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 .. 19 i March 2017. Florida Medicaid Statewide Medicaid Managed Care long -term Care Program Coverage Policy Introduction Description and Program Goal Under the Statewide Medicaid Managed Care long -term Care (LTC) Program , managed care plans (LTC plans) are required to provide an array of home and community-based services that enable enrollees to live in the community and to avoid institutionalization.

community-based services and supports. 1.3.17 Patient Responsibility The amount an enrollee is responsible to pay towards LTC services, as determined by the Department of Children and Families (DCF). 1.3.18 Plan of Care A description of the enrollee’s goals for long-term care, the services and supports

Loading..

Tags:

  Services, Terms, Support, Long, Support services and

Information

Related search queries