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: 5/7/2018
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.
References in this version: Ref-09184 Ambulatory Surgical Center Fee Schedule
Ref-09185 Assistive Care Services Fee Schedule
Ref-09186 Behavior Analysis Fee Schedule
Ref-09187 Behavioral Health Overlay Services Fee Schedule
Ref-09188 Birth Center Fee Schedule
Ref-09189 Child Health Targeted Case Management Services Fee Schedule
Ref-09190 Community-Based Substance Abuse County Fee Schedule
Ref-09191 Community Behavioral Health Services Fee Schedule
Ref-09192 County Health Department Certified Match Program Fee Schedule
Ref-09193 Dental Fee Schedule
Ref-09194 Florida Medicaid Durable Medical Equipment and Medical Supply Services Provider Fee Schedule for All Medicaid Recipients
Ref-09195 Early Intervention Services Fee Schedule
Ref-09196 Transportation Services Fee Schedule
Ref-09197 Hearing Fee Schedule
Ref-09198 Home Health Visit Services Fee Schedule
Ref-09199 Immunization Fee Schedule
Ref-09200 Independent Laboratory Fee Schedule
Ref-09201 Licensed Midwife Fee Schedule
Ref-09202 Medicaid Certified School Match Program Fee Schedule
Ref-09203 Medical Foster Care Services Fee Schedule
Ref-09204 Mental Health Targeted Case Management Services Fee Schedule
Ref-09205 Occupational Therapy Services Fee Schedule
Ref-09206 Outpatient Laboratory Fee Schedule
Ref-09207 Personal Care Services Fee Schedule
Ref-09208 Physical Therapy Fee Schedule
Ref-09209 Physician Pediatric Surgery Fee Schedule
Ref-09210 Practitioner Fee Schedule
Ref-09211 Practitioner Laboratory Fee Schedule
Ref-09212 Prescribed Drug Fee Schedule (Not Reviewed by the Pharmaceutical and Therapeutic Committee)
Ref-09213 Prescribed Pediatric Extended Care Services Fee Schedule
Ref-09214 Private Duty Nursing Services Fee Schedule
Ref-09215 Radiology Fee Schedule
Ref-09216 Regional Perinatal Intensive Care Center (RPICC) Neonatal Services Fee Schedule
Ref-09217 Regional Perinatal Intensive Care Center (RPICC) Obstetrical Services Fee Schedule
Ref-09218 Respiratory Therapy Fee Schedule
Ref-09219 Specialized Therapeutic Services Fee Schedule
Ref-09220 Speech-Language Pathology Services Fee Schedule
Ref-09221 Targeted Case Management for Children at Risk of Abuse and Neglect Services Fee Schedule
Ref-09222 Visual Services Fee Schedule
Ref-09223 County Health Department Billing Codes
Ref-09224 Federally Qualified Health Center Billing Codes
Ref-09225 Hospice Services Billing Codes
Ref-09227 Intermediate Care Facility for Individuals with Intellectual Disabilities Services Billing Codes
Ref-09228 Nursing Facility Services Billing Codes
Ref-09229 Rural Health Clinic Billing Codes
Ref-09230 Statewide Inpatient Psychiatric Program Services Billing Codes
Ref-10021 Hospital Outpatient Services Billing Codes, Effective 1/1/2018
History of this Rule since Jan. 6, 2006
Notice /
Adopted
Section Description ID Publish
Date
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