Rule: 59G-6.030 Prev Up Next
| Rule Title: Payment Methodology for Outpatient Hospital Services | |||
| Department: | AGENCY FOR HEALTH CARE ADMINISTRATION |
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| Division: | Medicaid | ||
| Chapter: | REIMBURSEMENT TO PROVIDERS | ||
Latest version of the final adopted rule presented in Florida Administrative Code (FAC):
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Effective Date: | 6/26/2017 |
| History Notes: | Rulemaking Authority 409.919 FS. Law Implemented 409.905, 409.908, 409.913 FS. History–New 10-31-85, Amended 12-31-85, Formerly 10C-7.401, Amended 10-1-86, 3-26-90, 9-30-90, 10-13-91, 7-1-93, Formerly 10C-7.0401, Amended 4-10-94, 9-18-96, 9-5-99, 9-20-00, 12-6-01, 11-10-02, 2-16-04, 10-12-04, 7-4-05, 4-19-06, 12-11-06, 3-4-08, 6-10-08, 1-11-09, 3-24-10, 6-24-10, 2-23-11, 10-30-12, 4-30-14, 9-30-14, 5-3-15, 6-15-16, 6-26-17. | |
| References in this version: |
Ref-08175 Florida Title XIX Outpatient Hospital Reimbursement Plan, Version XXVII, effective: July 1, 2016 |
| Notice / Adopted |
Description | ID | Publish Date |
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Payment Methodology for Outpatient Hospital Services | 19075164 |
Effective: 06/26/2017 |
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In Re: Medicaid Reimbursement Rate Rule Challenges vs. Agency For Health Care Administration; Case No.: 16-6398RX; Rule No.: 59G-6.030; Dismissed | 18873986 |
4/20/2017 Vol. 43/77 |
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In Re: Medicaid Reimbursement Rate Proposed and Existing Rule Challenges vs. Agency For Health Care Administration; Case No.: 17-0467RP; Rule No.: 59G-6.030; Valid | 18873501 |
4/20/2017 Vol. 43/77 |
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Bayfront HMA Medical Center, LLC, d/b/a Bayfront Health - St. Petersburg; Citrus .... vs. Agency For Health Care Administration; Case No.: 17-0467RP; Rule No.: 59G-6.030; Petition | 18870785 |
4/19/2017 Vol. 43/76 |
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The Public Health Trust of Miami-Dade County, Florida vs. Agency for Health Care Administration; Case No.: 17-0496RP; Rule No.: 59G-6.030; Petition | 18539239 |
1/27/2017 Vol. 43/18 |
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The Public Health Trust of Miami-Dade County, Florida vs. Agency for Health Care Administration; Case No.: 16-6398RX; Rule No.: 59G-6.030; Petition | 18455916 |
1/6/2017 Vol. 43/04 |
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St. Vincent's Medical Center, Inc., d/b/a St. Vincent's Medical Center Riverside, .... vs. Agency for Health Care Administration; Case No.: 16-6400RX; Rule No.: 59G-6.030; Petition | 18455819 |
1/6/2017 Vol. 43/04 |
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Southern Baptist Hospital of Florida, d/b/a Baptist Medical Center Nassau, Southern .... vs. Agency for Health Care Administration; Case No.: 16-6406RX; Rule No.: 59G-6.030; Petition | 18455625 |
1/6/2017 Vol. 43/04 |
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Sacred Heart Health System, Inc., d/b/a Sacred Heart Hospital Of Pensacola, Sacred .... vs. Agency for Health Care Administration; Case No.: 16-6399RX; Rule No.: 59G-6.030; Petition | 18455431 |
1/6/2017 Vol. 43/04 |
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Miami Beach Healthcare Group, Ltd., d/b/a Aventura Hospital and Medical Center; .... vs. Agency for Health Care Administration; Case No.: 16-6407RX; Rule No.: 59G-6.030; Petition | 18455334 |
1/6/2017 Vol. 43/04 |
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Genesis Rehabilitation Hospital, Inc., d/b/a Brooks Rehabilitation Hospital vs. Agency for Health Care Administration; Case No.: 16-6403RX; Rule No.: 59G-6.030; Petition | 18455140 |
1/6/2017 Vol. 43/04 |
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CGH Hospital, Ltd, d/b/a Coral Gables Hospital, Delray Medical Center, Inc., d/b/a .... vs. Agency for Health Care Administration; Case No.: 16-6401RX; Rule No.: 59G-6.030; Petition | 18455043 |
1/6/2017 Vol. 43/04 |
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Cape Canaveral Hospital, Inc., Holmes Regional Medical Center, Inc., and Viera Hospital, .... vs. Agency for Health Care Administration; Case No.: 16-6405RX; Rule No.: 59G-6.030; Petition | 18454752 |
1/6/2017 Vol. 43/04 |
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Bayfront HMA Medical Center, LLC, d/b/a Bayfront Health - St. Petersburg; Citrus .... vs. Agency for Health Care Administration; Case No.: 16-6404RX; Rule No.: 59G-6.030; Petition | 18454461 |
1/6/2017 Vol. 43/04 |
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Adventist Health System/Sunbelt, Inc., Florida Hospital Waterman, Inc., Florida .... vs. Agency for Health Care Administration; Case No.: 16-6402RX; Rule No.: 59G-6.030; Petition | 18454267 |
1/6/2017 Vol. 43/04 |
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The purpose of the amendment to Rule 59G-6.030, Florida Administrative Code (F.A.C.), is to incorporate by reference the Florida Title XIX Outpatient Hospital Reimbursement Plan (the Plan), Version XXVII, effective July .... | 18393836 |
12/22/2016 Vol. 42/247 |
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The purpose of the amendment to Rule 59G-6.030, Florida Administrative Code (F.A.C.), is to incorporate by reference the Florida Title XIX Outpatient Hospital Reimbursement Plan (the Plan), Version XXVII, effective July .... | 18315848 |
11/29/2016 Vol. 42/230 |
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Payment Methodology for Outpatient Hospital Services | 17599697 |
Effective: 06/15/2016 |
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The purpose of the amendment to Rule 59G-6.030, Florida Administrative Code, is to incorporate by reference the Florida Title XIX Outpatient Hospital Reimbursement Plan (the Plan), Version XXVI, effective July 1, 2015. The .... | 17190163 |
2/29/2016 Vol. 42/40 |
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The purpose of the amendment to Rule 59G-6.030 is to incorporate by reference the Florida Title XIX Outpatient Hospital Reimbursement Plan (the Plan), Version XXVI, effective July 1, 2015. The amendment also specifies the .... | 16797119 |
11/19/2015 Vol. 41/225 |
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Payment Methodology for Outpatient Hospital Services | 15916844 |
Effective: 05/03/2015 |
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The purpose of the amendment to Rule 59G-6.030 is to incorporate by reference the Florida Title XIX Outpatient Hospital Reimbursement Plan, Version XXV (the Plan), effective July 1, 2014. | 15617793 |
2/4/2015 Vol. 41/23 |
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The purpose of the amendment to Rule 59G-6.030 is to incorporate by reference the Florida Title XIX Outpatient Hospital Reimbursement Plan, Version XV (the Plan), effective July 1, 2014. The amendment will update the Plan .... | 15162184 |
10/10/2014 Vol. 40/198 |
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Payment Methodology for Outpatient Hospital Services | 15067221 |
Effective: 09/30/2014 |
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The purpose of the amendment to Rule 59G-6.030 is to incorporate by reference the Florida Title XIX Outpatient Hospital Reimbursement Plan, (the Plan) Version XXIV, effective July 1, 2013. | 14753426 |
6/26/2014 Vol. 40/124 |
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Payment Methodology for Outpatient Hospital Services | 14454957 |
Effective: 04/30/2014 |
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The purpose of this rule is to incorporate by reference the Florida Title XIX Outpatient Hospital Reimbursement Plan (the Plan), effective July 1, 2012. The amendment to Rule 59G-6.030 will update the Plan to reflect changes .... | 14096348 |
1/23/2014 Vol. 40/15 |
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The purpose of the amendment to Rule 59G-6.030 is to incorporate by reference the Title XIX Outpatient Hospital Reimbursement Plan (the Plan), effective July 1, 2013. The rule will update the Plan to reflect changes authorized .... | 13148076 |
6/24/2013 Vol. 39/122 |
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Payment Methodology for Outpatient Hospital Services | 12164787 |
Effective: 10/30/2012 |
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: The purpose of this rule is to incorporate by reference the Florida Title XIX Outpatient Hospital Reimbursement Plan (the Plan), effective July 1, 2011. The Plan, effective July 1, 2011, includes the addition of a reference .... | 11763013 |
7/20/2012 Vol. 38/29 |
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The purpose of the amendment to Rule 59G-6.030, F.A.C., is to incorporate by reference the Title XIX Outpatient Hospital Reimbursement Plan (the Plan), effective July 1, 2012. The rule will update the Plan to reflect changes .... | 11645740 |
6/29/2012 Vol. 38/26 |
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The Agency for Health Care Administration | 11272096 |
3/23/2012 Vol. 38/12 |
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Discussion of Chapter 2011-135, Laws of Florida, Section 9, which amended Section 409.905(5)(c), Florida Statutes, as follows:
The agency shall .... November 1, 2011, 9:00 a.m. – 11:00 a.m. Agency for Health Care Administration, Building 3, Conference .... |
10493283 |
10/14/2011 Vol. 37/41 |
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The amendments to Rule 59G-6.030, F.A.C., incorporate by reference the Florida Title XIX Outpatient Hospital Reimbursement Plan (the Plan) effective July 1, 2011. The Plan effective July 1, 2011, includes revisions made .... | 10008380 |
6/17/2011 Vol. 37/24 |
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Payment Methodology for Outpatient Hospital Services | 9674603 |
Effective: 02/23/2011 |
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1. Elimination of the outpatient reimbursement ceilings for hospitals whose charity care and Medicaid days as a percentage of total adjusted hospital days equals or exceeds 11 percent. For any public hospital or any leased .... | 9376910 |
11/5/2010 Vol. 36/44 |
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Payment Methodology for Outpatient Hospital Services | 8771824 |
Effective: 06/24/2010 |
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The purpose and effect of the proposed rule development is to incorporate changes to the Florida Title XIX Outpatient Hospital Reimbursement Plan in accordance with House Bill 5001, 2010-2011 General Appropriations Act, .... | 8807229 |
6/25/2010 Vol. 36/25 |
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Payment Methodology for Outpatient Hospital Services | 8539897 |
4/23/2010 Vol. 36/16 |
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Payment Methodology for Outpatient Hospital Services | 8441539 |
Effective: 03/24/2010 |
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The additional public hearing is for proposed Rule 59G-6.030, F.A.C., Payment Methodology for Outpatient Hospital Services, which published .... April 8, 2010, 10:00 a.m. – 11:00 a.m. Agency for Health Care Administration, 2727 Mahan Drive, Building .... |
8401187 |
3/19/2010 Vol. 36/11 |
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The additional public hearing is for proposed Rule 59G-6.030, F.A.C., Payment Methodology for Outpatient Hospital Services, which published .... February 23, 2010, 10:00 a.m. – 11:00 a.m. Agency for Health Care Administration, 2727 Mahan Drive, Building .... |
8252486 |
2/12/2010 Vol. 36/06 |
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to the Florida Title XIX Outpatient Hospital Reimbursement Plan payment methodology, effective July 1, 2009, in accordance with Senate Bill 2600, 2009-2010 General Appropriations Act, Specific Appropriation 193. 1. The .... | 7984281 |
12/4/2009 Vol. 35/48 |
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to incorporate changes to the Florida Title XIX Outpatient Hospital Reimbursement Plan payment methodology, effective March 1, 2009, in accordance with Senate Bill 2-A, 2008-2009 Special Appropriations Act, Specific Appropriation .... | 7983990 |
12/4/2009 Vol. 35/48 |
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Payment Methodology for Outpatient Hospital Services | 7327009 |
7/2/2009 Vol. 35/26 |
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The proposed rule development incorporates changes to the Florida Title XIX Outpatient Hospital Reimbursement Plan in accordance with Senate Bill 2600, 2009-2010 General Appropriations Act, Specific Appropriation 193. 1. .... | 7295872 |
6/26/2009 Vol. 35/25 |
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The purpose and effect of the proposed rule is to incorporate changes to the Florida Title XIX Outpatient Hospital Reimbursement Plan payment methodology, effective March 1, 2009, in accordance with Senate Bill 2-A, 2008-2009 .... | 7021168 |
4/17/2009 Vol. 35/15 |
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The purpose and effect of the proposed rule development is to incorporate changes to the Florida Title XIX Outpatient Hospital Reimbursement Plan in accordance with Senate Bill 2-A, 2008-2009 Special Appropriations Act, .... | 6825422 |
2/27/2009 Vol. 35/08 |
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Payment Methodology for Outpatient Hospital Services | 6613671 |
Effective: 01/11/2009 |
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Payment Methodology for Outpatient Hospital Services | 6410359 |
11/14/2008 Vol. 34/46 |
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The purpose and effect of the proposed rule is to incorporate changes to the Florida Title XIX Outpatient Hospital Reimbursement Plan payment methodology, effective July 1, 2008, in accordance with House Bill 5001, 2008-09 .... | 6209375 |
10/3/2008 Vol. 34/40 |
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To incorporate changes to the Florida Title XIX Outpatient Hospital Reimbursement Plan payment methodology, effective July 1, 2008, in accordance with House Bill 5001, 2008-09 General Appropriations Act, Specific Appropriation .... | 5778695 |
6/27/2008 Vol. 34/26 |
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Payment Methodology for Outpatient Hospital Services | 5725830 |
Effective: 06/10/2008 |
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The purpose and effect of the proposed rule are to incorporate changes to the Florida Title XIX Outpatient Hospital Reimbursement plan (the Plan) payment methodology effective January 1, 2008 in accordance with the Senate .... | 5392732 |
3/21/2008 Vol. 34/12 |
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Payment Methodology for Outpatient Hospital Services | 5288069 |
Effective: 03/04/2008 |
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To incorporate changes to the Florida Title XIX Outpatient Hospital Reimbursement Plan payment methodology, effective January 1, 2008, in accordance with Senate Bill 2-C, 2007-08 Special Appropriations, Specific Appropriation .... | 5239860 |
2/15/2008 Vol. 34/07 |
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Payment Methodology for Outpatient Hospital Services | 5124430 |
1/18/2008 Vol. 34/03 |
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The purpose of this public hearing is to review and discuss comments received from the Centers for Medicare and Medicaid Services (CMS) regarding .... January 9, 2008 3:00p.m.-4:00 p.m. The Agency for Health Care Administration, 2727 Mahan Drive, .... |
4970588 |
12/14/2007 Vol. 33/50 |
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The purpose and effect of the proposed rule are to incorporate changes to the Florida Title XIX Outpatient Hospital Reimbursement plan (the Plan) payment methodology effective July 1, 2007 in accordance with the 2007-08 .... | 4639333 |
9/28/2007 Vol. 33/39 |
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The purpose and effect of the proposed rule development are to incorporate changes to the Florida Title XIX Outpatient Hospital Reimbursement plan (the Plan) payment methodology effective July 1, 2007 in accordance with .... | 4331940 |
7/6/2007 Vol. 33/27 |
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59G-6.030 | 4294013 |
6/29/2007 Vol. 33/26 |
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Payment Methodology for Outpatient Hospital Services | 3242630 |
Effective: 12/11/2006 |
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Payment Methodology for Outpatient Hospital Services | 3034953 |
10/13/2006 Vol. 32/41 |
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Payment Methodology for Outpatient Hospital Services | 3034856 |
10/13/2006 Vol. 32/41 |
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The purpose and effect of the proposed rule is to incorporate changes to the Florida Title XIX Outpatient Hospital Reimbursement plan (the Plan) payment methodology, effective July 1, 2006, to provide the following changes .... | 566497 |
8/4/2006 Vol. 32/31 |
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The purpose and effect of the proposed rule development are to incorporate changes to the Florida Title XIX Outpatient Hospital Reimbursement plan (the Plan) payment methodology effective July 1, 2006 in accordance with .... | 380839 |
6/2/2006 Vol. 32/22 |
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Payment Methodology for Outpatient Hospital Services | 1850195 |
Effective: 04/19/2006 |
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Payment Methodology for Outpatient Hospital Services | 122140 |
3/3/2006 Vol. 32/09 |
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