The purpose of the amendment to Rule 59G-6.020, Florida Administrative Code (F.A.C.), is to incorporate by reference the Florida Title XIX Inpatient Hospital Reimbursement Plan (the Plan), Version XLIV, effective July 1, 2017.  

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    AGENCY FOR HEALTH CARE ADMINISTRATION

    Medicaid

    RULE NO.:RULE TITLE:

    59G-6.020Payment Methodology for Inpatient Hospital Services

    PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-6.020, Florida Administrative Code (F.A.C.), is to incorporate by reference the Florida Title XIX Inpatient Hospital Reimbursement Plan (the Plan), Version XLIV, effective July 1, 2017.

    SUBJECT AREA TO BE ADDRESSED: Payment Methodology for Inpatient Hospital Services.

    RULEMAKING AUTHORITY: 409.919 FS.

    LAW IMPLEMENTED: 409.905, 409.908, 409.909, 409.913, 409.9113, 409.9115, 409.9116, 409.9118, FS.

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

    DATE AND TIME: October 5, 2017, 2:00 p.m. to 2:30 p.m.

    PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Building 3, 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: Jesse Bottcher. 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: Jesse Bottcher, Bureau of Medicaid Program Finance, 2727 Mahan Drive, Mail Stop 23, Tallahassee, Florida 32308-5407, telephone: (850)412-4095, e-mail: Jesse.Bottcher@ahca.myflorida.com.

    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 October 6, 2017 and may be e-mailed to MedicaidRuleComments@ahca.myflorida.com. For general inquiries and questions about the rule, please

    contact the person specified above.

     

    THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS:

     

    59G-6.020 Payment Methodology for Inpatient Hospital Services.

    (1) Reimbursement to participating inpatient hospitals for services provided shall be in accordance with the Florida Title XIX Inpatient Hospital Reimbursement Plan (the Plan), Version XLIV XLIII, effective July 1, 2017 2016, http://www.flrules.org/Gateway/reference.asp?No=Ref-______08249, incorporated by reference. The Plan is applicable to the fee-for-service delivery system.

    (2) A copy of the Plan as revised may be obtained by writing to the Bureau of Medicaid Program Finance, Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Mail Stop 23, Tallahassee, Florida 32308.

    (3) The Provider Reimbursement Manual CMS PUB. 15-1, is incorporated by reference, http://www.flrules.org/Gateway/reference.asp?No=Ref-08256, and available at  https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Paper-Based-Manuals-Items/CMS021929.html. The following cost reports are included in the Plan and are incorporated by reference: CMS-2552-96, June 2003, http://www.flrules.org/Gateway/reference.asp?No=Ref-07058; and CMS-2552-10, October 2012, http://www.flrules.org/Gateway/reference.asp?No=Ref-07059. These cost reports are available on the Centers for Medicare and Medicaid Services website at http://www.cms.gov/Research-Statistics-Data-and-Systems/Files-for-Order/CostReports/Hospital-1996-form.html and http://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Downloads/R3P240f.pdf, respectively.

    Rulemaking Authority 409.919 FS. Law Implemented 409.905, 409.908, 409.909, 409.913, 409.9113, 409.9115, 409.9116, 409.9118, 409.9119 FS. History–New 10-31-85, Formerly 10C-7.391, Amended 10-1-86, 1-10-89, 11-19-89, 3-26-90, 8-14-90, 9-30-90, 9-16-91, 4-6-92, 11-30-92, 6-30-93, Formerly 10C-7.0391, Amended 4-10-94, 8-15-94, 1-11-95, 5-13-96, 7-1-96, 12-2-96, 11-30-97, 9-16-98, 11-10-99, 9-20-00, 3-31-02, 1-8-03, 7-3-03, 2-1-04, 2-16-04, 2-17-04, 8-10-04, 10-12-04, 1-10-06, 4-19-06, 12-11-06, 3-4-08, 6-10-08, 1-11-09, 3-24-10, 7-5-10, 7-15-10, 2-23-11, 10-30-12, 4-23-14, 1-19-15, 6-15-15, 7-11-16, 7-10-17,________.

Document Information

Subject:
Payment Methodology for Inpatient Hospital Services.
Purpose:
The purpose of the amendment to Rule 59G-6.020, Florida Administrative Code (F.A.C.), is to incorporate by reference the Florida Title XIX Inpatient Hospital Reimbursement Plan (the Plan), Version XLIV, effective July 1, 2017.
Rulemaking Authority:
409.919 FS.
Law:
409.905, 409.908, 409.909, 409.913, 409.9113, 409.9115, 409.9116, 409.9118,
Contact:
Jesse Bottcher, Bureau of Medicaid Program Finance, 2727 Mahan Drive, Mail Stop 23, Tallahassee, Florida 32308-5407, telephone: 850-412-4095, e-mail: Jesse.Bottcher@ahca.myflorida.com. 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 October 6, 2017 and may be e-mailed to ...
Related Rules: (1)
59G-6.020. Payment Methodology for Inpatient Hospital Services