CHANGE
    Notice is hereby given that the following changes have been made to the proposed rule in accordance with subparagraph 120.54(3)(d)1., F.S., published in Vol. 36 No. 10, March 12, 2010 issue of the Florida Administrative Weekly.

    The amendment to Rule 59G-4.300, F.A.C., incorporates by reference the Florida Medicaid State Mental Health Hospital Services Coverage and Limitations Handbook, January 2010, AHCA-Med Serv Form 034, January 2008, and the Florida Medicaid Provider Reimbursement Handbook, UB 04, July 2008, which is incorporated in Rule 59G-4.200, F.A.C.

    The following changes have been made to the Florida Medicaid State Mental Health Hospital Services Coverage and Limitations Handbook, January 2010.

    Page 1-4 Pharmacy Services. This section is changed to read as follows:

    State mental health hospitals are required to make available the services of a licensed pharmacist on a full time or contractual basis to dispense routine and emergency prescription drugs.

    Page 2-11 Introduction. This section is changed to read as follows:

    Admission and discharge procedures for state mental health hospitals are contained in Section 394.4625 through Section 394.469, F.S.

    Page 2-15 Seclusion and Restraints. This section is changed to read as follows:

    State mental health hospitals must comply with seclusion and restraint regulations as specified in Rule 65E-5.180, Florida Administrative Code.

    In addition to state requirements, Title 42 Code of Federal Regulations 482.13 regulates the use of seclusion and restraints. These federal requirements may be accessed at http://www.gpoaccess.gov/ecfr/.

    The following changes have been made to Appendix A AHCA-Med Serv Form 034 Physician Certification.

    Item 6 is changed to read as follows:

    6. Meets the following clinical criteria: (42 CFR § 441.102, 42 CFR § 441.103, section 409.966(22), Florida Statutes).

    _____ A.       Ambulatory care resources available in the community do not meet the treatment needs of the individual.

    _____ B.       Proper treatment of the individual’s psychiatric condition requires services on an inpatient basis under the direction of a psychiatrist.

    _____ C.       Services can reasonably be expected to improve the individual’s condition or prevent further regression so that the services will no longer be needed.

    The Footer at bottom of the form is changed to read as follows:

    AHCA-Med Serv Form 034, Page 1, January 2008, incorporated by reference in Rule 59G-4.300, F.A.C.