Purpose


Rule 59G-1.010(166)(a)3., Florida Administrative Code (F.A.C.), provides in part that in order for a diagnostic test, therapeutic procedure, or medical device or technology to be medically necessary it must be consistent with generally accepted professional medical standards, as determined by the Florida Medicaid program, and not be experimental or investigational as defined in Rule 59G-1.010(84), F.A.C. This new rule specifies Florida Medicaid’s process for determining the circumstances under which a diagnostic test, therapeutic procedure, or medical device or technology is consistent with generally accepted professional medical standards.