Rule No.: RULE TITLE
59A-23.002: Definitions
59A-23.003: Authorization Procedures
59A-23.004: Quality Assurance
59A-23.005: Medical Records and Case Files
59A-23.006: Grievance Procedures
59A-23.007: Examination by the Agency for Health Care Administration
59A-23.009: Education Procedures
PURPOSE AND EFFECT: The Agency for Health Care Administration (AHCA) is proposing to amend Rules 59A-23.002, Definitions; 59A-23.003, Authorization Procedures, 59A-23.004, Quality Assurance; 59A-23.005, Medical Records and Case Files; and 59A-23.006, Grievance Procedures, 59A-23.007, Examination by the Agency for Health Care Administration, and 59A-23.009, Education Procedures, F.A.C to implement subsection (25) of Section 440.134, Florida Statutes. These proposed changes will specify: requirements and procedures for case management, requirements and procedures for quality assurance and medical records; requirements and procedures for dispute resolution; requirements and procedures for reporting data regarding grievances, and clarify workers’ compensation managed care arrangement definitions.
SUBJECT AREA TO BE ADDRESSED: Workers’ Compensation Managed Care Arrangements.
SPECIFIC AUTHORITY: 440.134(25) FS.
LAW IMPLEMENTED: 440.134 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: August 23, 2010, 9:00 a.m.
PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Build 3 Conference Room C, Tallahassee, Florida 32308
THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE DEVELOPMENT AND A COPY OF THE PRELIMINARY DRAFT, IF AVAILABLE, IS: Jane Martin, Managed Health Care, 2727 Mahan Drive, Building 1, Mail Stop 26, Tallahassee, Florida 32308, (850)412-4324

THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS AVAILABLE AT NO CHARGE FROM THE CONTACT PERSON LISTED ABOVE.