14883988, 59G-6.045 - Florida Administrative Rules, Law, Code, Register

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Florida Department of State and Division of Library and Information Services

Notice: 14883988

Notice of Proposed Rule

Department:

AGENCY FOR HEALTH CARE ADMINISTRATION

Division:

Medicaid

Chapter:

REIMBURSEMENT TO PROVIDERS

Overview

RULE:

59G-6.045

Payment Methodology for Services in Facilities Not Publicly Owned and Not Publicly Operated (Facilities Formerly Known as ICF-MR/DD Facilities)

PURPOSE:

The purpose of the amendment to Rule 59G-6.045 is to incorporate by reference the Florida Title XIX Reimbursement Plan for Services in Facilities Not Publicly Owned and Not Publicly Operated (Formerly Known as ICF-MR/DD Facilities), Version IX, effective October 1, 2013 (the Plan).

SUMMARY:

The amendment will update the Plan to reflect changes authorized in Senate Bill 1500, 2013-14 General Appropriations Act, Specific Appropriation 238, which authorizes a buy back for Intermediate Care Facilities and a recurring methodology for reimbursement rates effective October 1, 2013. Other changes include the deletion of language allowing for an extension of time for a provider to file cost reports, the deletion of language related to vacancy interim rates, the addition of language related to the fines and penalties for facilities not paying their quality assessment pursuant to the requirements of 409.9083, Florida Statutes, the addition of the methodology used to calculate the upper payment limit (UPL), the addition of definitions, the replacement of  “mentally retarded and developmentally disabled” with “individuals with intellectual disabilities,” and a revision of the rule title to Payment Methodology for Services in Facilities Not Publicly Owned and Not Publicly Operated (Facilities Formerly Known as ICF-MR/DD Facilities); Quality Assessment Sanctions.

RULEMAKING AUTHORITY:

409.919, 409.9083 F.S.

LAW:

409.908, 409.9083, 409.913 F.S.

PRINT PUBLISH DATE:

7/30/2014 Vol. 40/147

COMMENTS:

From 7/30/2014 To 8/20/2014 (21 Days)
The public comment period for this notice has already expired.

REFERENCE MATERIALS:

No reference(s).

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