59G-4.260: Prescribed Pediatric Extended Care Services
PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-4.260, F.A.C., is to incorporate by reference the Florida Medicaid Prescribed Pediatric Extended Care Services Coverage and Limitations Handbook, February 2012. Prescribed Pediatric Extended Care (PPEC) centers provide medical, nursing, and personal care to those children who are medically complex and require such services. This handbook is for Medicaid enrolled and potential Medicaid enrolled PPEC providers in the State of Florida. The handbook revises service authorization procedures, which are now handled by a Medicaid contracted Quality Improvement Organization. The language has been updated to include appropriate procedures for Medicaid reimbursement for PPEC providers. The handbook clarifies policy and reimbursement rules.
SUBJECT AREA TO BE ADDRESSED: Medicaid Prescribed Pediatric Extended Care Services.
An additional area to be addressed during the workshop will be the potential regulatory impact the amendment to Rule 59G-4.260, F.A.C., will have as provided for under Sections 120.54 and 120.541, F.S.
RULEMAKING AUTHORITY: 409.919 FS.
LAW IMPLEMENTED: 409.902, 409.905, 409.907, 409.908, 409.912, 409.913 FS.
IF REQUESTED IN WRITING AND NOT DEEMED UNNECESSARY BY THE AGENCY HEAD, A RULE DEVELOPMENT WORKSHOP WILL BE HELD AT THE DATE, TIME AND PLACE SHOWN BELOW:
DATE AND TIME: Wednesday, April 11, 2012, 9:00 a.m. – 10:30 a.m.
PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Conference Room B, Tallahassee, Florida 32308-5407
Pursuant to the provisions of the Americans with Disabilities Act, any person requiring special accommodations to participate in this workshop/meeting is asked to advise the agency at least 48 hours before the workshop/meeting by contacting: Elaine Grace at the Bureau of Medicaid Services, (850) 412-4271. If you are hearing or speech impaired, please contact the agency using the Florida Relay Service, 1(800)955-8771 (TDD) or 1(800)955-8770 (Voice).
THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE DEVELOPMENT AND A COPY OF THE PRELIMINARY DRAFT, IF AVAILABLE, IS: Elaine Grace, Medicaid Services, 2727 Mahan Drive, Mail Stop 20, Tallahassee, Florida 32308-5407, telephone: (850)412-4271, e-mail: elaine.grace@ahca.myflorida.com
THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS:
59G-4.260 Prescribed Pediatric Extended Care Services.
(1) This rule applies to all Prescribed Pediatric Extended Care (PPEC) service providers enrolled in the Medicaid program.
(2) All Medicaid enrolled prescribed pediatric extended care service providers must be in compliance with the Florida Medicaid Prescribed Pediatric Extended Care Services Coverage and Limitations Handbook, February 2012 February 2007, incorporated by reference, and the Florida Medicaid Provider Reimbursement Handbook, CMS-1500, which is incorporated in Rule 59G-4.001, F.A.C. The Both handbooks is are available from the Medicaid fiscal agent’s Web site website at www.mymedicaid-florida.com http://floridamedicaid.acs-inc.com. Select Public information for Providers, then Click on Provider Support, and then on Handbooks. A paper copy Paper copies of the handbooks may be obtained by calling the Provider Contact Center at 1(800)289-7799 and selecting Option 7 Provider Enrollment at (800)377-8216.
Rulemaking Specific Authority 409.919 FS. Law Implemented 409.902, 409.905, 409.907, 409.908, 409.912, 409.913 FS. History– New 8-27-91, Amended 4-21-92, 3-9-93, Formerly 10C-7.0471, Amended 2-11-96, 2-22-00, 5-11-04, 4-24-07,________.