59G-4.205: Practitioner Services
PURPOSE AND EFFECT: The purpose of new Rule 59G-4.205 is to incorporate by reference the new Florida Medicaid Practitioner Services Coverage and Limitations Handbook, December 2012.
SUMMARY: The new handbook applies to all Medicaid enrolled physicians, advanced registered nurse practitioners, physician assistants, anesthesiologist assistants, and registered nurse first assistants. Enrolled practitioners listed above must be in compliance with all provisions and requirements of the handbook. This includes policy clarification and updated information regarding billing.
SUMMARY OF STATEMENT OF ESTIMATED REGULATORY COSTS AND LEGISLATIVE RATIFICATION:
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.
The Agency has determined that the proposed rule is not expected to require legislative ratification based on the statement of estimated regulatory costs or if no SERC is required, the information expressly relied upon and described herein: A checklist was prepared by the Agency to determine the need for a SERC. 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 a statement of estimated regulatory costs, or provide a proposal for a lower cost regulatory alternative must do so in writing within 21 days of this notice.
RULEMAKING AUTHORITY: 409.919 FS
LAW IMPLEMENTED: 409.902, 409.905, 409.906, 409.907, 409.908, 409.9081, 409.912, 409.913 FS
A HEARING WILL BE HELD AT THE DATE, TIME AND PLACE SHOWN BELOW:
DATE AND TIME: March 7, 2013, 3:30 p.m. - 4:30 p.m.
PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Conference Room A, 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: Eleanor Cofer 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 IS: Eleanor Cofer, Medicaid Services, 2727 Mahan Drive, Mail Stop 20, Tallahassee, Florida 32308-5407, telephone: 850-412-4271, e-mail: eleanor.cofer@ahca.myflorida.com. To download a draft copy of this rule, if available, go to http://ahca.myflorida.com/Medicaid/review/index.shtml.
THE FULL TEXT OF THE PROPOSED RULE IS:
59G-4.205 Practitioner Services.
(1) This rule applies to all physicians, advanced registered nurse practitioners, physician assistants, anesthesiologist assistants, and registered nurse first assistants enrolled in the Medicaid program.
(2) All practitioner providers listed above and enrolled in the Medicaid program must be in compliance with the provisions of the Florida Medicaid Practitioner Services Coverage and Limitations Handbook, December 2012, incorporated by reference. The handbook is available from the Medicaid fiscal agent’s Web site at www.mymedicaid-florida.com. Select Public Information for Providers, then Provider Support, and then Provider Handbooks. A paper copy of the handbook may be obtained by calling the Provider Services Contact Center at 1-800-289-7799 and selecting Option 7.
Rulemaking Authority 409.919 FS. Law Implemented . 409.902, 409.905, 409.906, 409.907, 409.908, 409.9081, 409.912, 409.913 FS. History–New .