12589647, 59G-4.110 - Florida Administrative Rules, Law, Code, Register

Home

Florida Department of State and Division of Library and Information Services

Notice: 12589647

Notice of Proposed Rule

Department:

AGENCY FOR HEALTH CARE ADMINISTRATION

Division:

Medicaid

Chapter:

MEDICAID POLICY

Overview

RULE:

59G-4.110

Hearing Services

PURPOSE:

The purpose of the proposed amendment to Rule 59G-4.110 is to incorporate by reference the revised Florida Medicaid Hearing Services Coverage and Limitations Handbook, October 2012. With this amendment, the submission of prior authorization requests for the repair and maintenance of the external components of cochlear and BAHA implant will be reassigned to the manufacturer/provider and no longer required of the clinicians. This will eliminate the need for clinicians to purchase the repairs and components from the enrolled manufacturer and then obtain reimbursement from Medicaid. It will also result in policy clarifications for providers and will direct them to other information resources on the Medicaid Web site.

SUMMARY:

The revisions to the coverage and limitations handbook include clarification of general policy, place of service clarification, additional definitions, a new cochlear and BAHA implant policy, and updated fiscal agent information.

RULEMAKING AUTHORITY:

409.919 FS

LAW:

409.902, 409.906, 409.907, 409.908, 409.912, 409.913 FS

PRINT PUBLISH DATE:

1/30/2013 Vol. 39/20

COMMENTS:

From 1/30/2013 To 2/20/2013 (21 Days)
The public comment period for this notice has already expired.

REFERENCE MATERIALS:

No reference(s).

Under Florida law, E-mail addresses are public records. If you do not want your E-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.