Summary


Rule 59H-1.0035 is amended to change “individual” to “applicant” for clarification, remove outdated language, revise forms to be available on website, and update the name of the responsible Agency business unit. Rule 59H-1.0045 is amended to change the term “per diem” to “reimbursement” to comply with the payment methodology for inpatient claims that are being revised to conform to legislative changes that became effective on July 1, 2013, to clarify submission timeliness, and update the name of the responsible Agency business unit. Rule 59H-1.0055 is amended to update the name of the responsible Agency business unit, and add clarification that county is not responsible for payment until hospital has met its obligation. Rule 59H-1.0065 is amended to remove outdated language. Rule 59H-1.008 is amended to add that hospitals are responsible for assisting applicants in completing applications, to clarify submission timeliness, change notification requirements for certifying agencies, and make technical changes. Rule 59H-1.010 is amended to clarify submission timeliness, and update name of form. Rule 59H-1.015 is amended to clarify which parties have appeal rights and responsibility to repay any amount paid because of an inappropriate eligibility determination.