RULE NO: RULE TITLE
69L-7.501: Florida Workers' Compensation Reimbursement Manual for Hospitals
PURPOSE AND EFFECT: The purpose of the workshop is to assist the Department of Financial Services (Department) and the Three-Member Panel in determining appropriate usual and customary charges for hospital outpatient care provided by Florida hospitals for inclusion in the Florida Workers’ Compensation Reimbursement Manual for Hospitals, adopted through Rule 69L-7.501, Florida Administrative Code. The Department will take testimony at the workshop regarding the “Recommendations for Determining Customary Charges for Florida Outpatient Hospital Services to Workers’ Compensation Patients”, a report prepared for the Department that can be accessed at www.myfloridacfo.com/wc/. The report will be listed under the “News” section of the Division of Workers’ Compensation’s homepage. The Department solicits comments to be made at the workshop by interested parties regarding any additional methodologies for determining appropriate usual and customary charges for hospital outpatient care provided by Florida hospitals. In addition, the purpose of the workshop is to assist the Department and the Three-Member Panel in determining maximum reimbursement allowances for inpatient hospital care based on a schedule of per diem rates, excluding a stop-loss provision, for inclusion in the Florida Workers’ Compensation Reimbursement Manual for Hospitals, adopted through Rule 69L-7.501, F.A.C. Florida Administrative Code. The Department will take testimony regarding the following per diem reimbursement methodologies: a straight per diem rate, in that the hospital is reimbursed a set amount for each day the patient remains in the hospital; per diem by service type, where the per diem rate varies based upon the type of clinical service provided; and a per diem rate indexed to length of stay, where the per diem rate is based on the patient’s length of stay. The Department solicits comments to be made at the workshop by interested parties regarding any additional methodologies for determining appropriate maximum reimbursement allowances for inpatient hospital care based on a schedule of per diem rates, excluding a stop-loss provision. The effect of the workshop is to lead to development of revised reimbursements for hospital inpatient and outpatient care for inclusion in the Florida Workers’ Compensation Reimbursement Manual for Hospitals.
SUBJECT AREA TO BE ADDRESSED: Reimbursements to hospitals for care provided to workers’ compensation patients pursuant to the Florida Workers’ Compensation Reimbursement Manual for Hospitals.
SPECIFIC AUTHORITY: 440.13(14), 440.591 FS.
LAW IMPLEMENTED: 440.13(7), (12), (14) FS.
IF REQUESTED IN WRITING AND NOT DEEMED UNNECESSARY BY THE AGENCY HEAD, A RULE DEVELOPMENT WORKSHOP WILL BE HELD AT THE DATE, TIME AND PLACE SHOWN BELOW:
TIME AND DATE: Thursday, February 14, 2008, 9:30 a.m. – 12:00 p.m.
PLACE: 104J Hartman Bldg., 2012 Capital Circle Southeast, Tallahassee, Florida
Pursuant to the provisions of the Americans with Disabilities Act, any person requiring special accommodations to participate in this workshop/meeting is asked to advise the agency at least 5 days before the workshop/meeting by contacting: Andrew Sabolic. If you are hearing or speech impaired, please contact the agency using the Florida Relay Service, 1(800)955-8771 (TDD) or 1(800)955-8770 (Voice).
THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE DEVELOPMENT AND A COPY OF THE PRELIMINARY DRAFT, IF AVAILABLE, IS: Andrew Sabolic, Assistant Director, Division of Workers’ Compensation, Department of Financial Services, 200 East Gaines Street, Tallahassee, Florida 32399-4228, (850)413-1600

THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS NOT AVAILABLE.