59G-4.002 : Provider Reimbursement Schedules and Billing Codes - Florida Administrative Rules, Law, Code, Register

Florida Department of State and Division of Library and Information Services

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
Division:	Medicaid
Chapter:	MEDICAID POLICY

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

	Effective Date:	12/31/2023
	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, 9-29-21, 8-2-22, 12-31-23.
	References in this version:	Ref-14539 Behavior Analysis Fee Schedule Ref-14543 Community-Based Substance Abuse County Match Fee Schedule Ref-14545 County Health Department Certified Match Program Fee Schedule Ref-14547 Durable Medical Equipment and Medical Supply Services Provider Fee Schedule for All Medicaid Recipients Ref-14548 Early Intervention Services Fee Schedule Ref-14553 Medicaid Certified School Match Program Fee Schedule Ref-14559 Physician Pediatric Surgery Fee Schedule Ref-14562 Prescribed Drugs Immunization Fee Schedule Ref-14566 Regional Perinatal Intensive Care Center (RPICC) Neonatal Services Fee Schedule Ref-14567 Regional Perinatal Intensive Care Center (RPICC) Obstetrical Services Fee Schedule Ref-16089 Assistive Care Services Fee Schedule 2022 JULY Ref-16090 Behavioral Health Overlay Services Fee Schedule 2022 JULY Ref-16091 Birth Center Fee Schedule 2022 JULY Ref-16092 Community Behavioral Health Services Fee Schedule 2022 JULY Ref-16093 Dental General Fee Schedule 2022 JULY Ref-16094 Hearing Services Fee Schedule 2022 JULY Ref-16095 Home Health Visit Services Fee Schedule 2022 JULY Ref-16096 Independent Laboratory Fee Schedule JULY 2022 Ref-16097 Licensed Midwife Fee Schedule 2022 JULY Ref-16098 Medical Foster Care Services Fee Schedule 2022 JULY Ref-16099 Occupational Therapy Fee Schedule 2022 JULY Ref-16100 Personal Care Services Fee Schedule 2022 JULY Ref-16101 Physical Therapy Services Fee Schedule 2022 JULY Ref-16102 Practitioner Fee Schedule 2022 JULY Ref-16103 Practitioner Laboratory Fee Schedule 2022 JULY Ref-16104 Prescribed Pediatric Extended Care Services Fee Schedule 2022 JULY Ref-16105 Private Duty Nursing Services Fee Schedule 2022 JULY Ref-16106 Radiology Fee Schedule 2022 JULY Ref-16107 Respiratory Therapy Services Fee Schedule 2022 JULY Ref-16108 Specialized Therapeutic Services Fee Schedule 2022 JULY Ref-16109 Speech-Language Pathology Services Fee Schedule 2022 JULY Ref-16110 Targeted Case Management Services Fee Schedule 2022 JULY Ref-16111 Transportation Services Fee Schedule 2022 JULY Ref-16112 Visual Services Fee Schedule 2022 JULY Ref-16113 Assistive Care Services Fee Schedule 2023 Ref-16114 Behavior Analysis Fee Schedule 2023 Ref-16115 Behavioral Health Overlay Services Fee Schedule 2023 Ref-16116 Birth Center Fee Schedule 2023 Ref-16117 Community-Based Substance Abuse County Match Fee Schedule 2023 Ref-16118 Community Behavioral Health Services Fee Schedule 2023 Ref-16119 Dental General Fee Schedule 2023 Ref-16120 Durable Medical Equipment and Medical Supply Services Provider Fee Schedule for All Medicaid Recipients 2023 Ref-16121 Early Intervention Services Fee Schedule 2023 Ref-16122 Hearing Services Fee Schedule 2023 Ref-16123 Home Health Visit Services Fee Schedule 2023 Ref-16124 Independent Laboratory Fee Schedule 2023 Ref-16125 Licensed Midwife Fee Schedule 2023 Ref-16126 Medicaid Certified School Match Program Fee Schedule 2023 Ref-16127 Medical Foster Care Services Fee Schedule 2023 Ref-16128 Occupational Therapy Services Fee Schedule 2023 Ref-16129 Personal Care Services Fee Schedule 2023 Ref-16130 Physical Therapy Services Fee Schedule 2023 Ref-16131 Physician Pediatric Surgery Fee Schedule 2023 Ref-16132 Practitioner Fee Schedule 2023 Ref-16133 Practitioner Laboratory Fee Schedule 2023 Ref-16134 Prescribed Drugs Immunization Fee Schedule 2023 Ref-16135 Prescribed Pediatric Extended Care Services Fee Schedule 2023 Ref-16136 Private Duty Nursing Services Fee Schedule 2023 Ref-16137 Radiology Fee Schedule 2023 Ref-16138 Regional Perinatal Intensive Care Center (RIPCC) Neonatal Services Fee Schedule 2023 Ref-16139 Regional Perinatal Intensive Care Center (RIPCC) Obstetrical Services Fee Schedule 2023 Ref-16140 Respiratory Therapy Services Fee Schedule 2023 Ref-16141 Specialized Therapeutic Services Fee Schedule 2023 Ref-16142 Speech-Language Pathology Services Fee Schedule 2023 Ref-16143 Targeted Case Management Services Fee Schedule 2023 Ref-16144 Transportation Services Fee Schedule 2023 Ref-16145 Visual Services Fee Schedule 2023 Ref-16147 County Health Department Billing Codes 2023 Ref-16148 Federally Qualified Health Center Billing Codes 2023 Ref-16149 Hospice Services Billing Codes 2023 Ref-16150 Hospital Outpatient Services Billing Codes 2023 Ref-16151 Intermediate Care Facility for Individuals with Intellectual Disabilities Services Billing Codes 2023 Ref-16152 Nursing Facility Billing Codes 2023 Ref-16153 Prescribed Drugs Physician Administered Billing Codes 2023 Ref-16154 Rural Health Clinic Billing Codes 2023 Ref-16155 Statewide Inpatient Psychiatric Program Services Billing Codes 2023 Ref-16157 County Health Department Certified Match Program Fee Schedule_2023

History of this Rule since Jan. 6, 2006

Section	Description	ID	Publish Date

Final 59G-4.002	Provider Reimbursement Schedules and Billing Codes	27852694	Effective: 12/31/2023
Final 59G-4.002	Provider Reimbursement Schedules and Billing Codes	26076721	Effective: 08/02/2022
Final 59G-4.002	Provider Reimbursement Schedules and Billing Codes	25004483	Effective: 09/29/2021
Final 59G-4.002	Provider Reimbursement Schedules and Billing Codes	23946310	Effective: 12/15/2020
Final 59G-4.002	Provider Reimbursement Schedules and Billing Codes	22077217	Effective: 07/17/2019
Final 59G-4.002	Provider Reimbursement Schedules and Billing Codes	21294039	Effective: 01/07/2019
Final 59G-4.002	Provider Reimbursement Schedules and Billing Codes	20333157	Effective: 05/07/2018
Final 59G-4.002	Provider Reimbursement Schedules and Billing Codes	19983181	Effective: 02/08/2018
Final 59G-4.002	Provider Reimbursement Schedules and Billing Codes	19052757	Effective: 06/22/2017
Final 59G-4.002	Provider Reimbursement Schedules and Billing Codes	17625111	Effective: 06/20/2016
Final 59G-4.002	Medicaid Provider Reimbursement Schedules	14521693	Effective: 05/21/2014
Final 59G-4.002	Medicaid Provider Reimbursement Schedules	13195412	Effective: 07/16/2013
Final 59G-4.002	Medicaid Provider Reimbursement Schedule	9608740	Effective: 01/31/2011
Final 59G-4.002	Medicaid Provider Reimbursement Schedule	8224841	Effective: 02/11/2010
Final 59G-4.002	Medicaid Provider Reimbursement Schedule	7036979	Effective: 04/28/2009
Final 59G-4.002	Medicaid Provider Reimbursement Schedule	6174358	Effective: 09/29/2008
Final 59G-4.002	Medicaid Provider Reimbursement Schedule	4372195	Effective: 07/25/2007
Final 59G-4.002	Medicaid Provider Reimbursement Schedule	3915519	Effective: 03/27/2007
Final 59G-4.002	Medicaid Provider Reimbursement Schedule	3051152	Effective: 10/11/2006
Final 59G-4.002	Medicaid Provider Reimbursement Schedule	1845345	Effective: 04/16/2006

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