BEGIN:VCALENDAR VERSION:2.0 METHOD:PUBLISH PRODID:-//Telerik Inc.//Sitefinity CMS 15.4//EN BEGIN:VTIMEZONE TZID:Eastern Standard Time BEGIN:STANDARD DTSTART:20251102T020000 RRULE:FREQ=YEARLY;BYDAY=1SU;BYHOUR=2;BYMINUTE=0;BYMONTH=11 TZNAME:Eastern Standard Time TZOFFSETFROM:-0400 TZOFFSETTO:-0500 END:STANDARD BEGIN:DAYLIGHT DTSTART:20250301T020000 RRULE:FREQ=YEARLY;BYDAY=2SU;BYHOUR=2;BYMINUTE=0;BYMONTH=3 TZNAME:Eastern Daylight Time TZOFFSETFROM:-0500 TZOFFSETTO:-0400 END:DAYLIGHT END:VTIMEZONE BEGIN:VEVENT DESCRIPTION:NOTICE OF PROPOSED RULE \;DEPARTMENT OF FINANCIAL SERVICESD ivision of Workers&rsquo\; CompensationRULE NO.: \; \; \;  \; \; \; \; \;  \; \; \; \; \; \;& nbsp\; \; \; \; \; \; \; \; RULE TITLE:69L-7.0 20 \; \; \; \; \; \; \; \; \; \;&n bsp\; \; \; \; \; \; \; \; \; \; \ ; \; \; \; \; \; \; \; Florida Workers&rsquo\; Compensation Health Care Provider Reimbursement ManualPURPOSE AND EFFECT: The proposed rule amendment will adopt the most recent editions of the fo llowing copyrighted materials: (1) Florida Workers&rsquo\; Compensation He alth Care Provider Reimbursement Manual\, 2024 Edition\; (2) Current Proce dural Terminology (CPT®\;)\, 2024 Professional Edition\; (3) CDT 2024 C urrent Dental Terminology\; (4) in part for D codes and for injectable J c odes\, and other medical services and supply codes\, the Optum 2024 HCPCS Level II\, Professional\, A resourceful compilation of HCPCS codes\; (5) t he CPT®\; Assistant 2024\; (6) the Optum 2024 ICD-10-CM\, Professional for Physicians: The Complete Official Code Set\; and (7) the 2024 Relative Value Guide®\;\, A Guide for Anesthesia Values.SUMMARY: The proposed r ule will update the HCP RM and other incorporated materials. SUMMARY OF ST ATEMENT OF ESTIMATED REGULATORY COSTS AND LEGISLATIVE RATIFICATION:The age ncy has determined that this rule will not have an adverse impact on small business or likely increase directly or indirectly regulatory costs in ex cess of $200\,000 in the aggregate within one year after the implementatio n of the rule. A SERC has not been prepared by the agency.The Agency has d etermined that the proposed rule is not expected to require legislative ra tification based on the statement of estimated regulatory costs or if no S ERC is required\, the information expressly relied upon and described here in: The Department&rsquo\;s economic review for this rulemaking.Any person who wishes to provide information regarding the statement of estimated re gulatory costs\, or to provide a proposal for a lower cost regulatory alte rnative must do so in writing within 21 days of this notice.RULEMAKING AUT HORITY (formerly &ldquo\;Specific Authority&rdquo\;): 440.13\, 440.591\, F S.LAW IMPLEMENTED: 440.13\, FS.A HEARING WILL BE HELD AT THE DATE\, TIME A ND PLACE SHOWN BELOW:DATE AND TIME: November 15\, 2024\, 10:00 am to 11:00 am.PLACE: PLACE: By GoToMeeting: Please join my meeting from your compute r\, tablet or smartphone. https://global.gotomeeting.com/join/626020717You can also dial in using your phone. United States (Toll Free): 1(866)899-4 679\, United States: (571)317-3116\, Access Code: 626-020-717Join from a v ideo-conferencing room or system. Dial in or type: 67.217.95.2 or inroomli nk.goto.com\, Meeting ID: 626 020 717 or dial directly: 626020717@67.217.9 5.2 or 67.217.95.2##626020717. \; \; \; Pursuant to the provis ions of the Americans with Disabilities Act\, any person requiring special accommodations to participate in this workshop/meeting is asked to advice the agency at least 5 days before the workshop/meeting by contacting: Cha rlene Miller\, Bureau Chief\, Division of Workers&rsquo\; Compensation\, 2 00 E. Gaines Street\, Tallahassee\, FL 32399\, (850) 413-1738\, Charlene.M iller@myfloridacfo.com.If you are hearing or speech impaired\, please cont act the agency using the Florida Relay Service\, 1(800)955-8771 (TDD) or 1 (800)955-8770 (Voice).THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RU LE IS: Charlene Miller\, Bureau Chief\, Division of Workers&rsquo\; Compen sation\, 200 E. Gaines Street\, Tallahassee\, FL 32399\, (850) 413-1738\, Charlene.Miller@myfloridacfo.com.THE FULL TEXT OF THE PROPOSED RULE IS:69L -7.020 Florida Workers&rsquo\; Compensation Health Care Provider Reimburse ment Manual.(1) The Florida Workers&rsquo\; Compensation Health Care Provi der Reimbursement Manual\, 2024 2020 Edition (HCP RM)\, to become effectiv e July 1\, 2022\, is incorporated by reference as part of this rule. The H CP RM contains the Maximum Reimbursement Allowances (MRAs) determined by t he Three-Member Panel\, pursuant to section 440.13(12)\, F.S.\, and establ ishes reimbursement policies\, guidelines\, and procedures codes\, and MRA s for services provided by health care providers. Also\, the HCP RM includ es reimbursement policies and payment methodologies for pharmacists and me dical suppliers. The policies and procedures in the HCP RM are in addition to the requirements and responsibilities established through rule Chapter 69L-7\, F.A.C.\, Workers&rsquo\; Compensation Medical Reimbursement and U tilization Review.(2) The Current Procedural Terminology (CPT®\;)\, 202 4 2020 Professional Edition\, Copyright 2023 2019\, American Medical Assoc iation\; the CDT 2024 2020\, Current Dental Terminology Dental Procedure C odes\, Copyright 2024 2020\, American Dental Association\; in part\, for D codes and for injectable J codes\, and for other medical services and sup ply codes\, the Optum 2024 HCPCS Level II\, Professional 2020 edition\, A resourceful compilation of HCPCS codes\, American Medical Association\, Co pyright 2023 2020\, Optum 360\, LLC Elsevier Inc.\; the CPT®\; Assistan t 2024 2020\, American Medical Association\, Copyright 2023 2019\; and the Optum 2024 ICD-10-CM\, Professional for Physicians 2020: The Complete Off icial Code Set\, The Complete Official Codebook\, American Medical Associa tion\, Copyright 2023 2019\, Optum360\, LLC\; and the 2024 Relative Value Guide®\;\, A Guide for Anesthesia Values\, Copyright 2023\, American So ciety of Anesthesiologists\, are incorporated by reference as part of this rule. A copy of the American Medical Association reference materials may be obtained from the American Medical Association&rsquo\;s website at http s://commerce.ama-assn.org/store/. A copy of the CDT reference material may be obtained from the American Dental Association&rsquo\;s website at http s://www.ada.org/en/publications/ada-catalog.(3) The Department has determi ned that posting the copyrighted materials in subsections (1) and (2) abov e on the Internet would constitute a violation of federal copyright law. T hese copyrighted materials are available for public inspection and examina tion\, but may not be copied\, during normal business hours at: (a) the Fl orida Department of Financial Services\, Division of Workers&rsquo\; Compe nsation\, Bureau of Monitoring and Audit\, 1579 Summit Lake Drive\, Tallah assee\, Florida 32317\; or (b) the Florida Department of State\, R.A. Gray Building\, 500 South Bronough Street\, Tallahassee\, Florida 32399-0250. In addition\, the HCP RM may be obtained via the Department&rsquo\;s Divis ion of Workers&rsquo\; Compensation website at https://www.myfloridacfo.co m/Division/wc/.Rulemaking Authority 440.13(13)(b)\, 440.591 FS. Law Implem ented 440.13(7)\, (12)\, (13)(b) FS. History&ndash\;New 10-1-82\, Amended 3-16-83\, 11-6-83\, 5-21-85\, Formerly 38F-7.20\, Amended 4-1-88\, 7-20-88 \, 6-1-91\, 4-29-92\, 2-18-96\, 9-1-97\, 12-15-97\, 9-17-98\, 9-30-01\, 7- 7-02\, Formerly 38F-7.020\, 4L-7.020\, Amended 12-4-03\, 1-1-04\, 7-4-04\, 5-9-05\, 9-4-05\, 11-16-06\, 10-18-07\, 2-4-09\, 7-1-16\, 7-1-17\, 7-1-23 \, 1-1-25.Editorial Note: Ratified by Ch. 2016-203\, LOF\, Ch. 2023-144\, LOF.NAME OF PERSON ORIGINATING PROPOSED RULE: Charlene Miller\, Bureau Chi efNAME OF AGENCY HEAD WHO APPROVED THE PROPOSED RULE: \; Jimmy Patroni s\, Chief Financial OfficerDATE PROPOSED RULE APPROVED BY AGENCY HEAD: Oct ober 24\, 2024DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAR: J uly 22\, 2024 \;To view Notice of Hearing: \; \;https://sf01.m yfloridacfo.com/docs-sf/general-counsel-libraries/rulemaking/69l-7-020-not ice-of-proposed-rule-hearing.docxHearing Agenda: \;https://sf01.myflor idacfo.com/docs-sf/general-counsel-libraries/rulemaking/rule-hearing-agend ac6f0f7fa-925c-4300-9126-10f45a884d42.docx \;Attorney: James Ross DTEND:20241115T160000Z DTSTAMP:20260811T174422Z DTSTART:20241115T150000Z LOCATION: SEQUENCE:0 SUMMARY:69L-7.020 Florida Workers’ Compensation Health Care Provider Reimb ursement Manual UID:RFCALITEM639220526621870902 X-ALT-DESC;FMTTYPE=text/html:

NOTICE OF PROPOSED RULE \;

DEPARTMENT OF FINANCIAL SERVICES

Divi sion of Workers&rsquo\; Compensation

RULE NO.: \; \; \;& nbsp\; \; \; \; \;  \; \; \; \; \;&nbs p\; \; \; \; \; \; \; \; \; RULE TITLE:

69L-7.020 \; \; \; \; \; \; \; \;  \; \; \; \; \; \; \; \; \; \; \;&n bsp\; \; \; \; \; \; \; \; \; Florida Work ers&rsquo\; Compensation Health Care Provider Reimbursement Manual

P URPOSE AND EFFECT: The proposed rule amendment will adopt the most recent editions of the following copyrighted materials: (1) Florida Workers&rsquo \; Compensation Health Care Provider Reimbursement Manual\, 2024 Edition\; (2) Current Procedural Terminology (CPT®\;)\, 2024 Professional Editio n\; (3) CDT 2024 Current Dental Terminology\; (4) in part for D codes and for injectable J codes\, and other medical services and supply codes\, the Optum 2024 HCPCS Level II\, Professional\, A resourceful compilation of H CPCS codes\; (5) the CPT®\; Assistant 2024\; (6) the Optum 2024 ICD-10- CM\, Professional for Physicians: The Complete Official Code Set\; and (7) the 2024 Relative Value Guide®\;\, A Guide for Anesthesia Values.

< p>SUMMARY: The proposed rule will update the HCP RM and other incorporated materials.

SUMMARY OF STATEMENT OF ESTIMATED REGULATORY COSTS AND LEGISLATIVE RATIFICATION:

The agency has determined that this rule w ill not have an adverse impact on small business or likely increase direct ly or indirectly regulatory costs in excess of $200\,000 in the aggregate within one year after the implementation of the rule. A SERC has not been prepared by the agency.

The Agency has determined that the proposed rule is not expected to require legislative ratification based on the stat ement of estimated regulatory costs or if no SERC is required\, the inform ation expressly relied upon and described herein: The Department&rsquo\;s economic review for this rulemaking.

Any person who wishes to provid e information regarding the statement of estimated regulatory costs\, or t o provide a proposal for a lower cost regulatory alternative must do so in writing within 21 days of this notice.

RULEMAKING AUTHORITY (former ly &ldquo\;Specific Authority&rdquo\;): 440.13\, 440.591\, FS.

LAW I MPLEMENTED: 440.13\, FS.

A HEARING WILL BE HELD AT THE DATE\, TIME A ND PLACE SHOWN BELOW:

DATE AND TIME: November 15\, 2024\, 10:00 am t o 11:00 am.

PLACE: PLACE: By GoToMeeting: Please join my meeting fro m your computer\, tablet or smartphone. https://global.gotomeeting.com/joi n/626020717

You can also dial in using your phone. United States (To ll Free): 1(866)899-4679\, United States: (571)317-3116\, Access Code: 626 -020-717

Join from a video-conferencing room or system. Dial in or t ype: 67.217.95.2 or inroomlink.goto.com\, Meeting ID: 626 020 717 or dial directly: 626020717@67.217.95.2 or 67.217.95.2##626020717. \; \;&n bsp\;

Pursuant to the provisions of the Americans with Disabilities Act\, any person requiring special accommodations to participate in this workshop/meeting is asked to advice the agency at least 5 days before the workshop/meeting by contacting: Charlene Miller\, Bureau Chief\, Division of Workers&rsquo\; Compensation\, 200 E. Gaines Street\, Tallahassee\, FL 32399\, (850) 413-1738\, Charlene.Miller@myfloridacfo.com.

If you ar e hearing or speech impaired\, please contact the agency using the Florida Relay Service\, 1(800)955-8771 (TDD) or 1(800)955-8770 (Voice).

THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE IS: Charlene Miller\, Bureau Chief\, Division of Workers&rsquo\; Compensation\, 200 E. Gaines St reet\, Tallahassee\, FL 32399\, (850) 413-1738\, Charlene.Miller@myflorida cfo.com.

THE FULL TEXT OF THE PROPOSED RULE IS:

69L-7.020 Florida Workers&rsquo\; Compensation Healt h Care Provider Reimbursement Manual.

(1) The Florida Worke rs&rsquo\; Compensation Health Care Provider Reimbursement Manual\, 2024 2020 Edition (HCP RM)\, to become effective July 1\, 2022\, is incorporated by reference as part of this rule. The HCP RM contains the Maximum Reimbursement Allowances (MRAs) determined by the Three-Member Panel\, pursuant to section 440.13(12)\, F. S.\, and establishes reimbursement policies\, guidelines\, and procedures codes\, and MRAs for services provided by health care providers. Also\, the HCP RM inclu des reimbursement policies and payment methodologies for pharmacists and m edical suppliers. The policies and procedures in the HCP RM are in additio n to the requirements and responsibilities established through rule Chapte r 69L-7\, F.A.C.\, Workers&rsquo\; Compensation Medical Reimbursement and Utilization Review.

(2) The Current Procedural Terminology (CPT ®\;)\, 2024 2 020 Professional Edition\, Copyright 2023 2019\, American Medical Association\; the CDT 2024 2020\, Current Dental Terminology D ental Procedure Codes\, Copyright 2024 2020\, American Dental Association\; in part\, fo r D codes and for injectable J codes\, and for other medical services and supply codes\, the Optum 2024 HCPCS Level II\, Professional 2020 edition\, A resourceful compilation of HCPCS codes\, American Medical Association\, Copyright 2023 2020\, Optum 360\, LLC Elsevier Inc.\; the CPT®\; Assistant 2024 2020\, American Medical Association\, Copyright 2023 2019\; and the Optum 2024 ICD-10-CM\, Professional for Physicians 2 020: The Complete Official C ode Set\, The Complete Official Codebook\, American Medical Asso ciation\, Copyright 2023 2019\, Optum360\, LLC \; and the 2024 Relative Value Guide®\;\, A Guide for Anesth esia Values\, Copyright 2023\, American Society of Anesthesiologists\, are incorporated by reference as part of this rule. A copy of the Amer ican Medical Association reference materials may be obtained from the Amer ican Medical Association&rsquo\;s website at https://commerce.ama-assn.org /store/. A copy of the CDT reference material may be obtained from the Ame rican Dental Association&rsquo\;s website at https://www.ada.org/en/public ations/ada-catalog.

(3) The Department has determined that posting t he copyrighted materials in subsections (1) and (2) above on the Internet would constitute a violation of federal copyright law. These copyrighted m aterials are available for public inspection and examination\, but may not be copied\, during normal business hours at: (a) the Florida Department o f Financial Services\, Division of Workers&rsquo\; Compensation\, Bureau o f Monitoring and Audit\, 1579 Summit Lake Drive\, Tallahassee\, Florida 32 317\; or (b) the Florida Department of State\, R.A. Gray Building\, 500 So uth Bronough Street\, Tallahassee\, Florida 32399-0250. In addition\, the HCP RM may be obtained via the Department&rsquo\;s Division of Workers&rsq uo\; Compensation website at https://www.myfloridacfo.com/Division/wc/.

Rulemaking Authority 440.13(13)(b)\, 440.591 FS. Law Implem ented 440.13(7)\, (12)\, (13)(b) FS. History&ndash\;New 10-1-82\, A mended 3-16-83\, 11-6-83\, 5-21-85\, Formerly 38F-7.20\, Amended 4-1-88\, 7-20-88\, 6-1-91\, 4-29-92\, 2-18-96\, 9-1-97\, 12-15-97\, 9-17-98\, 9-30- 01\, 7-7-02\, Formerly 38F-7.020\, 4L-7.020\, Amended 12-4-03\, 1-1-04\, 7 -4-04\, 5-9-05\, 9-4-05\, 11-16-06\, 10-18-07\, 2-4-09\, 7-1-16\, 7-1-17\, 7-1-23\, 1-1-25.
Editorial Note: Ratified by Ch. 2016-203\, LOF\, Ch. 2 023-144\, LOF.

NAME OF PERSON ORIGINATING PROPOSED RULE: Charlene Mi ller\, Bureau Chief

NAME OF AGENCY HEAD WHO APPROVED THE PROPOSED RU LE: \; Jimmy Patronis\, Chief Financial Officer

DATE PROPOSED RU LE APPROVED BY AGENCY HEAD: October 24\, 2024

DATE NOTICE OF PROPOSED R ULE DEVELOPMENT PUBLISHED IN FAR: July 22\, 2024

 \;

To view N otice of Hearing: \; \;https://sf01.myfloridacfo.com/doc s-sf/general-counsel-libraries/rulemaking/69l-7-020-notice-of-proposed-rul e-hearing.docx

Hearing Agenda: \;htt ps://sf01.myfloridacfo.com/docs-sf/general-counsel-libraries/rulemaking/ru le-hearing-agendac6f0f7fa-925c-4300-9126-10f45a884d42.docx \;

< div>

Attorney: James Ross

END:VEVENT END:VCALENDAR