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. 36 No. 5, February 5, 2010 issue of the Florida Administrative Weekly.

The amendment to Rule 59G-4.025, F.A.C., Assistive Care Services, incorporates by reference in rule the Florida Medicaid Assistive Care Services Coverage and Limitations Handbook, July 2009. The following changes have been made to the handbook.

Page 1-1 Legal Authority. Paragraph two is changed to read as follows: “The Florida Medicaid Assistive Care Services Program is authorized by Chapter 409; Section 409.906(25), Florida Statutes (F.S.), and Rule 59G-4.025, Florida Administrative Code (F.A.C.).”

Page 1-5 Assistive Care Provider Responsibilities.

Number 9 is changed to read as follows: “Provide all ACS recipients with a personal needs allowance (PNA) in an amount equal to that set by Rule 65A-2.036, F.A.C.”

Number 12 is changed to read as follows: “Comply with the requirements of Rule Division 59G, F.A.C., the Florida Medicaid Provider General Handbook; the Florida Medicaid Provider Reimbursement Handbook, CMS-1500, and the Assistive Care Services Coverage and Limitations Handbook.”

APPENDIX C

Page C-1 ACTIVITIES. Paragraph is changed to read as follows: “The activities on this form match those listed on the Department of Elder Affairs Health Assessment Instrument, DOEA Form 701B, and the service components on the Certification for Medical Necessity for Assistive Care Services, AHCA-Med Serv Form 035. If the individual does not need any help with an activity, check “Independent.”

Page C-3 MANAGING MONEY. Paragraph is changed to read as follows: “Assistance includes: Facility staff manages resident’s funds as Representative Payee or Power of Attorney. Such assistance must comply with Section 429.24, Florida Statutes.

Example of an expected outcome for managing money: Resident’s funds will be spent as desired by the resident.”

Page C-4 Completion of Service Plan. The second bullet is changed to read as follows:

The service plan must be signed by the resident except:

● If the resident has a representative or designee established pursuant to Section 429.02, Florida Statutes, that person may sign the form on the resident’s behalf.