6121105, 59G-4.001 - Florida Administrative Rules, Law, Code, Register

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Florida Department of State and Division of Library and Information Services

Notice: 6121105

Notice of Proposed Rule

Department:

AGENCY FOR HEALTH CARE ADMINISTRATION

Division:

Medicaid

Chapter:

MEDICAID POLICY

Overview

RULE:

59G-4.001

Medicaid Providers Who Bill on the CMS-1500

PURPOSE:

The purpose of this rule amendment is to incorporate by reference in rule the revised Florida Medicaid Provider Reimbursement Handbook, CMS-1500, July 2008. The revised handbook includes paper claim billing instructions for home and community-based waiver services and targeted case management services. The revised handbook also includes information on the new Medicaid fiscal agent, Electronic Data Systems (EDS), and the new Medicaid computer system. In addition, the handbook contains updated billing instructions for entering National Drug Codes on claims for HCPCS codes for drugs and for entering prior authorization numbers for Medical Foster Care and Prescribed Pediatric Extended Care Center Services. The effect will be to incorporate by reference in rule the Florida Medicaid Provider Reimbursement Handbook, CMS-1500, July 2008.
In the Notice of Rule Development, published in Vol. 33, No. 48, Florida Administrative Weekly, dated November 30, 2008, we stated that the handbook effective date was March 2008. We changed this date to July 2008.

SUMMARY:

The purpose of this rule amendment is to incorporate by reference in rule the revised Florida Medicaid Provider Reimbursement Handbook, CMS-1500, July 2008. The effect will be to incorporate by reference in rule the Florida Medicaid Provider Reimbursement Handbook, CMS-1500, July 2008.

RULEMAKING AUTHORITY:

409.919 FS.

LAW:

409.905, 409.908, 409.9081 FS.

PRINT PUBLISH DATE:

9/12/2008 Vol. 34/37

COMMENTS:

From 9/12/2008 To 10/3/2008 (21 Days)
The public comment period for this notice has already expired.

REFERENCE MATERIALS:

No reference(s).

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