Notice of Proposed Rule

AGENCY FOR HEALTH CARE ADMINISTRATION
Medicaid
RULE NO: RULE TITLE
59G-4.199: Mental Health Targeted Case Management
PURPOSE AND EFFECT: The purpose of this rule is to incorporate by reference Update June 2007 to the Florida Medicaid Mental Health Targeted Case Management Coverage and Limitations Handbook, July 2006. The handbook was revised to remove the enrollment requirement for all Medicaid mental health targeted case management providers to have an active contract with the Substance Abuse and Mental Health (SAMH) district or regional office for the location in which the agency will provide services. We also added clarification that only fee-for-service providers must enroll as Medicaid mental health targeted case management providers. The effect will be to incorporate by reference in the rule Update June 2007 to the Florida Medicaid Mental Health Targeted Case Management Coverage and Limitations Handbook.
SUMMARY: The purpose of this rule is to incorporate by reference Update June 2007 to the Florida Medicaid Mental Health Targeted Case Management Coverage and Limitations Handbook, July 2006. The effect will be to incorporate by reference in the rule Update June 2007 to the Florida Medicaid Mental Health Targeted Case Management 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: 409.906, 409.907, 409.908 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: Monday, October 1, 2007, 2:00 p.m.
PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Conference Room D, Tallahassee, Florida, comeauxm@ahca.myflorida.com
THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE IS: Michelle Comeaux, Medicaid Services, 2727 Mahan Drive, Building 3, Mail Stop 20, Tallahassee, Florida 32308-5407, (850)921-8288, comeauxm@ahca.myflorida.com

THE FULL TEXT OF THE PROPOSED RULE IS:

59G-4.199 Mental Health Targeted Case Management.

(1) No change.

(2) All Medicaid-enrolled mental health targeted case management providers must be in compliance with the Florida Medicaid Mental Health Targeted Case Management Coverage and Limitations Handbook, July 2006, updated June 2007, incorporated by reference, and the Florida Medicaid Provider Reimbursement Handbook, Non-Institutional 081, which is incorporated by reference in Rule 59G-13.001, F.A.C. 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 Provider Inquiry at (800)377-8216.

(3) The following forms that are included in the Florida Medicaid Mental Health Targeted Case Management Coverage and Limitations Handbook are incorporated by reference: Agency Certification, Children’s Mental Health Targeted Case Management, June 2007 July 2006, in Appendix B, one page; Agency Certification, Adult Mental Health Targeted Case Management, June 2007 July 2006, in Appendix C, one page; Agency Certification, Intensive Case Management Team Services, Adult Mental Health Targeted Case Management, June 2007 July 2006, in Appendix D, one page; Case Management Supervisor Certification, Children’s Mental Health Targeted Case Management, July 2006, in Appendix E, one page; Case Management Supervisor Certification, Adult Mental Health Targeted Case Management, July 2006, in Appendix F, one page; Case Manager Certification, Children’s Mental Health Targeted Case Management, July 2006, in Appendix G, one page; Case Manager Certification, Adult Mental Health Targeted Case Management, July 2006, in Appendix H, one page; Children’s Certification, Children’s Mental Health Targeted Case Management, July 2006, in Appendix I, one page; Adult Certification, Adult Mental Health Targeted Case Management, July 2006, in Appendix J, one page; Adult Certification, Intensive Case Management Team Services, Adult Mental Health Targeted Case Management, July 2006, in Appendix K, two pages; Medicaid 30-Day Certification for Children’s or Adult Mental Health Targeted Case Management, June 2007 July 2006, in Appendix L, one page.

Specific Authority 409.919 FS. Law Implemented 409.906, 409.907, 409.908 FS. History–New 6-21-06, Amended________.


NAME OF PERSON ORIGINATING PROPOSED RULE: Michelle Comeaux
NAME OF SUPERVISOR OR PERSON WHO APPROVED THE PROPOSED RULE: Andrew Agwunobi, M.D., Secretary
DATE PROPOSED RULE APPROVED BY AGENCY HEAD: August 20, 2007
DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAW: June 1, 2007