Transcription of 59G-4.192 LTC Program Policy FINAL VERSION W NOC
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59G-4.192 LTC Program Policy FINAL VERSION W NOC
Florida Medicaid Statewide Medicaid managed Care long -term Care Program Coverage Policy Agency for Health Care Administration March 2017. Florida Medicaid Statewide Medicaid managed Care long -term Care Program Coverage Policy Table of Contents Introduction .. 1 Description and Program Goal .. 1 Legal Authority .. 1 Definitions .. 1 Eligible Recipient .. 3 General Criteria .. 3 Who Can Receive .. 3 Patient Responsibility .. 3 Eligible Provider .. 4 General Criteria .. 4 Who Can Provide .. 4 Coverage Information .. 4 General Criteria .. 4 Specific Criteria .. 4 Exclusion .. 8 Documentation .. 8 General Criteria .. 8 Specific Criteria .. 8 Authorization .. 9 Appendix .. 10 Statewide Medicaid managed Care long -term Care Provider Qualifications .. 10 Statewide Medicaid managed Care long -term Care Program Procedure Codes for Home and Community-Based Supportive Services.
1.3.11 Long-term Care Plan (LTC Plan) A managed care plan that provides the services described in section 409.98, F.S., for the long-term care program of the Statewide Medicaid Managed Care program. 1.3.12 Maintenance Therapy Therapy that is performed to …
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