Effective January
1, 2015, Florida adopts a new Hospital Reimbursement Manual
The following is
a direct quote from the Division Filing:
69L-7.501 Florida Workers’ Compensation
Reimbursement Manual for Hospitals.
(1) The Florida Workers’ Compensation
Reimbursement Manual for Hospitals, (“Manual”),
2014 Edition
http://www.flrules.org/Gateway/reference.asp?No=Ref-04109,
effective January 1, 2015, is adopted by reference as part of this rule. The
Hospital Manual contains the Maximum Reimbursement Allowances (MRAs)
determined by the Three-Member Panel, pursuant to subsection 440.13(12), F.S.,
and establishes policy, procedures, principles and standards for
implementing statutory provisions regarding reimbursement for medically
necessary services and supplies provided to injured workers in a hospital
setting. The policy, procedures, principles and standards in the Manual
are in addition to the requirements established by the Florida Workers’
Compensation Medical Services Billing, Filing and Reporting Rule, Rule
69L-7.710, F.A.C. The Reimbursement Manual for Hospitals is available for
inspection during normal business hours at the Florida Department of Financial
Services, Document Processing Section, 200 East Gaines Street, Tallahassee,
Florida 32399-0311, or may be obtained free of charge by print or download from
the Department’s website
at http://www.myfloridacfo.com/division/wc/publications.html.
(2) The Florida Workers’ Compensation Health
Care Provider Reimbursement Manual (“HCP RM”), incorporated by reference
into Rule 69L-7.020, F.A.C.; and the Workers’ Compensation Medical Services
Billing, Filing and Reporting Rule, Rule 69L-7.710, F.A.C., are recognized
for use in conjunction with the Florida Workers’ Compensation Reimbursement
Manual for Hospitals, 2014 Edition, effective January 1, 2015. Both rules and
the HCP RM are available for inspection during normal business hours at the
Florida Department of Financial Services, Document Processing Section, 200 East
Gaines Street, Tallahassee, Florida 32399-0311, or via the Department’s web
site at http://www.myfloridacfo.com/division/wc/publications/html.
Rulemaking
Authority 440.13(12), (14), 440.591 FS. Law Implemented 440.13(7), (12), (14)
FS. History–New 6-9-87, Amended 6-1-92, 10-27-99, 7-3-01, Formerly 38F-7.501,
4L-7.501, Amended 12-4-03, 1-1-04, 7-4-04, 10-1-07, 1-1-15.
(Rule Chapter 69L-7.501, Florida Administrative Code)
(Rule Chapter 69L-7.501, Florida Administrative Code)
