59G-4.110: Hearing Services
PURPOSE AND EFFECT: The purpose of the proposed amendment to Rule 59G-4.110, F.A.C., is to incorporate by reference the revised Florida Medicaid Hearing Services Coverage and Limitations Handbook, January 2012. The revisions to the coverage and limitations handbook include policy clarification, place of service clarification, additional definitions, a new cochlear and BAHA implant policy, and updated fiscal agent information.
SUBJECT AREA TO BE ADDRESSED: Hearing Services.
An additional area to be addressed during the workshop will be the potential regulatory impact Rule 59G-4.110, F.A.C., will have as provided for under Sections 120.54 and 120.541, F.S.
RULEMAKING AUTHORITY: 409.919 FS.
LAW IMPLEMENTED: 409.902, 409.906, 409.907, 409.908, 409.912, 409.913 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:
DATE AND TIME: Thursday, December 15, 2011, 10:00 a.m. – 11:30 a.m.
PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Bldg. 3, Conference Room C, Tallahassee, Florida 32308
Pursuant to the provisions of the Americans with Disabilities Act, any person requiring special accommodations to participate in this workshop/meeting is asked to advise the agency at least 48 hours before the workshop/meeting by contacting: Kathryn R. Stephens at the Bureau of Medicaid Services, (850)412-4235. If you are hearing or speech impaired, please contact the agency using the Florida Relay Service, 1(800)955-8771 (TDD) or 1(800)955-8770 (Voice).
THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE DEVELOPMENT AND A COPY OF THE PRELIMINARY DRAFT, IF AVAILABLE, IS: Kathryn R. Stephens, Agency for Health Care Administration, Bureau of Medicaid Services, 2727 Mahan Drive, Mail Stop 20, Tallahassee, Florida 32308, telephone: (850)412-4235, e-mail: firstname.lastname@example.org. To download a draft copy of this rule, if available, go to http://ahca.myflorida.com/Medicaid/review/index.shtml
THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS:
59G-4.110 Hearing Services.
(1) No change.
(2) All physicians, audiologists and hearing aid specialists enrolled in the Medicaid program must be in compliance with the provisions of the Florida Medicaid Hearing Services Coverage and Limitations Handbook, January 2012
July 2006, which is incorporated by reference, and the Florida Medicaid Provider Reimbursement Handbook, CMS-1500, which is incorporated by reference in Rule 59G-4.001, F.A.C. Both handbooks are available from the Medicaid fiscal agent’s Web Portal website at http://mymedicaid-florida.com http://floridamedicaid.acs-inc.com. Click on Public Information for Providers, then on Provider Support, and then on Provider Handbooks. Paper copies of the handbooks may be obtained by calling the Provider Contact Center Inquiry at 1(800)289-7799 and selecting Option 7 377-8216.
Specific Authority 409.919 FS. Law Implemented 409.902, 409.906, 409.907, 409.908, 409.012, 409.913 FS. History– New 8-3-80, Amended 7-21-83, Formerly 10C-7.522, Amended 4-13-93, Formerly 10C-7.0522, Amended 12-21-97, 10-13-98, 5-7-00, 7-5-01, 2-20-03, 8-5-03, 7-27-04, 7-26-05, 8-18-05, 11-29-06, ________.