59G-6.020 : Payment Methodology for Inpatient Hospital Services - Florida Administrative Rules, Law, Code, Register

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Rule Title: Payment Methodology for Inpatient Hospital Services
Department:	AGENCY FOR HEALTH CARE ADMINISTRATION	Add to MyFLRules Favorites
Division:	Medicaid
Chapter:	REIMBURSEMENT TO PROVIDERS

Latest version of the final adopted rule presented in Florida Administrative Code (FAC):

	Effective Date:	7/12/2018
	History Notes:	Rulemaking Authority 409.919 FS. Law Implemented 409.905, 409.908, 409.909, 409.913, 409.9113, 409.9115, 409.9116, 409.9118, 409.9119 FS. History–New 10-31-85, Formerly 10C-7.391, Amended 10-1-86, 1-10-89, 11-19-89, 3-26-90, 8-14-90, 9-30-90, 9-16-91, 4-6-92, 11-30-92, 6-30-93, Formerly 10C-7.0391, Amended 4-10-94, 8-15-94, 1-11-95, 5-13-96, 7-1-96, 12-2-96, 11-30-97, 9-16-98, 11-10-99, 9-20-00, 3-31-02, 1-8-03, 7-3-03, 2-1-04, 2-16-04, 2-17-04, 8-10-04, 10-12-04, 1-10-06, 4-19-06, 12-11-06, 3-4-08, 6-10-08, 1-11-09, 3-24-10, 7-5-10, 7-15-10, 2-23-11, 10-30-12, 4-23-14, 1-19-15, 6-15-15, 7-11-16, 7-10-17, 7-12-18.
	References in this version:	Ref-07058 CMS-2552-96 Ref-07059 CMS-2552-10 Ref-08256 Provider Reimbursement Manual CMS PUB. 15-1 Ref-09420 Florida Title XIX Inpatient Hospital Reimbursement Plan (the Plan), Version XLIV, effective July 1, 2017

History of this Rule since Jan. 6, 2006

Section	Description	ID	Publish Date

Development 59G-6.020	The purpose of the amendment to Rule 59G-6.020, Florida Administrative Code (F.A.C.), is to clarify and update reimbursement language.	22129403	7/17/2019 Vol. 45/138
Final 59G-6.020	Payment Methodology for Inpatient Hospital Services	20583999	Effective: 07/12/2018
Proposed 59G-6.020	The purpose of the amendment to Rule 59G-6.020, Florida Administrative Code (F.A.C.), is to incorporate by reference the Florida Title XIX Inpatient Hospital Reimbursement Plan (the Plan), Version XLIV, effective July 1, ....	20217436	3/26/2018 Vol. 44/59
Development 59G-6.020	The purpose of the amendment to Rule 59G-6.020, Florida Administrative Code (F.A.C.), is to incorporate by reference the Florida Title XIX Inpatient Hospital Reimbursement Plan (the Plan), Version XLIV, effective July 1, ....	19442600	9/25/2017 Vol. 43/185
Final 59G-6.020	Payment Methodology for Inpatient Hospital Services	19116389	Effective: 07/10/2017
Proposed 59G-6.020	The purpose of the amendment to Rule 59G-6.020, Florida Administrative Code (F.A.C.), is to incorporate by reference the Florida Title XIX Inpatient Hospital Reimbursement Plan (the Plan), Version XLIII, effective July 1, ....	18844886	4/11/2017 Vol. 43/70
Development 59G-6.020	The purpose of the amendment to Rule 59G-6.020, Florida Administrative Code (F.A.C.), is to incorporate by reference the Florida Title XIX Inpatient Hospital Reimbursement Plan (the Plan), Version XLIII, effective July 1, ....	18343202	12/6/2016 Vol. 42/235
Final 59G-6.020	Payment Methodology for Inpatient Hospital Services	17692235	Effective: 07/11/2016
Change 59G-6.020	Payment Methodology for Inpatient Hospital Services	17590094	5/31/2016 Vol. 42/105
Hearing 59G-6.020	Payment Methodology for Inpatient Hospital Services	17519575	5/13/2016 Vol. 42/94
Proposed 59G-6.020	The purpose of the amendment to Rule 59G-6.020, Florida Administrative Code, is to incorporate by reference the Florida Title XIX Inpatient Hospital Reimbursement Plan (the Plan), Version XLII, effective July 1, 2015. The ....	17190066	2/29/2016 Vol. 42/40
Development 59G-6.020	The purpose of the amendment to Rule 59G-6.020 is to incorporate by reference the Florida Title XIX Inpatient Hospital Reimbursement Plan (the Plan), Version XLII, effective July 1, 2015. The amendment also specifies the ....	16797022	11/19/2015 Vol. 41/225
Final 59G-6.020	Payment Methodology for Inpatient Hospital Services	16061859	Effective: 06/15/2015
Proposed 59G-6.020	The purpose of the amendment to Rule 59G-6.020 is to incorporate by reference the Florida Title XIX Inpatient Hospital Reimbursement Plan (the Plan), Version XLI, effective July 1, 2014.	15760286	3/10/2015 Vol. 41/47
Final 59G-6.020	Payment Methodology for Inpatient Hospital Services	15498580	Effective: 01/19/2015
Change 59G-6.020	Payment Methodology for Inpatient Hospital Services	15303319	11/21/2014 Vol. 40/227
Proposed 59G-6.020	The purpose of the amendment to Rule 59G-6.020 is to incorporate by reference the Title XIX Inpatient Hospital Reimbursement Plan (the Plan), Version XL, effective July 1, 2013.	14985935	8/27/2014 Vol. 40/167
Development 59G-6.020	The purpose of the amendment to Rule 59G-6.020 is to incorporate by reference the Florida Title XIX Inpatient Hospital Reimbursement Plan, Version XLI, effective July 1, 2014 (the Plan). The amendment will update the Plan ....	14670879	6/10/2014 Vol. 40/112
Final 59G-6.020	Payment Methodology for Inpatient Hospital Services	14432938	Effective: 04/23/2014
Proposed 59G-6.020	The purpose of this rule is to incorporate by reference the Florida Title XIX Inpatient Hospital Reimbursement Plan (the Plan), effective July 1, 2012. The amendment to Rule 59G-6.020 will update the Plan to reflect changes ....	14096057	1/24/2014 Vol. 40/16
Workshop 59G-6.020	Effective July 1, 2013, adjustments for prior Medicaid inpatient trend adjustments and inpatient reimbursement limitations, the implementation .... August 27, 2013 10:00am-12:00pm Agency for Heath Care Administration 2727 Mahan Drive Building ....	13166021	6/27/2013 Vol. 39/125
Development 59G-6.020	The purpose of the amendment to Rule 59G-6.020 is to incorporate by reference the Title XIX Inpatient Hospital Reimbursement Plan (the Plan), Version XL, effective July 1, 2013. The rule will update the Plan to reflect changes ....	13147979	6/24/2013 Vol. 39/122
Final 59G-6.020	Payment Methodology for Inpatient Hospital Services	12164690	Effective: 10/30/2012
Proposed 59G-6.020	The purpose of this rule is to incorporate by reference the Florida Title XIX Inpatient Hospital Reimbursement Plan (the Plan), effective July 1, 2011. The Plan, effective July 1, 2011, includes the addition of a reference ....	11762916	7/20/2012 Vol. 38/29
Development 59G-6.020	The purpose of the amendment to Rule 59G-6.020, F.A.C., is to incorporate by reference the Title XIX Inpatient Hospital Reimbursement Plan (the Plan), effective July 1, 2012. The rule will update the Plan to reflect changes ....	11645643	6/29/2012 Vol. 38/26
Misc 59G-6.020 ......	The Agency for Health Care Administration	11272096	3/23/2012 Vol. 38/12
Workshop 59G-6.020 ......	Discussion of Chapter 2011-135, Laws of Florida, Section 9, which amended Section 409.905(5)(c), Florida Statutes, as follows: The agency shall .... November 1, 2011, 9:00 a.m. – 11:00 a.m. Agency for Health Care Administration, Building 3, Conference ....	10493283	10/14/2011 Vol. 37/41
Development 59G-6.020	The amendment to Rule 59G-6.020, F.A.C., incorporates by reference the Florida Title XIX Inpatient Hospital Reimbursement Plan (the Plan) effective July 1, 2011. The Plan effective July 1, 2011, includes revisions made in ....	10008283	6/17/2011 Vol. 37/24
Final 59G-6.020	Payment Methodology for Inpatient Hospital Services	9674506	Effective: 02/23/2011
Proposed 59G-6.020	The purpose and effect of the proposed rule is to incorporate changes to the Florida Title XIX Inpatient Hospital Reimbursement Plan effective July 1, 2010, in accordance with the 2010-11 General Appropriations Act, House ....	9320747	11/5/2010 Vol. 36/44
Final 59G-6.020	Payment Methodology for Inpatient Hospital Services	8844477	Effective: 07/15/2010
Final 59G-6.020	Payment Methodology for Inpatient Hospital Services	8816832	Effective: 07/05/2010
Development 59G-6.020	The purpose and effect of the proposed rule development is to incorporate changes to the Florida Title XIX Inpatient Hospital Reimbursement Plan effective July 1, 2010, in accordance with House Bill 5001, 2010-11 General ....	8807035	6/25/2010 Vol. 36/25
Correction 59G-6.020	Payment Methodology for Inpatient Hospital Services	8741463	6/11/2010 Vol. 36/23
Change 59G-6.020	Payment Methodology for Inpatient Hospital Services	8622444	5/14/2010 Vol. 36/19
Proposed 59G-6.020	The purpose and effect of the proposed rule is to incorporate changes to the Florida Title XIX Inpatient Hospital Reimbursement Plan effective January 1, 2010. The 2009-10 General Appropriations Act, Senate Bill 2600, Specific ....	8595672	5/7/2010 Vol. 36/18
Change 59G-6.020	Payment Methodology for Inpatient Hospital Services	8539703	4/23/2010 Vol. 36/16
Final 59G-6.020	Payment Methodology for Inpatient Hospital Services	8441442	Effective: 03/24/2010
Public Hearing 59G-6.020	The additional public hearing is for proposed Rule 59G-6.020, F.A.C., Payment Methodology for Inpatient Hospital Services, which published in .... Thursday, April 8, 2010, 10:00 a.m. – 11:00 a.m. The Agency for Health Care Administration, 2727 Mahan Drive, ....	8400896	3/19/2010 Vol. 36/11
Development 59G-6.020	The purpose and effect of the proposed rule development is to incorporate changes to the Florida Title XIX Inpatient Hospital Reimbursement Plan effective January 1, 2010. The 2009-10 General Appropriations Act, Senate ....	8368983	3/12/2010 Vol. 36/10
Public Hearing 59G-6.020	The additional public hearing is for proposed Rule 59G-6.020, F.A.C., Payment Methodology for Inpatient Hospital Services, which published in .... February 23, 2010, 10:00 a.m. – 11:00 a.m. Agency for Health Care Administration, 2727 Mahan Drive, Building ....	8252389	2/12/2010 Vol. 36/06
Proposed 59G-6.020	to incorporate changes to the Florida Title XIX Inpatient Hospital Reimbursement Plan payment methodology, effective July 1, 2009, in accordance with Senate Bill 2600, 2009-10 General Appropriations Act, Specific Appropriation ....	7983893	12/4/2009 Vol. 35/48
Proposed 59G-6.020	to incorporate changes to the Florida Title XIX Inpatient Hospital Reimbursement Plan payment methodology, effective March 1, 2009, in accordance with Senate Bill 2-A, 2008-2009 Special Appropriations Act, Specific Appropriation ....	7983796	12/4/2009 Vol. 35/48
Withdrawal 59G-6.020	Payment Methodology for Inpatient Hospital Services	7326912	7/2/2009 Vol. 35/26
Development 59G-6.020	The proposed rule development ncorporates changes to the Florida Title XIX Inpatient Hospital Reimbursement Plan effective July 1, 2009, in accordance with Senate Bill 2600, 2009-10 General Appropriations Act, Specific Appropriation ....	7295678	6/26/2009 Vol. 35/25
Proposed 59G-6.020	To incorporate changes to the Florida Title XIX Inpatient Hospital Reimbursement Plan payment methodology, effective March 1, 2009, in accordance with Senate Bill 2-A, 2008-2009 Special Appropriations Act, Specific Appropriation ....	7020974	4/17/2009 Vol. 35/15
Development 59G-6.020	The purpose and effect of the proposed rule development is to incorporate changes to the Florida Title XIX Inpatient Hospital Reimbursement Plan in accordance with Senate Bill 2-A, 2008-2009 Special Appropriations Act, Specific ....	6824452	2/27/2009 Vol. 35/08
Final 59G-6.020	Payment Methodology for Inpatient Hospital Services	6613574	Effective: 01/11/2009
Change 59G-6.020	Payment Methodology for Inpatient Hospital Services	6409971	11/14/2008 Vol. 34/46
Proposed 59G-6.020	The purpose and effect of the proposed rule is to incorporate changes to the Florida Title XIX Inpatient Hospital Reimbursement Plan payment methodology, effective July 1, 2008, in accordance with House Bill 5001, 2008-09 ....	6209278	10/3/2008 Vol. 34/40
Development 59G-6.020	To incorporate changes to the Florida Title XIX Inpatient Hospital Reimbursement Plan payment methodology, effective July 1, 2008, in accordance with House Bill 5001, 2008-09 General Appropriations Act, Specific Appropriations ....	5778501	6/27/2008 Vol. 34/26
Final 59G-6.020	Payment Methodology for Inpatient Hospital Services	5725733	Effective: 06/10/2008
Validity 59G-6.010 ......	Florida Health Care Assoc., Inc., A Florida Corp. Not For Profit; Florida Assoc. .... vs. Agency for Health Care Administration; Case No.: 08-2084RP; Rule No.: 59G-6.010, 59G-6.020; Petition	5737567	6/6/2008 Vol. 34/23
Proposed 59G-6.020	The purpose of the proposed rule is to incorporate changes to the Florida Title XIX Inpatient Hospital Reimbursement Plan (the Plan) payment methodology, effective January 1, 2008. In compliance with Senate Bill 2-C, 2007-08 ....	5392441	3/21/2008 Vol. 34/12
Final 59G-6.020	Payment Methodology for Inpatient Hospital Services	5287972	Effective: 03/04/2008
Development 59G-6.020	To incorporate changes to the Florida Title XIX Inpatient Hospital Reimbursement Plan payment methodology, effective January 1, 2008, in accordance with, Senate Bill 2-C, Special Appropriations, Specific Appropriation 105. ....	5239569	2/15/2008 Vol. 34/07
Change 59G-6.020	Payment Methodology for Inpatient Hospital Services	5123654	1/18/2008 Vol. 34/03
Public Hearing 59G-6.020	The purpose of this public hearing is to review and discuss comments received from the Centers for Medicare and Medicaid Services (CMS) regarding .... January 9, 2008, 2:00p.m. – 3:00 p.m. The Agency for Health Care Administration, 2727 Mahan Drive, ....	4970297	12/14/2007 Vol. 33/50
Correction 59G-6.020	Payment Methodology for Inpatient Hospital Services	4887362	11/21/2007 Vol. 33/47
Proposed 59G-6.020	The purpose of the proposed rule is to incorporate changes to the Florida Title XIX Inpatient Hospital Reimbursement Plan (the Plan) payment methodology, effective July 1, 2007. In compliance with Senate Bill 2800, 2007-08 ....	4639236	9/28/2007 Vol. 33/39
Development 59G-6.020	The purpose and effect of the proposed rule development are to incorporate changes to the Florida Title XIX Inpatient Hospital Reimbursement Plan payment methodology, effective July 1, 2007, in accordance with the 2007-08 ....	4331649	7/6/2007 Vol. 33/27
Misc 59G-6.020	59G-6.020	4293916	6/29/2007 Vol. 33/26
Misc 59G-6.020	59G-6.020	3996611	4/13/2007 Vol. 33/15
Final 59G-6.020	Payment Methodology for Inpatient Hospital Services	3242533	Effective: 12/11/2006
Variances 59G-6.020	Variance was received by the Agency for Health Care Administration on January 5, 2006. The Agency for Health Care Administration published its Notice of Petition for Variance in the FAW, Vol. 32, No. 3, on January 20, 2006. ....	3183072	11/17/2006 Vol. 32/46
Change 59G-6.020	Payment Methodology for Inpatient Hospital Services	3034759	10/13/2006 Vol. 32/41
Proposed 59G-6.020	The purpose of the proposed rule is to incorporate changes to the Florida Title XIX Inpatient Hospital Reimbursement Plan (the Plan) payment methodology, effective July 1, 2006. In compliance with House Bill 5001, 2006-07 ....	566303	8/4/2006 Vol. 32/31
Development 59G-6.020	The purpose and effect of the proposed rule development are to incorporate changes to the Florida Title XIX Inpatient Hospital Reimbursement Plan payment methodology, effective July 1, 2006, in accordance with the 2006-07 ....	380742	6/2/2006 Vol. 32/22
Final 59G-6.020	Payment Methodology for Inpatient Hospital Services	1850098	Effective: 04/19/2006
Change 59G-6.020	Payment Methodology for Inpatient Hospital Services	122043	3/3/2006 Vol. 32/09
Variances 59G-6.020	NOTICE IS hereby given that a Petition for Variance was received on January 5, 2006 from Florida Hospital Waterman, 1000 Waterman Way, Tavares, Florida 32778. This petition involves applicable Rules 59G-6.020 and 59G-6.030, ....	40078	1/20/2006 Vol. 32/03

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