DEPARTMENT OF FINANCIAL SERVICES
Division of Workers’ Compensation
RULE NO.:RULE TITLE:
69L-7.501Florida Workers’ Compensation Reimbursement Manual for Hospitals
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. 48 No. 164, August 23, 2022 issue of the Florida Administrative Register.
The Florida Workers’ Compensation Reimbursement Manual for Hospitals, incorporated by reference into Rule 69L-7.501, is amended as follows:
On Page 7, under the heading “Emergency Services and Care,” the language is amended to read:
Emergency services and care, defined in section 395.002, F.S., do not require authorization at the time they are rendered. A hospital that renders emergency care must notify the carrier by the close of the third state of Florida business day after it has rendered such care.
When an emergency medical condition requires or results in a hospital inpatient admission, the hospital must notify the carrier within 24 hours of the initial treatment.
When it is determined that an emergency medical condition, as defined in section 395.002, F.S., does not exist or no longer exists and only nonemergency services are required, any related follow-up care or treatment or referral must be authorized by the carrier prior to the provision of the additional treatment or care, pursuant to section 440.13(3), Florida Statutes.