The purpose of the amendment to Rule 59G-4.105 is to incorporate by reference the Florida Medicaid Dialysis Services Coverage Policy, __________.

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

RULE NO.:RULE TITLE:

59G-4.105Freestanding Dialysis Center Services

PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-4.105 is to incorporate by reference the Florida Medicaid Dialysis Services Coverage Policy, __________.

SUMMARY: The incorporated coverage policy will specify recipient eligibility, provider requirements, coverage policies, and reimbursement information. The amendment also revises the rule title to Dialysis 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: 409.919 FS.

LAW IMPLEMENTED: 409.906, 409.908 FS.

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

DATE AND TIME: Tuesday, July 28, 2015, 11:00 a.m. ‒ 12:00 Noon

PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Conference Room D, 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 48 hours before the workshop/meeting by contacting: Dan Gabric, Medicaid Policy, 2727 Mahan Drive, Mail Stop 20, Tallahassee, Florida 32308-5407, telephone: [phone], e-mail: [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: Dan Gabric, Medicaid Policy, 2727 Mahan Drive, Mail Stop 20, Tallahassee, Florida 32308-5407, telephone: [phone], e-mail: [e-mail]

Please note that a preliminary draft of the reference material, if available, will be posted prior to the public hearing at http://ahca.myflorida.com/Medicaid/review/index.shtml. Comments will be received until 5:00 p.m., on Tuesday, August 4, 2015.

 

THE FULL TEXT OF THE PROPOSED RULE IS:

 

59G-4.105 Freestanding Dialysis Center Services.

(1) This rule applies to all providers of freestanding dialysis center services who are providers enrolled in or registered with the Florida Medicaid program.

(2) All providers of freestanding dialysis center services providers enrolled in the Medicaid program must comply with the Florida Medicaid Freestanding Dialysis Services Center Coverage Policy and Limitations Handbook, __________May 2009, incorporated by reference, and the Florida Medicaid Provider Reimbursement Handbook, UB-04, which is incorporated by reference in Rule 59G-4.030, F.A.C. The policy is Both handbooks are available from the Medicaid fiscal agent’s Web site Portal at http://portal.flmmis.com/FLPublic http://mymedicaid-florida.com. Click on Public Information for Providers, then on Provider Support, and then on Provider Handbooks.

Rulemaking Authority 409.919 FS. Law Implemented 409.906, 409.908 FS. History–New 8-24-99, Amended 7-29-09,____________.

 

NAME OF PERSON ORIGINATING PROPOSED RULE: Dan Gabric

NAME OF AGENCY HEAD WHO APPROVED THE PROPOSED RULE: Elizabeth Dudek

DATE PROPOSED RULE APPROVED BY AGENCY HEAD: June 05, 2015

DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAR: February 25, 2015