reglab/statecodes huggingface dataset:
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64C - Division of Children's Medical Services › Chapter 64C-2 - APPLICATION/ELIGIBILITY FOR SERVICES › Section 64C-2.003 - Redetermination of CMS Managed Care Plan Clinical Eligibility

Current through Reg. 50, No. 138; July 16, 2024
All CMS Managed Care Plan participants shall have their
				  clinical eligibility for the CMS Managed Care Plan redetermined every three
				  years.
Rulemaking Authority
					 391.026(18) FS.
					 Law Implemented 391.026(3),
					 391.029
					 FS.
New 1-1-77, Amended 11-18-82, Formerly 10J-2.09, Amended
					 3-28-96, Formerly 10J-2.009, Amended 1-20-03, 1-11-16,
					 12-11-19.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64C - Division of Children's Medical Services › Chapter 64C-2 - APPLICATION/ELIGIBILITY FOR SERVICES › Section 64C-2.004 - Safety Net Program Sliding Fee Scale

Current through Reg. 50, No. 138; July 16, 2024
(1)
				The Safety Net Program is a program through Children's Medical Services (CMS)
				that, subject to funding, may pay for certain medical services to children with
				chronic and serious health care needs who do not qualify for Medicaid or Title
				XXI of the Social Security Act.
(a) Children
				eligible for assistance using these funds must be uninsured, or insured but not
				covered for medically necessary services, or unable to access services due to
				lack of providers or lack of financial resources regardless of insurance
				status.
(b) The department may
				serve children on a first-come, first-serve basis until the appropriated funds
				are fully obligated.
(c) Receiving
				services through the Safety Net Program does not constitute an entitlement for
				coverage or services when funds appropriated for this purpose are
				exhausted.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64C - Division of Children's Medical Services › Chapter 64C-3 - RESOURCE, DEVELOPMENT AND ALLOCATION › Section 64C-3.001 - Reimbursement for CMS Network Services

Current through Reg. 50, No. 138; July 16, 2024
(1)
				CMS Network Health Care (Physician and Non-Physician) providers must accept the
				CMS Network payment as payment in full.
(2) Participants shall not be additionally
				billed a co-payment, a deductible, or other fee for covered services when the
				CMS Network is the primary payer.
Rulemaking Authority
					 391.026(18) FS.
					 Law Implemented 391.026
					 FS.
New 1-1-77, Formerly 10J-3.06, Amended 6-22-94, 3-28-96,
					 12-15-96, Formerly 10J-3.006, Amended
					 1-20-03.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64C - Division of Children's Medical Services › Chapter 64C-3 - RESOURCE, DEVELOPMENT AND ALLOCATION › Section 64C-3.002 - Recovery of Third Party Payments

Current through Reg. 50, No. 138; July 16, 2024
(1) Except
				as otherwise provided in subsection (2), below, the Department shall recover in
				full on its rights under Sections
				 391.047 and
				 402.24, F.S., and this rule, for
				payment for funded services and medical services.
(2) Where undue financial hardship would
				result to the individual who received funded services or medical services as a
				result of the Department recovering in full on its rights under subsection (1),
				above, a request may be made to the Department to accept less than full
				recovery in satisfaction of its rights thereunder. Such request must be based
				upon the following factors:
(a) The amount of
				relevant judgments, settlements, or awards;
(b) The lien amount of funded services and
				medical services;
(c) The nature of
				funded services and medical services;
(d) Employment status of the
				individual;
(e) Cost to the
				individual of living independently, if applicable;
(f) The amount paid or to be paid to satisfy
				other valid liens for medical or rehabilitation services provided to such
				individual;
(g) The amount by which
				such other lienors have reduced their liens;
(h) The amount of attorney's fees and costs
				to generate the relevant judgments, settlements, or awards;
(i) The amount by which the attorney's
				reduced their fees or absorbed their costs; and,
(j) Other sources of income available to the
				individual.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64C - Division of Children's Medical Services › Chapter 64C-4 - PERSONNEL AND FACILITIES STANDARDS › Section 64C-4.001 - CMS Physician and Non-Physician Providers

Current through Reg. 50, No. 138; July 16, 2024
(1) CMS Physician Providers: Participation
				Criteria. The CMS physician provider approval process is not a licensure
				process. It is a quality assurance process to ensure that prospective and
				participating CMS physician providers, who are interested in providing health
				care services to children with special health care needs, meet minimum
				standards deemed necessary by the Deputy Secretary for CMS for the provision of
				quality medical services to CMS participants. The CMS physician provider
				approval process is based on National Committee for Quality Assessment (NCQA)
				Standards in addition to recommendations from CMS Medical Directors. Physicians
				interested in participating in the CMS Program must comply with the CMS
				approval and re-approval process and criteria. The approval and reapproval
				process requires physicians to provide current information with regard to the
				following:
(a) State of Florida medical
				licensure status;
(b) Board
				certification status in area of practice;
(c) Drug Enforcement Agency (DEA) or
				Controlled Dangerous Substance (CDS) certificate of registration;
(d) Hospital admitting privileges at a CMS
				approved hospital(s) or a Letter of Transfer Agreement with a CMS approved
				physician who has admitting privileges at a CMS approved facility;
(e) Medical education and training;
(f) Work history;
(g) Active and closed professional liability
				claim(s); and,
(h) Existence of
				Medicaid and Medicare sanctions.
Exceptions: The Deputy Secretary for Children's Medical
				  Services shall grant, upon recommendation from the area CMS Medical Director,
				  provisional CMS approved provider status to any licensed physician, in order to
				  provide participants access to health care not immediately available through
				  CMS approved physician providers.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64C - Division of Children's Medical Services › Chapter 64C-4 - PERSONNEL AND FACILITIES STANDARDS › Section 64C-4.002 - Diagnostic and Treatment Facilities or Services - General

Current through Reg. 50, No. 138; July 16, 2024
(1) Each chronic care hospital and skilled
				nursing care facility approved by the Department for the provision of health
				services to CMS participants must have or meet the following:
(a) An active, valid State of Florida
				license.
(b) Accreditation from the
				Joint Commission on Accreditation of Health Organizations (JCAHO).
(c) A physically definable hospital unit or
				ward to which only children are admitted. The entire pediatric unit or ward
				must maintain an annual average daily census of fifteen children or more,
				excluding normal newborns and those in neonatal intensive care units. In making
				the selection and designation of approved facilities, CMS will give priority to
				those facilities that demonstrate an emphasis on quality children's medical
				services, including the presence of an adolescent unit or ward, a neonatal
				(level two or level three) intensive care unit, and a pediatric intensive care
				unit.
(d) Applicable national
				specialty standards, when available, commensurate with any specialty health
				care services provided by the facility that will be available to CMS
				participants.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64C - Division of Children's Medical Services › Chapter 64C-4 - PERSONNEL AND FACILITIES STANDARDS › Section 64C-4.003 - Diagnostic and Treatment Facilities or Services - Specific (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 391.026(18),
					 391.035(1) FS.
					 Law Implemented 391.026(10),
					 391.035(1)
					 FS.
New 1-1-77, Amended 2-11-85, Formerly 10J-5.09, 10J-5.009,
					 Amended 12-20-05, 2-12-13, Repealed
					 3-20-18.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64C - Division of Children's Medical Services › Chapter 64C-6 - REGIONAL PERINATAL INTENSIVE CARE CENTERS PROGRAM › Section 64C-6.001 - Definitions - General

Current through Reg. 50, No. 138; July 16, 2024
(1) "Neonate" - An
				infant less than 29 days of age or, for the purpose of this program, an infant
				past the age of 28 days who requires continuance of neonatal intensive care
				services.
(2) "Neonatologist" - A
				CMS consultant physician, as defined in Rule
				 64C-4.001, F.A.C., who is
				certified, or is eligible for certification by an appropriate board in the area
				of neonatal-perinatal medicine.
(3)
				"Regional Perinatal Intensive Care Centers (RPICC or centers)" - Specialized
				units within hospitals specifically designed to provide a full range of health
				services to women with high risk pregnancies and a full range of newborn
				intensive care services which have been designated by the Department of Health,
				and which meet the standards as defined herein for facilities, staffing and
				services or commit themselves to meeting and maintaining these standards within
				three years of designation as a center.
(4) "RPICC Data System" - A comprehensive
				automated information system which collects and correlates data from all 3
				components of the Regional Perinatal Intensive Care Centers Program and
				provides periodic analysis of RPICC Program data.
(5) "RPICC Level II Neonatal Intensive Care
				Bed" - A patient care station in a RPICC with the capability of delivering
				special care to newborns including oxygen therapy, supplemental parenteral
				alimentation, constant electronic monitoring of vital signs, and with a minimum
				ratio of one member of the nursing staff to four patients.
(6) "RPICC Level III Neonatal Intensive Care
				Bed" - A patient care station with the capability of delivering total intensive
				care to newborns including total respiratory support, supplemental parenteral
				alimentation, constant electronic monitoring of vital signs, long term arterial
				catheterization, and with a minimum ratio of one member of the nursing staff to
				two patients, at all times, for the critical care of unstable
				neonates.
(7) "Waiver" - A written
				statement or verbal statement, followed by written documentation, by the
				Assistant Secretary for Children's Medical Services which abandons the
				enforcement of any specific requirement of these standards for a specified
				period of time.
Rulemaking Authority 120,
					 383.19(1)(f),
					 (g) FS. Law Implemented
					 383.19
					 FS.
New 9-1-81, Amended 4-25-83, Formerly 10J-7.01, Amended
					 6-13-87, 5-15-96, Formerly 10J-7.001.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64C - Division of Children's Medical Services › Chapter 64C-6 - REGIONAL PERINATAL INTENSIVE CARE CENTERS PROGRAM › Section 64C-6.002 - Standards - General

Current through Reg. 50, No. 138; July 16, 2024
(1) The CMS RPICC
				Program represents the basic unit required for all other Children's Medical
				Services authorized regional programs which include spina bifida, craniofacial
				anomalies, hematology and oncology, complex surgery, cardiac, and
				transplantation.
(2) The Regional
				Perinatal Intensive Care Centers (RPICC) Program provides services in
				designated hospitals through two interrelated components:
(a) Neonatal including Level II and Level III
				neonatal intensive care;
(b)
				Obstetrical.
The standards set forth in this section pertain to the RPICC
				  Program in general.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64C - Division of Children's Medical Services › Chapter 64C-6 - REGIONAL PERINATAL INTENSIVE CARE CENTERS PROGRAM › Section 64C-6.003 - Standards - Specific

Current through Reg. 50, No. 138; July 16, 2024
(1) Standards for
				Neonatal Component - Level III Neonatal Intensive Care - The following
				standards pertain to the facilities, services, and population to be served
				under the neonatal component for Level III neonatal intensive care services.
(a) Personnel.
1. Physicians.
a. The director of the RPICC neonatal unit
				shall be a CMS consultant neonatologist.
b. Each center shall have available a CMS
				consultant pediatric surgeon available at all times.
c. Each RPICC neonatal unit shall have
				24-hour coverage by CMS consultant neonatologists for patient care and for
				communication with physicians in other hospitals.
d. Each center shall have a CMS consultant
				pediatric cardiologist available at all times.
e. Two neonatologists are required within 3
				years of designation of a unit as a RPICC.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64C - Division of Children's Medical Services › Chapter 64C-7 - PRENATAL AND POSTNATAL RISK SCREENING AND INFANT SCREENING FOR METABOLIC, HEREDITARY, AND CONGENITAL DISORDERS › Section 64C-7.0025 - Procedures for Newborn Screening Referral Centers (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 383.14(2) FS.
					 Law Implemented 383.14
					 FS.
New 4-1-08, Repealed
					 3-26-15.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64C - Division of Children's Medical Services › Chapter 64C-7 - PRENATAL AND POSTNATAL RISK SCREENING AND INFANT SCREENING FOR METABOLIC, HEREDITARY, AND CONGENITAL DISORDERS › Section 64C-7.0026 - Administration of Newborn Hearing Screening

Current through Reg. 50, No. 138; July 16, 2024
(1) The hospital must record the latest
				hearing screening results on DOH Form DH 677, (Revised 11/07), which is titled
				"Infant Screening Metabolic Disorders" and incorporated by reference.
(2) Hearing screen information shall be
				reported one time and not repeated on multiple blood specimen cards unless
				reporting different results.
Specific Authority
					 383.14(2) FS.
					 Law Implemented 383.14
					 FS.
New 4-1-08.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64C - Division of Children's Medical Services › Chapter 64C-7 - PRENATAL AND POSTNATAL RISK SCREENING AND INFANT SCREENING FOR METABOLIC, HEREDITARY, AND CONGENITAL DISORDERS › Section 64C-7.003 - Criteria for Approved Laboratories (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Specific Authority
					 383.14(2) FS.
					 Law Implemented 383.14
					 FS.
New 10-25-79, Formerly 10D-76.04, Amended 12-5-84, Formerly
					 10J-8.04, Amended 3-29-92, 3-28-96, Formerly 10J-8.004, Repealed
					 4-1-08.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64C - Division of Children's Medical Services › Chapter 64C-7 - PRENATAL AND POSTNATAL RISK SCREENING AND INFANT SCREENING FOR METABOLIC, HEREDITARY, AND CONGENITAL DISORDERS › Section 64C-7.004 - Designated State Laboratory (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 383.14(2) FS.
					 Law Implemented 383.14
					 FS.
New 10-25-79, Formerly 10D-76.05, Amended 12-5-84, Formerly
					 10J-8.05, Amended 3-29-92, Formerly 10J-8.005, Amended 4-1-08, Repealed
					 3-26-15.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64C - Division of Children's Medical Services › Chapter 64C-7 - PRENATAL AND POSTNATAL RISK SCREENING AND INFANT SCREENING FOR METABOLIC, HEREDITARY, AND CONGENITAL DISORDERS › Section 64C-7.005 - Reporting of Newborn Screening Test Results

Current through Reg. 50, No. 138; July 16, 2024
(1) Within 5 calendar days after receipt of a
				specimen, the State Public Health Laboratory shall send a written report of the
				results of all newborn screening tests to the submitting entity. The report of
				the test results shall become part of the patient's medical record.
(2) The submitting entity must forward a copy
				of the newborn screening results to the ordering physician.
(3) If the State Public Health Laboratory
				determines that a specimen is unsatisfactory for testing, the Laboratory shall
				immediately request a repeat specimen from the submitting entity. The
				submitting entity shall offer facilities for collecting the blood
				sample.
Specific Authority
					 383.14(2) FS.
					 Law Implemented 383.14
					 FS.
New 10-25-79, Formerly 10D-76.06, Amended 12-5-84, Formerly
					 10J-8.06, Amended 3-29-92, 9-20-94, 3-28-96, Formerly 10J-8.006, Amended
					 4-1-08.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64C - Division of Children's Medical Services › Chapter 64C-7 - PRENATAL AND POSTNATAL RISK SCREENING AND INFANT SCREENING FOR METABOLIC, HEREDITARY, AND CONGENITAL DISORDERS › Section 64C-7.006 - Newborn Screening Records (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 383.14(2) FS.
					 Law Implemented 383.14
					 FS.
New 10-25-79, Formerly 10D-76.07, Amended 12-5-84, Formerly
					 10J-8.07, Amended 3-29-92, Formerly 10J-8.007, Amended 4-1-08, Repealed
					 3-26-15.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64C - Division of Children's Medical Services › Chapter 64C-7 - PRENATAL AND POSTNATAL RISK SCREENING AND INFANT SCREENING FOR METABOLIC, HEREDITARY, AND CONGENITAL DISORDERS › Section 64C-7.007 - Criteria for Designating Newborn Screening Disorders (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 383.14(2) FS.
					 Law Implemented 383.14
					 FS.
New 12-5-84, Formerly 10J-8.08, Amended 3-29-92, Formerly
					 10J-8.008, Repealed 3-26-15.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64C - Division of Children's Medical Services › Chapter 64C-7 - PRENATAL AND POSTNATAL RISK SCREENING AND INFANT SCREENING FOR METABOLIC, HEREDITARY, AND CONGENITAL DISORDERS › Section 64C-7.009 - Risk Screening Procedures

Current through Reg. 50, No. 138; July 16, 2024
(1)
				Prenatal Risk Screening Procedures
(a) The
				health care provider delivering prenatal services shall assure that a prenatal
				risk screening instrument is completed and risk status is determined at the
				pregnant woman's initial visit.
(b)
				The health care provider shall use the prenatal risk screening instrument and
				scoring mechanism determined by the department.
(c) The health care provider shall assure
				that at the initial visit the pregnant woman receives an explanation of Healthy
				Start services and is informed of her risk status as determined by the prenatal
				risk screening instrument.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64C - Division of Children's Medical Services › Chapter 64C-7 - PRENATAL AND POSTNATAL RISK SCREENING AND INFANT SCREENING FOR METABOLIC, HEREDITARY, AND CONGENITAL DISORDERS › Section 64C-7.010 - Prenatal and Infant (Postnatal) Risk Screening Records

Current through Reg. 50, No. 138; July 16, 2024
(1) Prenatal Risk Screening Records.
(a) The health care provider shall maintain a
				completed copy of the Prenatal Risk Screen in the pregnant woman's medical
				record.
(b) The provider of care
				coordination shall initiate documentation on every Healthy Start pregnant
				woman. That documentation shall contain, at a minimum, a scored prenatal risk
				screening instrument and record of case disposition, except for participants
				who are referred based on other factors subsequent to the initial screen. For
				those participants, documentation in the record shall include documentation of
				the participant's risk factors and the record of case disposition.
(c) The department shall maintain a
				confidential registry of the risk screening results on all pregnant women
				received from health care providers.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64C - Division of Children's Medical Services › Chapter 64C-7 - PRENATAL AND POSTNATAL RISK SCREENING AND INFANT SCREENING FOR METABOLIC, HEREDITARY, AND CONGENITAL DISORDERS › Section 64C-7.011 - Criteria for Designating Risk Screening Factors

Current through Reg. 50, No. 138; July 16, 2024
The department shall designate each risk factor for inclusion
				  in the prenatal and infant (postnatal) risk screening instruments and shall
				  determine the weight of each risk factor. Each designated risk factor shall
				  meet one or more of the following criteria:
(1) The factor is known to reflect an
				increased risk of pregnancy complications, infant mortality, or
				morbidity.
(2) The factor is
				associated with increased risk of impairment in health, intellect, or
				functional ability in a percentage of infants positive for that
				factor.
(3) The factor reflects
				health behaviors which have been associated with increased risk of poor birth
				outcomes.
(4) The factor reflects
				an environmental risk factor.
Specific Authority
					 383.14(2) FS.
					 Law Implemented 383.14
					 FS.
New 3-29-92, Amended 8-14-95, Formerly 10J-8.013, Amended
					 5-2-01.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64C - Division of Children's Medical Services › Chapter 64C-7 - PRENATAL AND POSTNATAL RISK SCREENING AND INFANT SCREENING FOR METABOLIC, HEREDITARY, AND CONGENITAL DISORDERS › Section 64C-7.012 - Charging for Newborn Screening Services

Current through Reg. 50, No. 138; July 16, 2024
(1) The fee required pursuant to Section
				383.14(3)
				(g)1., F.S., shall be assessed July 1st of each year.
(2) The calculation required by Section
				383.14(3)(g)1., F.S., shall be accomplished as follows: The amount of the fee
				to be charged to each licensed hospital and to each birth center will be
				projected by the agency based upon the number of live births recorded by the
				Office of Vital Statistics during the previous calendar year. A reconciliation
				between the number of projected live births and the actual number of live
				births as recorded in the Office of Vital Statistics will be done during the
				second quarter of each fiscal year.
(3) The fee charged will be paid in equal
				amounts quarterly based upon statements generated and mailed by the
				agency.
(4) When a licensed
				hospital opens an obstetrical unit, and when a birth center opens, the
				Department shall be notified by the hospital or birth center in writing. For
				those licensed hospitals and birth centers which do not have statistical data
				for the prior calendar year on the number of live births as recorded in the
				Office of Vital Statistics, the agency shall project the amount of the fee to
				be charged based upon the number of live births recorded in the Office of Vital
				Statistics by licensed hospitals and birth centers of similar size and
				capacity.
(5) When a licensed
				hospital closes its obstetrical unit, or when a birth center closes, the
				Department shall be notified by the hospital or birth center in writing. Upon
				notification, billing shall be terminated at the end of the quarter in which
				the facility closed and reconciliation will be done within 90 calendar
				days.
Specific Authority 383.14(3) FS. Law Implemented
					 383.14
					 FS.
New 10-29-95, Amended 11-25-96, Formerly 10J-8.014, Amended
					 4-1-08.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64C - Division of Children's Medical Services › Chapter 64C-8 - SPECIFIC STANDARDS FOR CHILD PROTECTION TEAMS › Section 64C-8.001 - Definitions

Current through Reg. 50, No. 138; July 16, 2024
For the purpose of this rule chapter, the following
				  definitions will apply:
(1) "Case" -
				an individual child referred to and accepted by a child protection team for
				assessment services as a result of a report of alleged abuse or neglect made to
				the central abuse hotline as set forth in Section
				 39.201, F.S.
(2) "Case Coordinator" - a member of the
				child protection team professional staff who provides or directs the activities
				on behalf of clients to complete team assessment services.
(3) "Medical Consultation" - a Child
				Protection Team medical opinion based on oral or written information obtained
				by the team when the child was not physically examined by a team medical
				provider.
(4) "Medical Diagnostic
				Examination" - a medical evaluation performed by a Child Protection Team
				physician, Physician Assistant, or an Advanced Practice Registered
				Nurse.
(5) "Team Coordinator" - the
				person in charge of managing the day to day operation of a Child Protection
				Team.
(6) "Telemedicine" - the use
				of telecommunication and information technology to provide clinical care to
				individuals at a distance and to transmit the information needed to provide
				that care.
Rulemaking Authority
					 39.3031 FS. Law Implemented
					 39.303
					 FS.
New 3-2-93, Amended 5-7-96, Formerly 10J-10.002, 65C-7.001,
					 Amended 4-30-08, 12-2-15, 7-30-18,
					 9-13-22.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64C - Division of Children's Medical Services › Chapter 64C-8 - SPECIFIC STANDARDS FOR CHILD PROTECTION TEAMS › Section 64C-8.002 - Child Protection Team Organization, Roles and Responsibilities

Current through Reg. 50, No. 138; July 16, 2024
(1) Each Child Protection Team will function
				under the oversight of a Child Protection Team Medical Director.
(2) Each Child Protection Team must have an
				on-site Team Coordinator who is be responsible for the daily coordination of
				Team activities and services. The minimum qualifications for this position are
				a Bachelor's or Master's Degree in Public Health, Social Sciences, Criminal
				Justice, Criminology, Nursing, Psychology, or related Human Services field; at
				least three years of experience working with children and families, at least
				one year of which is in the field of child abuse, abandonment, and neglect
				within the immediate past 7 years; and one year experience in program
				management.
(3) Each Child
				Protection Team staff shall consist of one or more Case Coordinators who
				complete assessment activities, referrals, and perform related duties. The
				minimum qualifications for this position are a Bachelor's or Master's Degree in
				Public Health, Social Sciences, Criminal Justice, Criminology, Nursing,
				Psychology, or related Human Services field; and at least two years of
				experience working with children and families, at least one year of which is in
				the field of child abuse, abandonment, and neglect within the immediate past 7
				years.
(4) Each Child Protection
				Team may have an Intake Coordinator to assist with referrals, data entry, and
				other related duties. The minimum qualifications for this position are a
				Bachelor's or Master's Degree with a preference in Public Health, Social
				Sciences, Criminal Justice, Criminology, Nursing, Psychology, or related Human
				Services field; and at least one year's experience working with children and
				families.
(5) Each Child Protection
				Team shall have a Florida licensed psychologist with training and experience in
				evaluation and treatment of child abuse and neglect.
(6) Each Child Protection Team shall have
				Florida-licensed Physicians, Advanced Practice Registered Nurses, Registered
				Nurses, or Physician Assistants who work under the supervision of the Team
				Medical Director and respond to requests for medical consultation and medical
				diagnostic examination and evaluation of children suspected of being abused,
				abandoned or neglected.
(7) Each
				Child Protection Team shall have a Team Attorney who is a member of the Florida
				Bar and provides legal consultation to the team.
Rulemaking Authority
					 39.3031 FS. Law Implemented
					 39.303
					 FS.
New 3-2-93, Amended 5-7-96, Formerly 10J-10.006, 65C-7.002,
					 Amended 4-30-08, 12-2-15, 7-30-18,
					 10-27-22.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64C - Division of Children's Medical Services › Chapter 64C-8 - SPECIFIC STANDARDS FOR CHILD PROTECTION TEAMS › Section 64C-8.003 - Child Protection Team Services

Current through Reg. 50, No. 138; July 16, 2024
(1) A
				Child Protection Team physician, or Advanced Practice Registered Nurse, or
				Physician Assistant and a case coordinator must be available 24 hours a day,
				seven days a week to provide CPT services.
(2) Child Protection Team services are
				provided in cases of suspected abuse, abandoment, or neglect without regard to
				income. All children reported as being abused, abandoned or neglected by an
				adult caretaker and accepted by the Florida Abuse Hotline for protective
				investigation are eligible for Child Protection Team services. All eligible
				children are provided Team services.
(3) Medical diagnostic examinations can be
				conducted in person or through the use of telemedicine technology. Use of
				telemedicine requires the presence of a Child Protection Team Physician or
				Advanced Practice Registered Nurse with a Registered Nurse or Physician
				Assistant at the remote site to facilitate the evaluation.
Rulemaking Authority
					 39.3031 FS. Law Implemented
					 39.303
					 FS.
New 3-2-93, Amended 5-7-96, Formerly 10J-10.007, 65C-7.003,
					 Amended 4-30-08, 12-2-15, 7-30-18,
					 9-13-22.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64C - Division of Children's Medical Services › Chapter 64C-8 - SPECIFIC STANDARDS FOR CHILD PROTECTION TEAMS › Section 64C-8.004 - Waivers

Current through Reg. 50, No. 138; July 16, 2024
(1) In the event that an individual fails to
				meet the qualifications of Rule
				 64C-8.002, F.A.C., the Child
				Protection Team Coordinator or their designee may request a waiver of that
				requirement. The Team Coordinator or designee must apply for a waiver by
				completing DH8005-CMS-03/2022, Child Protection Team Waiver Request Form, which
				is incorporated by reference and available at
https://www.flrules.org/Gateway/reference.asp?No=Ref-14606
.
(2) All Child Protection Team Waiver Request
				Forms must be submitted electronically to the Division of Children's Medical
				Services, Bureau of Child Protection and Special Technologies. The request must
				specify the requirement and position for which the waiver is being requested.
				Additionally, the Child Protection Team may include any training, education, or
				experience the individual possesses which would be pertinent to the position
				being sought. The waiver request must include a training plan that addresses
				the additional training or supervision needs for the individual for whom the
				waiver is requested.
(3) Child
				Protection Team services shall not be provided by an individual requiring a
				waiver until such waiver is granted by the Division Director for Children's
				Medical Services or their designee.
(4) The decision to grant or deny a specific
				request for waiver of a requirement will be based upon the documented rationale
				for the request, including an assurance and explanantion in the request that
				the granting of such a waiver will not adversely affect the quality of care
				rendered by the provider.
(5) The
				Child Protection Team submitting the waiver request with required documentation
				will be notified in writing, within 30 business days, that the request for
				waiver of a specific requirement has been granted or denied. If a request for a
				waiver is denied, the denial letter shall include a notice of the right to
				request an administrative hearing.
Rulemaking Authority
					 39.3031 FS. Law Implemented
					 39.303
					 FS.
New 3-2-93, Amended 5-7-96, Formerly 10J-10.008, 65C-7.004,
					 Amended 4-30-08, 12-2-15, 7-30-18,
					 9-13-22.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64C - Division of Children's Medical Services › Chapter 64C-9 - SEXUAL ABUSE TREATMENT PROGRAM › Section 64C-9.001 - Definitions Used in the Sexual Abuse Treatment Rule (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 39.3031 FS. Law Implemented
					 39.305
					 FS.
New 2-16-93, Amended 3-28-96, Formerly 10J-11.002,
					 65C-8.001, Amended 4-1-08, Repealed
					 6-24-15.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64C - Division of Children's Medical Services › Chapter 64C-9 - SEXUAL ABUSE TREATMENT PROGRAM › Section 64C-9.002 - Sexual Abuse Treatment Program Organization, Roles and Responsibilities (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 39.3031 FS. Law Implemented
					 39.305
					 FS.
New 2-16-93, Amended 3-28-96, Formerly 10J-11.006,
					 65C-8.002, Amended 4-1-08, Repealed
					 6-24-15.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64C - Division of Children's Medical Services › Chapter 64C-9 - SEXUAL ABUSE TREATMENT PROGRAM › Section 64C-9.003 - Eligibility Criteria (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 39.3031 FS. Law Implemented
					 39.305
					 FS.
New 2-16-93, Formerly 10J-11.007, 65C-8.003, Amended
					 4-1-08, Repealed 6-24-15.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64C - Division of Children's Medical Services › Chapter 64C-9 - SEXUAL ABUSE TREATMENT PROGRAM › Section 64C-9.004 - Waivers (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 39.3031 FS. Law Implemented
					 39.305
					 FS.
New 2-16-93, Amended 3-28-96, Formerly 10J-11.009,
					 65C-8.004, Amended 4-1-08, Repealed
					 6-24-15.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64C - Division of Children's Medical Services › Chapter 64C-9 - SEXUAL ABUSE TREATMENT PROGRAM › Section 64C-9.005 - Definitions

Current through Reg. 50, No. 138; July 16, 2024
(1) "Counseling" means - a therapeutic
				process that engages individuals and families in the reduction of behavioral,
				emotional, and cognitive symptoms related to trauma. Treatment is provided to
				enhance and expand individual and family coping skills, promote safety, and
				improve family cohesion and communication.
(2) "Non-Offending Caretaker" means - the
				parent or person taking care of a child who did not sexually abuse the
				child.
(3) "Offender" means - the
				person who sexually abused the child.
(4) "Sexual Abuse Treatment Program" means -
				a program funded in part or in whole through a contract with the Division of
				Children's Medical Services which conforms to the contract, the statute, and
				the administrative rule.
(5)
				"Victim" means - for the purposes of the Sexual Abuse Treatment Program, a
				child who has disclosed sexual abuse or who has exhibited indicators of sexual
				abuse, regardless of investigative findings by either the Department of
				Children and Families or Sheriff's Office.
Rulemaking Authority
					 39.3031 FS. Law Implemented
					 39.303
					 FS.
New 7-30-18.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64C - Division of Children's Medical Services › Chapter 64C-9 - SEXUAL ABUSE TREATMENT PROGRAM › Section 64C-9.006 - Sexual Abuse Treatment Program Organization, Staff Qualifications, Roles and Responsibilities

Current through Reg. 50, No. 138; July 16, 2024
(1) Each
				Sexual Abuse Treatment Program shall function under the direction of a program
				coordinator who is licensed by the State of Florida under Chapter 490 or 491,
				F.S.; has at least one year of clinical experience in the field of child sexual
				abuse; and maintains at least four hours of continuing education per state
				fiscal year in child abuse or trauma, and at least four hours of continuing
				education per state fiscal year specific to sexual abuse. Each licensed
				professional working for the Sexual Abuse Treatment Program will complete
				orientation training developed and provided by the Department.
(2) Sexual Abuse Treatment Program counseling
				staff must have at least a Master's degree in Psychology, Social Work, or other
				behavioral science; and a minimum of one year of clinical counseling
				experience, six months of which must have been in providing treatment to
				sexually abused children and their families; and maintains at least four hours
				of continuing education per state fiscal year in child abuse or trauma, and at
				least four hours of continuing education per state fiscal year specific to
				sexual abuse. Each Master's or higher level counselor working for the Sexual
				Abuse Treatment Program will complete orientation training developed and
				provided by the Department.
(3)
				Students actively seeking a Master's or higher degree in Psychology, Social
				Work, or other behavioral science may provide Sexual Abuse Treatment Program
				services under the direct supervision of an individual meeting the requirements
				of a Sexual Abuse Treatment Program program coordinator; and maintains at least
				four hours of continuing education per state fiscal year in child abuse or
				trauma, and at least four hours of continuing education per state fiscal year
				specific to sexual abuse. Each student working for the Sexual Abuse Treatment
				Program will complete orientation training developed and provided by the
				Department.
(4) All licensed
				program coordinators, Master's or higher-level counselors, and student interns
				providing services for the Sexual Abuse Treatment Program (SATP) must complete
				the SATP orientation training.
(5)
				All licensed program coordinators, Master's or higher-level counselors, and
				student interns who are hired on or after June 1st within the state fiscal
				year, will have 60 days upon their hire date to complete their state fiscal
				year training requirement.
Rulemaking Authority
					 39.3031 FS. Law Implemented
					 39.303
					 FS.
New 7-30-18, Amended
					 5-25-20.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64C - Division of Children's Medical Services › Chapter 64C-9 - SEXUAL ABUSE TREATMENT PROGRAM › Section 64C-9.007 - Services

Current through Reg. 50, No. 138; July 16, 2024
The Sexual Abuse Treatment Program contractor shall ensure
				  that counseling services are provided to victims, non-offending caretakers, and
				  siblings of the victim, and that federal, state, local and private revenue
				  sources are billed for treatment services.
Rulemaking Authority
					 39.3031 FS. Law Implemented
					 39.303
					 FS.
New 7-30-18.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64C - Division of Children's Medical Services › Chapter 64C-9 - SEXUAL ABUSE TREATMENT PROGRAM › Section 64C-9.008 - Waivers

Current through Reg. 50, No. 138; July 16, 2024
(1) In the event that an individual fails to
				meet the qualifications of rule
				 64C-9.006, F.A.C., a Sexual
				Abuse Treatment Program may request a waiver of that requirement.
(2) All requests for waiver shall be
				submitted in writing to the Division of Children's Medical Services, and shall
				specify the requirement for which the waiver is being requested. Additionally,
				the Sexual Abuse Treatment Program may include any training, education, or
				experience the individual possesses which would be pertinent to the position
				being sought.
(3) Sexual Abuse
				Treatment Program services shall not be provided by an individual requiring a
				waiver until such waiver is granted by the Division Director for Children's
				Medical Services or their designee.
(4) The decision to grant or deny a specific
				request for waiver of a requirement will be based upon the documented rationale
				for the request, including an assurance and explanantion in the request that
				the granting of such a waiver will not adversely affect the quality of care
				rendered by the provider.
(5) The
				Division of Children's Medical Service shall notify the Sexual Abuse Treatment
				Program in writing that the request for waiver of a specific requirement has
				been granted or denied. If a request for a waiver is denied, the denial letter
				shall include a notice of the right to request an administrative hearing under
				section  120.57,
				F.S.
Rulemaking Authority
					 39.3031 FS. Law Implemented
					 39.303
					 FS.
New 7-30-18.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64C - Division of Children's Medical Services › Chapter 64C-10 - FLORIDA KIDCARE QUALITY ASSURANCE AND ACCESS STANDARDS › Section 64C-10.001 - Florida KidCare Quality Assurance and Access Standards

Current through Reg. 50, No. 138; July 16, 2024
(1) Florida KidCare Quality Assurance and
				Access Standards provide minimum standards for health benefits provided to
				Florida KidCare enrollees.
(2) The
				Florida KidCare Quality Assurance and Access Standards Handbook, May 2015, is
				herein incorporated by reference and is available from CMS Headquarters, 4052
				Bald Cypress Way, Bin A06, Tallahassee, FL 32399-1707, or may be obtained at
http://www.flrules.org/Gateway/reference.asp?No=Ref-05564
.
Rulemaking Authority
					 391.026,
					 409.820 FS. Law Implemented
					 409.820
					 FS.
New 7-28-15.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64C - Division of Children's Medical Services › Chapter 64C-11 - SUDDEN UNEXPECTED INFANT DEATH › Section 64C-11.001 - Training Standards for Law Enforcement Agencies Investigating a Sudden Unexpected Infant Death

Current through Reg. 50, No. 138; July 16, 2024
All law enforcement agencies will provide training in sudden
				  unexpected infant death using the Sudden Unexpected Infant Death Investigation
				  Curriculum Guide (March 2007), which is herein incorporated by reference and is
				  available at
http://www.flrules.org/Gateway/reference.asp?No=Ref-05617
,
				  or from CMS Headquarters at 4052 Bald Cypress Way Bin #A06, Tallahassee,
				  Florida 32399.
Rulemaking Authority
					 383.3362(3)(c)
					 FS. Law Implemented 383.3362(3)
					 FS.
New 9-9-15.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64D - Division of Disease Control › Chapter 64D-2 - HUMAN IMMUNODEFICIENCY VIRUS (HIV) › Section 64D-2.001 - Patient Care Networks

Current through Reg. 50, No. 138; July 16, 2024
(1) Pursuant to
				Section  381.0042, F.S., a patient care
				network shall be established in each of the following geographical areas:
(a) South Florida which consists of Dade and
				Monroe Counties.
(b) Palm Beach
				County.
(c) East Central Florida
				which consists of Orange, Osceola, Seminole and Brevard Counties.
(d) West Central Florida which consists of
				Hillsborough, Polk, Pinellas and Pasco Counties.
(e) Northeast Florida which consists of
				Duval, St. Johns, Volusia, Nassau, Baker, Clay and Flagler
				Counties.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64D - Division of Disease Control › Chapter 64D-2 - HUMAN IMMUNODEFICIENCY VIRUS (HIV) › Section 64D-2.003 - Confidentiality

Current through Reg. 50, No. 138; July 16, 2024
(1) Any person, including employees of the
				department, any county health department, contract provider, testing program
				authorized by the department or health care facility, and health care provider
				shall comply with the confidentiality provisions of Sections
				 381.004(2)(e) and
				(f), F.S., and this rule.
(2) No person, including employees of health
				care facilities and health care providers as defined in subsections
				 64D-2.002(5) and
				(6), F.A.C., shall disclose or be compelled
				to disclose the identity of a test subject or his or her HIV test results,
				except to persons listed in Sections
				 381.004(2)(e)-(g),
				F.S., and the following persons:
(a) An agent
				or employee has a need to know the identity of a test subject or his or her HIV
				test result if:
1. The agent or employee has a
				need to know to discharge properly his or her duties in the ordinary course of
				participating in or administering the business operations of a health care
				facility or health care provider. Examples of these agents or employees are:
a. Financial staff who compile or review
				patient records as part of routine billing activities.
b. Transcribers who enter medical information
				into computers or records.
c.
				Personnel involved in utilization review, risk management or peer review
				activities in which patient records are normally shared among
				reviewers.
d. Supervisors
				responsible for the activities described in subparagraph 2.,
				below.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64D - Division of Disease Control › Chapter 64D-2 - HUMAN IMMUNODEFICIENCY VIRUS (HIV) › Section 64D-2.004 - Testing Requirements

Current through Reg. 50, No. 138; July 16, 2024
(1) Prior to
				testing for HIV, the notification and consent requirements of sections
				 381.004(2)(a) and
				(b), F.S., must be met.
(2) Informed consent to perform a test for
				HIV in a non-health care setting need not be in writing if there is
				documentation in the medical record that the test has been explained and
				consent has been obtained.
(3) In
				health care and non-health care settings, informed consent to perform a test
				for HIV shall be in writing for the following:
(a) Prior to the first donation of blood,
				blood components, organs, skin, semen, or other human tissue or body part in
				accordance with section
				 381.0041, F.S. The consent form
				must specify that the donor is consenting to repeated HIV testing of each
				donation for the subsequent year. The consent form must be signed annually
				prior to transfusion or other use;
(b) Prior to testing for HIV for insurance
				purposes, in accordance with section
				 627.429, F.S., or
(c) Prior to testing for HIV for contract
				purposes in a health maintenance organization, in accordance with section
				 641.3007,
				F.S.