6423551, 59G-4.003 - Florida Administrative Rules, Law, Code, Register

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Notice: 6423551

Notice of Proposed Rule

Department:

AGENCY FOR HEALTH CARE ADMINISTRATION

Division:

Medicaid

Chapter:

MEDICAID POLICY

Overview

RULE:

59G-4.003	Medicaid Providers Who Bill on the UB-04
59G-4.150	Inpatient Hospital Services
59G-4.160	Outpatient Hospital Services

PURPOSE:

The purpose of the amendment to Rule 59G-4.003, F.A.C., is to incorporate by reference the Florida Medicaid Provider Reimbursement Handbook, UB-04, July 2008. The handbook was revised to include billing instructions for Nursing Facilities, Intermediate Care Facilities, and State Mental Hospitals. Providers for these services will be required to bill on the UB-04 claim form when submitting paper claims. The handbook also contains updated references for the new Medicaid fiscal agent. The effect will be to incorporate by reference in rule the Florida Medicaid Provider Reimbursement Handbook, UB-04, July 2008.
The purpose of the amendment to Rule 59G-4.150, F.A.C., is to change the reference to the Florida Medicaid Provider Reimbursement Handbook, UB-92, to the Florida Medicaid Provider Reimbursement Handbook, UB-04. The effect will be to correct the reference to the Florida Medicaid Provider Reimbursement Handbook, UB-04.
The purpose of the amendment to Rule 59G-4.160, F.A.C., is to change the reference to the Florida Medicaid Provider Reimbursement Handbook, UB-92, to the Florida Medicaid  Provider Reimbursement Handbook, UB-04. The effect will be to correct the reference to the Florida Medicaid Provider Reimbursement Handbook, UB-04.
In the Notice of Rule Development published on November 30, 2007, we stated that the Florida Medicaid Provider Reimbursement Handbook, UB-04, was revised March 2008. We changed this date to July 2008, because the new Medicaid fiscal agent implementation date and resulting changes to the claim form were delayed from March 2008 to July 2008.

SUMMARY:

The purpose of the amendment to Rule 59G-4.003 is to incorporate by reference the Florida Medicaid Provider Reimbursement Handbook, UB-04, July 2008. The purpose of the amendment to Rule 59G-4.150, F.A.C., is to change the reference to the Florida Medicaid Provider Reimbursement Handbook, UB-92, to the Florida Medicaid Provider Reimbursement Handbook, UB-04. The purpose of the amendment to Rule 59G-4.160, F.A.C., is to change the reference to the Florida Medicaid Provider Reimbursement Handbook, UB-92, to the Florida Medicaid Provider Reimbursement Handbook, UB-04.

RULEMAKING AUTHORITY:

409.919 FS.

LAW:

409.902, 409.905, 409.906, 409.907, 409.908, 409.9081, 409.912 FS.

PRINT PUBLISH DATE:

11/21/2008 Vol. 34/47

COMMENTS:

From 11/21/2008 To 12/12/2008 (21 Days)
The public comment period for this notice has already expired.

REFERENCE MATERIALS:

No reference(s).

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