Division Rule on Florida Compound Drugs

New section in 2016 Health Care Provider Reimbursement Manual, effective July 1, 2017, defines the dispensing of compound drugs as a specialty service.

Carriers, health care providers, and pharmacists should take note of a new section on page 37 of the 2016 Edition of the Health Care Provider Reimbursement Manual, effective July 1, 2017.  This new section defines the dispensing of compound drugs as a specialty service within the meaning of paragraph 440.13(3)(i), F.S.  Paragraph 440.13(3)(i), F.S. states in part, "Notwithstanding (d), a claim for specialist consultations, surgical operations, physiotherapeutic or occupational therapy procedures, X-ray examinations, or special diagnostic laboratory tests that cost more than $1,000 and other specialty services that the department identifies by rule is not valid and reimbursable unless the services have been expressly authorized by the carrier, unless the carrier has failed to respond within 10 days to a written request for authorization, or unless emergency care is required."

To learn more about these issues and other Workers' Compensation information click here: http://www.myfloridacfo.com/Division/WC/

Assessment Rate Announcement

Assessment Rates for the Florida Workers' Compensation Administration Trust Fund (WCATF) and the Special Disability Trust Fund (SDTF):

The Florida Department of Financial Services, Division of Workers' Compensation (DWC) issued an Informational Bulletin (DFS-02-2017). The Bulletin advises insurers, self-insurers and other related stakeholders that Florida's Chief Financial Officer has issued an Order (Case No. 208019-17-WC) setting the Florida Workers' Compensation Administration Trust Fund (WCATF) assessment for Calendar Year 2018. The rate has been reduced from 1.25% to 0.97%.

The Florida Department of Financial Services, Division of Workers' Compensation issued another Informational Bulletin (DFS-01-2017). The Bulletin advises insurers, self-insurers and other related stakeholders that Florida's Chief Financial Officer has issued an Order (Case No. 208013-17-WC) setting the assessment rate for the Special Disability Trust Fund (SDTF) for Calendar Year 2018.  The SDTF rate has been reduced from 1.09% to 0.91%.

By actively managing the funds' expenses, assets, future funding needs and giving consideration of all appropriate economic data, the DWC was able to reduce the assessment rate for both trust funds.

The informational bulletin and Assessment Rate Orders are available on the Division's web site: http://www.myfloridacfo.com/Division/WC/bulletins.htm.  And the rates are available at: http://www.myfloridacfo.com/division/wc/rates.htm.

Please contact Gene Smith at (850) 413-1644 for additional information.

To learn more about these issues and other Workers' Compensation information click here: http://www.myfloridacfo.com/Division/WC/

New Florida Reimbursement Manual Published

The Florida Workers' Compensation Health Care Provider Reimbursement Manual, 2016 Edition will become effective July 1, 2017.  

See the following page to access the manual:  

http://www.myfloridacfo.com/Division/WC/PublicationsFormsManualsReports/Manuals/Default.htm