The Agency for Health Care Administration (AHCA) has released notices regarding the development of rulemaking for essential services under Florida Medicaid. These notices seek to align coverage policies with statutory requirements and introduce necessary changes to improve service delivery. Below is a summary of each Notice of Development of Rulemaking.

Home Health Visit Services (Rule 59G-4.130)

AHCA is initiating rule development for Home Health Visit Services in Florida Medicaid, as outlined in Rule 59G-4.130. The primary goal is to update the coverage policy to ensure alignment with statutory mandates, aiming to enhance the quality and accessibility of home health services for Medicaid beneficiaries. To foster stakeholder engagement, AHCA will host a workshop on April 18, 2024, to discuss potential regulatory impacts. Interested parties are encouraged to submit feedback via email until April 19, 2024. The proposed rule development and preliminary text are available for review and comment.

Private Duty Nursing Services (Rule 59G-4.261)

AHCA is also undertaking rule development for Private Duty Nursing and Family Home Health Aide Services, governed by Rule 59G-4.261 in Florida Medicaid. The objective is to update the coverage policy to align with statutory requirements, including the incorporation of new definitions and technical changes. This initiative aims to optimize the delivery of nursing services and enhance support for families in need of home health care. A workshop is scheduled for April 18, 2024, to discuss potential regulatory impacts, and stakeholders can submit feedback via email by April 19, 2024. Detailed information, including the preliminary text of the proposed rule, is provided for review.

Provider Reimbursement Schedules and Billing Codes (Rule 59G-4.002)

AHCA is initiating rule development for Rule 59G-4.002 concerning Provider Reimbursement Schedules and Billing Codes in Florida Medicaid. The purpose of the amendment is to update fee schedules and billing codes to ensure alignment with statutory requirements. AHCA will conduct a workshop to discuss potential regulatory impacts, and stakeholders can provide feedback until April 22, 2024, via email. The preliminary text of the proposed rule development, including fee schedules and billing codes, is available for review. The rule will be effective five years from its effective date, with AHCA citing rulemaking authority and implemented laws. Interested parties are encouraged to access the relevant materials and submit comments for consideration.

Stakeholder participation in the upcoming workshops and feedback is crucial to refining Medicaid policies and regulations. For additional information or to provide feedback, please click here or contact MedicaidRuleComments@ahca.myflorida.com.