11563484, 59G-4.002 - Florida Administrative Rules, Law, Code, Register

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Florida Department of State and Division of Library and Information Services

Notice: 11563484

Notice of Proposed Rule

Department:

AGENCY FOR HEALTH CARE ADMINISTRATION

Division:

Medicaid

Chapter:

MEDICAID POLICY

Overview

RULE:

59G-4.002

Provider Reimbursement Schedules and Billing Codes

PURPOSE:

The proposed rule amends Rule 59G-4.002, F.A.C. The purpose of the rule amendment is to record effective dates for practitioner procedure codes and fees.  The rule amendment also excludes injectable medications from the fee schedule.  This latter action is pursuant to section 409.912(37)(a), F.S.

SUMMARY:

The current amendment to Rule 59G-4.002 incorporates by reference the Florida Medicaid Provider Reimbursement Schedule including changes to the following: 1) practitioner procedure codes and fees, effective January 1, 2011; 2) practitioner procedure codes and fees, effective January 1, 2012; 3) fees for general dental services, effective July 1, 2011; 4) physician immunization fees, effective April 1, 2011; and 5) physician immunization fees, effective October 1, 2011.  As indicated, the amendment also excludes injectable medications from the fee schedule, because reimbursement rates for medications are established pursuant to section 409.912(37)(a), F.S. and rule 59G-4.251, F.A.C.

RULEMAKING AUTHORITY:

409.919

LAW:

409.902, 409.905, 409.906, 409.907, 409.908, 409.912, 409.913 FS.

PRINT PUBLISH DATE:

6/1/2012 Vol. 38/22

COMMENTS:

From 6/1/2012 To 6/22/2012 (21 Days)
The public comment period for this notice has already expired.

REFERENCE MATERIALS:

No reference(s).

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