The purpose of the amendment to Rule 59G-4.002 is to incorporate by reference the Florida Medicaid Provider Reimbursement Schedules. The amendment records effective dates for reimbursement schedules and the addition of two fee schedules: hospice ...
AGENCY FOR HEALTH CARE ADMINISTRATION
RULE NO.:RULE TITLE:
59G-4.002Medicaid Provider Reimbursement Schedules
PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-4.002, F.A.C., is to incorporate by reference the Florida Medicaid Provider Reimbursement Schedules. The amendment records effective dates for reimbursement schedules and the addition of two fee schedules: hospice physician and independent laboratory services.
SUBJECT AREA TO BE ADDRESSED: Medicaid Provider Reimbursement Schedules.
An additional area to be addressed during the workshop will be the potential regulatory impact the amendment to Rule 59G-4.002, F.A.C., will have as provided for under Sections 120.54 and 120.541, Florida Statutes.
RULEMAKING AUTHORITY: 409.919 FS.
LAW IMPLEMENTED: 409.902, 409.905, 409.906, 409.907, 409.908, 409.912, 409.913 FS.
A RULE DEVELOPMENT WORKSHOP WILL BE HELD AT THE DATE, TIME AND PLACE SHOWN BELOW:
DATE AND TIME: Tuesday, June 10, 2014, 2:00 p.m. ‒ 3:00 p.m.
PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Conference Room D, Tallahassee, Florida 32308-5407
Pursuant to the provisions of the Americans with Disabilities Act, any person requiring special accommodations to participate in this workshop/meeting is asked to advise the agency at least 48 hours before the workshop/meeting by contacting: Kathleen Core at the Bureau of Medicaid Services, (850)412-4221. If you are hearing or speech impaired, please contact the agency using the Florida Relay Service, 1(800)955-8771 (TDD) or 1(800)955-8770 (Voice).
THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE DEVELOPMENT AND A COPY OF THE PRELIMINARY DRAFT IS: Kathleen Core, Medicaid Services, 2727 Mahan Drive, Mail Stop 20, Tallahassee, Florida 32308-5407, telephone: (850)412-4221, e-mail: kathleen.core@ahca.myflorida.com
Please note that a preliminary draft of the reference material, if available, will be posted prior to the workshop at http://ahca.myflorida.com/Medicaid/review/index.shtml. Comments will be received until 5:00 p.m. on Tuesday, June 17, 2014.
THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS:
59G-4.002 Medicaid Provider Reimbursement Schedules.
(1) Medicaid providers who render advanced registered nurse practitioner, birth center, chiropractic, dental, hearing, independent laboratory, licensed midwife, optometric, outpatient hospital laboratory, physician, physician assistant, podiatry, registered nurse first assistant, and visual services are reimbursed according to the following fee schedules, which are incorporated by reference below:
(a) Advanced Registered Nurse Practitioner Fee Schedule, Effective July 1, 2012
(a)(b) Advanced Registered Nurse Practitioner Fee Schedule, Effective January 1, 2014 2013
(c) Advanced Registered Nurse Practitioner Fee Schedule, Effective July 1, 2013
(d) Birthing Center Fee Schedule, Effective July 1, 2012
(b)(e) Birthing Center Fee Schedule, Effective January 1, 2014 2013
(f) Birthing Center Fee Schedule, Effective July 1, 2013
(g) Chiropractic Services Fee Schedule, Effective July 1, 2012
(c)(h) Chiropractic Services Fee Schedule, Effective January 1, 2014 2013
(i) Chiropractic Services Fee Schedule, Effective July 1, 2013
(j) Dental General Fee Schedule, Effective July 1, 2012
(d)(k) Dental General Fee Schedule, Effective January 1, 2014 2013
(l) Dental General Fee Schedule, Effective July 1, 2013
(m) Dental Injectables Fee Schedule, Effective July 1, 2012
(e)(n) Dental Injectables Fee Schedule, Effective January 1, 2014 2013
(o) Dental Injectables Fee Schedule, Effective July 1, 2013
(p) Dental Oral/Maxillofacial Surgery Fee Schedule, Effective July 1, 2012
(f)(q) Dental Oral/Maxillofacial Surgery Fee Schedule, Effective January 1, 2014 2013
(r) Dental Oral/Maxillofacial Surgery Fee Schedule, July 1, 2013
(s) Hearing Services Fee Schedule, Effective July 1, 2012
(g)(t) Hearing Services Fee Schedule, Effective January 1, 2014 2013
(u) Hearing Services Fee Schedule, Effective July 1, 2013
(h) Hospice Physician Services Fee Schedule (FSrates), Effective July 1, 2013
(i) Independent Laboratory Services Fee Schedule, Effective January 1, 2013
(v) Licensed Midwife Fee Schedule, Effective July 1, 2012
(j)(w) Licensed Midwife Fee Schedule, Effective January 1, 2014 2013
(x) Licensed Midwife Fee Schedule, Effective July 1, 2013
(y) Optometric Services Fee Schedule, Effective July 1, 2012
(k)(z) Optometric Services Fee Schedule, Effective January 1, 2014 2013
(aa) Optometric Services Fee Schedule, Effective July 1, 2013
(bb) Outpatient Hospital Laboratory Fee Schedule, Effective January 1, 2013
(cc) Physician Anesthesia Fee Schedule, Effective July 1, 2012
(l)(dd) Physician Anesthesia Fee Schedule, Effective January 1, 2014 2013
(ee) Physician Anesthesia Fee Schedule, Effective July 1, 2013
(ff) Physician Assistant Fee Schedule, Effective July 1, 2012
(m)(gg) Physician Assistant Fee Schedule, Effective January 1, 2014 2013
(hh) Physician Assistant Fee Schedule, Effective July 1, 2013
(n)(ii) Physician Durable Medical Equipment Fee Schedule, Effective January 1, 2014 July 1, 2013
(jj) Physician Evaluation and Management Fee Schedule, Effective July 1, 2012
(o)(kk) Physician Evaluation and Management Fee Schedule, Effective January 1, 2014 2013
(ll) Physician Evaluation and Management Fee Schedule, Effective July 1, 2013
(mm) Physician Immunization Fee Schedule, Effective July 1, 2012
(p)(nn) Physician Immunization Fee Schedule, Effective January 1, 2014 2013
(oo) Physician Immunization Fee Schedule, Effective July 1, 2013
(pp) Physician Laboratory Services Fee Schedule, Effective July 1, 2012
(q)(qq) Physician Laboratory Services Fee Schedule, Effective January 1, 2014 2013
(rr) Physician Laboratory Services Fee Schedule, Effective July 1, 2013
(ss) Physician Medical Fee Schedule, Effective July 1, 2012
(r)(tt) Physician Medical Fee Schedule, Effective January 1, 2014 2013
(uu) Physician Medical Fee Schedule, Effective July 1, 2013
(vv) Physician Pediatric Surgery Fee Schedule, Effective July 1, 2012
(s)(ww) Physician Pediatric Surgery Fee Schedule, Effective January 1, 2014 2013
(xx) Physician Pediatric Surgery Fee Schedule, Effective July 1, 2013
(t)(yy) Physician Primary Care Rate Increase Fee Schedule, Effective January 1, 2014 2013
(zz) Physician Primary Care Rate Increase Fee Schedule, Effective July 1, 2013
(aaa) Physician Radiology Services Fee Schedule, Effective July 1, 2012
(u)(bbb) Physician Radiology Services Fee Schedule, Effective January 1, 2014 2013
(ccc) Physician Radiology Services Fee Schedule, Effective July 1, 2013
(ddd) Physician Surgical Fee Schedule, Effective July 1, 2012
(v)(eee) Physician Surgical Fee Schedule, Effective January 1, 2014 2013
(fff) Physician Surgical Fee Schedule, Effective July 1, 2013
(ggg) Podiatry Fee Schedule, Effective July 1, 2012
(w)(hhh) Podiatry Fee Schedule, Effective January 1, 2014 2013
(iii) Podiatry Fee Schedule, Effective July 1, 2013
(jjj) Regional Perinatal Intensive Care Center (RPICC) Neonatal Services Fee Schedule, Effective July 1, 2012
(x)(kkk) Regional Perinatal Intensive Care Center (RPICC) Neonatal Services Fee Schedule, Effective January 1, 2014 2013
(lll) Regional Perinatal Intensive Care Center (RPICC) Neonatal Services Fee Schedule, Effective July 1, 2013
(mmm) Regional Perinatal Intensive Care Centers (RPICC) Obstetrical Services Fee Schedule, Effective July 1, 2012
(y)(nnn) Regional Perinatal Intensive Care Centers (RPICC) Obstetrical Services Fee Schedule, Effective January 1, 2014 2013
(ooo) Regional Perinatal Intensive Care Centers (RPICC) Obstetrical Services Fee Schedule, Effective July 1, 2013
(ppp) Registered Nurse First Assistant Fee Schedule, Effective July 1, 2012
(z)(qqq) Registered Nurse First Assistant Fee Schedule, Effective January 1, 2014 2013
(rrr) Registered Nurse First Assistant Fee Schedule, Effective July 1, 2013
(sss) Visual Services Fee Schedule, Effective July 1, 2012
(aa)(ttt) Visual Services Fee Schedule, Effective January 1, 2014 2013
and
(uuu) Visual Services Fee Schedule, Effective July 1, 2013.
(2) The fee schedules are available from the Medicaid fiscal agent’s Web site at http://mymedicaid-florida.com. Select Public Information for Providers, then Provider Support, and then Fee Schedules.
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,__________.
Document Information
- Subject:
- Medicaid Provider Reimbursement Schedules. An additional area to be addressed during the workshop will be the potential regulatory impact the amendment to Rule 59G-4.002 will have as provided for under sections 120.54 and 120.541, Florida Statutes.
- Purpose:
- The purpose of the amendment to Rule 59G-4.002 is to incorporate by reference the Florida Medicaid Provider Reimbursement Schedules. The amendment records effective dates for reimbursement schedules and the addition of two fee schedules: hospice physician and independent laboratory services.
- Rulemaking Authority:
- 409.919 FS.
- Law:
- 409.902, 409.905, 409.906, 409.907, 409.908, 409.912, 409.913 FS.
- Contact:
- Kathleen Core, Medicaid Services, 2727 Mahan Drive, Mail Stop 20, Tallahassee, Florida 32308-5407, telephone: 850-412-4221, e-mail: kathleen.core@ahca.myflorida.com Please note that a preliminary draft of the reference material, if available, will be posted prior to the workshop at http://ahca.myflorida.com/Medicaid/review/index.shtml. Comments will be received until 5:00 p.m. on Tuesday, June 17, 2014.
- Related Rules: (1)
- 59G-4.002. Medicaid Provider Reimbursement Schedule