Purpose


The Agency for Health Care Administration (AHCA) is proposing to amend Rules 59A-23.002, Definitions; 59A-23.003, Authorization Procedures, 59A-23.004, Quality Assurance; 59A-23.005, Medical Records and Case Files; and 59A-23.006, Grievance Procedures, 59A-23.007, Examination by the Agency for Health Care Administration, and 59A-23.009, Education Procedures, F.A.C to implement subsection (25) of Section 440.134, Florida Statutes. These proposed changes will specify: requirements and procedures for case management, requirements and procedures for quality assurance and medical records; requirements and procedures for dispute resolution; requirements and procedures for reporting data regarding grievances, and clarify workers’ compensation managed care arrangement definitions.