Provider Reimbursement Schedules and Billing Codes

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

RULE NO.:RULE TITLE:

59G-4.002Provider Reimbursement Schedules and Billing Codes

NOTICE OF CHANGE

Notice is hereby given that the following changes have been made to the proposed rule in accordance with subparagraph 120.54(3)(d)1., F.S., published in Vol. 49 No. 159, August 16, 2023 issue of the Florida Administrative Register.

59G-4.002 Provider Reimbursement Schedules and Billing Codes.

(1) through (3) No change.

(4) through (7) Now reads as follows:

(4) Florida Medicaid Billing Codes Effective January 1, 2022:

(a) County Health Department Billing Codes

https://www.flrules.org/Gateway/reference.asp?No=Ref-14574.

(b) Federally Qualified Health Center Billing Codes

https://www.flrules.org/Gateway/reference.asp?No=Ref-14575.

(c) Hospice Services Billing Codes

https://www.flrules.org/Gateway/reference.asp?No=Ref-14576.

(d) Hospital Outpatient Services Billing Codes

https://www.flrules.org/Gateway/reference.asp?No=Ref-14577.

(e) Intermediate Care Facility for Individuals with Intellectual Disabilities Services Billing Codes

https://www.flrules.org/Gateway/reference.asp?No=Ref-14578.

(f) Nursing Facility Services Billing Codes

https://www.flrules.org/Gateway/reference.asp?No=Ref-14579.

(g) Rural Health Clinic Billing Codes

https://www.flrules.org/Gateway/reference.asp?No=Ref-14580.

(h) Statewide Inpatient Psychiatric Program Services Billing Codes

https://www.flrules.org/Gateway/reference.asp?No=Ref-14581.

(i) Prescribed Drugs Physician Administered Billing Codes

https://www.flrules.org/Gateway/reference.asp?No=Ref-14582.

(4)(5) Florida Medicaid Fee Schedules Effective January 1, 2023:

(a) Assistive Care Services Fee Schedule

https://www.flrules.org/Gateway/reference.asp?No=Ref-_______.

 

(b)(a) Behavior Analysis Fee Schedule

 

https://www.flrules.org/Gateway/reference.asp?No=Ref-_______.

 

(c)(b) Behavioral Health Overlay Services Fee Schedule

 

https://www.flrules.org/Gateway/reference.asp?No=Ref-________.

 

(d)(c) Birth Center Fee Schedule

 

https://www.flrules.org/Gateway/reference.asp?No=Ref-________.

 

(e) Community-Based Substance Abuse County Match Fee Schedule

 

https://www.flrules.org/Gateway/reference.asp?No=Ref-_________.

 

(f)(d) Community Behavioral Health Services Fee Schedule

 

https://www.flrules.org/Gateway/reference.asp?No=Ref-_______.

 

(g) County Health Department Certified Match Program Fee Schedule

 

https://www.flrules.org/Gateway/reference.asp?No=Ref-________.

 

(h) Dental General Fee Schedule

 

https://www.flrules.org/Gateway/reference.asp?No=Ref-________.

 

(i)(e) Durable Medical Equipment and Medical Supply Services Provider Fee Schedule for All Medicaid Recipients

 

https://www.flrules.org/Gateway/reference.asp?No=Ref-________.

 

(j) Early Intervention Services Fee Schedule

 

https://www.flrules.org/Gateway/reference.asp?No=Ref-________.

 

(k)(f)Hearing Services Fee Schedule

 

https://www.flrules.org/Gateway/reference.asp?No=Ref-________.

 

(l) Home Health Visit Services Fee Schedule

 

https://www.flrules.org/Gateway/reference.asp?No=Ref-________.

 

(m)(g) Independent Laboratory Fee Schedule

 

https://www.flrules.org/Gateway/reference.asp?No=Ref-________.

 

(n)(h) Licensed Midwife Fee Schedule

 

https://www.flrules.org/Gateway/reference.asp?No=Ref-________.

 

(o) Medicaid Certified School Match Program Fee Schedule

 

https://www.flrules.org/Gateway/reference.asp?No=Ref-________.

 

(p) Medical Foster Care Services Fee Schedule

 

https://www.flrules.org/Gateway/reference.asp?No=Ref-________.

 

 (q) Occupational Therapy Services Fee Schedule

 

https://www.flrules.org/Gateway/reference.asp?No=Ref-________.

 

(r) Personal Care Services Fee Schedule

 

https://www.flrules.org/Gateway/reference.asp?No=Ref-________.

 

(s) Physical Therapy Fee Schedule

 

https://www.flrules.org/Gateway/reference.asp?No=Ref-________.

 

(t) Physician Pediatric Surgery Fee Schedule

 

https://www.flrules.org/Gateway/reference.asp?No=Ref-________.

 

(u)(i) Practitioner Fee Schedule

 

https://www.flrules.org/Gateway/reference.asp?No=Ref-________.

 

(v)(j)  Practitioner Laboratory Fee Schedule

 

https://www.flrules.org/Gateway/reference.asp?No=Ref-________.

 

(w)(k) Prescribed Drugs Immunization Fee Schedule

 

https://www.flrules.org/Gateway/reference.asp?No=Ref-________.

 

(x) Prescribed Pediatric Extended Care Services Fee Schedule

 

https://www.flrules.org/Gateway/reference.asp?No=Ref-________.

 

(y) Private Duty Nursing Services Fee Schedule

 

https://www.flrules.org/Gateway/reference.asp?No=Ref-________.

 

(z)(l) Radiology Fee Schedule

 

https://www.flrules.org/Gateway/reference.asp?No=Ref-________.

 

(aa) Regional Perinatal Intensive Care Center (RPICC) Neonatal Services Fee Schedule

 

https://www.flrules.org/Gateway/reference.asp?No=Ref-________.

 

(bb) Regional Perinatal Intensive Care Center (RPICC) Obstetrical Services Fee Schedule

 

https://www.flrules.org/Gateway/reference.asp?No=Ref-________.

 

(cc) Respiratory Therapy Services Fee Schedule

 

https://www.flrules.org/Gateway/reference.asp?No=Ref-________.

 

(dd) (m) Specialized Therapeutic Services Fee Schedule

 

https://www.flrules.org/Gateway/reference.asp?No=Ref-________.

 

(ee) Speech-Language Pathology Services Fee Schedule

 

https://www.flrules.org/Gateway/reference.asp?No=Ref-________.

 

(ff) Targeted Case Management Services Fee Schedule

 

https://www.flrules.org/Gateway/reference.asp?No=Ref-________.

 

(gg) Transportation Services Fee Schedule

 

https://www.flrules.org/Gateway/reference.asp?No=Ref-________.

 

(hh) (n)Visual Services Fee Schedule

 

https://www.flrules.org/Gateway/reference.asp?No=Ref-________.

 

(5)(6) Florida Medicaid Billing Codes Effective January 1, 2023:

 

(a) County Health Department Billing Codes

 

https://www.flrules.org/Gateway/reference.asp?No=Ref-________.

 

(b) Federally Qualified Health Center Billing Codes

 

https://www.flrules.org/Gateway/reference.asp?No=Ref-________.

 

(c) Hospice Services Billing Codes

 

https://www.flrules.org/Gateway/reference.asp?No=Ref-________.

 

(d) Hospital Outpatient Services Billing Codes

 

https://www.flrules.org/Gateway/reference.asp?No=Ref-________.

 

(e) Intermediate Care Facility for Individuals with Intellectual Disabilities Services Billing Codes

 

https://www.flrules.org/Gateway/reference.asp?No=Ref-________.

 

(f) Nursing Facility Services Billing Codes

 

https://www.flrules.org/Gateway/reference.asp?No=Ref-________.

 

(g) Rural Health Clinic Billing Codes

 

https://www.flrules.org/Gateway/reference.asp?No=Ref-________.

 

(h) Statewide Inpatient Psychiatric Program Services Billing Codes

 

https://www.flrules.org/Gateway/reference.asp?No=Ref-________.

 

(i)(a) Prescribed Drugs Physician Administered Billing Codes

 

https://www.flrules.org/Gateway/reference.asp?No=Ref-________.

 

(6)(7) This rule is in effect for five years from its effective date.

Rulemaking Authority 409.919 FS. Law Implemented 409.902, 409.905, 409.906, 409.907, 409.908, 409.912, 409.913 FS. History–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, ________.