The purpose of the amendment to Rule 59G-5.020, F.A.C., is to incorporate by reference the Florida Medicaid Provider General Handbook, October 2011. The handbook is updated in the following areas. First, the handbook will give providers direction on requesting non-emergency out-of-state services by providing general guidelines, adding non-emergency out-of-state services, and requiring a new form OOS PA 02, October 2011. Second, the handbook is updated to reflect Medicaid Qualified Medicare Beneficiary (QMB) cost-sharing initiatives, inclusive of Medicaid cost-sharing for Medicare Part C services copayment, coinsurance and deductible. Third, the handbook is updated to provide for telemedicine services. Last, the handbook is updated as directed by legislation through Senate Bill 1986 increasing the oversight of the Medicaid Program through the provision of general guidelines on termination, suspensions, and administrative sanctioning. Overall, the amendment updates policy, clarifies existing policy, updates forms, and updates fiscal agent information. Existing policies have been clarified and updated to ensure a better understanding of policy requirements.