59G-13.131: Traumatic Brain and Spinal Cord Injury Waiver Services Fee Schedule
PURPOSE AND EFFECT: The proposed amendment to Rule 59G-13.131, F.A.C., incorporates by reference the Traumatic Brain Injury and Spinal Cord Injury Waiver Services Fee Schedule, July 2009. The revised fee schedule adds services specific to nursing home transition and increases the number of services from 12 to 14.
SUMMARY: The fee schedule is being changed to add two new services, transition case management and transition home modifications. These services are specific to nursing home transition activities and available only to those recipients who have transitioned on to the waiver from a nursing home placement. This rule is the stand alone rule for the Fee Schedule for services available under the Traumatic Brain Injury and Spinal Cord Injury (TBI/SCI) waiver.
SUMMARY OF STATEMENT OF ESTIMATED REGULATORY COSTS: The Agency has determined that this will not have an adverse impact on small business or likely increase directly or indirectly regulatory costs in excess of $200,000 in the aggregate within one year after the implementation of the rule. An SERC has not 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.
RULEMAKING AUTHORITY: 409.919 FS.
LAW IMPLEMENTED: 409.902, 409.906, 409.907, 409.908, 409.912, 409.913 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:
DATE AND TIME: Thursday, July 7, 2011, 2:30 p.m. – 3:30 p.m.
PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Conference Room D, Tallahassee, Florida 32308-5407
Pursuant to the provisions of the Americans with Disabilities Act, any person requiring special accommodations to participate in this workshop/meeting is asked to advise the agency at least 48 hours before the workshop/meeting by contacting: Arlene Walker at the Bureau of Medicaid Services, (850)412-4270. If you are hearing or speech impaired, please contact the agency using the Florida Relay Service, 1(800)955-8771 (TDD) or 1(800)955-8770 (Voice).
THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE IS: Arlene Walker, Medicaid Services, 2727 Mahan Drive, Mail Stop 20, Tallahassee, Florida 32308-5407, e-mail: arlene.walker@ahca.myflorida.com
THE FULL TEXT OF THE PROPOSED RULE IS:
59G-13.131 Traumatic Brain Injury and Spinal Cord Injury Waiver Services Fee Schedule.
All traumatic brain and spinal cord injury waiver services providers and their billing agents who submit claims on their behalf must be in compliance with the provisions of the Florida Medicaid Traumatic Brain and Spinal Cord Injury Waiver Services Fee Schedule, July 2009 October 2007, which is incorporated by reference. The fee schedule is available from the Medicaid fiscal agent’s Web site Portal at www.http://mymedicaid-florida.com. Select Click on Public Information for Providers, then on Provider Support, and then on Fee Schedules. Paper copies of the fee schedule may be obtained by calling the Provider Contact Center at 1(800)289-7799 and selecting option 7.
Rulemaking Authority 409.919 FS. Law Implemented 409.902, 409.906, 409.907, 409.908, 409.912, 409.913 FS. History–New 8-5-09, Amended________.