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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 (0) Rule Workshops or Rule Hearings.

 

Past Workshops & Hearings

Type Rules Date Location
Rule Workshop 69L-31, Florida Administrative Code Friday, February 23, 2018 9:30 a.m. - 12:00 p.m. (eastern) Room 102, Hartman Building, 2012 Capital Circle SE, Tallahassee, FL
Summary: The proposed rulemaking amends existing rules governing the process for the resolution of reimbursement disputes between workers’ compensation carriers and health care providers, creates a new rule, and repeals an existing rule. Changes proposed include: amending Rule 69L-31.005, F.A.C., to provide greater detail regarding the materials that must accompany a petition for dispute resolution (Petition Form); amending Rule 69L-31.008, F.A.C., to clarify the computation of the time period within which a Petition Form must be submitted to the Division, to increase the time period for the submission of a Petition Form from 30 days to 45 days, to add the website address for the Division’s Web Portal, and to provide additional guidance regarding the electronic submission of a Petition Form; amending Rule 69L-31.009, F.A.C., to increase the time period for a carrier to respond to a petition from 10 days to 30 days; repealing Rule 69L-31.012, F.A.C.; and creating Rule 69L-31.016, F.A.C., to address penalties for improper reimbursement and billing practices. Revisions to certain rule titles are proposed to more accurately reflect the subject matter or issues addressed by the rule. Other changes proposed include minor edits and the adoption of revised forms.
Please note that the Division encourages all parties to provide details regarding any potential economic or cost impact related to the proposed rule.
  • A copy of the notice may be found here.
  • A copy of the Draft Petition For Resolution of Reimbursement Dispute Form may be found here.
  • A copy of the Draft Carrier Response to Petition For Resolution of Reimbursement Dispute Form may be found here.
  • A copy of the Draft Rule 69L-31, F.A.C. may be found here.
 
Type Rules Date Location
Rule Workshop 69L-6.025, Florida Administrative Code Tuesday, February 20, 2018 (eastern) Room 102, Hartman Building, 2012 Capital Circle SE, Tallahassee, FL
Summary: The proposed amendment to paragraph 69L-6.025(4)(b), F.A.C., will allow employers an additional opportunity to remain compliant with their payment agreement schedules by increasing the number of times the Department will rescind an Order Reinstating Stop-Work Order from two to three in any one case. The proposed amendment to paragraph 69L-6.025(7)(c), F.A.C., will allow employers whose Reinstatement of Stop-Work Orders have been rescinded, the opportunity to enter into new payment agreements after making three monthly payments of the original agreed amount. Currently, the employer is required to make six monthly payments of the original agreed amount after the rescission of the Reinstatement of the Stop-Work Order prior to entering into a new payment agreement. Reducing the number of payments required from six to three will shorten the timeframe for entering into a new payment agreement.
A copy of the notice containing the preliminary text of the proposed Rule may be found at the following link: https://www.flrules.org/gateway/ruleNo.asp?id=69L-6.025

 

New Rules

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

Effective Date Rules
January 18, 2018
69L-8.071, Materials for use with the Florida Workers’ Compensation Health Care Provider Reimbursement Manual
January 18, 2018 69L-8.074, Materials for use throughout Rule Chapter 69L-7, F.A.C.

 

Notices

Date Subject
April 10, 2018, 01:00 p.m. (Eastern) Three-Member Panel Meeting
Pursuant to s. 440.13(12), Florida Statutes, the Three-Member Panel will hold a meeting to adopt the 2018 schedules for maximum reimbursement allowances for physicians, hospitals, and ambulatory surgical centers. Public comment will also be received.

Three-Member Panel Meeting Agenda and Meeting Packet is available here.

The official Notice of this meeting appeared in Volume 44, Number 60 of the Florida Administrative Weekly, published on March 27, 2018.

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
February 20, 2018 Notice of Rule Development for 69L-6.025, F.A.C.
A Notice of Development of Rulemaking was published for proposed Rule 69L-6.025, Florida Administrative Code. The notice provides that if requested in writing, a Rule Workshop will be held on Tuesday, February 20, at 9:30 A.M., eastern time, at 2012 Capital Circle, SE, Room 102, Hartman Building, in Tallahassee, Florida.

The proposed amendment to paragraph 69L-6.025(4)(b), F.A.C., will allow employers an additional opportunity to remain compliant with their payment agreement schedules by increasing the number of times the Department will rescind an Order Reinstating Stop-Work Order from two to three in any one case. The proposed amendment to paragraph 69L-6.025(7)(c), F.A.C., will allow employers whose Reinstatement of Stop-Work Orders have been rescinded, the opportunity to enter into new payment agreements after making three monthly payments of the original agreed amount. Currently, the employer is required to make six monthly payments of the original agreed amount after the rescission of the Reinstatement of the Stop-Work Order prior to entering into a new payment agreement. Reducing the number of payments required from six to three will shorten the timeframe for entering into a new payment agreement.
Here is a link to the notice: https://www.flrules.org/gateway/ruleNo.asp?id=69L-6.025
 
Date Subject
December ?, 2017 Maximum Workers' Compensation Rate, Effective January 1, 2018
The Maximum Workers' Compensation Rate, Effective January 1, 2018

The Florida Department of Economic Opportunity has determined the statewide average weekly wage paid by employers subject to the Florida Reemployment Assistance Program Law to be $917.18 for the four calendar quarters ending June 30, 2017.

Subsection 440.12(2), Florida Statutes (2017), expressly provides that, for injuries occurring on or after August 1, 1979, the weekly compensation rate shall be equal to 100 percent of the statewide average weekly wage, adjusted to the nearest dollar, and that the average weekly wage determined by the Department of Economic Opportunity for the four calendar quarters ending each June 30 shall be used in determining the maximum weekly compensation rate with respect to injuries occurring in the calendar year immediately following.

Accordingly, the maximum weekly compensation rate for work-related injuries and illnesses occurring on or after January 1, 2018 shall be $917.00.
2018 Max Comp Rate Bulletin pdf
 
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: