3062792, 59A-34 - Florida Administrative Rules, Law, Code, Register

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Florida Department of State and Division of Library and Information Services

Notice: 3062792

Notice of Development of Rulemaking

Department:

AGENCY FOR HEALTH CARE ADMINISTRATION

Division:

Health Facility and Agency Licensing

Chapter:

CARRIER REPORT OF OVERUTILIZATION AND INITIATION OF INVESTIGATION

Overview

RULE:

59A-34

CARRIER REPORT OF OVERUTILIZATION AND INITIATION OF INVESTIGATION

PURPOSE:

The purpose of the proposed rule is to 1) set forth the requirements for carriers to report an instance or instances of overutilization to the Agency pursuant to Section 440.13(8)(a), Florida Statutes and initiate an Agency investigation pursuant to Section 440.13(8)(b), (11), Florida Statutes; 2) establish the criteria for identifying the responsible party for overutilization of services and determine if a pattern or practice of overutilization or other violations of Chapter 440, F.S. have occurred; and 3) to establish the criteria for imposing administrative sanctions and fines in accordance with Section 440.13(8)(a), (11), (13), F.S.

SUBJECT:

The Agency’s Overutilization Review and Initiation of Investigation Process.

RULEMAKING AUTHORITY:

440.591 FS.

LAW:

440.13(8), 440.13(11), 440.13(13) FS.

PRINT PUBLISH DATE:

10/20/2006 Vol. 32/42

RELATED STATUTES
AND LAWS:

440.591 FS., 440.13(8), 440.13(11), 440.13(13) FS.

OVERSIGHT COMMITTEE:

Joint Administrative Procedures Committee
Florida Administrative Law Central Online Network (F.A.L.C.O.N.)

RELATED COURT CASES:

Division of Administrative Hearings

FEDERAL eRULEMAKING
WEB PORTAL:

Regulations.gov

HOW TO LINK TO
THIS NOTICE:

http://flrules.org/gateway/ruleno.asp?id=59A-34&PDate=10/20/2006&Section=1

REFERENCE MATERIALS:

No reference(s).

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