Provider Reimbursement Schedules and Billing Codes

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

RULE NO.: RULE TITLE:

59G-4.002   Provider 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. 44 No. 38, February 23, 2018 issue of the Florida Administrative Register.

59G-4.002Provider Reimbursement Schedules and Billing Codes.

There are no changes to the rule text.

The following changes have been made to the Florida Medicaid Practitioner Fee Schedule:

The table preceding the numerically ordered list of procedure codes now reads:

Note Numbers 1-8, no change.

Note Number 9, Anesthesia Reimbursement Rates, Details now read:

•   Anesthesia time is reported in total minutes and reimbursed through the below calculation.: Qualified non-physician providers, within their scope of practice, are reimbursed at 80%.

(Anesthesia FSI, Facility, PCI, or TCI rate) + (time/15 x $14.50) = reimbursement rate.

There are no other changes to the Florida Medicaid Practitioner Fee Schedule.

There are no changes to other fee schedules or billing codes incorporated by reference in the rule.