59G-4.105: Freestanding Dialysis Center Services
59G-4.106: Freestanding Dialysis Center Fee Schedule
PURPOSE AND EFFECT: The purpose of the proposed rule amendment to Rule 59G-4.105, F.A.C., is to incorporate by reference in rule the Florida Medicaid Freestanding Dialysis Center Coverage and Limitations Handbook, May 2009. The revised handbook includes updated policy for billing for dialysis treatments and injectable medications and updated references to the new Medicaid fiscal agent’s Web Portal. The effect will be to incorporate by reference in rule the Florida Medicaid Freestanding Dialysis Center Coverage and Limitations Handbook, May 2009.
The purpose of Rule 59G-4.106, F.A.C., is to incorporate by reference in rule the Freestanding Dialysis Center Fee Schedule, May 2009. The effect will be to incorporate by reference in rule the Freestanding Dialysis Center Fee Schedule, May 2009.
In the Notice of Rule Development we stated the effective dates of the handbook and fee schedule were January 2009. We changed these dates to May 2009.
SUMMARY: The purpose of the rule amendment to Rule 59G-4.105, F.A.C., is to incorporate by reference in rule the Florida Medicaid Freestanding Dialysis Center Coverage and Limitations Handbook, May 2009. The purpose of Rule 59G-4.106, F.A.C., is to incorporate by reference in rule the Freestanding Dialysis Center Fee Schedule, May 2009.
SUMMARY OF STATEMENT OF ESTIMATED REGULATORY COSTS: The agency has determined that this rule will have an impact on small business. A SERC has been prepared by the agency.
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, 409.908 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):
DATE AND TIME: Wednesday, May 6, 2009, 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 IS: Jamie Simpson, Program Analyst, Bureau of Medicaid Services, 2727 Mahan Drive, M.S. #20, Tallahassee, Florida 32308; (850)922-7308; simpsonj@ahca. myflorida.com
THE FULL TEXT OF THE PROPOSED RULE IS:
59G-4.105 Freestanding Dialysis Center Services.
(1) No change.
(2) All freestanding dialysis center service providers enrolled in the Medicaid Program must comply with the Florida Medicaid Freestanding Dialysis Center Coverage and Limitations Handbook, May 2009 November 1998, incorporated by reference, and the Florida Medicaid Provider Reimbursement Handbook, UB-04 92, which is incorporated by reference in Rule 59G-4.003 59G-4.160, F.A.C. Both handbooks are available from the Medicaid fiscal agent’s Web Portal at http://mymedicaid-florida.com. Click on Public Information for Providers, then on Provider Support, and then on Provider Handbooks.
Rulemaking Specific Authority 409.919 FS. Law Implemented 409.906, 409.908 FS. History–New 8-24-99, Amended________.
59G-4.106 Freestanding Dialysis Center Fee Schedule.
(1) This rule applies to all freestanding dialysis center services providers enrolled in the Medicaid Program.
(2) All freestanding dialysis center services providers enrolled in the Medicaid Program must be in compliance with the Freestanding Dialysis Center Fee Schedule, May 2009, which is incorporated by reference. The Fee Schedule is available from the Medicaid fiscal agent’s Web Portal at http://mymedicaid-florida.com. Click on Public Information for Providers, then on Provider Support, and then on Fee Schedules.
Rulemaking Authority 409.919 FS. Law Implemented 409.906, 409.908 FS. History–New________.