Rule: 59G-4.002 Prev   Up   Next

Rule Title: Provider Reimbursement Schedules and Billing Codes
Department: AGENCY FOR HEALTH CARE ADMINISTRATION    Add to MyFLRules Favorites
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Division: Medicaid
Chapter: MEDICAID POLICY

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

VIEW_RULE Effective Date: 12/15/2020
History Notes: Rulemaking Authority 409.919 FS. Law Implemented 409.902, 409.905, 409.906, 409.907, 409.908, 409.912, 409.913 FS. History–New 8-18-05, Amended 11-30-05, 4-16-06, 10-11-06, 3-27-07, 7-25-07, 9-29-08, 4-28-09, 2-11-10, 1-31-11, 7-16-13, 5-21-14, 6-20-16, 6-22-17, 2-8-18, 5-7-18, 1-7-19, 7-17-19, 12-15-20.
References in this version: Ref-12233 Ambulatory Surgical Center Services Fee Schedule
Ref-12234 Assistive Care Services Fee Schedule
Ref-12235 Behavior Analysis Fee Schedule
Ref-12236 Behavioral Health Overlay Services Fee Schedule
Ref-12237 Birth Center Fee Schedule
Ref-12238 Child Health Targeted Case Management Services Fee Schedule
Ref-12239 Community-Based Substance Abuse County Match Fee Schedule
Ref-12240 Community Behavioral Health Services Fee Schedule
Ref-12241 County Health Department Certified Match Program Fee Schedule
Ref-12242 Dental General Fee Schedule
Ref-12243 Durable Medical Equipment and Medical Supply Services Provider Fee Schedule for All Medicaid Recipients
Ref-12244 Early Intervention Services Fee Schedule
Ref-12245 Hearing Services Fee Schedule
Ref-12246 Home Health Visit Services Fee Schedule
Ref-12247 Independent Laboratory Fee Schedule
Ref-12248 Licensed Midwife Fee Schedule
Ref-12249 Medicaid Certified School Match Program Fee Schedule
Ref-12250 Medical Foster Care Services Fee Schedule
Ref-12251 Mental Health Targeted Case Management Services Fee Schedule
Ref-12252 Occupational Therapy Services Fee Schedule
Ref-12253 Outpatient Laboratory Fee Schedule
Ref-12254 Personal Care Services Fee Schedule
Ref-12255 Physical Therapy Fee Schedule
Ref-12256 Physician Pediatric Surgery Fee Schedule
Ref-12257 Practitioner Fee Schedule
Ref-12258 Practitioner Laboratory Fee Schedule
Ref-12259 Prescribed Drugs Immunization Fee Schedule
Ref-12260 Prescribed Drugs Oncology Physician Administered Fee Schedule
Ref-12261 Prescribed Drugs Physician Administered Fee Schedule
Ref-12262 Prescribed Pediatric Extended Care Services Fee Schedule
Ref-12263 Radiology Fee Schedule
Ref-12264 Regional Perinatal Intensive Care Center (RPICC) Neonatal Services Fee Schedule
Ref-12265 Regional Perinatal Intensive Care Center (RPICC) Obstetrical Services Fee Schedule
Ref-12266 Respiratory Therapy Fee Schedule
Ref-12267 Specialized Therapeutic Services Fee Schedule
Ref-12268 Speech-Language Pathology Services Fee Schedule
Ref-12269 Targeted Case Management for Children at Risk of Abuse and Neglect Services Fee Schedule
Ref-12270 Transportation Services Fee Schedule
Ref-12271 Visual Services Fee Schedule
Ref-12272 County Health Department Billing Codes
Ref-12273 Federally Qualified Health Center Billing Codes
Ref-12274 Hospice Services Billing Codes
Ref-12275 Hospital Outpatient Services Billing Codes
Ref-12276 Intermediate Care Facility for Individuals with Intellectual Disabilities Services Billing Codes
Ref-12277 Nursing Facility Services Billing Codes
Ref-12278 Rural Health Clinic Billing Codes
Ref-12279 Statewide Inpatient Psychiatric Program Services Billing Codes
Ref-12281 Private Duty Nursing Services Fee Schedule
History of this Rule since Jan. 6, 2006
Notice /
Adopted
Section Description ID Publish
Date
View Text Final
59G-4.002
Provider Reimbursement Schedules and Billing Codes 23946310 Effective:
12/15/2020
View Text Variances
59G-4.002
On August 11, 2020, the Agency for Health Care Administration, received a petition for Variance from or Waiver of Rules 59G-13.081 and 59G-4.002 from Petitioner, C.R. Florida Administrative Code Rule 59G-13.081 incorporates .... 23900623 11/18/2020
Vol. 46/225
View Text Change
59G-4.002
Provider Reimbursement Schedules and Billing Codes 23785290 10/21/2020
Vol. 46/206
View Text Proposed
59G-4.002
The purpose of the amendment to Rule 59G-4.002, Florida Administrative Code, (F.A.C.), is to update fee schedules and billing codes in the existing rule. 23584306 8/28/2020
Vol. 46/169
View Text Variances
59G-4.002
Variance from or Waiver of Rules 59G-13.081 and 59G-4.002 from Petitioner, C.R. Florida Administrative Code Rule 59G-13.081 incorporates by reference into rule the Florida Medicaid Developmental Disabilities Individual Budgeting .... 23527464 8/13/2020
Vol. 46/158
View Text Development
59G-4.002
The purpose of the amendment to Rule 59G-4.002, Florida Administrative Code, (F.A.C.), is to update fee schedules and billing codes in the existing rule. 22856806 1/24/2020
Vol. 46/16
View Text Final
59G-4.002
Provider Reimbursement Schedules and Billing Codes 22077217 Effective:
07/17/2019
View Text Proposed
59G-4.002
The purpose of the amendment to Rule 59G-4.002, Florida Administrative Code, (F.A.C.), is to update fee schedules and billing codes in the existing rule. 21750036 4/17/2019
Vol. 45/75
View Text Final
59G-4.002
Provider Reimbursement Schedules and Billing Codes 21294039 Effective:
01/07/2019
View Text Development
59G-4.002
The purpose of the amendment to Rule 59G-4.002, Florida Administrative Code, (F.A.C.), is to update fee schedules and billing codes in the existing rule. 21304030 12/28/2018
Vol. 44/251
View Text Proposed
59G-4.002
The purpose of the amendment to Rule 59G-4.002, Florida Administrative Code, (F.A.C.), is to update fee schedules and billing codes. 21106635 10/31/2018
Vol. 44/213
View Text Development
59G-4.002
The purpose of the amendment to Rule 59G-4.002, Florida Administrative Code, (F.A.C.), is to update fee schedules and billing codes. The amendment revises the January 1, 2018 Practitioner Fee Schedule, Practitioner Laboratory .... 20571486 6/22/2018
Vol. 44/122
View Text Final
59G-4.002
Provider Reimbursement Schedules and Billing Codes 20333157 Effective:
05/07/2018
View Text Change
59G-4.002
Provider Reimbursement Schedules and Billing Codes 20221898 3/27/2018
Vol. 44/60
View Text Proposed
59G-4.002
The purpose of the amendment to Rule 59G-4.002, Florida Administrative Code, (F.A.C.), is to update fee schedule information in the existing rule. 20103461 2/23/2018
Vol. 44/38
View Text Development
59G-4.002
The purpose of the amendment to Rule 59G-4.002, Florida Administrative Code, (F.A.C.), is to update the fee schedule information in the existing rule. 20056610 2/12/2018
Vol. 44/29
View Text Final
59G-4.002
Provider Reimbursement Schedules and Billing Codes 19983181 Effective:
02/08/2018
View Text Change
59G-4.002
Provider Reimbursement Schedules and Billing Codes 19881234 12/27/2017
Vol. 43/248
View Text Public Hearing
59G-4.002
The Agency is scheduling an additional hearing for the purpose of discussing Provider Reimbursement Schedules and Billing Codes.
  December 21, 2017 from 2:00 p.m. to 2:30 p.m.
  Agency for Health Care Administration, 2727 Mahan Drive, Building ....
19837002 12/14/2017
Vol. 43/240
View Text Proposed
59G-4.002
The purpose of the amendment to Rule 59G-4.002, Florida Administrative Code, (F.A.C.), is to update fee schedule information in the existing rule. 19754940 11/20/2017
Vol. 43/224
View Text Development
59G-4.002
The purpose of the amendment to Rule 59G-4.002, Florida Administrative Code, (F.A.C.), is to update fee schedule information in the existing rule. The amendment adds the Respiratory Therapy Services Fee Schedule and revises .... 19461418 9/28/2017
Vol. 43/188
View Text Final
59G-4.002
Provider Reimbursement Schedules and Billing Codes 19052757 Effective:
06/22/2017
View Text Proposed
59G-4.002
The purpose of the amendment to Rule 59G-4.002 is to incorporate by reference the Florida Medicaid provider reimbursement schedules and billing codes. 18798617 4/4/2017
Vol. 43/65
View Text Development
59G-4.002
The purpose of the amendment to Rule 59G-4.002 is to incorporate by reference the Florida Medicaid provider reimbursement schedules and billing codes. The amendment records effective dates for reimbursement schedules for .... 18062193 9/29/2016
Vol. 42/190
View Text Final
59G-4.002
Provider Reimbursement Schedules and Billing Codes 17625111 Effective:
06/20/2016
View Text Change
59G-4.002
Medicaid Provider Reimbursement Schedules 17508614 5/9/2016
Vol. 42/90
View Text Change
59G-4.002
Medicaid Provider Reimbursement Schedules 17478059 4/29/2016
Vol. 42/84
View Text Hearing
59G-4.002
Medicaid Provider Reimbursement Schedules 17300355 3/17/2016
Vol. 42/53
View Text Hearing
59G-4.002
Medicaid Provider Reimbursement Schedules 17123427 2/5/2016
Vol. 42/24
View Text Proposed
59G-4.002
The purpose of the amendment to Rule 59G-4.002 is to incorporate by reference the Florida Medicaid provider reimbursement schedules and billing codes. 17029531 1/13/2016
Vol. 42/08
View Text Withdrawal
59G-4.002
Medicaid Provider Reimbursement Schedules 16732420 11/5/2015
Vol. 41/216
View Text Proposed
59G-4.002
The purpose of the amendment to Rule 59G-4.002 is to incorporate by reference the Florida Medicaid provider reimbursement schedules and billing codes. 16708364 11/2/2015
Vol. 41/213
View Text Development
59G-4.002
The purpose of the amendment to Rule 59G-4.002 is to incorporate by reference the Florida Medicaid Provider Reimbursement Schedules. The amendment records effective dates for reimbursement schedules and the addition of two .... 14603367 5/22/2014
Vol. 40/100
View Text Final
59G-4.002
Medicaid Provider Reimbursement Schedules 14521693 Effective:
05/21/2014
View Text Proposed
59G-4.002
The purpose of the amendment to Rule 59G-4.002 is to record effective dates for practitioner codes and fees. 14240005 2/27/2014
Vol. 40/40
View Text Development
59G-4.002
The purpose of the amendment to Rule 59G-4.002 is to incorporate by reference the Florida Medicaid Provider Reimbursement Schedules, _____________. The amendment updates the Florida Medicaid provider fee schedules. 13513087 9/16/2013
Vol. 39/180
View Text Final
59G-4.002
Medicaid Provider Reimbursement Schedules 13195412 Effective:
07/16/2013
View Text Change
59G-4.002
Medicaid Provider Reimbursement Schedule 13011985 5/16/2013
Vol. 39/96
View Text Change
59G-4.002
Medicaid Provider Reimbursement Schedule 12653861 2/18/2013
Vol. 39/33
View Text Public Hearing
59G-4.002
The Agency is scheduling a hearing in Tallahassee, FL for the purpose of discussing the Florida Medicaid provider reimbursement fee schedules. ....
  Wednesday, December 19, 2012 from 3:00 p.m. to 4:00 p.m.
  Agency for Health Care Administration, 2727 Mahan Drive, Building ....
12377314 12/12/2012
Vol. 38/89
View Text Change
59G-4.002
Medicaid Provider Reimbursement Schedule 11966616 9/7/2012
Vol. 38/36
View Text Proposed
59G-4.002
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 .... 11563484 6/1/2012
Vol. 38/22
View Text Development
59G-4.002
The amendment to Rule 59G-4.002, F.A.C., incorporates by reference the Florida Medicaid Provider Reimbursement Schedule, January 1, 2011. The reimbursement schedule contains the procedure codes and maximum fees that are .... 10108096 7/15/2011
Vol. 37/28
View Text Development
59G-4.002
The amendment to Rule 59G-4.002, F.A.C., incorporates by reference the Florida Medicaid Provider Reimbursement Schedule, January 1, 2011. The reimbursement schedule contains the procedure codes and maximum fees that are .... 9995770 6/10/2011
Vol. 37/23
View Text Final
59G-4.002
Medicaid Provider Reimbursement Schedule 9608740 Effective:
01/31/2011
View Text Proposed
59G-4.002
The amendment to Rule 59G-4.002, F.A.C., incorporates by reference the Florida Medicaid Provider Reimbursement Schedule, January 1, 2010. The amendment to Rule 59G-4.002, F.A.C., will permit the Agency to implement revisions .... 9242177 10/15/2010
Vol. 36/41
View Text Development
59G-4.002
The amendment to Rule 59G-4.002, F.A.C., incorporates by reference the Florida Medicaid Provider Reimbursement Schedule, January 1, 2010. The reimbursement schedule contains the procedure codes and maximum fees that are .... 8886769 7/23/2010
Vol. 36/29
View Text Final
59G-4.002
Medicaid Provider Reimbursement Schedule 8224841 Effective:
02/11/2010
View Text Proposed
59G-4.002
The amendment to Rule 59G-4.002, F.A.C., incorporates by reference the Florida Medicaid Provider Reimbursement Schedule, March 2009. The effect of the amendment to Rule 59G-4.002, F.A.C., will permit the Agency to implement .... 7885535 11/6/2009
Vol. 35/44
View Text Final
59G-4.002
Medicaid Provider Reimbursement Schedule 7036979 Effective:
04/28/2009
View Text Development
59G-4.002
Rule 59G-4.002, F.A.C., incorporates by reference the Florida Medicaid Provider Reimbursement Schedule, March 2009. The reimbursement schedule contains the procedure codes and maximum fees that are effective March 2009 for .... 6828235 2/27/2009
Vol. 35/08
View Text Proposed
59G-4.002
Rule 59G-4.002, F.A.C., incorporates by reference the Florida Medicaid Provider Reimbursement Schedule, July 2008. The reimbursement schedule contains the procedure codes and maximum fees that are effective July 2008 for .... 6741808 2/6/2009
Vol. 35/05
View Text Development
59G-4.002
Rule 59G-4.002, F.A.C., incorporates by reference the Florida Medicaid Provider Reimbursement Schedule, July 2008. The reimbursement schedule contains the procedure codes and maximum fees that are effective July 2008 for .... 6249339 10/10/2008
Vol. 34/41
View Text Final
59G-4.002
Medicaid Provider Reimbursement Schedule 6174358 Effective:
09/29/2008
View Text Proposed
59G-4.002
The amendment to Rule 59G-4.002, F.A.C., incorporates by reference the Florida Medicaid Provider Reimbursement Schedule, January 2008. The reimbursement schedule contains the procedure codes and maximum fees that are effective .... 5737858 6/13/2008
Vol. 34/24
View Text Development
59G-4.002
Rule 59G-4.002, F.A.C., incorporates by reference the Florida Medicaid Provider Reimbursement Schedule, January 2008. The reimbursement schedule contains the procedure codes and maximum fees that are effective January 2008 .... 5296508 2/29/2008
Vol. 34/09
View Text Final
59G-4.002
Medicaid Provider Reimbursement Schedule 4372195 Effective:
07/25/2007
View Text Proposed
59G-4.002
The amendment to Rule 59G-4.002, F.A.C., incorporates by reference the Florida Medicaid Provider Reimbursement Schedule, January 2007. The reimbursement schedule contains the procedure codes and maximum fees that are effective .... 4062377 4/27/2007
Vol. 33/17
View Text Final
59G-4.002
Medicaid Provider Reimbursement Schedule 3915519 Effective:
03/27/2007
View Text Development
59G-4.002
Rule 59G-4.002 incorporates by reference the Florida Medicaid Provider Reimbursement Schedule, January 2007. The reimbursement schedule contains the procedure codes and maximum fees that are effective January 2007 for the .... 3807655 2/23/2007
Vol. 33/08
View Text Proposed
59G-4.002
The purpose of this rule amendment is to incorporate by reference Update July 2006 to the Florida Medicaid Provider Reimbursement Schedule. The update contains the fees for the reinstated hearing, optometric, visual, and .... 3378721 1/12/2007
Vol. 33/02
View Text Development
59G-4.002
The purpose of this rule amendment is to incorporate by reference Update July 2006 to the Florida Medicaid Provider Reimbursement Schedule. The update contains the fees for the reinstated hearing, optometric, visual, and .... 3130110 11/3/2006
Vol. 32/44
View Text Final
59G-4.002
Medicaid Provider Reimbursement Schedule 3051152 Effective:
10/11/2006
View Text Proposed
59G-4.002
The purpose of this rule amendment is to incorporate by reference errata January 2006 to the Florida Medicaid Provider Reimbursement Schedule. The errata contain corrections to the Hearing Services Fee Schedule, Podiatry .... 470564 7/7/2006
Vol. 32/27
View Text Development
59G-4.002
The purpose of this rule amendment is to incorporate by reference errata January 2006 to the Florida Medicaid Provider Reimbursement Schedule. The errata contain corrected fees for the Hearing Services Fee Schedule and .... 344173 5/19/2006
Vol. 32/20
View Text Final
59G-4.002
Medicaid Provider Reimbursement Schedule 1845345 Effective:
04/16/2006
View Text Proposed
59G-4.002
The amendment to Rule 59G-4.002, F.A.C., incorporates by reference the Florida Medicaid Provider Reimbursement Schedule, January 2006. The reimbursement schedule contains the procedure codes and maximum fees that are effective .... 34549 1/20/2006
Vol. 32/03