59G-5.020: Provider Requirements
PURPOSE AND EFFECT: The purpose of this proposed rule amendment to is to incorporate by reference update January 2008 to the Florida Medicaid Provider General Handbook. The handbook was updated to include the Prepaid Therapy Program, which was authorized by Section 409.912(42), F.S., and the fiscal year 2005-2006 General Appropriations Act. Certain eligibility categories of recipients under the age of 21 who are not enrolled in a managed care program, except for MediPass and the Children’s Medical Services Network, will be enrolled in the Prepaid Therapy Program for the provision of their therapy services. Recipients who are otherwise excluded from managed care will not be enrolled. The Agency for Health Care Administration (AHCA), Division of Medicaid will contract with vendors to administer the provision of therapy services to Medicaid recipients who are enrolled in the Prepaid Therapy Program. The effect of the rule amendment to Rule 59G-5.020, F.A.C., will be to incorporate by reference in rule update January 2008 to the Florida Medicaid Provider General Handbook.
SUBJECT AREA TO BE ADDRESSED: Provider Requirements.
SPECIFIC AUTHORITY: 409.919 FS.
LAW IMPLEMENTED: 409.902, 409.905, 409.906, 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:
TIME AND DATE: Tuesday, September 25, 2007, 2:00 p.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 DEVELOPMENT AND A COPY OF THE PRELIMINARY DRAFT, IF AVAILABLE, IS: Karen Girard, Agency for Health Care Administration, Bureau of Medicaid Services, 2727 Mahan Drive, MS 20, Tallahassee, Florida 32308, (850)668-4573, girardk@ahca.myflorida.com
THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS:
59G-5.020 Provider Requirements.
(1) All Medicaid providers enrolled in the Medicaid program and billing agents who submit claims to Medicaid on behalf of an enrolled Medicaid provider must comply with the provisions of the Florida Medicaid Provider General Handbook, January 2007, updated July 2007 and January 2008, which is incorporated by reference and available from the fiscal agent’s website at http://floridamedicaid.acs-inc.com. Click on Provider Support, and then on Handbooks. A Paper copy of the handbook may be obtained by calling Provider Enrollment at (800)377-8216.
(2) No change.
Specific Authority 409.919 FS. Law Implemented 409.902, 409.905, 409.906, 409.907, 409.908, 409.912, 409.913 FS. History–New 9-22-93, Formerly 10P-5.020, Amended 7-8-97, 1-9-00, 4-24-01, 8-6-01, 10-8-03, 1-19-05, 5-24-07,________.