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Division Director

Tanner Holloman

Assistant Director

Andrew Sabolic


Workers' Compensation
200 East Gaines Street
Tallahassee, FL 32399-0318
Workers' Compensation Claims
(800) 342-1741
Workers' Compensation Exemption/ Compliance
(850) 413-1609

Rule Changes & Notices

Draft Rules

Note: The Division has scheduled (1) Rule Workshops or Rule Hearings.

Type Rules Date Location
Rule Hearing 69L-7.020, 69L-7.100, and 7.501, Florida Administrative Code.
Tuesday, November 21, 2017, 9:00 a.m. - 2:30 p.m. (eastern) Room 102, Hartman Building, 2012 Capital Circle SE, Tallahassee, FL
Summary: The purpose of the changes being made to Rules 69L-7.020, 69L-7.100, and 69L-7.501, F.A.C., is to incorporate the 2017 versions of the Florida Workers' Compensation Health Care Provider Reimbursement Manual, the Florida Workers' Compensation Reimbursement Manual for Ambulatory Surgical Centers (ASCs), and the Florida Workers' Compensation Reimbursement Manual for Hospitals. The manuals contain the updated lists of Maximum Reimbursement Allowances for various medical services, as approved by the Three-Member Panel on April 19, 2017, pursuant to section 440.13(12)(a), Florida Statutes.

9:00 AM – 10:30 AM, 69L-7.501, Florida Workers’ Compensation Reimbursement Manual for Hospitals, 2017 Edition

10:30 AM – 12:00 PM, 69L-7.100, Florida Workers’ Compensation Reimbursement Manual for Ambulatory Surgical Centers, 2017 Edition

1:00 PM – 2:30 PM, 69L-7.020, Florida Workers’ Compensation Health Care Provider Reimbursement Manual, 2017 Edition

A copy of the notice containing the preliminary text of the proposed Rules may be found at the following links.
69L-7.501
69L-7.100
69L-7.020

Draft of the Florida Workers’ Compensation Health Care Provider Reimbursement Manual, 2017 Note: As of 11/6/2017 the PDF posted for the Health Care Provider Reimbursement Manual includes the pages of the manual that contains a copy of the fee schedule adopted by the Three Member Panel.

Draft of the Florida Workers’ Compensation Reimbursement Manual for Ambulatory Surgical Centers, 2017

Draft of the Florida Workers’ Compensation Reimbursement Manual for Hospitals, 2017
 

Past Workshops & Hearings

Type Rules Date Location
Rule Hearing 69L-8.071 Materials for use with the Florida Workers’ Compensation Health Care Provider Reimbursement Manual
69L-8.074 Materials for Use throughout Rule Chapter 69L-7, F.A.C.
Wednesday, October 4, 2017, at 1:00 p.m. (eastern) Room 102, Hartman Building, 2012 Capital Circle SE, Tallahassee, FL
Summary: The proposed rules update resource materials utilized in the determination and efficient delivery of appropriate medical care to injured employees and the provision of timely reimbursement to health care providers under Florida’s workers’ compensation system.

A copy of the original published Notice containing the canceled date and time and the language of the proposed Rules may be found here.

A copy of the Notice containing the rescheduled date and time may be found here.
 
Type Rules Date Location
Rule Workshop 69L-7.020, 69L-7.100, and 7.501, Florida Administrative Code Friday, August 25, 2017, 9:00 a.m. – 2:30 p.m. (eastern) Room 102, Hartman Building, 2012 Capital Circle SE, Tallahassee, FL
Summary: The purpose of the changes being made to Rules 69L-7.020, 69L-7.100, and 69L-7.501, F.A.C., is to incorporate the 2017 versions of the Florida Workers’ Compensation Health Care Provider Reimbursement Manual, the Florida Workers’ Compensation Reimbursement Manual for Ambulatory Surgical Centers (ASCs), and the Florida Workers’ Compensation Reimbursement Manual for Hospitals. The manuals contain the updated lists of Maximum Reimbursement Allowances for various medical services, as approved by the Three-Member Panel on April 19, 2017, pursuant to section 440.13(12)(a), Florida Statutes

9:00 AM - 10:30 AM, 69L-7.501, Florida Workers’ Compensation Reimbursement Manual for Hospitals, 2017 Edition

10:30 AM - 12:00 PM, 69L-7.100, Florida Workers’ Compensation Reimbursement Manual for Ambulatory Surgical Centers, 2017 Edition

1:00 PM - 2:30 PM, 69L-7.020, Florida Workers’ Compensation Health Care Provider Reimbursement Manual, 2017 Edition

A copy of the notice containing the preliminary text of the proposed Rules may be found here.

Draft of the Florida Workers’ Compensation Health Care Provider Reimbursement Manual, 2017
Draft of the Florida Workers’ Compensation Reimbursement Manual for Ambulatory Surgical Centers, 2017
Draft of the Florida Workers’ Compensation Reimbursement Manual for Hospitals, 2017
 
Type Rules Date Location
Rule Workshop 69L-8, Selected Materials Incorporated by Reference Wednesday, May 31, 2017, 1:00 p.m. (eastern) Room 102, Hartman Building, 2012 Capital Circle SE, Tallahassee, FL
Summary: The proposed rules incorporate updated versions of currently adopted resource materials utilized in the determination and reimbursement of the costs of medical care provided to Florida’s injured employees. The proposed rules promote the efficient delivery of medical care to Florida’s injured employees by reducing the potential for errors and delays resulting from the use of dated materials.

A copy of the published Notice may be found here.

A copy of the proposed Rules may be found here.

 

New Rules

Note: This tab reflects Rules adopted within the past 6 months.

Effective Date Rules
July 1, 2017 69L-7.020, F.A.C. Florida Workers' Compensation Health Care Provider Reimbursement Manual
May 18, 2017 69L-30, F.A.C. Expert Medical Advisors

 

Notices

Date Subject
August 9, 2017 2017 WCI Conference - DWC Breakout Presentation
The Florida Division of Workers' Compensation recently participated in the 72nd Annual Workers' Compensation Educational Conference with the Workers' Compensation Institute, in Orlando, Florida. The Division's breakout session included the following topics: Legislative and Rule Updates, Claims-Handling from the Regulatory Perspective, Use of Regulatory Data, and Medical Services Updates. If you were unable to attend or would like to view the presentations, click here pdf. Please contact Brittany O'Neil at 850-413-1927 with any questions.
 
Date Subject
May 2, 2017 Notice of Change and Notice of Correction
The Florida Division of Workers' Compensation submitted a Notice of Change for Chapter 69L-31, Florida Administrative Code. The changes to the proposed rules are in response to oral testimony and written comments submitted to the Department by interested parties and to written comments submitted to the Department by the staff of the Joint Administrative Procedures Committee. The proposed rules include certain technical changes and clarifications. Changes are also made to Forms DFS-F6-DWC-3160-0023 (Petition for Resolution of Reimbursement Dispute) and DFS-F6-DWC-3160-0024 (Carrier Response to Petition for Resolution of Reimbursement Dispute).

The official Notice of Change appeared in the Volume 43, Number 85 of the Florida Administrative Weekly, published on May 2, 2017. If you have questions about the contents of this notice, please contact Theresa Pugh, Program Administrator, Medical Services Section, Division of Workers' Compensation at (850) 413-1721 or Theresa.Pugh@myfloridacfo.com.

A copy of the Notice of Change may be found here.

The Florida Division of Workers' Compensation submitted a Notice of Correction for Chapter 69L-31, Florida Administrative Code. The paragraph titled, "SUMMARY OF STATEMENT OF ESTIMATED REGULATORY COST AND LEGISLATIVE RATIFICATION" has been corrected to provide further detail on why legislative ratification is not required.

The official Notice of Correction appeared in the Volume 43, Number 85 of the Florida Administrative Weekly, published on May 2, 2017. If you have questions about the contents of this notice, please contact Theresa Pugh, Program Administrator, Medical Services Section, Division of Workers' Compensation at (850) 413-1721 or Theresa.Pugh@myfloridacfo.com.

A copy of the Notice of Correction may be found here.
Revised SERCs for Notice 18916181
 
Date Subject
April 19, 2017, 10:00 a.m. (Eastern) Three-Member Panel Meeting
The Florida Department of Financial Services, Division of Workers' Compensation announces a public meeting of the Three-Member Panel that will be held on Wednesday, April 19, 2017, beginning at 10:00 a.m., in room 116 of the J. Edwin Larson Building located at 200 East Gaines Street, Tallahassee, Florida.

The Three-Member Panel will consider adopting the reimbursement methodologies and maximum reimbursement allowances for the 2017 editions of the Health Care Provider Reimbursement Manual, Hospital Reimbursement Manual, and the Ambulatory Surgical Center Reimbursement Manual. Public comment will also be received.

The Three-Member Panel meeting packet contains the following information:
- Three-Member Panel Meeting Agenda is available here.
- Draft Healthcare Provider Manual is available here.
- Draft Hospital Reimbursement Manual is available here.
- Draft Ambulatory Surgical Center Manual is available here.
- NCCI Analysis is available here.

The official Notice of this meeting appeared in Volume 43, Number 58 of the Florida Administrative Weekly, published on March 24, 2017.

If you have questions about the contents of this notice, please contact Theresa Pugh, Program Administrator, Medical Services Section, Division of Workers' Compensation at (850) 413-1721 or Theresa.Pugh@myfloridacfo.com.
 
Date Subject
January 4, 2017 Three-Member Panel Meeting
Summary: The Florida Department of Financial Services, Division of Workers' Compensation announces a public meeting of the Three-Member Panel that will be held on Wednesday, January 4, 2017, beginning at 3:00 p.m. in room 116 of the J. Edwin Larson Building located at 200 East Gaines Street, Tallahassee, Florida. This public meeting, to which all are invited, has been convened to facilitate the Panel's consideration of the following items:
- The Three-Member Panel 2017 Biennial Report
- The Division's Annual Report on the resolution of health care provider medical reimbursement disputes and activities (2016) conducted pursuant to s. 440.13(8), F.S.

Click here for meeting packet pdf

Notice of this public meeting appears in the Wednesday, December 21, 2016, issue of the Florida Administrative Register. To view the official (published) notice click on the following link: https://www.flrules.org/Gateway/View_notice.asp?id=18390441
 
Date Subject
December 12, 2016 Court Decisions
Summary: The Division is closely following the activities associated with the recent 1st DCA and Supreme Court rulings. During the upcoming 2017 legislative session, laws impacting the workers’ compensation system may be addressed, therefore the Division will monitor any forthcoming changes prior to engaging in rulemaking activities or procedural changes related to these topics. We would like to assure all stakeholders that the Division stands ready to provide whatever support is necessary to ensure a healthy and viable system.
Links to the court cases can be found at: