Fla. Admin. Code R. 65G-13.008

Current through Reg. 50, No. 119; June 18, 2024
Section 65G-13.008 - Room and Board Payments
(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.

Fla. Admin. Code Ann. R. 65G-13.008

Rulemaking Authority 393.066, 393.0662, 393.067, 393.501, 402.33, FS. Law Implemented 393.066, 393.0662, 393.067, 402.33, FS.

Adopted by Florida Register Volume 49, Number 148, August 1, 2023 effective 8/17/2023.

New 8-17-23.