 |
Florida Administrative Code (Last Updated: November 11, 2024) |
 |
59. Agency for Health Care Administration |
|
59G. Medicaid |
|
59G-4. Medicaid Policy |
1(1) This rule applies to providers rendering Florida Medicaid services to recipients.
13(2) Florida Medicaid reimburses for services rendered in the fee-for-service delivery system based on a fee schedule, cost report, or contract. The following fee schedules and billing codes are incorporated by reference and available on the Agency for Health Care Administration’s website at http://ahca.myflorida.com/Medicaid/review/index.shtml.
57(3) Florida Medicaid Fee Schedule Effective January 1, 2023: 66Practitioner Laboratory Fee Schedule
70https://www.flrules.org/Gateway/reference.asp?No=Ref-1699072.
73(4) Florida Medicaid Fee Schedule Effective October 1, 2023: Prescribed Drugs Immunization Fee Schedule
87https://www.flrules.org/Gateway/reference.asp?No=Ref-1699189.
90(5) Florida Medicaid Fee Schedules Effective January 1, 2024:
99(a) Assistive Care Services Fee Schedule
105https://www.flrules.org/Gateway/reference.asp?No=Ref-16992107.
108(b) Behavior Analysis Fee Schedule
113https://www.flrules.org/Gateway/reference.asp?No=Ref-16993115.
116(c) Behavioral Health Overlay Services Fee Schedule
123https://www.flrules.org/Gateway/reference.asp?No=Ref-16994125.
126(d) Birth Center Fee Schedule
131https://www.flrules.org/Gateway/reference.asp?No=Ref-16995133.
134(e) Community-Based Substance Abuse County Match Fee Schedule
142https://www.flrules.org/Gateway/reference.asp?No=Ref-16996144.
145(f) Community Behavioral Health Services Fee Schedule
152https://www.flrules.org/Gateway/reference.asp?No=Ref-16997154.
155(g) County Health Department Certified Match Program Fee Schedule
164https://www.flrules.org/Gateway/reference.asp?No=Ref-16998166.
167(h) Dental General Fee Schedule
172https://www.flrules.org/Gateway/reference.asp?No=Ref-16999174.
175(i) Durable Medical Equipment and Medical Supply Services Provider Fee Schedule for All Medicaid Recipients
190https://www.flrules.org/Gateway/reference.asp?No=Ref-17000192.
193(j) Early Intervention Services Fee Schedule
199https://www.flrules.org/Gateway/reference.asp?No=Ref-17001201.
202(k) Hearing Services Fee Schedule
207https://www.flrules.org/Gateway/reference.asp?No=Ref-17002209.
210(l) Home Health Visit Services Fee Schedule
217https://www.flrules.org/Gateway/reference.asp?No=Ref-17003219.
220(m) Independent Laboratory Fee Schedule
225https://www.flrules.org/Gateway/reference.asp?No=Ref-17004227.
228(n) Licensed Midwife Fee Schedule
233https://www.flrules.org/Gateway/reference.asp?No=Ref-17005235.
236(o) Medicaid Certified School Match Program Fee Schedule
244https://www.flrules.org/Gateway/reference.asp?No=Ref-17006246.
247(p) Medical Foster Care Services Fee Schedule
254https://www.flrules.org/Gateway/reference.asp?No=Ref-17007256.
257(q) Occupational Therapy Services Fee Schedule
263https://www.flrules.org/Gateway/reference.asp?No=Ref-17008265.
266(r) Personal Care Services Fee Schedule
272https://www.flrules.org/Gateway/reference.asp?No=Ref-17009274.
275(s) Physical Therapy Fee Schedule
280https://www.flrules.org/Gateway/reference.asp?No=Ref-17010282.
283(t) Physician Pediatric Surgery Fee Schedule
289https://www.flrules.org/Gateway/reference.asp?No=Ref-17011291.
292(u) Practitioner Fee Schedule
296https://www.flrules.org/Gateway/reference.asp?No=Ref-17012298.
299(v) Practitioner Laboratory Fee Schedule
304https://www.flrules.org/Gateway/reference.asp?No=Ref-17013306.
307(w) Prescribed Drugs Immunization Fee Schedule
313https://www.flrules.org/Gateway/reference.asp?No=Ref-17014315.
316(x) Prescribed Pediatric Extended Care Services Fee Schedule
324https://www.flrules.org/Gateway/reference.asp?No=Ref-17015326.
327(y) Private Duty Nursing Services Fee Schedule
334https://www.flrules.org/Gateway/reference.asp?No=Ref-17016336.
337(z) Radiology Fee Schedule
341https://www.flrules.org/Gateway/reference.asp?No=Ref-17017343.
344(aa) Regional Perinatal Intensive Care Center (RPICC) Neonatal Services Fee Schedule
355https://www.flrules.org/Gateway/reference.asp?No=Ref-17027357.
358(bb) Regional Perinatal Intensive Care Center (RPICC) Obstetrical Services Fee Schedule
369https://www.flrules.org/Gateway/reference.asp?No=Ref-17028371.
372(cc) Respiratory Therapy Services Fee Schedule
378https://www.flrules.org/Gateway/reference.asp?No=Ref-17029380.
381(dd) Specialized Therapeutic Services Fee Schedule
387https://www.flrules.org/Gateway/reference.asp?No=Ref-17030389.
390(ee) Speech-Language Pathology Services Fee Schedule
396https://www.flrules.org/Gateway/reference.asp?No=Ref-17031398.
399(ff) Targeted Case Management Services Fee Schedule
406https://www.flrules.org/Gateway/reference.asp?No=Ref-17032408.
409(gg) Transportation Services Fee Schedule
414https://www.flrules.org/Gateway/reference.asp?No=Ref-17033416.
417(hh) Visual Services Fee Schedule
422https://www.flrules.org/Gateway/reference.asp?No=Ref-17034424.
425(6) Florida Medicaid Billing Codes Effective January 1, 2024:
434(a) County Health Department Billing Codes
440https://www.flrules.org/Gateway/reference.asp?No=Ref-17035442.
443(b) Federally Qualified Health Center Billing Codes
450https://www.flrules.org/Gateway/reference.asp?No=Ref-17036452.
453(c) Hospice Services Billing Codes
458https://www.flrules.org/Gateway/reference.asp?No=Ref-17037460.
461(d) Hospital Outpatient Services Billing Codes
467https://www.flrules.org/Gateway/reference.asp?No=Ref-17038469.
470(e) Intermediate Care Facility for Individuals with Intellectual Disabilities Services Billing Codes
482https://www.flrules.org/Gateway/reference.asp?No=Ref-17039484.
485(f) Nursing Facility Services Billing Codes
491https://www.flrules.org/Gateway/reference.asp?No=Ref-17040493.
494(g) Prescribed Drugs Physician Administered Billing Codes
501https://www.flrules.org/Gateway/reference.asp?No=Ref-17041503.
504(h) Rural Health Clinic Billing Codes
510https://www.flrules.org/Gateway/reference.asp?No=Ref-17042512.
513(i) Statewide Inpatient Psychiatric Program Services Billing Codes
521https://www.flrules.org/Gateway/reference.asp?No=Ref-17043523.
524(6) This rule is in effect for five years from its effective date.
537Rulemaking Authority 539409.919 FS. 541Law Implemented 543409.902, 544409.905, 545409.906, 546409.907, 547409.908, 548409.912, 549409.913 FS. 551History–New 8-18-05, Amended 11-30-05, 4-16-06, 10-11-06, 3-27-07, 7-25-07, 9-29-08, 4-28-09, 2-11-10, 1-31-11, 7-16-13, 5-21-14, 6-20-16, 6-22-17, 2-8-18, 5-7-18, 1-7-19, 7-17-19, 12-15-20, 9-29-21, 8-2-22, 12-31-23, 10-21-24.
