2A-3.002. Applicant and Payment Procedures


Effective on Thursday, December 24, 2015
  • 1(1) The Bureau of Victim Compensation pays for medical expenses connected with the initial forensic physical examination of a victim of sexual battery as defined by section 28794.011(h), F.S., 30or a lewd or lascivious battery or molestation as defined by section 42800.04(4) 43or (5), F.S.

    46(2) Payments are awarded regardless of whether the victim is covered by health or disability insurance. The victim must not be billed directly or indirectly for expenses associated with the examination.

    77(3) Payments are not contingent on the victim’s participation in the criminal justice system or cooperation with law enforcement.

    96(4) The claim form and invoice must be filed and received by the department within 120 days of the forensic examination. Corrections or technical defects in claim form or invoice shall not result in a change to the original filing date for purposes of complying with the filing deadline.

    145(5) The claim form and invoice shall be mailed to the Office of the Attorney General, Bureau of Victim Compensation, PL-01, The Capitol, Tallahassee, FL 32399-1050; faxed to (850)414-6197 or (850)414-5779; or emailed to VCIntake@MyFloridaLegal.com, or submitted via the department’s web portal. The form BVC100SB, Sexual Battery Forensic Examination Claim Form revised 10/15, is adopted and incorporated by reference at the following address: 208http://www.flrules.org/Gateway/reference.asp?No=Ref-06144210. A copy of said form can be obtained at www.myfloridalegal.com or by contacting the Office of the Attorney General, Bureau of Victim Compensation. Failure to submit a properly completed claim form and invoice will result in denial of benefits.

    250(6) For a faxed claim form and invoice to be timely received, the transmittal cover page must provide sufficient information to identify the claim for which payment is sought, and bear a faxed date stamp that is within 120 days immediately following the examination.

    294(7) Payment shall not exceed $500 with respect to any violation. Separate invoices submitted for payment consideration of a single examination shall be divided in accordance with the direction and discretion of the department.

    328(8) The claim form shall include the following:

    336(a) The victim’s name;

    340(b) Optional demographic data for statistical purposes, including date of birth, race/ethnicity, gender, and national origin;

    356(c) The date the sexual battery or lewd or lascivious battery or molestation as reported by the victim;

    374(d) Indication whether or not the victim has reported the incident to law enforcement, and if so, what law enforcement agency took the report, and the case/report number, if applicable;

    404(e) City, county, and state where the crime was committed according to the victim’s statement;

    419(f) Whether or not the crime occurred while the victim was incarcerated or in custody;

    434(g) The date the examination was completed;

    441(h) Forensic facility information which includes the name of the facility where the examination was performed, the facility’s federal tax identification number, mailing address, email address (if applicable), and telephone number including the area code;

    476(i) The name of another employee of the facility who was present at the time the examination was performed and shall henceforth be identified as the witness;

    503(j) The witness must attest to the fact that the examination was performed on the victim at the location identified;

    523(k) The signature of the witness and date of signature;

    533(l) Forensic examiner information which includes their name, title, and license number;

    545(m) Certification by the forensic examiner to affirm that the initial forensic physical examination for which the claim is based was performed for the purpose of collecting forensic evidence from the victim on the date identified using practices consistent with the establish Adult and Child Sexual Assault Protocols; and,

    594(n) The signature of the forensic examiner and date of signature.

    605(9) The itemized invoice shall be prepared using industry standard forms or on the provider’s letterhead. It must include the following:

    626(a) Facility name, address, and tax identification number;

    634(b) Date of the examination;

    639(c) Victim’s name;

    642(d) Examination diagnostic codes for observation following alleged rape or seduction (V71.5), encounter for examination and observation following alleged rape (Z044), encounter for examination and observation following alleged adult rape (Z0441), encounter for examination and observation following alleged child rape (Z0442); and,

    684(e) One or more of the following procedures:

    6921. Certified or board-eligible healthcare examiner’s office or other outpatient services;

    7032. Emergency department services;

    7073. Use of medical facility for the collection of forensic physical evidence;

    7194. Venipuncture for the collection of blood samples;

    7275. Laboratory tests for baseline sexually transmitted disease and pregnancy; or

    7386. Forensic evidence collection kit.

    743(10) Only medical expenses connected with the initial forensic physical examination shall be considered.

    757Rulemaking Authority 759960.045(1) FS. 761Law Implemented 763960.28 FS. 765History–New 11-1-92, Amended 9-13-94, 9-26-95, 6-19-96, 9-24-97, 2-3-00, 3-17-03, 1-16-08, 8-1-10, 12-24-15.

     

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