Notice of Development of Rulemaking

AGENCY FOR HEALTH CARE ADMINISTRATION
Medicaid
RULE NO: RULE TITLE
59G-4.105: Freestanding Dialysis Center Services
59G-4.106: Freestanding Dialysis Center Fee Schedule
PURPOSE AND EFFECT: The purpose of the proposed rule amendment to Rule 59G-4.105, F.A.C., is to incorporate by reference the Florida Medicaid Freestanding Dialysis Center Coverage and Limitations Handbook, January 2009. The revised handbook includes updated policy for billing for dialysis treatments and injectable medications and updated references to the new Medicaid fiscal agent’s Web Portal. The effect will be to incorporate by reference in rule the Florida Medicaid Freestanding Dialysis Center Coverage and Limitations Handbook, January 2009.
The purpose of Rule 59G-4.106, F.A.C., is to incorporate by reference in the Freestanding Dialysis Center Fee Schedule, January 2009. The effect will be to incorporate by reference in rule the Freestanding Dialysis Center Fee Schedule, January 2009.
SUBJECT AREA TO BE ADDRESSED: Freestanding Dialysis Center Services and Freestanding Dialysis Center Fee Schedule.
SPECIFIC AUTHORITY: 409.919 FS.
LAW IMPLEMENTED: 409.906, 409.908 FS.
IF REQUESTED IN WRITING AND NOT DEEMED UNNECESSARY BY THE AGENCY HEAD, A RULE DEVELOPMENT WORKSHOP WILL BE HELD AT THE DATE, TIME AND PLACE SHOWN BELOW:
TIME AND DATE: Thursday, December 11, 2008, 10:00 a.m.
PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Conference Room B, Tallahassee, Florida 32308
THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE DEVELOPMENT AND A COPY OF THE PRELIMINARY DRAFT, IF AVAILABLE, IS: Jamie Simpson, Program Analyst, Bureau of Medicaid Services, 2727 Mahan Drive, M.S. #20, Tallahassee, Florida 32308, (850)922-7308, simpsonj@ahca.myflorida.com

THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS:

59G-4.105 Freestanding Dialysis Center Services.

(1) No change.

(2) All freestanding dialysis center service providers enrolled in the Medicaid program must comply with the Florida Medicaid Freestanding Dialysis Center Coverage and Limitations Handbook, January 2009 November 1998, incorporated by reference, and the Florida Medicaid Provider Reimbursement Handbook, UB-04 92, which is incorporated by reference in Rule 59G-4.003 59G-4.160, F.A.C. Both handbooks are available from the Medicaid fiscal agent’s Web Portal at http://mymedicaid-florida.com. Click on Public Information for Providers, then on Provider Support, and then on Provider Handbooks.

Specific Authority 409.919 FS. Law Implemented 409.906, 409.908 FS. History–New 8-24-99, Amended__________.

 

59G-4.106 Freestanding Dialysis Center Fee Schedule.

(1) This rule applies to all freestanding dialysis center services providers enrolled in the Medicaid program.

(2) All freestanding dialysis center services providers enrolled in the Medicaid program must be in compliance with the Freestanding Dialysis Center Fee Schedule, January 2009, which is incorporated by reference. The Fee Schedule is available from the Medicaid fiscal agent’s Web Portal at http://mymedicaid-florida.com. Click on Public Information for Providers, then on Provider Support, and then on Fee Schedules.

Specific Authority 409.919 FS. Law Implemented 409.906, 409.908 FS. History–New________.