59G-6.010 : Payment Methodology for Nursing Home Services - Florida Administrative Rules, Law, Code, Register

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Rule Title: Payment Methodology for Nursing Home Services
Department:	AGENCY FOR HEALTH CARE ADMINISTRATION	Add to MyFLRules Favorites
Division:	Medicaid
Chapter:	REIMBURSEMENT TO PROVIDERS

Latest version of the final adopted rule presented in Florida Administrative Code (FAC):

	Effective Date:	9/14/2021
	History Notes:	Rulemaking Authority 409.919, 409.9082 FS. Law Implemented 409.908, 409.9082, 409.913 FS. History–New 7-1-85, Amended 10-1-85, Formerly 10C-7.482, Amended 7-1-86, 1-1-88, 3-26-90, 9-30-90, 12-17-90, 9-15-91, 3-26-92, 10-22-92, 4-13-93, 6-27-93, Formerly 10C-7.0482, Amended 4-10-94, 9-22-94, 5-22-95, 11-27-95, 11-6-97, 2-14-99, 10-17-99, 1-11-00, 4-24-00, 9-20-00, 11-20-01, 2-20-02, 7-14-02, 1-8-03, 6-11-03, 12-3-03, 2-16-04, 7-21-04, 10-12-04, 4-19-06, 7-1-06, 8-26-07, 2-12-08, 9-22-08, 3-3-10, 2-23-11, 5-3-12, 2-13-14, 1-19-15, 5-3-15, 7-17-16, 8-6-17, 3-25-18, 4-15-20, 9-14-21.
	References in this version:	No reference(s).

History of this Rule since Jan. 6, 2006

Section	Description	ID	Publish Date

Development 59G-6.010	The purpose of the amendment to Rule 59G-6.010, Florida Administrative Code, (F.A.C.), is to update the definition of "Direct Care Cost Component." The revision includes personal care attendant (PCA) services in the "Direct ....	28064639	2/16/2024 Vol. 50/33
Final 59G-6.010	Payment Methodology for Nursing Home Services	24941821	Effective: 09/14/2021
Proposed 59G-6.010	The purpose of the amendment to Rule 59G-6.010, Florida Administrative Code, is to clarify Process and Structure Measures and remove references to Medicaid Trend Adjustment (MTA) to reflect use of Budget Neutrality Factor ....	24656544	6/17/2021 Vol. 47/117
Development 59G-6.010	The purpose of the amendment to Rule 59G-6.010, Florida Administrative Code, is to clarify Process and Structure Measures and remove references to Medicaid Trend Adjustment (MTA) to reflect use of Budget Neutrality Factor ....	24330333	3/19/2021 Vol. 47/54
Final 59G-6.010	Payment Methodology for Nursing Home Services	23096008	Effective: 04/15/2020
Change 59G-6.010	Payment Methodology for Nursing Home Services	22901426	2/10/2020 Vol. 46/27
Proposed 59G-6.010	The purpose of the amendment to Rule 59G-6.010, Florida Administrative Code, is to incorporate the reimbursement methodology for Nursing Home Services using the prospective payment methodology in accordance with section ....	22594518	11/15/2019 Vol. 45/223
Development 59G-6.010	The purpose of the amendment to Rule 59G-6.010, Florida Administrative Code, is to incorporate the reimbursement methodology for Nursing Home Services using the prospective payment methodology in accordance with section ....	21838209	5/10/2019 Vol. 45/92
Final 59G-6.010	Payment Methodology for Nursing Home Services	20171652	Effective: 03/25/2018
Change 59G-6.010	Payment Methodology for Nursing Home Services	20039538	2/7/2018 Vol. 44/26
Proposed 59G-6.010	The purpose of the amendment to Rule 59G-6.010, Florida Administrative Code, is to incorporate by reference Florida Title XIX Long-Term Care Reimbursement Plan (the Plan), Version XLV, effective July 1, 2017.	19852231	12/18/2017 Vol. 43/242
Development 59G-6.010	The purpose of the amendment to Rule 59G-6.010, Florida Administrative Code, is to incorporate by reference Florida Title XIX Long-term Care Reimbursement Plan (the Plan), Version XLV, effective July 1, 2017.	19528445	10/12/2017 Vol. 43/198
Final 59G-6.010	Payment Methodology for Nursing Home Services	19221731	Effective: 08/06/2017
Proposed 59G-6.010	The purpose of the amendment to Rule 59G-6.010, Florida Administrative Code, is to incorporate by reference Florida Title XIX Long-Term Care Reimbursement Plan (the Plan), Version XLIV, effective July 1, 2016.	18903086	4/27/2017 Vol. 43/82
Development 59G-6.010	The purpose of the amendment to Rule 59G-6.010, Florida Administrative Code, is to incorporate by reference Florida Title XIX Long-term Care Reimbursement Plan (the Plan), Version XLIV, effective July 1, 2016.	17982944	9/9/2016 Vol. 42/176
Final 59G-6.010	Payment Methodology for Nursing Home Services	17727446	Effective: 07/17/2016
Change 59G-6.010	Payment Methodology for Nursing Home Services	17596205	6/2/2016 Vol. 42/107
Hearing 59G-6.010	Payment Methodology for Nursing Home Services	17496586	5/10/2016 Vol. 42/91
Proposed 59G-6.010	The purpose of the amendment to Rule 59G-6.010, Florida Administrative Code, is to incorporate by reference Florida Title XIX Long-term Care Reimbursement Plan (the Plan), Version XLIII, effective July 1, 2015.	17155922	2/17/2016 Vol. 42/32
Development 59G-6.010	The purpose of the amendment to Rule 59G-6.010 is to incorporate by reference Florida Title XIX Long-term Care Reimbursement Plan (the Plan), Version XLIII, effective July 1, 2015. The amendment also specifies the rule is ....	16796828	11/19/2015 Vol. 41/225
Final 59G-6.010	Payment Methodology for Nursing Home Services	15916747	Effective: 05/03/2015
Proposed 59G-6.010	The purpose of the amendment to Rule 59G-6.010 is to incorporate by reference the Florida Title XIX Long-Term Care Reimbursement Plan (the Plan), Version XLII, effective July 1, 2014.	15634380	2/5/2015 Vol. 41/24
Final 59G-6.010	Payment Methodology for Nursing Home Services	15498483	Effective: 01/19/2015
Change 59G-6.010	Payment Methodology for Nursing Home Services	15303028	11/21/2014 Vol. 40/227
Correction 59G-6.010	Payment Methodology for Nursing Home Services	15004559	9/2/2014 Vol. 40/170
Proposed 59G-6.010	The purpose of the amendment to Rule 59G-6.010 is to incorporate by reference the Title XIX Long-Term Care Reimbursement Plan (the Plan), Version XLI, effective July 1, 2013.	14989427	8/27/2014 Vol. 40/167
Development 59G-6.010	The purpose of the amendment to Rule 59G-6.010 is to incorporate by reference Florida Title XIX Long-term Care Reimbursement Plan, Version XLII, effective July 1, 2014, (the Plan). The amendment will update the Plan to reflect ....	14670782	6/10/2014 Vol. 40/112
Final 59G-6.010	Payment Methodology for Nursing Home Services	14114972	Effective: 02/13/2014
Change 59G-6.010	Payment Methodology for Nursing Home Services	13894782	12/4/2013 Vol. 39/234
Correction 59G-6.010	Payment Methodology for Nursing Home Services	13452559	8/29/2013 Vol. 39/169
Proposed 59G-6.010	The purpose of the amendment to Rule 59G-6.010 is to incorporate by reference the Title XIX Long-Term Care Reimbursement Plan (the Plan), effective July 1, 2012. The rule will update the Plan to reflect changes authorized ....	13153023	6/25/2013 Vol. 39/123
Development 59G-6.010	The purpose of the amendment to Rule 59G-6.010 is to incorporate by reference the Title XIX Long-Term Care Reimbursement Plan (the Plan), effective July 1, 2013. The rule will update the Plan to reflect changes authorized ....	13135272	6/19/2013 Vol. 39/119
Development 59G-6.010	The purpose of the amendment to Rule 59G-6.010, F.A.C., is to incorporate by reference the Title XIX Long-Term Care Reimbursement Plan (the Plan), effective July 1, 2012. The rule will update the Plan to reflect changes ....	11645449	6/29/2012 Vol. 38/26
Final 59G-6.010	Payment Methodology for Nursing Home Services	11411388	Effective: 05/03/2012
Correction 59G-6.010	Payment Methodology for Nursing Home Services	11124656	3/2/2012 Vol. 38/09
Proposed 59G-6.010	he purpose of this rule is to incorporate by reference the Florida Title XIX Long-Term Care Reimbursement Plan (the Plan), effective July 1, 2011. The Plan, effective July 1, 2011, includes revisions made in accordance with ....	10914069	1/20/2012 Vol. 38/03
Development 59G-6.010	The amendments to Rule 59G-6.010, F.A.C., incorporate by reference the Florida Title XIX Long-Term Care Reimbursement Plan (the Plan), effective July 1, 2011. The Plan, effective July 1, 2011, includes revisions made in ....	10008186	6/17/2011 Vol. 37/24
Final 59G-6.010	Payment Methodology for Nursing Home Services	9674409	Effective: 02/23/2011
Change 59G-6.010	Payment Methodology for Nursing Home Services	9480603	12/17/2010 Vol. 36/50
Proposed 59G-6.010	The purpose and effect of the proposed rule is to incorporate changes to the Florida Title XIX Long-Term Care Reimbursement Plan, effective July 1, 2010, providing clarifying and editorial changes to the Florida Title XIX ....	9325403	11/5/2010 Vol. 36/44
Development 59G-6.010	The purpose and effect of the proposed rule development is to incorporate editorial changes to the Florida Title XIX Long-Term Care Reimbursement Plan along with detail regarding nursing home staffing ratios found in House ....	8806841	6/25/2010 Vol. 36/25
Final 59G-6.010	Payment Methodology for Nursing Home Services	8308552	Effective: 03/03/2010
Final 59G-6.010	Payment Methodology for Nursing Home Services	8308455	Effective: 03/03/2010
Final 59G-6.010	Payment Methodology for Nursing Home Services	8308358	Effective: 03/03/2010
Final 59G-6.010	Payment Methodology for Nursing Home Services	8308261	Effective: 03/03/2010
Correction 59G-6.010	Payment Methodology for Nursing Home Services	8023663	12/18/2009 Vol. 35/50
Proposed 59G-6.010	The purpose and effect of the proposed rule is to incorporate changes to the Florida Title XIX Long-Term Care Reimbursement Plan effective July 1, 2009, in accordance with Senate Bill 2600, the 2009-10 General Appropriations ....	7926857	11/20/2009 Vol. 35/46
Proposed 59G-6.010	The purpose and effect of the proposed rule is to incorporate changes to the Florida Title XIX Long-Term Care Reimbursement Plan in accordance with Senate Bill 8A, from the January 2009 Special Session, which created Section ....	7926760	11/20/2009 Vol. 35/46
Proposed 59G-6.010	The purpose and effect of the proposed rule is to incorporate changes to the Florida Title XIX Long-Term Care Reimbursement Plan in accordance with Senate Bill 2-A, 2008-2009 Special Appropriations Act, Specific Appropriation ....	7926663	11/20/2009 Vol. 35/46
Proposed 59G-6.010	The purpose of the proposed rule is to incorporate changes to the Florida Title XIX Long-Term Care Reimbursement Plan (the Plan) payment methodology, effective January 1, 2009, in accordance with House Bill 5001, 2008-09 ....	7926469	11/20/2009 Vol. 35/46
Validity 59G-6.010	Avante Villa at Jacksonville, Inc. d/b/a Avante at Jacksonville Beach vs. Agency for Health Care Administration; Case No.: 08-6035RP; Rule No.: 59G-6.010; Dismissed	7599482	9/4/2009 Vol. 35/35
Validity 59G-6.010	SA-PG Clearwater, LLC, d/b/a Palm Garden of Clearwater vs. Agency for Health Care Administration; Case No.: 08-6034RP; Rule No.: 59G-6.010; Dismissed	7599385	9/4/2009 Vol. 35/35
Withdrawal 59G-6.010	Payment Methodology for Nursing Home Services	7382978	7/17/2009 Vol. 35/28
Development 59G-6.010	The proposed rule development incorporates changes to the Florida Title XIX Long-Term Care Reimbursement Plan effective July 1, 2009, in accordance with Senate Bill 2600 and, 2009-10 General Appropriations Act, Specific ....	7295193	6/26/2009 Vol. 35/25
Development 59G-6.010	To incorporate changes to the Florida Title XIX Long-Term Care Reimbursement Plan in accordance with Senate Bill 8A, from the January 2009 Special Session, which created Section 409.908(2), Florida Statutes as follows: Effective ....	6951328	3/27/2009 Vol. 35/12
Development 59G-6.010	To incorporate changes to the Florida Title XIX Long-Term Care Reimbursement Plan in accordance with Senate Bill 2-A, 2008-2009 Special Appropriations Act, Specific Appropriation 116. Effective March 1, 2009, the Agency ....	6823773	2/27/2009 Vol. 35/08
Development 59G-6.010	The purpose and effect of the proposed rule development is to incorporate changes to the Florida Title XIX Long-Term Care Reimbursement Plan payment methodology, effective January 1, 2009. The proposed rule is in accordance ....	6714745	1/30/2009 Vol. 35/04
Validity 59G-6.010	Avante Villa at Jacksonville Beach, Inc. d/b/a Avante at Jacksonville Beach vs. Agency for Health Care Administration; Case No.: 08-6035RP; Rule No.: 59G-6.010; Petition	6648688	1/16/2009 Vol. 35/02
Validity 59G-6.010	SA-PG Clearwater, LLC, d/b/a Palm Garden of Clearwater vs. Agency for Health Care Administration; Case No.: 08-6034RP; Rule No.: 59G-6.010; Petition	6648591	1/16/2009 Vol. 35/02
Proposed 59G-6.010	The purpose of the proposed rule is to incorporate changes to the Florida Title XIX Long-Term Care Reimbursement Plan (the Plan) payment methodology, effective July 1, 2008. 1. Section IV. J.3. of the Title XIX Long-Term ....	6317724	10/24/2008 Vol. 34/43
Final 59G-6.010	Payment Methodology for Nursing Home Services	6143997	Effective: 09/22/2008
Validity 59G-6.010	Florida Health Care Assoc., Inc., A Florida Corp. Not for Profit; and Florida Assoc. .... vs. Agency for Health Care Administration; Case No.: 08-2084RP; Rule No.: 59G-6.010; Dismissed	6101802	8/29/2008 Vol. 34/35
Development 59G-6.010	To incorporate changes to the Florida Title XIX Long-Term Care Reimbursement Plan payment methodology, effective July 1, 2008. The proposed rule is in accordance with House Bill 5001, 2008-09 General Appropriations Act, ....	5778404	6/27/2008 Vol. 34/26
Validity 59G-6.010 ......	Florida Health Care Assoc., Inc., A Florida Corp. Not For Profit; Florida Assoc. .... vs. Agency for Health Care Administration; Case No.: 08-2084RP; Rule No.: 59G-6.010, 59G-6.020; Petition	5737567	6/6/2008 Vol. 34/23
Proposed 59G-6.010	To incorporate changes to the Florida Title XIX Long-Term Care Reimbursement Plan (the Plan) payment methodology, effective January 1, 2008. 1. Effective January 1, 2008, an additional Medicaid Trend Adjustment shall be ....	5369161	3/14/2008 Vol. 34/11
Development 59G-6.010	To incorporate changes to the Florida Title XIX Long-Term Care Reimbursement Plan payment methodology, effective January 1, 2008. In accordance with Senate Bill 2-C, 2007-08 Special Appropriations, Specific Appropriation ....	5239375	2/15/2008 Vol. 34/07
Final 59G-6.010	Payment Methodology for Nursing Home Services	5195337	Effective: 02/12/2008
Proposed 59G-6.010	The purpose of the proposed rule is to incorporate changes to the Florida Title XIX Long-Term Care Reimbursement Plan (the Plan) payment methodology, effective July 1, 2007. 1. The operating and indirect patient care component ....	4767082	10/26/2007 Vol. 33/43
Final 59G-6.010	Payment Methodology for Nursing Home Services	4502078	Effective: 08/26/2007
Development 59G-6.010	The purpose and effect of the proposed rule development is to incorporate changes to the Florida Title XIX Long-Term Care Reimbursement Plan payment methodology, effective July 1, 2007. 1. The operating and indirect patient ....	4331261	7/6/2007 Vol. 33/27
Change 59G-6.010	Payment Methodology for Nursing Home Services	4291685	6/29/2007 Vol. 33/26
Misc 59G-6.010	59G-6.010	4293819	6/29/2007 Vol. 33/26
Change 59G-6.010	Payment Methodology for Nursing Home Services	4243282	6/15/2007 Vol. 33/24
Validity 59G-6.010	Manor Pines Convalescent Center, LLC vs. Agency for Health Care Administration; Case No.: 06-3489RX; Rule No.: 59G-6.010; Invalid	4244543	6/1/2007 Vol. 33/22
Change 59G-6.010	Payment Methodology for Nursing Home Services	4075472	5/4/2007 Vol. 33/18
Proposed 59G-6.010	The purpose and effect of the proposed rule is to incorporate changes to the Florida Title XIX Long-Term Care Reimbursement Plan. The certified nursing assistant staffing ratio will be modified in accordance with Section ....	3930651	3/30/2007 Vol. 33/13
Development 59G-6.010	The purpose and effect of the proposed rule development is to incorporate changes to the Florida Title XIX Long-Term Care Reimbursement Plan payment methodology, effective January 1, 2007.	3575243	2/16/2007 Vol. 33/07
Final 59G-6.010	Payment Methodology for Nursing Home Services	1850001	Effective: 07/01/2006
Development 59G-6.010	The purpose and effect of the proposed rule development is to incorporate changes to the Florida Title XIX Long-Term Care Reimbursement Plan payment methodology, effective July 1, 2006, in accordance with the 2006-07 General ....	380645	6/2/2006 Vol. 32/22
Change 59G-6.010	Payment Methodology for Nursing Home Services	310611	5/5/2006 Vol. 32/18
Proposed 59G-6.010	The purpose of the proposed rule is to incorporate changes to the Florida Title XIX Long-Term Care Reimbursement Plan (the Plan) payment methodology, effective upon adoption of this rule. 1. The Agency is deleting the low ....	271908	4/28/2006 Vol. 32/17
Variances 59G-6.010	NOTICE IS hereby given that a Petition for Emergency Variance was received on February 6, 2006 from Cross City Rehabilitation & Health Care Center, 583 N. E. 351 Highway, Cross City, Florida, 32628. This petition involves ....	106135	2/17/2006 Vol. 32/07
Variances 59G-6.010	Emergency Variance from Cross City Rehabilitation & Health Care Center, 583 N. E. 351 Highway, Cross City, Florida, 32628. This petition involves applicable Rule 59G-6.010, F.A.C., which incorporates by reference the Florida ....	169767	2/17/2006 Vol. 32/07
Development 59G-6.010	The purpose of the proposed rule is to incorporate changes to the Florida Title XIX Long-Term Care Reimbursement Plan payment methodology, effective upon the final adoption of this rule: The Agency is deleting the low occupancy ....	108463	3/3/2006 Vol. 32/09
Change 59G-6.010	Payment Methodology for Nursing Home Services	121946	3/3/2006 Vol. 32/09

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