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.32,No.03, January 20, 2006 issue of the Florida Administrative Weekly.

These changes were made in response to comments received from the Joint Administrative Procedures Committee.

The proposed rule is incorporating by reference the Florida Medicaid State Mental Health Hospital Services Coverage and Limitations Handbook, September 2005. The following revisions were made to the handbook:

Chapter 1, page 1-2, Medicaid Decertification, the first sentence was revised to read, “If AHCA determines that Medicaid participation requirements have not been met, AHCA will cancel the facility from the Medicaid program.”

Chapter 1, page 1-3, Federal Certification Sanctions, the first sentence was revised to read, “The agency will impose the following sanctions for federal certification violations: . . .”

Chapter 1, page 1-4, Nursing Services, the first sentence was revised to read, “State mental health hospitals must meet all state and federal staffing requirements. State mental health hospitals must provide 24-hour nursing and related services to residents in order to maintain the highest levels of physical, mental and psychosocial well being of each resident, as determined by resident assessments and documented in individual plans of care.”