Division of Administrative Hearings, Florida
Filed: Nov. 01, 2012
The issues are: Did the 2008 amendment of Florida Administrative Code rule 59G-13.082(2) incorporate the Developmental Disabilities Home and Community-Based Services Waiver Billing Code Matrix (Billing Code Matrix) when the amended rule explicitly incorporated the Developmental Disabilities Home and Community-Based Services Waiver Procedure Codes and Maximum Units of Service (Procedure Codes and Maximum Units of Service), but Respondent filed, as the incorporated document, the Billing Code Matrix with the Joint Administrative Procedures Committee (JAPC), the Department of State, and the Medicaid fiscal agent? If the circumstances described in Issue 1 did not result in the incorporation of the Billing Code Matrix in the 2008 amendment of rule 59G-13.082(2), was the Billing Code Matrix incorporated in the amended rule when, four years after the amendment, the Department of State revised the language of the archived version of rule 59G-13.082(2) to incorporate explicitly the Billing Code Matrix, even though the amended rule submitted to the Department of State in 2008 explicitly incorporated the Procedure Codes and Maximum Units of Service? If the circumstances described in Issues 1 and 2 did not result in the incorporation of the Billing Code Matrix in the 2008 amendment of rule 59G-13.082(2), is the Billing Code Matrix an agency statement constituting a rule that Respondent has not adopted by the rulemaking procedure set forth in section 120.54, Florida Statutes? If the circumstances described in Issue 1 or 2 resulted in the incorporation of the Billing Code Matrix in the 2008 amendment of rule 59G-13.082(2), is the amended rule an invalid exercise of delegated legislative authority?AHCA failed to incorporate document into rule. Its use of document rendered document an agency statement constituting a rule that was not adopted by the rulemaking procedure.