31315109, 59G-4.002 - Florida Administrative Rules, Law, Code, Register - FAC, FAR, eRulemaking

Florida Department of State and Division of Library and Information Services

Notice: 31315109

Notice of Proposed Rule

Department:

AGENCY FOR HEALTH CARE ADMINISTRATION

Division:

Chapter:

MEDICAID POLICY

Overview

RULE:

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.

SUMMARY:

The amendment incorporates by reference the Florida Medicaid provider fee schedules and billing codes effective January 1, 2026.

RULEMAKING AUTHORITY:

LAW:

409.902, 409.905, 409.906, 409.907, 409.908, 409.912, 409.913 FS

PRINT PUBLISH DATE:

8/31/2026 Vol. 52/169

COMMENTS:

From 8/31/2026 To 9/21/2026 (21 Days)
The public comment period for this notice has already expired.

REFERENCE MATERIALS:

Ref-18271 Assistive Care Services Fee Schedule January 1, 2025
Ref-18300 Behavior Analysis Fee Schedule January 1 2025
Ref-18302 Birth Center Fee Schedule January 1 2025
Ref-18304 Community-Based Substance Abuse County Match Fee Schedule January 1 2025
Ref-18305 County Health Department Certified Match Program Fee Schedule January 1 2025
Ref-18306 Dental General Fee Schedule January 1 2025
Ref-18307 Durable Medical Equipment and Medical Supply Services Provider Fee Schedule for All Medicaid Recipients January 1 2025
Ref-18308 Early Intervention Services Fee Schedule January 1 2025
Ref-18309 Family Home Health Aide Services Fee Schedule January 1 2025
Ref-18310 Hearing Services Fee Schedule January 1 2025
Ref-18311 Home Health Visit Services Fee Schedule January 1 2025
Ref-18313 Licensed Midwife Fee Schedule January 1 2025
Ref-18314 Medicaid Certified School Match Program Fee Schedule January 1 2025
Ref-18315 Medical Foster Care Services Fee Schedule January 1 2025
Ref-18317 Personal Care Services Fee Schedule January 1 2025
Ref-18319 Physician Pediatric Surgery Fee Schedule January 1 2025
Ref-18322 Prescribed Drugs Immunization Fee Schedule January 1 2025
Ref-18324 Private Duty Nursing Services Fee Schedule January 1 2025
Ref-18325 Radiology Fee Schedule January 1 2025
Ref-18326 Regional Perinatal Intensive Care Center (RPICC) Neonatal Services Fee Schedule January 1 2025
Ref-18327 Regional Perinatal Intensive Care Center (RPICC) Obstetrical Services Fee Schedule January 1 2025
Ref-18328 Respiratory Therapy Services Fee Schedule January 1 2025
Ref-18332 Transportation Services Fee Schedule January 1 2025
Ref-18333 Visual Services Fee Schedule January 1 2025
Ref-18334 County Health Department Billing Codes January 1 2025
Ref-18335 Federally Qualified Health Center Billing Codes January 1 2025
Ref-18336 Hospice Services Billing Codes January 1 2025
Ref-18337 Hospital Outpatient Services Billing Codes January 1 2025
Ref-18338 Intermediate Care Facility for Individuals with Intellectual Disabilities Services Billing Codes January 1 2025
Ref-18341 Rural Health Clinic Billing Codes January 1 2025
Ref-18352 Behavioral Health Overlay Services Fee Schedule January 1 2025
Ref-18354 Occupational Therapy Services Fee Schedule January 1 2025
Ref-18358 Nursing Facility Services Billing Codes January 1 2025
Ref-18359 Statewide Inpatient Psychiatric Program Services Billing Codes January 1 2025
Ref-18362 Speech-Language Pathology Services Fee Schedule January 1 2025
Ref-18364 Community Behavioral Health Services Fee Schedule January 1 2025
Ref-18365 Physical Therapy Fee Schedule January 1 2025
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
Ref-18820 Targeted Case Management Services Fee Schedule October 1 2025
Ref-18822 Independent Laboratory Fee Schedule July 1 2025
Ref-18823 Practitioner Laboratory Fee Schedule July 1 2025
Ref-18824 Independent Laboratory Fee Schedule October 1 2025
Ref-18825 Practitioner Laboratory Fee Schedule October 1 2025
Ref-18935 Practitioner Fee Schedule October 1 2025
Ref-19398 Behavior Analysis Fee Schedule January 1 2026
Ref-19399 Behavioral Health Overlay Services Fee Schedule January 1 2026
Ref-19400 Birth Center Fee Schedule January 1 2026
Ref-19401 Community-Based Substance Abuse County Match Fee Schedule January 1 2026
Ref-19403 County Health Department Certified Match Program Fee Schedule January 1 2026
Ref-19405 Durable Medical Equipment and Medical Supply Services Provider Fee Schedule for All Medicaid Recipients January 1 2026
Ref-19406 Early Intervention Services Fee Schedule January 1 2026
Ref-19407 Family Home Health Aide Services Fee Schedule January 1 2026
Ref-19409 Home Health Visit Services Fee Schedule January 1 2026
Ref-19411 Licensed Midwife Fee Schedule January 1 2026
Ref-19412 Medicaid Certified School Match Program Fee Schedule January 1 2026
Ref-19414 Occupational Therapy Services Fee Schedule January 1 2026
Ref-19415 Personal Care Services Fee Schedule January 1 2026
Ref-19416 Physical Therapy Fee Schedule January 1 2026
Ref-19417 Physician Pediatric Surgery Fee Schedule January 1 2026
Ref-19418 Practitioner Fee Schedule January 1 2026
Ref-19421 Prescribed Pediatric Extended Care Services Fee Schedule January 1 2026
Ref-19422 Private Duty Nursing Services Fee Schedule January 1 2026
Ref-19423 Radiology Fee Schedule January 1 2026
Ref-19424 Regional Perinatal Intensive Care Center (RPICC) Neonatal Services Fee Schedule January 1 2026
Ref-19425 Regional Perinatal Intensive Care Center (RPICC) Obstetrical Services Fee Schedule January 1 2026
Ref-19426 Respiratory Therapy Services Fee Schedule January 1 2026
Ref-19427 Specialized Therapeutic Services Fee Schedule January 1 2026
Ref-19428 Speech-Language Pathology Services Fee Schedule January 1 2026
Ref-19430 Transportation Services Fee Schedule January 1 2026
Ref-19431 Visual Services Fee Schedule January 1 2026
Ref-19432 County Health Department Billing Codes January 1 2026
Ref-19434 Hospice Services Billing Codes January 1 2026
Ref-19435 Hospital Outpatient Services Billing Codes January 1 2026
Ref-19436 Intermediate Care Facility for Individuals with Intellectual Disabilities Services Billing Codes January 1 2026
Ref-19437 Nursing Facility Services Billing Codes January 1 2026
Ref-19438 Prescribed Drugs Physician Administered Billing Codes January 1 2026
Ref-19439 Rural Health Clinic Billing Codes January 1 2026
Ref-19440 Statewide Inpatient Psychiatric Program Services Billing Codes January 1 2026
Ref-19579 Hearing Services Fee Schedule January 1 2026
Ref-19580 Federally Qualified Health Center Billing Codes January 1 2026
Ref-19706 Prescribed Drugs Immunization Fee Schedule January 1 2026
Ref-19829 Independent Laboratory Fee Schedule January 1 2026
Ref-19830 Practitioner Laboratory Fee Schedule January 1 2026
Ref-19994 Community Behavioral Health Services Fee Schedule January 1 2026
Ref-19997 Dental General Fee Schedule January 1 2026
Ref-20060 Targeted Case Management Services Fee Schedule January 1 2026

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