8109217, 59G-14.004 - Florida Administrative Rules, Law, Code, Register

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Florida Department of State and Division of Library and Information Services

Notice: 8109217

Notice of Proposed Rule

Department:

AGENCY FOR HEALTH CARE ADMINISTRATION

Division:

Medicaid

Chapter:

FLORIDA KIDCARE GRIEVANCE PROCESS

Overview

RULE:

59G-14.004

Florida KidCare Dispute Review Process (Repealed)

PURPOSE:

The proposed amendment to Rule 59G-14.004, F.A.C., incorporates a statutory provision requiring a request for a dispute review and continuation of coverage to be filed within ten (10) working days, as opposed to calendar days, of notification of adverse action. This will permit the enrollee to continue receiving the same category of coverage or services during the course of the dispute review determination process and will give families additional time to address adverse actions affecting program eligibility.

SUMMARY:

Rule 59G-14.004, F.A.C., is being amended to change the time period for requesting the dispute review and continuation of coverage regarding notification of adverse action and to enable the enrollee to continue to receive the same category of coverage or services during this process.

RULEMAKING AUTHORITY:

409.818(3)(f) FS.

LAW:

409.814(10) FS.

PRINT PUBLISH DATE:

1/8/2010 Vol. 36/01

COMMENTS:

From 1/8/2010 To 1/29/2010 (21 Days)
The public comment period for this notice has already expired.

REFERENCE MATERIALS:

No reference(s).

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