Rules in Process

The following rules are currently in the rule promulgation process. Draft Florida Medicaid rule reference materials, if available, are provided for the public to access during the rule promulgation process. These documents are not final until they are adopted into rule. A sample agenda for all rule development workshops and proposed rule hearings is available here.

To access the rule history and notices published in the Florida Administrative Register (FAR), click on the rule name below. Reference materials that are not available on the FAR are listed by rule phase in PDF format below.

Official comments to be entered into the rule record following the publication of a Notice of Rule Development or Notice of Proposed Rule may be e-mailed to MedicaidRuleComments@ahca.myflorida.com. For general inquiries and questions about the rule, please contact the person specified in the rule notice published in the FAR. 

Rule Number Rule Name Rule Development Proposed Rule Notice of Change (NOC)
59G-4.028 Behavioral Health Assessment Services Draft Policy    
59G-4.031 Behavioral Health Community Support and Rehabilitation Services Draft Policy    
59G-4.050 Behavioral Health Therapy Services Draft Policy Development    
59G-13.070 Developmental Disabilities Individual Budgeting Waiver Services Draft Policy Development    
59G-13.081 Developmental Disabilities Individual Budgeting Waiver Services Provider Rate Table Draft Table    
59G-1.058 Eligibility FAR Notice Only FAR Notice Only  
59G-6.031 Enhanced Ambulatory Patient Grouping Reimbursement Methodology for Hospital Outpatient
Services and Ambulatory Surgical Centers
FAR Notice Only    
59G-1.060 Enrollment Policy Draft Policy Development*    
59G-1.050 General Medicaid Policy Draft Policy Development FAR Notice Only  
59G-7.003 Medicaid Third Party Liability Responsibility and Notices FAR Notice Only    
59G-1.045

Medicaid Forms

Consent for Voluntary Suspension of Authorized Services
Adults with Cystic Fibrosis Physician Referral
Acquired Immune Deficiency Syndrome (AIDS) Physician Referral
Model Waiver Physician Referral for Individuals at Risk of Hospitalization

 

Draft Development
Draft Development
Draft Development
N/A

 

Draft Proposed
Draft Proposed
Draft Proposed
Draft Proposed
 
59G-4.029 Medication Assisted Treatment Services Draft Policy    
59G-4.201 Neurology Services Draft Policy    
59G-4.160 Outpatient Hosptial Services Draft Policy    
59G-6.090 Payment Methodology for County Health Departments FAR Notice Only FAR Notice Only  
59G-6.020 Payment Methodology for Inpatient Hospital Services FAR Notice Only    
59G-6.010 Payment Methodology for Nursing Homes Draft Policy Development Draft Proposed  
59G-6.045 Payment Methodology for Services in Facilities Not Publicly Owned and Not Publicly Operated FAR Notice Only FAR Notice Only  
59G-4.251 Prescribed Drugs Reimbursement Methodology FAR Notice Only FAR Notice Only  
59G-4.260

Prescribed Pediatric Extended Care Services

Draft Policy Development Draft Policy Proposed Draft NOC [188KB]
59G-1.065 Provider Claims Reimbursement Draft Policy Development*    
59G-4.002

Provider Reimbursement Schedules and Billing Codes

Immunization Fee Schedule
Practitioner Fee Schedule
Prescribed Pediatric Extended Care Services Fee Schedule
Respiratory Therapy Services Fee Schedule
Prescribed Drugs Not Reviewed by PTC Fee Schedule

 

Draft Development
Draft Development
Draft Development
Draft Development
N/A

 

Draft Proposed
Draft Proposed
Draft Proposed
Draft Proposed
N/A






Draft NOC [449KB]
59G-4.300 State Mental Health Hospital Services Draft Policy Development Draft Policy Proposed  
59G-1.052 Third-Party Liability Requirements FAR Notice Only    

*Policy Draft is not available.

2018 Draft Fee Schedules

Agency Upcoming Workshops and/or Public Hearings