Notice of Proposed Rule

AGENCY FOR HEALTH CARE ADMINISTRATION
Medicaid
RULE NO: RULE TITLE
59G-4.210: Optometric Services
PURPOSE AND EFFECT: The purpose of the proposed rule amendment is to incorporate by reference Update January 2007 to the Florida Medicaid Optometric Services Coverage and Limitations Handbook. The handbook update includes Medicaid coverage for eyeglasses and for visual exams for the purpose of prescribing eyeglasses for recipients age 21 and older, which the Legislature reinstated effective July 2007. The handbook update also contains coverage of lacrimal punctum plugs and revisions in provider enrollment policies due to the National Provider Identifier (NPI). The effect will be to incorporate by reference in the rule Update January 2007 to the Florida Medicaid Optometric Services Coverage and Limitations Handbook.
In the Notice of Rule Development published in the Vol. 32, No. 29, July 21, 2006 issue of the Florida Administrative Weekly, we stated that the Florida Medicaid Optometric Services Coverage and Limitations Handbook update was effective July 2006. We changed the effective date to January 2007.
SUMMARY: The purpose of the proposed rule amendment is to incorporate by reference Update January 2007 to the Florida Medicaid Optometric Services Coverage and Limitations Handbook. The effect will be to incorporate by reference in the rule Update January 2007 to the Florida Medicaid Optometric Services Coverage and Limitations Handbook.
SUMMARY OF ESTIMATED REGULATORY COSTS: No Statement of Estimated Regulatory Cost was prepared.
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.
SPECIFIC AUTHORITY: 409.919 FS.
LAW IMPLEMENTED: 409.906, 409.907, 409.908, 409.9081 FS.
IF REQUESTED WITHIN 21 DAYS OF THE DATE OF THIS NOTICE, A HEARING WILL BE HELD AT THE DATE,TIME AND PLACE SHOWN BELOW(IF NOT REQUESTED, THIS HEARING WILL NOT BE HELD):
TIME AND DATE: Wednesday, January 3, 2007, 10:00 a.m.
PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Building #3, Conference Room D, Tallahassee, Florida
THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE IS: Jason Ottinger, Agency for Health Care Administration, Bureau of Medicaid Services, 2727 Mahan Drive, MS 20, Tallahassee, Florida 32308, (850)922-7314

THE FULL TEXT OF THE PROPOSED RULE IS:

59G-4.210 Optometric Services.

(1) No change.

(2) All optometric practitioners enrolled in the Medicaid program must be in compliance with the provisions of the Florida Medicaid Optometric Services Coverage and Limitations Handbook, January 2006, updated January 2007, which is incorporated by reference, and the Florida Medicaid Provider Reimbursement Handbook, CMS-1500, which is incorporated by reference in Rule 59G-4.001, F.A.C. Both handbooks are available from the Medicaid fiscal agent’s website at http://floridamedicaid.acs-inc.com. Click on Provider Support, and then on Handbooks. Paper copies of the handbooks may be obtained by calling Provider Inquiry at (800)377-8216.

Specific Authority 409.919 FS. Law Implemented 409.906, 409.907, 409.908, 409.9081 FS. History–New 4-13-93, Amended 7-1-93, Formerly 10C-7.069, Amended 12-21-97, 10-13-98, 5-24-99, 4-23-00, 7-5-01, 2-20-03, 8-5-03, 5-24-05, 8-18-05, 5-22-06,_________.


NAME OF PERSON ORIGINATING PROPOSED RULE: Jason Ottinger
NAME OF SUPERVISOR OR PERSON WHO APPROVED THE PROPOSED RULE: Christa Calamas
DATE PROPOSED RULE APPROVED BY AGENCY HEAD: November 20, 2006
DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAW: July 21, 2006