The purpose of the amendment to Rule 59G-13.086 is to incorporate by reference the Florida Medicaid Developmental Disabilities Individual Budgeting Waiver Disposable Incontinence Medical Supplies Fee Schedule, ____________. The amendment deletes ...

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

RULE NO.:RULE TITLE:

59G-13.086Developmental Disabilities Waiver Disposable Incontinence Medical Supplies Fee Schedule and Minimum Quality Standards

PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-13.086, F.A.C., is to incorporate by reference the Florida Medicaid Developmental Disabilities Individual Budgeting Waiver Disposable Incontinence Medical Supplies Fee Schedule, ____________. The amendment deletes code modifiers for Tiers 1-4, updates and clarifies code descriptions, adds a code to accommodate a larger-sized product, incorporates a reference for providers to the Florida Medicaid Durable Medical Equipment and Medical Supply Services Coverage and Limitations Handbook regarding minimum quality standards, and reformats the fee schedule for clarity. The amendment also changes the title of the rule to Developmental Disabilities Individual Budgeting Waiver Disposable Incontinence Medical Supplies Fee Schedule.

SUBJECT AREA TO BE ADDRESSED: Developmental Disabilities Waivers Disposable Incontinence Medical Supplies Fee Schedule and Minimum Quality Standards.

An additional area to be addressed during the workshop will be the potential regulatory impact the amendment to Rule 59G-13.086, F.A.C., will have as provided for under Sections 120.54 and 120.541, F.S.

RULEMAKING AUTHORITY: 409.919 FS.

LAW IMPLEMENTED: 409.902, 409.906, 409.907, 409.908, 409.912, 409.913 FS.

A RULE DEVELOPMENT WORKSHOP WILL BE HELD AT THE DATE, TIME AND PLACE SHOWN BELOW:

DATE AND TIME: Tuesday, October 7, 2014, 3:00 p.m. ‒ 4:00 p.m.

PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Conference Room A, 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: Virginia Hardcastle. 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 DEVELOPMENT AND A COPY OF THE PRELIMINARY DRAFT IS: Virginia Hardcastle, Medicaid Services, 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 workshop at http://ahca.myflorida.com/Medicaid/review/index.shtml. Comments will be received until 5:00 p.m. Tuesday, October 14, 2014.

 

THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS:

 

59G-13.086 Developmental Disabilities Individual Budgeting Waiver Waivers Disposable Incontinence Medical Supplies Fee Schedule and Minimum Quality Standards.

(1) This rule applies to all Developmental Disabilities Wwaiver disposable incontinence medical supplies are reimbursed according to the Florida Medicaid Developmental Disabilities Individual Budgeting Waiver Disposable Incontinence Medical Supplies Fee Schedule, _____________, incorporated by reference services providers enrolled in the Medicaid program.

(2) The fee schedule is All Developmental Disabilities waiver services providers enrolled in the Medicaid program must be in compliance with the Developmental Disabilities Waivers Disposable Incontinence Medical Supplies Fee Schedule, July 1, 2013, and Minimum Quality Standards, July 1, 2013, which are incorporated by reference, available at http://www.flrules.org/Gateway/reference.asp?No=Ref-01423. The Developmental Disabilities Waivers Disposable Incontinence Medical Supplies Fee Schedule and Minimum Quality Standards are available from the Medicaid fiscal agent’s Web site at www.mymedicaid-florida.com. Select Public Information for Providers, then Provider Support, and then Fee Schedules. Paper copies may be obtained from the Agency for Health Care Administration, Bureau of Medicaid Services, 2727 Mahan Drive, M.S. 20, Tallahassee, Florida 32308.

Rulemaking Authority 409.919 FS. Law Implemented 409.902, 409.906, 409.907, 409.908, 409.912, 409.913 FS. History–New 7-1-13, Amended___________.