30263144, 59G-4.002 - Florida Administrative Rules, Law, Code, Register - FAC, FAR, eRulemaking

Florida Department of State and Division of Library and Information Services

Notice: 30263144

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 Independent Laboratory Fee Schedule, Practitioner Fee Schedule, Practitioner Laboratory 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, the Independent Laboratory Fee Schedule, Practitioner Fee Schedule, Practitioner Laboratory Fee Schedule, and the Targeted Case Management Fee Schedule, each effective October 1, 2025, and the July 1, 2025 Prescribed Drugs Physician Administered Billing Codes.

RULEMAKING AUTHORITY:

LAW:

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

PRINT PUBLISH DATE:

12/1/2025 Vol. 51/231

COMMENTS:

From 12/1/2025 To 12/22/2025 (21 Days)

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-18312 Independent Laboratory Fee Schedule January 1 2025
Ref-18320 Practitioner Fee Schedule January 1 2025
Ref-18321 Practitioner Laboratory 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-18356 Targeted Case Management Services Fee Schedule 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
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

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