The Department proposes the development of rule amendments to address clarification of medical reimbursement and utilization review requirements regarding physician dispensed medication. Informational Bulletin DWC-01-2020 ....

 

DEPARTMENT OF FINANCIAL SERVICES

Division of Workers' Compensation

RULE NOS.:RULE TITLES:

69L-7.730Health Care Provider Medical Billing and Reporting Responsibilities

69L-7.740Insurer Authorization and Medical Bill Review Responsibilities

PURPOSE AND EFFECT: The Department proposes the development of rule amendments to address clarification of medical reimbursement and utilization review requirements regarding physician dispensed medication. Informational Bulletin DWC-01-2020 was rescinded retroactively to the date it was published.

SUBJECT AREA TO BE ADDRESSED: The medical reimbursement and utilization review requirements regarding physician dispensed medication.

RULEMAKING AUTHORITY: 440.13(4), 440.15(3)(b), (d), 440.185(5), 440.525(2), 440.591, 440.593(5) FS.

LAW IMPLEMENTED: 440.09, 440.13(2)(a), (3), (4), (6), (11), (12), (14), (16), 440.15(3)(b), (d), (5), 440.185(5), (9), 440.20(6), 440.525(2), 440.593 FS.

A RULE DEVELOPMENT WORKSHOP WILL BE HELD AT THE DATE, TIME AND PLACE SHOWN BELOW:

DATE AND TIME: September 29, 2022: 69L-7.730, F.A.C., 9:30 a.m.; 69L-7.740, F.A.C., 2:00 p.m.

PLACE: Room 155, Hilltop Building at Summit East, 1579 Summit Lake Drive, Tallahassee, Florida.

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 5 days before the workshop/meeting by contacting: Brittany O’Neil, Assistant Director, Division of Workers’ Compensation, Department of Financial Services, telephone: [phone], email: [e-mail]. 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, IF AVAILABLE, IS: Brittany O’Neil, Assistant Director, Division of Workers’ Compensation, Department of Financial Services, address: 200 East Gaines Street, Tallahassee, Florida 32399-4228, telephone: [phone], email: [e-mail].

 

THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS AVAILABLE AT NO CHARGE FROM THE CONTACT PERSON LISTED ABOVE.