Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59G - Medicaid › Chapter 59G-4 - MEDICAID POLICY › Section 59G-4.002 - Provider Reimbursement Schedules and Billing Codes

Current through Reg. 50, No. 138; July 16, 2024
(1) This rule applies to providers rendering
				Florida Medicaid services to recipients.
(2) Florida Medicaid reimburses for services
				rendered in the fee-for-service delivery system based on a fee schedule, cost
				report, or contract. The following fee schedules and billing codes are
				incorporated by reference and available on the Agency for Health Care
				Administration's website at
http://ahca.myflorida.com/Medicaid/review/index.shtml
.
(3) Florida Medicaid Fee Schedules Effective
				July 1, 2022:
(a) Assistive Care Services Fee
				Schedule
https://www.flrules.org/Gateway/reference.asp?No=Ref-16089
.
(b) Behavior Analysis Fee Schedule
https://www.flrules.org/Gateway/reference.asp?No=Ref-14539
.
(c) Behavioral Health Overlay Services Fee
				Schedule
https://www.flrules.org/Gateway/reference.asp?No=Ref-16090
.
(d) Birth Center Fee Schedule
https://www.flrules.org/Gateway/reference.asp?No=Ref-16091
.
(e) Community-Based Substance Abuse County
				Match Fee Schedule
https://www.flrules.org/Gateway/reference.asp?No=Ref-14543
.
(f) Community Behavioral Health Services Fee
				Schedule
https://www.flrules.org/Gateway/reference.asp?No=Ref-16092
.
(g) County Health Department Certified Match
				Program Fee Schedule
https://www.flrules.org/Gateway/reference.asp?No=Ref-14545
.
(h) Dental General Fee Schedule
https://www.flrules.org/Gateway/reference.asp?No=Ref-16093
.
(i) Durable Medical Equipment and Medical
				Supply Services Provider Fee Schedule for All Medicaid Recipients
https://www.flrules.org/Gateway/reference.asp?No=Ref-14547
.
(j) Early Intervention Services Fee Schedule
https://www.flrules.org/Gateway/reference.asp?No=Ref-14548
.
(k) Hearing Services Fee Schedule
https://www.flrules.org/Gateway/reference.asp?No=Ref-16094
.
(l) Home Health Visit Services Fee Schedule
https://www.flrules.org/Gateway/reference.asp?No=Ref-16095
.
(m) Independent Laboratory Fee Schedule
https://www.flrules.org/Gateway/reference.asp?No=Ref-16096
.
(n) Licensed Midwife Fee Schedule
https://www.flrules.org/Gateway/reference.asp?No=Ref-16097
.
(o) Medicaid Certified School Match Program
				Fee Schedule
https://www.flrules.org/Gateway/reference.asp?No=Ref-14553
.
(p) Medical Foster Care Services Fee Schedule
https://www.flrules.org/Gateway/reference.asp?No=Ref-16098
.
(q) Occupational Therapy Services Fee
				Schedule
https://www.flrules.org/Gateway/reference.asp?No=Ref-16099
.
(r) Personal Care Services Fee Schedule
https://www.flrules.org/Gateway/reference.asp?No=Ref-16100
.
(s) Physical Therapy Fee Schedule
https://www.flrules.org/Gateway/reference.asp?No=Ref-16101
.
(t) Physician Pediatric Surgery Fee Schedule
https://www.flrules.org/Gateway/reference.asp?No=Ref-14559
.
(u) Practitioner Fee Schedule
https://www.flrules.org/Gateway/reference.asp?No=Ref-16102
.
(v) Practitioner Laboratory Fee Schedule
https://www.flrules.org/Gateway/reference.asp?No=Ref-16103
.
(w) Prescribed Drugs Immunization Fee
				Schedule
https://www.flrules.org/Gateway/reference.asp?No=Ref-14562
.
(x) Prescribed Pediatric Extended Care
				Services Fee Schedule
https://www.flrules.org/Gateway/reference.asp?No=Ref-16104
.
(y) Private Duty Nursing Services Fee
				Schedule
https://www.flrules.org/Gateway/reference.asp?No=Ref-16105
.
(z) Radiology Fee Schedule
https://www.flrules.org/Gateway/reference.asp?No=Ref-16106
.
(aa) Regional Perinatal Intensive
				Care Center (RPICC) Neonatal Services Fee Schedule
https://www.flrules.org/Gateway/reference.asp?No=Ref-14566
.
(bb) Regional Perinatal Intensive Care Center
				(RPICC) Obstetrical Services Fee Schedule
https://www.flrules.org/Gateway/reference.asp?No=Ref-14567
.
(cc) Respiratory Therapy Fee Schedule
https://www.flrules.org/Gateway/reference.asp?No=Ref-16107
.
(dd) Specialized Therapeutic Services Fee
				Schedule
https://www.flrules.org/Gateway/reference.asp?No=Ref-16108
.
(ee) Speech-Language Pathology Services Fee
				Schedule
https://www.flrules.org/Gateway/reference.asp?No=Ref-16109
.
(ff) Targeted Case Management Services Fee
				Schedule
https://www.flrules.org/Gateway/reference.asp?No=Ref-16110
.
(gg) Transportation Services Fee Schedule
https://www.flrules.org/Gateway/reference.asp?No=Ref-16111
.
(hh) Visual Services Fee Schedule
https://www.flrules.org/Gateway/reference.asp?No=Ref-16112
.