Notice is hereby given that the following changes have been made to the proposed rule in accordance with subparagraph 120.54(3)(d)1., F.S., published in Vol. 37 No. 28, July 15, 2011 issue of the Florida Administrative Weekly.

The following change was made to the Notice of Proposed Rule.

SUMMARY OF STATEMENT OF ESTIMATED REGULATORY COSTS: The Agency has determined that this will not have an adverse impact on small business or likely increase directly or indirectly regulatory costs in excess of $200,000 in the aggregate within one year after the implementation of the rule A SERC has not been prepared by the Agency. A checklist was prepared by the Agency to determine the need for a SERC. Also, based on this information at the time of the analysis and pursuant to Section 120.541, F.S., the rule will not require legislative ratification.

Any person who wishes to provide information regarding the statement of estimated regulatory costs or to provide a proposal for a lower cost regulatory alternative must do so in writing within 21 days of this notice.

The following changes have been made to the Florida Medicaid Dental Services Coverage and Limitations Handbook, September 2010.

Page 1-4 Health Access Settings.

Paragraph is changed to read:

Dentists who practice in health access settings as defined in Section 466.003(14), F.S., must enroll as treating dental providers affiliated with the facility. Health access settings are subject to Medicaid reimbursement limitations.

Page 1-5 Adds a new section and corresponding policy as follows:

Registered Dental Hygienist (RDH) Practicing in a Health Access Setting.

Preventive dental services provided to Medicaid beneficiaries by a RDH employed by or in contractual agreement with a health access facility may be reimbursed when those services are provided under the general supervision as defined in Section 466.003(10), F.S. of a dentist.

The Medicaid-enrolled supervising dentist at the facility where the RDH is employed or in a contractual agreement will be listed as the treating provider for these services.