5627375, 59G-4.200 - Florida Administrative Rules, Law, Code, Register

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Notice: 5627375

Notice of Development of Rulemaking

Department:

AGENCY FOR HEALTH CARE ADMINISTRATION

Division:

Medicaid

Chapter:

MEDICAID POLICY

Overview

RULE:

59G-4.200

Nursing Facility Services

PURPOSE:

The purpose of this rule amendment is to incorporate by reference the revised Florida Medicaid Nursing Facility Services Coverage and Limitations Handbook, July 2008, and delete the reference to the Florida Medicaid Provider Reimbursement Handbook, Institutional 021, which will be obsolete July 1, 2008. The revised Nursing Facility Handbook includes updated Pre-Admission Screening and Resident Review (PASRR) requirements and forms, revised Medical Certification for Nursing Facility/Home and Community Based Services Form and instructions, and updated Medicare Part A crossover policy. The revised handbook reiterates the nursing facility’s requirement to enter the recipient’s responsibility on the claim.
The rule was revised to require nursing facility services providers to comply with the provisions of the Florida Medicaid Provider Reimbursement Handbook, UB-04, which replaces the Florida Medicaid Provider Reimbursement Handbook, Institutional 021. The authorization policies for supplemental payments for medically-fragile recipients under the age of 21 and recipients with AIDS and the Client Discharge/Change Notice, CF-ES 2506, that were in Chapter 2 of the Florida Medicaid Provider Reimbursement Handbook, Institutional 021, were moved to the revised Nursing Facility Handbook.
The effect will be to incorporate by reference in rule the revised Florida Medicaid Nursing Facility Services Coverage and Limitations Handbook, July 2008; deleted the reference to the Florida Medicaid Provider Reimbursement Handbook, Institutional 021; and requires providers to comply with the provisions of the Florida Medicaid Provider Reimbursement Handbook, UB-04.
This Notice of Rule Development replaces the Notice of Rule Development that was published in Vol. 33, No. 27, July 6, 2007, Florida Administrative Weekly.

SUBJECT:

Nursing Facility Services.

RULEMAKING AUTHORITY:

409.919 FS.

LAW:

409.902, 409.905, 409.908 FS.

PRINT PUBLISH DATE:

5/16/2008 Vol. 34/20

RELATED STATUTES
AND LAWS:

409.919 FS., 409.902, 409.905, 409.908 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=59G-4.200&PDate=5/16/2008&Section=1

REFERENCE MATERIALS:

No reference(s).

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