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Rules Open for Comments
Notice: 29961862
Notice of Development of Rulemaking
Department:
AGENCY FOR HEALTH CARE ADMINISTRATION
Division:
Medicaid
Chapter:
MEDICAID POLICY
Overview
RULE:
59G-4.002
Provider Reimbursement Schedules and Billing Codes
PURPOSE:
The purpose of the amendment to Rule 59G-4.002, Florida Administrative Code, (F.A.C.), is to update fee schedules and billing codes in the existing rule. The amendment incorporates by reference the Practitioner Fee Schedule and the Prescribed Pediatric Extended Care Services Fee Schedule, each effective July 1, 2025 and revised pursuant to 2025-198, L.O.F., the July 8, 2025 Specialized Therapeutic Services Fee Schedule, and the July 1, 2025 Prescribed Drugs Physician Administered Billing Codes.
SUBJECT:
Provider Reimbursement Schedules and Billing Codes. An additional area to be addressed during the workshop will be the potential regulatory impact Rule 59G-4.002, Florida Administrative Code, will have as provided for under sections 120.54 and 120.541, Florida Statutes.
RULEMAKING AUTHORITY:
409.919 FS.
LAW:
409.902
,
409.905
,
409.906
,
409.907
,
409.908
,
409.912
,
409.913 FS.
PRINT PUBLISH DATE:
9/9/2025
Vol. 51/175
RELATED STATUTES
AND LAWS:
409.919 FS.
,
409.902
,
409.905
,
409.906
,
409.907
,
409.908
,
409.912
,
409.913 FS.
OVERSIGHT COMMITTEE:
Joint Administrative Procedures Committee
Florida Administrative Law Central Online Network (F.A.L.C.O.N.)
RELATED COURT CASES:
Division of Administrative Hearings
FEDERAL eRULEMAKING
WEB PORTAL:
Regulations.gov
HOW TO LINK TO
THIS NOTICE:
http://flrules.org/gateway/ruleno.asp?id=59G-4.002&PDate=9/9/2025&Section=1
REFERENCE MATERIALS:
Ref-18286 Practitioner Fee Schedule July 1 2024
Ref-18287 Radiology Fee Schedule July 1 2024
Ref-18288 Assistive Care Services Fee Schedule October 1 2024
Ref-18289 Behavior Analysis Fee Schedule October 1 2024
Ref-18290 Dental General Fee Schedule October 1 2024
Ref-18291 Early Intervention Services Fee Schedule October 1 2024
Ref-18292 Family Home Health Aide Services Fee Schedule October 1 2024
Ref-18293 Medical Foster Care Services Fee Schedule October 1 2024
Ref-18295 Physical Therapy Services Fee Schedule October 1 2024
Ref-18296 Private Duty Nursing Services Fee Schedule October 1 2024
Ref-18297 Specialized Therapeutic Services Fee Schedule October 1 2024
Ref-18298 Speech-Language Pathology Services Fee Schedule October 1 2024
Ref-18299 Transportation Services Fee Schedule October 1 2024
Ref-18320 Practitioner Fee Schedule January 1 2025
Ref-18323 Prescribed Pediatric Extended Care Services Fee Schedule January 1 2025
Ref-18329 Specialized Therapeutic Services Fee Schedule January 1 2025
Ref-18340 Prescribed Drugs Physician Administered Billing Codes January 1 2025
Ref-18363 Occupational Therapy Fee Schedule October 1 2024
Ref-18628 Practitioner Fee Schedule July 1 2025
Ref-18629 Prescribed Drugs Physician Administered Billing Codes July 1 2025
Ref-18630 Prescribed Pediatric Extended Care Services Fee Schedule July 1 2025
Ref-18631 Specialized Therapeutic Services Fee Schedule July 8 2025