12177397, 59G-4.320 - Florida Administrative Rules, Law, Code, Register

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Florida Department of State and Division of Library and Information Services

Notice: 12177397

Notice of Proposed Rule

Department:

AGENCY FOR HEALTH CARE ADMINISTRATION

Division:

Medicaid

Chapter:

MEDICAID POLICY

Overview

RULE:

59G-4.320

Physical Therapy Services

PURPOSE:

The purpose of the amendment to Rule 59G-4.320 is to incorporate by reference the Florida Medicaid Therapy Services Coverage and Limitations Handbook, September 2012. The rule will update the Medicaid Therapy Services Coverage and Limitations Handbook by clarifying policy and requiring prior authorization for therapy treatment visits, effective November 2011.  The prior authorization requirement will satisfy a legislative mandate requiring utilization management for therapy services reimbursed by Medicaid set forth in section 409.912(40), F.S.

SUMMARY:

The Therapy Services Coverage and Limitations Handbook contains policy for therapy services reimbursed under the Medicaid program, not including therapy provided in an inpatient, outpatient, or nursing home setting or therapy provided by a school.

RULEMAKING AUTHORITY:

409.919 FS.

LAW:

409.902, 409.905, 409.907, 409.908, 409.912, 409.913 FS.

PRINT PUBLISH DATE:

10/19/2012 Vol. 38/54

COMMENTS:

From 10/19/2012 To 11/9/2012 (21 Days)
The public comment period for this notice has already expired.

REFERENCE MATERIALS:

No reference(s).

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