The purpose of the amendment to Rule 59G-4.050, Florida Administrative Code (F.A.C.), is to incorporate by reference the Florida Medicaid Behavioral Health Therapy Services Coverage Policy, __________ and revise the rule title. The incorporated ...

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

RULE NO.:RULE TITLE:

59G-4.050Community Behavioral Health Services

PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-4.050, Florida Administrative Code (F.A.C.), is to incorporate by reference the Florida Medicaid Behavioral Health Therapy Services Coverage Policy, __________ and revise the rule title. The incorporated coverage policy will specify recipient eligibility, provider requirements, service coverage, and reimbursement information. The amendment also revises the rule title to Behavioral Health Therapy Services.

SUBJECT AREA TO BE ADDRESSED: Community Behavioral Health Services.

RULEMAKING AUTHORITY: 409.919, 409.961, FS.

LAW IMPLEMENTED: 409.902, 409.906, 409.907, 409.908, 409.912, 409.913, 409.973, FS.

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

DATE AND TIME: August 31, 2017, 10:00 a.m. to 11:00 a.m.

PLACE: In Person: Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Tallahassee, Florida 32308-5407. Remote Listeners: Register to view the presentation at https://attendee.gotowebinar.com/register/6260209475419619075. A call-in number will be provided upon successful registration through which remote attendees may listen to the discussion via telephone.

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: Lakera Reddick. 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, IF AVAILABLE, IS: Lakera Reddick, Bureau of 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 workshop at http://ahca.myflorida.com/Medicaid/review/index.shtml. Official comments to be entered into the rule record will be received until 5:00 p.m. on September 1, 2017 and may be e-mailed to [e-mail]. For general inquiries and questions about the rule, please contact the person specified above.

 

THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS:

 

59G-4.050 Community Behavioral Health Therapy Services.

(1) This rule applies to all providers rendering Florida Medicaid of behavioral health therapy community behavioral health services to recipients who are enrolled in the Florida Medicaid program.

(2) All providers of community behavioral health services who are enrolled in the Florida Medicaid program must be in compliance with the provisions of the Florida Medicaid Community Behavioral Health Therapy Services Coverage Policy, and Limitations Handbook, ______, March2014, available at http://www.flrules.org/Gateway/reference.asp?No=Ref-03749, incorporated by reference. The policy handbook is available on the Agency for Health Care Administration’s from the Medicaid fiscal agent’s Web site at http://ahca.myflorida.com/Medicaid/review/index.shtml, and at [DOS place holder Ref-_______] www.mymedicaid-florida.com. Select Public Information for Providers, then Provider Support, and then Provider Handbooks. Paper copies of the handbook may be obtained by calling the Provider Services Contact Center at 1-800-289-7799 and selecting Option 7.

(3) The following forms that is are included in the Florida Medicaid Community Behavioral Health Coverage and Limitations Handbook and is are incorporated by reference: Temporary Limited Service Authorization, AHCA Form 5000-3510, Revised December 2012. This form is available by photocopying it from the Florida Medicaid Community Behavioral Health Coverage and Limitations Handbook.

Rulemaking Authority 409.919, 409.961 FS. Law Implemented 409.902, 409.906, 409.907, 409.908, 409.9081, 409.912, 409.913, 409.973 FS. History–New 1-27-82, Amended 10-25-84, Formerly 10C-7.525, Amended 1-19-94, Formerly 10C-7.0525, Amended 9-21-98, 11-14-00, 1-19-05, 3-13-14, ________.