The purpose of this rulemaking is to update language to reflect a redetermination of clinical eligibility to a three-year cycle, from an annual cycle.
Division of Children’s Medical Services
RULE NO.:RULE TITLE:
64C-2.003Redetermination of CMS Network Clinical Eligibility
PURPOSE AND EFFECT: The purpose of this rulemaking is to update language to reflect a redetermination of clinical eligibility to a three-year cycle, from an annual cycle.
SUBJECT AREA TO BE ADDRESSED: CMS Managed Care Plan Clinical Eligibility.
RULEMAKING AUTHORITY: 391.026(18) FS.
LAW IMPLEMENTED: 391.026(3), 391.029 FS
IF REQUESTED IN WRITING AND NOT DEEMED UNNECESSARY BY THE AGENCY HEAD, A RULE DEVELOPMENT WORKSHOP WILL BE NOTICED IN THE NEXT AVAILABLE FLORIDA ADMINISTRATIVE REGISTER.
THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE DEVELOPMENT AND A COPY OF THE PRELIMINARY DRAFT, IF AVAILABLE, IS: Joni Hollis, 4052 Bald Cypress Way, Bin A-06, Tallahassee, FL 32399, (850)901-6303, Joni.Hollis@flhealth.gov.
THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS:
64C-2.003 Redetermination of CMS Managed Care Plan Clinical Eligibility.
All CMS Managed Care Plan participants shall have their clinical eligibility for the CMS Managed Care Plan redetermined every three years on an annual basis.
Rulemaking Authority 391.026(18) FS. Law Implemented 391.021, 391.026(3), 391.029 FS. History–New 1-1-77, Amended 11-18-82, Formerly 10J-2.09, Amended 3-28-96, Formerly 10J-2.009, Amended 1-20-03, 1-11-16.
Document Information
- Subject:
- CMS Managed Care Plan Clinical Eligibility
- Purpose:
- The purpose of this rulemaking is to update language to reflect a redetermination of clinical eligibility to a three-year cycle, from an annual cycle.
- Rulemaking Authority:
- 391.026(18) FS.
- Law:
- 391.026(3), 391.029 FS
- Contact:
- Joni Hollis, 4052 Bald Cypress Way, Bin A-06, Tallahassee, FL 32399, (850)901-6303, Joni.Hollis@flhealth.gov.
- Related Rules: (1)
- 64C-2.003. Redetermination of CMS Network Clinical Eligibility