Rule: 59G-4.002 Prev   Up   Next

Rule Title: Provider Reimbursement Schedules and Billing Codes
Department: AGENCY FOR HEALTH CARE ADMINISTRATION    Add to MyFLRules Favorites
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Division: Medicaid
Chapter: MEDICAID POLICY

Latest version of the final adopted rule presented in Florida Administrative Code (FAC):

VIEW_RULE Effective Date: 10/26/2026
History Notes: Rulemaking Authority 409.919 FS. Law Implemented 409.902, 409.905, 409.906, 409.907, 409.908, 409.912, 409.913 FS. History–New 8-18-05, Amended 11-30-05, 4-16-06, 10-11-06, 3-27-07, 7-25-07, 9-29-08, 4-28-09, 2-11-10, 1-31-11, 7-16-13, 5-21-14, 6-20-16, 6-22-17, 2-8-18, 5-7-18, 1-7-19, 7-17-19, 12-15-20, 9-29-21, 8-2-22, 12-31-23, 10-21-24, 8-24-25, 1-18-26, 10-26-26.
References in this version: Ref-19397 Assistive Care Services Fee Schedule January 1 2026
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-19413 Medical Foster Care Services 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
History of this Rule since Jan. 6, 2006
Notice /
Adopted
Section Description ID Publish
Date
View Text Development
59G-4.002
The purpose of the amendment to Rule 59G-4.002 is to update fee schedules and billing codes in the existing rule. The amendment revises the Florida Medicaid provider fee schedules and billing codes. 27008018 3/31/2023
Vol. 49/63
View Text Development
59G-4.002
The purpose of the amendment to Rule 59G-4.002 is to update fee schedules and billing codes in the existing rule. The amendment revises the Florida Medicaid provider fee schedules and billing codes. 26939051 3/21/2023
Vol. 49/55