Purpose


The purpose of the amendment to Rule 59G-13.130, F.A.C., is to incorporate by reference in rule the revised Florida Medicaid Traumatic Brain and Spinal Cord Injury Waiver Services Coverage and Limitations Handbook, July 2010. The handbook includes a revised Prioritization Screening Instrument, AHCA-Med Serv Form 042; clarifies that services cannot be reimbursed through the waiver if they are available through another funding source; updates references for the new Medicaid fiscal agent; replaces references to the Florida Medicaid Provider Reimbursement Handbook, Non-Institutional 081, with the Florida Medicaid Provider Reimbursement Handbook, CMS-1500; adds language describing the addition of Medicaid Waiver Specialists to the operating structure of the waiver and identifies their functions; and adds language describing Nursing Home Transition activities and the two services added to the waiver to assist individuals with transition from nursing home to community setting.