Florida Administrative Code

Rulemaking Authority 393.13(4)(g)3., 393.17 FS. Law Implemented 393.13, 393.17 FS. History-New 9-23-96, Formerly 10F-4.024, 65B-4.024, Repealed 4-4-12.

Rulemaking Authority 393.13(4)(g)3., 393.17 FS. Law Implemented 393.13, 393.17 FS. History-New 9-23-96, Formerly 10F-4.025, 65B-4.025, Repealed 4-4-12.

Rulemaking Authority 393.13(4)(g)3., 393.17 FS. Law Implemented 393.13, 393.17 FS. History-New 9-23-96, Formerly 10F-4.026, 65B-4.026, Repealed 4-4-12.

Rulemaking Authority 393.13(4)(g)3., 393.17 FS. Law Implemented 393.13, 393.17 FS. History-New 9-23-96, Formerly 10F-4.027, 65B-4.028, Repealed 4-4-12.

Rulemaking Authority 393.13(4)(g)3., 393.17 FS. Law Implemented 393.17 FS. History-New 9-23-96, Formerly 10F-4.028, 65B-4.027, Repealed 4-4-12.

(1) The Agency will establish and maintain a behavioral services program including a senior clinician, the Agency Senior Behavior Analyst (ASBA), to assume direction for standards of behavioral practice as provided in this chapter, develop and manage systems of quality, utilizati…

(1) Providers of behavior analysis services shall provide services only as certified and as provided by law. (2) All aspects of behavior analysis services shall be integrated with other relevant services and supports being provided to the client by the provider within the scope o…

(1) All written plans describing behavior analysis services consistent with subsection 65G-4.009(10), F.A.C., shall be submitted to the local review committee chairperson within five working days following implementation. (2) All behavior analysis services designed to include res…

(1) When a defendant convicted of a capital felony is suspected of having or determined to have intellectual disability, intelligence tests to determine intellectual functioning as specified below shall be administered by a qualified professional who is authorized in accordance w…

(1) For the purposes of Chapters 393 and 916, F.S., the Stanford-Binet Intelligence Scale or the Wechsler Adult & Infant Intelligence Scale, administered by or under the direct supervision of a psychologist or school psychologist licensed under Chapter 490, F.S., shall be used to…

(1) Autism means a condition which meets the requirements of Section 393.063, F.S., that the condition is: (a) Pervasive, meaning always present and without interruption; (b) Neurologically based, meaning that the condition is not the result of physical impairment; (c) A developm…

In order to be determined eligible for agency services the applicant must: (1) Be at least three years of age. (2) Be a resident of and domiciled in the state of Florida in accordance with Sections 222.17(1) and (2), F.S. Domicile may not be established in Florida by a minor who …

(1) Application for Services from the Agency may be made by submitting an application by hand delivery, U.S. Postal Service, or facsimile to the Agency. The Application for Services may also be submitted through the Agency's online portal which can be found on the Agency's websit…

(1) Establishing Eligibility - Autism. A diagnosis of autism, as defined by Rule 65G-4.014, F.A.C., may only be made by one or more of the following who has specific training and experience in making such diagnosis: (a) A Florida-licensed psychiatrist; (b) A Florida-licensed psyc…

Rulemaking Authority 393.501(1), 393.0662 FS. Law Implemented 393.0662 FS. History-New 10-2-13, Repealed 1-19-16.

Rulemaking Authority 393.501(1), 393.0662 FS. Law Implemented 393.0662 FS. History-New 10-2-13, Repealed 1-19-16.

Rulemaking Authority 393.501(1), 393.0662 FS. Law Implemented 393.0662 FS. History-New 10-2-13, Repealed 1-19-16.

For the purposes of this chapter, the term: (1) "Agency" means the Agency for Persons with Disabilities. (2) "Allocation Algorithm" means the mathematical formula based upon statistically validated relationships between client characteristics (variables) and the client's level of…

(1) To establish the Allocation Algorithm Amount for any client who has not previously had a QSI assessment, a QSI assessment must be completed prior to calculating the Allocation Algorithm Amount under subsection (2). (a) The QSI assessor shall arrange for a face to face meeting…

(1) Medical necessity alone is not sufficient to authorize a service under the Waiver; in addition: (a) With the assistance of the WSC, the client must utilize all available State Plan Medicaid services, school-based services, private insurance, natural supports, and any other re…

(1) The iBudget Amount for a client shall be the Allocation Algorithm Amount, as provided in Rule 65G-4.0214, F.A.C., plus any approved Significant Additional Needs funding as provided in Rule 65G-4.0218, F.A.C. (2) The Agency will determine the iBudget Amount consistent with the…

(1) When a client's iBudget Amount is determined, the WSC must submit a cost plan proposal, which includes a completed Verification of Available Services form, that reflects the specific Waiver services and supports (paid and unpaid) that will assist the client to achieve identif…

(1) Supplemental funding for Significant Additional Needs (SANs) may be of a one-time, temporary, or long-term in nature. (2) The presence of a significant additional need or significant change in condition or circumstance alone does not warrant an increase in the amount of funds…

Rulemaking Authority 393.501(1), 393.0662 FS. Law Implemented 393.0662 FS. History-New 10-2-13, Repealed 1-19-16.

Rulemaking Authority 393.501(1), 393.0662 FS. Law Implemented 393.0662 FS. History-New 10-2-13, Repealed 1-19-16.

Rulemaking Authority 393.501(1), 393.0662 FS. Law Implemented 393.0662 FS. History-New 10-2-13, Repealed 1-19-16.

(1) "Community supported living arrangements (CSLA)" means a Medicaid state plan optional service. The following services are available through CSLA funding: (a) Supported living coaching; (b) Personal assistance; and, (c) Environmental modifications. (2) "CLSA provider" means a …

(1) All persons eighteen years of age or older who have developmental disabilities, reside within the state of Florida and are clients of the Agency shall be eligible for supported living services. (2) Individuals must be Medicaid recipients in order to receive supported living s…

(1) An individual's desire and willingness to participate in supported living shall be considered as part of the support planning process, and supported living services shall be authorized by the support plan when requested by the individual or the individual's guardian. (2) The …

(1) The individual shall select a home available for lease or sale to any member of the community based on the individual's own choice and personal financial resources with assistance from the supported living coaching provider as needed. (2) The following criteria identify an el…

(1) Individuals may choose from among the available providers within the area. Every effort shall be made to ensure that the individual receives services from the provider of his or her choice. Eligible individuals who wish to receive services through the Medicaid CSLA state plan…

(1) The individual's support coordinator shall have at least monthly telephone contact with the individual to monitor the individual's health and well-being. This call may be initiated by the support coordinator or the individual. (2) When telephone contact is not possible, a fac…

(1) The individual shall be asked at least annually to complete a survey that addresses his or her satisfaction with service delivery and the extent to which the individual's desired outcomes identified in Rule 65G-5.003, F.A.C., have been achieved. (2) If the individual desires …

(1) Providers of supported living coaching services shall meet the minimum qualifications of a behavioral program specialist, State of Florida Career Service Class Specification #5751. These are an associate's degree with a major in nursing, education, or a social, behavioral or …

(1) The area office shall conduct an annual unannounced survey of each supported living coaching and personal assistance provider to monitor compliance with the requirements of this rule, including all items covered in the provider's application for certification. (2) A survey re…

(1) The area office shall suspend a provider's certification when there is good faith reason to believe that the provider has engaged in any of the following: (a) Submitted false information on the application for certification; (b) Submitted a fraudulent invoice for services; (c…

(1) If a provider fails to fully correct continuing deficits as identified in Rule 65G-5.013, F.A.C., within 30 calendar days after notice, the area office shall terminate the provider's certification. (2) If a provider fails to respond to a notice of suspension issued according …

The provider shall maintain documentation that the supports and services for which billings or invoices are submitted have been provided. For providers of supported living coaching and personal assistance this shall include written documentation of the dates, times and summary of…

(1) The area office shall establish a rate agreement with each provider based on reasonable and necessary costs. Rates for services provided through the CSLA Medicaid state plan option or the DS/HCBS waiver shall not exceed the maximum rates established by Medicaid. (2) Payments …

(1) Eligible Expenses - Trust Funds under this chapter are for the purpose of granting loans to eligible programs. Initial costs of development are those permissible costs for establishment of new programs and those permissible costs necessary for an already established program t…

The terms and phrases used in this chapter shall have the meanings defined below: (1) "Administration of medication" means the obtaining and giving of one or more doses of medicinal substances by an authorized person to an Agency client for his or her consumption. (2) "Administra…

(1) An Agency client's need for assistance with medication administration or ability to self-administer medication without supervision must be documented by the client's physician, PA, or APRN on an "Authorization for Medication Administration," APD Form 65G-7.002 A, effective Ap…

A client who is authorized by his or her health care practitioner to self-administer medication without the supervision of a MAP or a licensed or authorized nurse, as set forth in the Authorization for Medication Administration Form, APD Form 65G-7.002 A, adopted and incorporated…

(1) Proposed Trainers must receive Agency approval before providing or offering to provide any of the following three medication administration courses to MAP applicants: (a) Basic Medication Administration Training; (b) Prescribed Enteral Formula Administration Training; or (c) …

(1) The Agency shall provide Medication Administration Training curriculum for the following courses: (a) Basic Medication Administration course; (b) Prescribed Enteral Formula Administration course; and (c) Insulin Administration course. (2) Basic Medication Administration cours…

(1) Individuals must first receive Agency approval as a Validation Trainer before validating or offering to validate the competency of a MAP or MAP applicant to provide either: (a) Basic medication administration assistance; (b) Prescribed enteral formula administration; or (c) I…

(1)(a) Unless otherwise authorized by law in the State of Florida, an individual shall not administer medication or supervise the self-administration of medication to Agency clients unless he or she has successfully completed an Agency-provided medication administration training …

(1) Upon receipt of the Basic Medication Administration training certification and validation certification, MAPs are authorized to administer medications or to supervise the self-administration of medications via the following medication routes for which the MAP has been validat…

(1) A "medication error" is any of the following: (a) Administration or supervision of self-administration of a wrong medication, including: 1. Administration or supervision of self-administration of medication for any symptom, illness, or reason other than the one for which the …

(1) MAPs and licensed health care practitioners must observe the following medication storage requirements: (a) Store each medication at the temperature appropriate for that medication, including refrigeration if required; (b) Destroy any prescription medication that has expired …