Current through Reg. 50, No. 187; September 24, 2024
(1) For the
Agency to authorize a room and board payment to a licensed residential facility
in accordance with legislative appropriation for room and board services
received by a client, the client must:
(a)
reside in a licensed residential facility;
(b) have sought and obtained all available
third-party benefits and benefit payments, for which the client is
entitled;
(c) have utilized all
third-party benefits and benefit payments towards the payment of room and board
services, except for a personal needs allowance as set forth in Rule
65G-2.018, F.A.C.; and
(d) provide all records relating to receipt
of third-party benefits and benefit payments to the residential facility in
which the client resides.
(2) The licensed residential facility must
request a room and board payment in accordance with this subsection.
(a) The licensed residential facility must
submit the Room and Board Reimbursement Form, APD Form
65G-13.008 A, adopted and
incorporated herein, which may be found at:
http://www.flrules.org/Gateway/reference.asp?No=Ref-15472,
in accordance with the instructions contained therein.
(b) The licensed residential facility must
submit for its adult clients, at least annually or upon any change in the
client's Social Security eligibility, a copy of the most recent Supplemental
Security Income ("SSI") program award or denial letter, which demonstrates a
good faith attempt to secure a benefit payment for the client to the regional
office in which the facility is located. The contact information for each
regional office can be found at
https://apd.myflorida.com/.
(3) The room and board reimbursement payment
for an adult must be calculated as follows:
(a) add together all benefit payments and
third-party benefits; then
(b)
subtract the personal need allowance, described in Rule
65G-2.018, F.A.C.;
then
(c) subtract that total from
$583.42. If the final result is zero or less, there will be no reimbursement
payment.
(4) The room and
board payment for a client under the age of 22 is $583.42, regardless of that
client's benefit payments and third-party benefits.
(5) This Rule shall be reviewed, and if
necessary, renewed through the rulemaking process five years from the effective
date.
Rulemaking Authority
393.066,
393.0662,
393.067,
393.501,
402.33, FS. Law Implemented
393.066,
393.0662,
393.067,
402.33,
FS.
New 8-17-23.
