19783846, 59G-1.045 - Florida Administrative Rules, Law, Code, Register

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Florida Department of State and Division of Library and Information Services

Notice: 19783846

Notice of Proposed Rule

Department:

AGENCY FOR HEALTH CARE ADMINISTRATION

Division:

Medicaid

Chapter:

GENERAL MEDICAID

Overview

RULE:

59G-1.045

Medicaid Forms

PURPOSE:

The purpose of the amendment to Rule 59G-1.045, Florida Administrative Code, is to include new Florida Medicaid forms in the Rule.

SUMMARY:

The amendment incorporates by reference the Consent for Voluntary Suspension of Authorized Services for Florida Medicaid State Plan Recipients, AHCA Form 5000-0123, August 2017; the Acquired Immune Deficiency Syndrome (AIDS) Physician Referral for Individuals at Risk of Hospitalization, AHCA Form 5000-0607,_______; the Model Waiver Physician Referral for Individuals at Risk of Hospitalization, AHCA Form 5000-0025,______; and, the Adults with Cystic Fibrosis Physician Referral for Individuals at Risk of Hospitalization, AHCA Form 5000-0608,_____.

RULEMAKING AUTHORITY:

409.919 FS.

LAW:

409.902, 409.905, 409.912 FS.

PRINT PUBLISH DATE:

11/29/2017 Vol. 43/229

COMMENTS:

From 11/29/2017 To 12/20/2017 (21 Days)
The public comment period for this notice has already expired.

REFERENCE MATERIALS:

Ref-07012 Medical Certification for Medicaid Long-term Care Services and Patient Transfer, AHCA Form 5000-3008

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