(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:

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Terms Used In Florida Regulations 65G-13.008

  • Appropriation: The provision of funds, through an annual appropriations act or a permanent law, for federal agencies to make payments out of the Treasury for specified purposes. The formal federal spending process consists of two sequential steps: authorization
    (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 Fl. Admin. Code R. 65G-2.018; 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 Fl. Admin. Code R. 65G-2.018; 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. History-New 8-17-23.