March 18, 2016

DEPARTMENT TO PROPOSE ADDITIONS TO PHYSICIAN ATTESTATION FORM AT UPCOMING CMS PLAN RULEMAKING WORKSHOP

Rulemaking Workshop Scheduled for April 20

Contact:
Communications Office
NewsMedia@flhealth.gov
(850) 245-4111

Tallahassee, Fla.—The Florida Department of Health is continuing the administrative rulemaking process regarding clinical eligibility criteria for the Children’s Medical Services Managed Care Plan (CMS Plan). The CMS Plan provides high quality, specialty health care to Title XIX and Title XXI children with serious and chronic health care needs.

Since its development and implementation, the department has received written suggestions for changes to the clinical eligibility screening form. The department has worked closely with CMS regional medical directors to evaluate these comments, and together they have agreed to propose changes to the physician attestation form. At the April 20 workshop, the department will present changes to add diagnostic codes for diabetes to the form and to expand the existing congenital cardiac category to include all congenital malformations of the circulatory system.

“The department is dedicated to continuously improve all services we provide,” said Interim State Surgeon General Dr. Celeste Philip. “We welcome feedback from clinical experts and families of children with special health care needs regarding clinical eligibility criteria for the CMS Plan.”

The revised clinical eligibility screening process was put into effect on Jan. 11, 2016. Under the revised screening process, children may be determined to be clinically eligible for the CMS Plan in one of two ways—either a physician attestation, which is an auto-eligibility process using diagnostic codes for chronic and serious conditions, or a parent-based survey.

The department will host the rule development workshop on April 20 to review rules 64C-2.002 and 64C-2.003 and engage stakeholders in a discussion about the parent-based screening tool and physician attestation form used to determine clinical eligibility for the CMS Plan.

WHAT: CMS Plan Rulemaking Workshop

WHEN: Wednesday, April 20, 2016
             9 a.m. to 5 p.m.

WHERE: Florida Department of Health
               4052 Bald Cypress Way, Room 301
               Tallahassee, FL 32399

Any member of the public wishing to submit suggestions for the department’s consideration in advance of the meeting may send their comments to Kelli Stannard at kelli.stannard@flhealth.gov. Public comments will also be taken at the workshop on April 20.The department will continue to collaborate with CMS regional medical directors to evaluate further suggestions from the public.

Pursuant to the provisions of the Americans with Disabilities Act, any person requiring special accommodations to participate in this workshop/meeting is asked to advise the agency at least 5 days before the workshop/meeting by contacting: Kelli Stannard at (850)245-4222 or kelli.stannard@flhealth.gov. If you are hearing or speech impaired, please contact the agency using the Florida Relay Service, 1(800)955-8771 (TDD) or 1(800)955-8770 (Voice).

About the Florida Department of Health

The department works to protect, promote and improve the health of all people in Florida through integrated state, county and community efforts.

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