The Department proposes the development of rule amendments to clarify requirements and procedures for resolution of medical reimbursement disputes.

 

DEPARTMENT OF FINANCIAL SERVICES

Division of Workers’ Compensation

RULE NOS.:RULE TITLES:

69L-31.002Definitions

69L-31.003Petition Form

69L-31.004Carrier Response Form

69L-31.005Petition Requirements

69L-31.006Consolidation of Petitions

69L-31.007Service of Petition on Carrier and Affected Parties

69L-31.008Computation of Time

69L-31.009Carrier Response Requirements

69L-31.010Effect of Non-Response by Carrier

69L-31.011Complete Record

69L-31.012Joint Stipulation of the Parties

69L-31.013Petition Withdrawal

69L-31.014Overutilization Issues Raised in Reimbursement Dispute Resolution

PURPOSE AND EFFECT: The Department proposes the development of rule amendments to clarify requirements and procedures for resolution of medical reimbursement disputes.

SUBJECT AREA TO BE ADDRESSED: The resolution of reimbursement disputes by the Florida Department of Financial Services pursuant to section 440.13(7)(e), FS.

RULEMAKING AUTHORITY: 440.13(7), (7)(e), 440.591, FS.

LAW IMPLEMENTED: 440.13(7), (7)(a), (7)(b), (7)(c), (7)(e), FS.

IF REQUESTED IN WRITING AND NOT DEEMED UNNECESSARY BY THE AGENCY HEAD, A RULE DEVELOPMENT WORKSHOP WILL BE NOTICED IN THE NEXT AVAILABLE FLORIDA ADMINISTRATIVE REGISTER.

THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE DEVELOPMENT AND A COPY OF THE PRELIMINARY DRAFT, IF AVAILABLE, IS: Brittany O’Neil, Policy Coordinator, Division of Workers’ Compensation, Department of Financial Services, telephone: [phone], email: [e-mail].

THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS NOT AVAILABLE.