30368098, 59G-4.002 - Florida Administrative Rules, Law, Code, Register - FAC, FAR, eRulemaking

Florida Department of State and Division of Library and Information Services

Notice: 30368098

Final Adopted Version in F.A.C.

Department:

AGENCY FOR HEALTH CARE ADMINISTRATION

Division:

Chapter:

MEDICAID POLICY

Overview

RULE:

Provider Reimbursement Schedules and Billing Codes

RULE FILE DATE:

12/29/2025

RULE EFFECTIVE DATE:

1/18/2026

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.

OVERSIGHT COMMITTEE:

Joint Administrative Procedures Committee
Florida Administrative Law Central Online Network (F.A.L.C.O.N.)

RELATED COURT CASES:

Division of Administrative Hearings

FEDERAL RULES
AND REGULATIONS:

Electronic Code of Federal Regulations

HOW TO LINK TO
THIS NOTICE:

http://flrules.org/gateway/ruleno.asp?id=59G-4.002&Section=0

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

Under Florida law, E-mail addresses are public records. If you do not want your E-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.