Chapter 59G-4 - MEDICAID POLICY

  1. § 59G-4.001 - Medicaid Providers Who Bill on the CMS-1500
  2. § 59G-4.002 - Provider Reimbursement Schedules and Billing Codes
  3. § 59G-4.003 - Medicaid Providers Who Bill on the UB-04
  4. § 59G-4.010 - Advanced Registered Nurse Practitioner Services (Repealed)
  5. § 59G-4.013 - Allergy Services
  6. § 59G-4.015 - Emergency Transportation Services
  7. § 59G-4.020 - Ambulatory Surgical Center Services
  8. § 59G-4.022 - Anesthesia Services
  9. § 59G-4.025 - Assistive Care Services
  10. § 59G-4.026 - Gastrointestinal Services
  11. § 59G-4.027 - Behavioral Health Overlay Services
  12. § 59G-4.028 - Behavioral Health Assessment Services
  13. § 59G-4.029 - Behavioral Health Medication Management Services
  14. § 59G-4.030 - Reproductive Services
  15. § 59G-4.031 - Behavioral Health Community Support Services
  16. § 59G-4.032 - Integumentary Services
  17. § 59G-4.033 - Cardiovascular Services
  18. § 59G-4.035 - Medicaid Certified School Match Program
  19. § 59G-4.040 - Chiropractic Services
  20. § 59G-4.050 - Community Behavioral Health Services (Repealed)
  21. § 59G-4.052 - Behavioral Health Therapy Services
  22. § 59G-4.055 - County Health Department Clinic
  23. § 59G-4.058 - Medicaid County Health Department Certified Match Program
  24. § 59G-4.060 - Dental Services
  25. § 59G-4.070 - [Repealed]
  26. § 59G-4.071 - Durable Medical Equipment and Medical Supply Services Provider Fee Schedules (Repealed)
  27. § 59G-4.072 - Durable Medical Equipment and Medical Supply Services: Specialized
  28. § 59G-4.073 - Durable Medical Equipment and Medical Supply Services: Orthotic and Prosthetic
  29. § 59G-4.074 - Durable Medical Equipment and Medical Supply Services: Respiratory
  30. § 59G-4.075 - Durable Medical Equipment and Medical Supply Services: Wheelchairs, Hospital Beds, and Ambulatory Aids
  31. § 59G-4.076 - Durable Medical Equipment and Medical Supply Services: Continence, Ostomy, and Wound Care
  32. § 59G-4.077 - Durable Medical Equipment and Medical Supply Services: Enteral and Parenteral Nutrition
  33. § 59G-4.080 - Child Health Check-Up (Repealed)
  34. § 59G-4.085 - Early Intervention Services
  35. § 59G-4.087 - Evaluation and Management Services
  36. § 59G-4.090 - Family Planning (Repealed)
  37. § 59G-4.100 - Federally Qualified Health Center
  38. § 59G-4.105 - Dialysis Services
  39. § 59G-4.106 - Freestanding Dialysis Center Fee Schedule (Repealed)
  40. § 59G-4.108 - Genitourinary Services
  41. § 59G-4.110 - Hearing Services
  42. § 59G-4.120 - Statewide Inpatient Psychiatric Program
  43. § 59G-4.125 - Behavior Analysis Services
  44. § 59G-4.127 - Florida Assertive Community Treatment Services
  45. § 59G-4.128 - [Effective 7/8/2025] Qualified Residential Treatment Program Services
  46. § 59G-4.130 - Home Health Visit Services
  47. § 59G-4.132 - Home Health Electronic Visit Verification Program
  48. § 59G-4.140 - Hospice Services
  49. § 59G-4.150 - Inpatient Hospital Services
  50. § 59G-4.160 - Outpatient Hospital Services
  51. § 59G-4.165 - Inpatient Mental Health and Tuberculosis Hospital Services (Repealed)
  52. § 59G-4.170 - Intermediate Care Facility for Individuals with Intellectual Disabilities Services
  53. § 59G-4.171 - Intermediate Care Facilities for the Mentally Retarded/Developmentally Disabled; Recipient Eligibility Criteria (Repealed)
  54. § 59G-4.180 - Intermediate Care Services
  55. § 59G-4.190 - Laboratory Services
  56. § 59G-4.192 - Statewide Medicaid Managed Care Long-term Care Program
  57. § 59G-4.193 - Statewide Medicaid Managed Care Long-term Care Waiver Program Prioritization and Enrollment
  58. § 59G-4.195 - Licensed Midwife Services (Repealed)
  59. § 59G-4.197 - Medical Foster Care Services
  60. § 59G-4.199 - Mental Health Targeted Case Management
  61. § 59G-4.200 - Nursing Facility Services
  62. § 59G-4.201 - Neurology Services
  63. § 59G-4.205 - Practitioner Services (Repealed)
  64. § 59G-4.207 - Oral and Maxillofacial Surgery Services
  65. § 59G-4.210 - Visual Care Services
  66. § 59G-4.211 - Orthopedic Services
  67. § 59G-4.215 - Personal Care Services
  68. § 59G-4.220 - Podiatry Services
  69. § 59G-4.222 - Pain Management Services
  70. § 59G-4.230 - Physician Services (Repealed)
  71. § 59G-4.231 - Physician Assistant Services (Repealed)
  72. § 59G-4.235 - Respiratory System Services
  73. § 59G-4.240 - Radiology and Nuclear Medicine Services
  74. § 59G-4.250 - Prescribed Drug Services
  75. § 59G-4.251 - Prescribed Drugs Reimbursement Methodology
  76. § 59G-4.252 - Diabetic Supply Services
  77. § 59G-4.255 - Prescription Drug Coverage Denials
  78. § 59G-4.260 - Prescribed Pediatric Extended Care Services
  79. § 59G-4.261 - Private Duty Nursing and Family Home Health Aide Services
  80. § 59G-4.264 - Regional Perinatal Intensive Care Center Services
  81. § 59G-4.266 - Qualified Evaluator Network
  82. § 59G-4.270 - Registered Nurse First Assistant Services (Repealed)
  83. § 59G-4.280 - Rural Health Clinic
  84. § 59G-4.290 - Skilled Services
  85. § 59G-4.295 - Therapeutic Group Care Services
  86. § 59G-4.300 - State Mental Health Hospital Services
  87. § 59G-4.310 - Targeted Case Management for Children at Risk of Abuse and Neglect
  88. § 59G-4.318 - Occupational Therapy Services
  89. § 59G-4.320 - Physical Therapy Services
  90. § 59G-4.322 - Respiratory Therapy Services
  91. § 59G-4.324 - Speech-Language Pathology Services
  92. § 59G-4.330 - Non-Emergency Transportation Services
  93. § 59G-4.340 - Visual Aid Services
  94. § 59G-4.360 - Transplant Services
  95. § 59G-4.370 - Behavioral Health Intervention Services

State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.