Florida Administrative Code

(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 History-New 10-2-13, Repealed 1-19-16.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 History-New 10-2-13, Repealed 1-19-16.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 History-New 10-2-13, Repealed 1-19-16.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 …

(1) The MAP and licensed health care practitioner shall maintain an up-to-date MAR for each client requiring assistance with medication administration, except when the client is off-site. The MAP and licensed health care practitioner must document the administration of medication…

(1) If a client who has his or her medications administered to him or her or who is supervised with self-administration of medication will be away from a licensed residential facility or supported living home and requires assistance with medications during that time by persons ot…

(1) "Approved emergency procedure curriculum" means a course of instruction in procedures and techniques for intervening in behavioral emergency situations, approved by the Agency for Persons with Disabilities ("Agency"), and incorporated into a facility's or program's policy for…

(1) All providers and facilities that use reactive strategies must utilize an emergency procedure training curriculum approved by the Agency, and require all staff utilizing reactive strategies to be trained in that curriculum. (2) The training curriculum must meet the following …

(1) All facilities or providers subject to this rule shall develop and implement policies and procedures consistent with the provisions of this rule chapter, including adoption of an approved emergency procedure curriculum, appropriate staff training, record maintenance, reportin…

(1) Upon an individual's admission to a facility or program and at least annually thereafter, the facility or provider must obtain information and documents relevant to the use of reactive strategies from a variety of sources for the individual's records. Appropriate sources incl…

(1) Upon initiating any reactive strategy, staff must immediately notify the highest-level direct care supervisor. (2) Each use of a reactive strategy requires continuous staff supervision. (3) The following reactive strategies can be approved only by the following authorizing ag…

(1) All authorizations for a reactive strategy must include a clear rationale for its use. (2) Reactive strategies must not be implemented automatically or as part of a deceleration plan for undesirable behaviors, as punishment, as a substitute for an implementation plan, or for …

(1) Every effort should be made to avoid unnecessary use of seclusion and restraint; therefore, staff should try to redirect and diffuse problem behavior before employing the reactive strategy of seclusion and restraint. (2) Seclusion and restraint as a reactive strategy may be u…

(1) Chemical restraint is used for behavioral control; it is not standard treatment for medical or psychiatric conditions. (2) An individual may be given a chemical restraint only on the written order of an authorized physician who has determined that the chemical is the least re…

The following reactive strategies are prohibited: (1) Reactive strategies involving noxious or painful stimuli, as prohibited by Section 393.13(4)(g), F.S.; (2) Untested or experimental procedures; (3) Any physical crisis management technique that might restrict or obstruct an in…

(1) Staff must document the following information in the individual's record as soon as possible, but no later than the end of the work shift following the use of a reactive strategy: (a) The behavior that necessitated a reactive strategy; (b) The reactive strategy used; (c) The …

(1) The provider or facility employing reactive strategies must maintain on-site a copy of Rule Chapter 65G-8, F.A.C, accessible by staff, clients, parents, guardians, and guardian advocates. (2) The requirements established in this rule chapter are to be incorporated into all st…

(1) Use of a reactive strategy not authorized by or in violation of this rule chapter or any other provision of law is a violation of Section 393.13, F.S., "The Bill of Rights of Persons with Disabilities," or Section 916.107, F.S., and is subject to the enforcement proceedings, …

(1) Any forensic client not adjudicated incompetent under the provisions of Chapter 744, F.S., or otherwise disqualified by law, and meeting the legal age and residency requirements of the state shall, if he or she requests, be assisted in registering to vote and in voting in pub…

Rulemaking Authority 39.903, 39.905 FS. Law Implemented 39.905 FS. History-New 5-13-79, Amended 12-4-79, 12-13-85, Formerly 10A-8.03, Amended 6-22-87, Formerly 10A-8.003, 10M-48.002, Amended 3-12-00, Formerly 65C-6.002, Repealed 11-30-09.

Rulemaking Authority 39.903, 39.905 FS. Law Implemented 39.903 FS. History-New 5-13-79, Amended 12-4-79, 11-1-83, 12-3-85, Formerly 10A-8.04, Amended 6-22-87, Formerly 10A-8.004, 10M-48.003, Amended 3-12-00, Formerly 65C-6.003, Repealed 11-30-09.