Fla. Admin. Code Ann. R. 59G-4.002 - Provider Reimbursement Schedules and Billing Codes
(1) This rule
applies to providers rendering Florida Medicaid services to
recipients.
(2) Florida Medicaid
reimburses for services rendered in the fee-for-service delivery system based
on a fee schedule, cost report, or contract. The following fee schedules and
billing codes are incorporated by reference and available on the Agency for
Health Care Administration's website at
http://ahca.myflorida.com/Medicaid/review/index.shtml.
(3) Florida Medicaid Fee Schedule Effective
January 1, 2023: Practitioner Laboratory Fee Schedule
(4) Florida Medicaid Fee Schedule
Effective October 1, 2023: Prescribed Drugs Immunization Fee Schedule
(5) Florida Medicaid Fee Schedules
Effective January 1, 2024:
(a) Assistive Care
Services Fee Schedule
(b) Behavior Analysis Fee Schedule
(c) Behavioral Health Overlay Services Fee
Schedule
(d) Birth Center Fee Schedule
(e) Community-Based Substance
Abuse County Match Fee Schedule
(f) Community Behavioral Health
Services Fee Schedule
(g) County Health Department Certified Match
Program Fee Schedule
(h) Dental General Fee Schedule
(i) Durable Medical Equipment and Medical
Supply Services Provider Fee Schedule for All Medicaid Recipients
(j) Early Intervention Services Fee Schedule
(k) Hearing Services Fee Schedule
(l) Home Health Visit Services Fee Schedule
(m) Independent Laboratory Fee Schedule
(n) Licensed Midwife Fee Schedule
(o) Medicaid Certified School Match Program
Fee Schedule
(p) Medical Foster Care Services Fee Schedule
(q) Occupational Therapy Services Fee
Schedule
(r) Personal Care Services Fee Schedule
(s) Physical Therapy Fee Schedule
(t) Physician Pediatric Surgery Fee Schedule
(u) Practitioner Fee Schedule
(v) Practitioner Laboratory Fee Schedule
(w) Prescribed Drugs Immunization Fee
Schedule
(x) Prescribed Pediatric Extended Care
Services Fee Schedule
(y) Private Duty Nursing Services Fee
Schedule
(z) Radiology Fee Schedule
(aa) Regional Perinatal Intensive Care Center
(RPICC) Neonatal Services Fee Schedule
(bb) Regional Perinatal Intensive Care Center
(RPICC) Obstetrical Services Fee Schedule
(cc) Respiratory Therapy Services Fee
Schedule
(dd) Specialized Therapeutic Services Fee
Schedule
(ee) Speech-Language Pathology Services Fee
Schedule
(ff) Targeted Case Management Services Fee
Schedule
(gg) Transportation Services Fee Schedule
(hh) Visual Services Fee Schedule
(6) Florida Medicaid Billing Codes Effective
January 1, 2024:
(a) County Health Department
Billing Codes
(b) Federally Qualified Health Center Billing
Codes
(c) Hospice Services Billing Codes
(d) Hospital Outpatient Services Billing
Codes
(e) Intermediate Care Facility for
Individuals with Intellectual Disabilities Services Billing Codes
(f) Nursing Facility Services Billing Codes
(g) Prescribed Drugs Physician Administered
Billing Codes
(h) Rural Health Clinic Billing Codes
(i) Statewide Inpatient Psychiatric Program
Services Billing Codes
(6) This rule is in effect for five years
from its effective date.
Notes
Rulemaking Authority 409.919 FS. Law Implemented 409.902, 409.905, 409.906, 409.907, 409.908, 409.912, 409.913 FS.
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.
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