Max Comp Rate 2021

The Florida Department of Economic Opportunity has determined the statewide average weekly wage paid by employers subject to the Florida Reemployment Assistance Program Law to be $1,011.07 for the four calendar quarters ending June 30, 2020.

 

Section 440.12(2), Florida Statutes (2020), expressly provides that, for injuries occurring on or after August 1, 1979, the weekly compensation rate shall be equal to 100 percent of the statewide average weekly wage, adjusted to the nearest dollar, and that the average weekly wage determined by the Department of Economic Opportunity for the four calendar quarters ending each June 30 shall be used in determining the maximum weekly compensation rate with respect to injuries occurring in the calendar year immediately following.

 

Accordingly, the maximum weekly compensation rate for work-related injuries and illnesses occurring on or after January 1, 2021, shall be $1,011.

69L-31, F.A.C. - Utilization and Reimbursement Dispute Rules

The Florida Division of Workers' Compensation submitted a Notice of Meeting/Workshop Hearing for 69L-31, F.A.C. - Utilization and Reimbursement Dispute Rules. The hearing will be held on Wednesday, July 15, 2020, 9:00 a.m. Eastern Time, via webinar. The webinar details are below.

You may join the meeting from your computer, tablet or smartphone at the time of the meeting.

The link to the GoToMeeting is as follows: https://global.gotomeeting.com/join/573862389

You may also Join via phone at: 

United States (Toll Free): (877) 309-2073

United States: (646) 749-3129
Access Code: 573-862-389

69L-7, F.A.C. - Utilization and Reimbursement Dispute

Virtual Workshop

The Florida Division of Workers' Compensation submitted a Notice of Meeting/Workshop Hearing for 69L-7, F.A.C. - Workers' Compensation Medical Reimbursement and Utilization Review. The hearing will be held on Wednesday, July 22, 2020, 9:30 a.m. Eastern Time, via webinar. The webinar details are below.

You may join the meeting from your computer, tablet or smartphone at the time of the meeting.

The link to the GoToMeeting is as follows: https://global.gotomeeting.com/join/962878717

You may also Join via phone at:
United States (Toll Free): (877) 309-2073
United States: (571) 317-3129
Access Code: 962-878-717

Workshop Hearing for 69L-31, F.A.C

To: All Self-Insurers, Insurers, Claim Administrators, and Medical Service Providers

From: Florida Division of Workers' Compensation 

Subject: Notice of Meeting/Workshop Hearing for 69L-31, F.A.C. - Utilization and Reimbursement Dispute Rules

The Florida Division of Workers' Compensation submitted a Notice of Meeting/Workshop Hearing for 69L-31, F.A.C. - Utilization and Reimbursement Dispute Rules. The hearing scheduled for Wednesday, June 10, 2020 will not take place and will be held on Wednesday, July 15, 2020, 9:00 a.m. Eastern Time, at 1579 Summit Lake Drive, Room 155, Tallahassee, FL 32317.

SUBJECT AREA TO BE ADDRESSED: The hearing is being conducted to receive public input and consider proposed changes to the above-referenced rule chapter.

The official Notice of Meeting/Workshop Hearing appeared in the Volume 46, Number 100 of the Florida Administrative Weekly, published on May 21, 2020. If you have questions about the contents of this notice, please contact Theresa Pugh, Program Administrator, Medical Services Section, Division of Workers' Compensation at Theresa.Pugh@myfloridacfo.com.

A copy of the notice may be found here.

Medical Billing and Bill Review Rule Making

April 3, 2020

To: All Self-Insurers, Insurers, Claim Administrators, and Medical Service Providers
From: Florida Division of Workers' Compensation
Subject: Notice of Development of Rulemaking for the following:
69L-7.710 Definitions
69L-7.720 Forms Incorporated by Reference for Medical Billing, Filing and Reporting
69L-7.730 Health Care Provider Medical Billing and Reporting Responsibilities
69L-7.740 Insurer Authorization and Medical Bill Review Responsibilities

The Florida Division of Workers' Compensation submitted a Notice of Development of Rulemaking for 69L-7.710, 69L-7.720, 69L-7.730, and 69L-7.740, F.A.C. A workshop will be held Wednesday, May 27, 2020, 9:30 a.m. Eastern Time, at 1579 Summit Lake Drive, Room 155, Tallahassee, FL 32317.

SUBJECT AREA TO BE ADDRESSED: The medical reimbursement and utilization review requirements.

The official Notice of Development of Rulemaking appeared in Volume 46, Number 66 of the Florida Administrative Weekly, published on April 3, 2020. If you have questions about the contents of this notice, please contact Theresa Pugh, Program Administrator, Medical Services Section, Division of Workers' Compensation at Theresa.Pugh@myfloridacfo.com.

A copy of the notice may be found here.

Telehealth Announcement

The Following was sent by the Division of Workers' Compensation.

March 30, 2020 To: All Self-Insurers, Insurers, Claim Administrators, and Medical Service Providers From: Florida Division of Workers' Compensation  Subject: Telehealth and Telemedicine Services Provided Under Chapter 440, Florida Statutes In response to the recent outbreak of COVID-19, the Division of Workers’ Compensation is providing the following information related to telehealth and telemedicine services provided by licensed practitioners to workers’ compensation patients under chapter 440, Florida Statutes. All telehealth and telemedicine services are governed under the Florida Department of Health, section 456.47, Florida Statutes. Authorized services must be in compliance with section 456.47, Florida Statutes and Florida Department of Health Emergency Order 20-002. The provision of telehealth and telemedicine services provided by licensed practitioners must be mutually agreed upon by the carrier and health care provider prior to treatment. Emergency services and care, defined in section 395.002, Florida Statutes, do not require prior authorization. Carriers and health care providers should utilize national coding standards as adopted by the Centers for Medicaid and Medicare Services to accommodate the provision of telehealth and telemedicine services. All telemedicine and telehealth services provided by health care practitioners should be billed with Place of Service Code (POS) 02 on the DFS-F5-DWC-09/CMS-1500 claim form. Reimbursement is according to a mutually agreed upon contract amount or the listed Maximum Reimbursement Allowance (MRA) in the Florida Workers’ Compensation Health Care Provider Reimbursement Manual, 2016 Edition. A copy of this reimbursement manual may be found here.  Please email any questions regarding this e-alert notification to Workers.CompMedService@myfloridacfo.com To learn more about these issues and other Workers' Compensation information click here: https://www.myfloridacfo.com/division/wc/