Notice of Proposed Rule

AGENCY FOR HEALTH CARE ADMINISTRATION
Medicaid
RULE NO: RULE TITLE
59G-13.080: Home and Community-Based Services Waivers
PURPOSE AND EFFECT: The purpose of the rule amendment to Rule 59G-13.080, F.A.C., is to incorporate by reference Update June 2007 to the Florida Medicaid Developmental Disabilities Waiver Services Coverage and Limitations Handbook. The handbook was updated to remove the crisis enrollment policies from Appendix F, Recipient Wait List. The crisis enrollment policies are being promulgated in new Rules 65G-1.010, 65G-1.046, and 65G-1.047, F.A.C., by the Agency for Persons with Disabilities as mandated by Section 393.065, F.S.
In the Notice of Rule Development that was published in the Florida Administrative Weekly, Vol. 32, No. 39, September 29, 2006, the update was dated September 2006. We changed the date to June 2007.
SUMMARY: The purpose of the rule amendment to Rule 59G-13.080, F.A.C., is to incorporate by reference Update June 2007 to the Florida Medicaid Developmental Disabilities Waiver Services Coverage and Limitations Handbook. The effect will be to incorporate by reference in the rule Update June 2007 to the Florida Medicaid Developmental Disabilities Waiver Services Coverage and Limitations Handbook.
SUMMARY OF STATEMENT OF ESTIMATED REGULATORY COSTS: No Statement of Estimated Regulatory Cost was prepared.
Any person who wishes to provide information regarding a statement of estimated regulatory costs, or provide a proposal for a lower cost regulatory alternative must do so in writing within 21 days of this notice.
SPECIFIC AUTHORITY: 409.919 FS.
LAW IMPLEMENTED: 409.902, 409.906, 409.908, 409.910, 409.912, 409.913 FS.
IF REQUESTED WITHIN 21 DAYS OF THE DATE OF THIS NOTICE, A HEARING WILL BE HELD AT THE DATE,TIME AND PLACE SHOWN BELOW(IF NOT REQUESTED, THIS HEARING WILL NOT BE HELD):
DATE AND TIME: Thursday, August 30, 2007, 1:30 p.m. – 2:30 p.m.
PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Building #3, Conference Room D, Tallahassee, Florida
THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE IS: Pam Kyllonen, Medicaid Services, 2727 Mahan Drive, Mail Stop 20, Tallahassee, Florida 32308-5407, (850)414-9756, kyllonep@ahca.myflorida.com

THE FULL TEXT OF THE PROPOSED RULE IS:

59G-13.080 Home and Community-Based Services Waivers.

(1) through (11) No change.

(12) Developmental Disabilities Services Waiver – General. This rule applies to all Developmental Disabilities Services Waiver Service providers enrolled in the Medicaid program. All Developmental Disabilities Services Waiver Service providers enrolled in the Medicaid program must comply with the Florida Medicaid Developmental Disabilities Services Waiver Services Florida Medicaid Coverage and Limitations Handbook, October 2003, updated June 2007, incorporated by reference, and the Florida Medicaid Provider Reimbursement Handbook, Non-Institutional 081, which is incorporated in Rule 59G-13.001, F.A.C. October 2003. Both handbooks are available from the Medicaid fiscal agent’s website at http://floridamedicaid.acs-inc.com. Click on Provider Support, and then on Handbooks. Paper copies of the handbooks may be obtained by calling the Medicaid fiscal agent at (800)377-8216. The Developmental Disabilities Waiver Services Provider Rate Table, November 2003, is incorporated by reference in Rule 59G-13.081, F.A.C. available from the Medicaid fiscal agent; and the Developmental Disabilities Waiver Services Procedure Codes are incorporated by reference in Rule 59G-13.082, F.A.C.

(13) through (15) No change.

Specific Authority 409.919 FS. Law Implemented 409.902, 409.906, 409.908, 409.910, 409.912, 409.913 FS. History–New 4-20-82, Formerly 10C-7.527, Amended 3-22-87, 11-23-89, Formerly 10C-7.0527, Amended 1-16-96, 7-23-97, 1-6-02, 10-27-02, 6-11-03, 11-24-03, 1-16-05, 6-23-05, Formerly 59G-8.200, Amended ________.


NAME OF PERSON ORIGINATING PROPOSED RULE: Pam Kyllonen
NAME OF SUPERVISOR OR PERSON WHO APPROVED THE PROPOSED RULE: Andrew Agwunobi, M.D.
DATE PROPOSED RULE APPROVED BY AGENCY HEAD: May 14, 2007
DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAW: September 29, 2006