19161397, 59G-6.031 - Florida Administrative Rules, Law, Code, Register

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Notice: 19161397

Notice of Development of Rulemaking

Department:

AGENCY FOR HEALTH CARE ADMINISTRATION

Division:

Medicaid

Chapter:

REIMBURSEMENT TO PROVIDERS

Overview

RULE:

59G-6.031

Enhanced Ambulatory Patient Grouping Reimbursement Methodology for Hospital Outpatient Services and Ambulatory Surgical Centers

PURPOSE:

The purpose of  Rule 59G-6.031, Florida Administrative Code (F.A.C.), is to implement the required Outpatient Prospective Payment Systems required for Outpatient Hospital care and Ambulatory Surgical Centers as stated in s. 409.905(6)(b), F.S., and s. 409.908(5), F.S. respectively.

SUBJECT:

Enhanced Ambulatory Patient Grouping Reimbursement Methodology for Hospital Outpatient Services and Ambulatory Surgical Centers.
Two additional topics will be addressed during the workshop.  First, the potential regulatory impact Rule 59G-6.031, F.A.C., will have as provided for under sections 120.54 and 120.541, Florida Statutes.  Second, in order to implement Specific Appropriation 203 of the 2017-2018 General Appropriations Act, and subject to federal authorization and the availability of intergovernmental transfer (IGT) funds, the Agency for Health Care Administration is authorized to make Medicaid payments on a cost basis to qualifying Florida cancer hospitals that meet the criteria in 42 U.S.C. s. 1395ww(d)(1)(B)(v) and are members of the Alliance of Dedicated Cancer Centers. Once federal approval is granted and IGT funds are available, the agency is authorized to submit budget amendments requesting the authority for this funding and the release of funds pursuant to the provisions of chapter 216, Florida Statutes. Any release of the funds shall include a plan for how the funds will be dispersed for the purposes specified in this section. This section expires July 1, 2018. The Agency seeks comment from the public regarding the Agency’s implementation of these provisions through rule.

RULEMAKING AUTHORITY:

409.919 FS.

LAW:

409.905, 409.908, 409.913 FS.

PRINT PUBLISH DATE:

7/7/2017 Vol. 43/131

RELATED STATUTES
AND LAWS:

409.919 FS., 409.905, 409.908, 409.913 FS.

OVERSIGHT COMMITTEE:

Joint Administrative Procedures Committee
Florida Administrative Law Central Online Network (F.A.L.C.O.N.)

RELATED COURT CASES:

Division of Administrative Hearings

FEDERAL eRULEMAKING
WEB PORTAL:

Regulations.gov

HOW TO LINK TO
THIS NOTICE:

http://www.flrules.org/gateway/ruleno.asp?id=59G-6.031&PDate=7/7/2017&Section=1

REFERENCE MATERIALS:

No reference(s).

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