Provider Enrollment

AGENCY FOR HEALTH CARE ADMINISTRATION
Medicaid

RULE NO: RULE TITLE
59G-5.010: Provider Enrollment

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. 18, May 7, 2010 issue of the Florida Administrative Weekly.

The Notice of Proposed Rule is changed as follows:

PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-5.010, F.A.C., is to incorporate by reference The Florida Medicaid Provider Enrollment Guide and Forms, August 2010. The amendment updates the fiscal agent information, clarifies background screening procedures and associated fees, and simplifies the overall enrollment process.

SUMMARY: The Guide includes all the instructions and applicable forms necessary to enroll as a provider in Florida Medicaid. The forms are also now aligned with the new Florida Medicaid Management Information System (FMMIS).

The rule text is changed as follows:

 

THE FULL TEXT OF THE PROPOSED RULE IS:

59G-5.010 Provider Enrollment.

(1) Unless otherwise specified in Chapter 59G-4, F.A.C., all providers and billing agents are required to enroll in the Medicaid program in accordance with requirements specified in the Florida Medicaid Provider Enrollment Guide and Forms, August 2010 and submit a completed Florida Medicaid Provider Enrollment Application, AHCA Form 2200-0003 (April 2010). AHCA Form 2200-0003 is the application to be completed by applicants and is incorporated by reference in Rule 59G-5.010, F.A.C. The Guide and Forms are AHCA Form 2200-0003 is available from the Medicaid fiscal agent’s Web Portal Portal@http://mymedicaid-florida.com. Click on Public Information for Providers, then on Provider Support, and then on Enrollment.

(2) through (5) No change.

(6) “Approved application” means an accurately and fully completed application with all the requirements which includes background screenings and onsite inspections resolved and completed with approval of the agency or its designee.

Rulemaking Specific Authority 409.919 FS. Law Implemented 409.902, 409.907, 409.9071, 409.908, 409.912, 409.913 FS. History– New 9-22-93, Formerly 10P-5.010, Amended 7-8-97, 9-8-98, 7-5-99, 7-10-00, 5-7-03, 7-7-05,_________.