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Director de División

Tanner Holloman

Director Adjunto

Andrew Sabolic


Compensación Legal por Accidentes de Trabajo
200 East Gaines Street
Tallahassee, FL 32399-0318
Reclamaciones de Compensación Legal por Accidentes de Trabajo
(800) 342-1741
Exención/Cumplimiento de la Comp. Legal por Acc. de Trabajo
(850) 413-1609

Cambios de Normas y Avisos

Proyectos de Normas

Nota: La División ha programado (2) Talleres o Audiencias de Norma.

Tipo Normas Fecha Ubicación
Audiencia 69L-31, F.A.C. - Utilization and Reimbursement Dispute Rules Wednesday, July 15, 2020, 9:00 a.m. Eastern Time Via Phone and Internet
Subject Area to be Addressed: The hearing is being conducted to receive public input and consider proposed changes to the above-referenced rule chapter.

The link to the GoToMeeting is as follows: https://global.gotomeeting.com/join/573862389

You may also Join via phone at:
United States (Toll Free): (877) 309-2073
United States: (646) 749-3129
Access Code: 573-862-389

A copy of the notice may be found aquí.
A copy of the Agenda and Hearing materials may be found aquí.
 
Tipo Normas Fecha Ubicación
Taller 69L-7.710 Definitions
69L-7.720 Forms Incorporated by Reference for Medical Billing, Filing and Reporting
69L-7.730 Health Care Provider Medical Billing and Reporting Responsibilities
69L-7.740 Insurer Authorization and Medical Bill Review Responsibilities
Wednesday, July 22, 2020, 9:30 a.m. Eastern Time Via Phone and Internet
Subject Area to be Addressed: The medical reimbursement and utilization review requirements.

The link to the GoToMeeting is as follows: https://global.gotomeeting.com/join/962878717

You may also Join via phone at:
United States (Toll Free): (877) 309-2073
United States: (571) 317-3129
Access Code: 962-878-717

A copy of the notice may be found aquí.
The agenda and any meeting materials will be posted here no later than 7 days prior to the workshop.
 

 

Past Workshops and Hearings

 

Nuevas Normas

Nota: Esta pestaña muestra las Normas adoptadas dentro de los últimos 6 meses.

Fecha de Efectividad Normas
   

 

Notificaciones

Fecha Asunto
30 de Marzo de 2020 Telehealth and Telemedicine Services
In response to the recent outbreak of COVID-19, the Division of Workers’ Compensation is providing the following information related to telehealth and telemedicine services provided by licensed practitioners to workers’ compensation patients under chapter 440, Florida Statutes.

All telehealth and telemedicine services are governed under the Florida Department of Health, section 456.47, Florida Statutes. Authorized services must be in compliance with section 456.47, Estatutos de la Florida y Florida Department of Health Emergency Order 20-002.

The provision of telehealth and telemedicine services provided by licensed practitioners must be mutually agreed upon by the carrier and health care provider prior to treatment. Emergency services and care, defined in section 395.002, Florida Statutes, do not require prior authorization.

Carriers and health care providers should utilize national coding standards as adopted by the Centers for Medicaid and Medicare Services to accommodate the provision of telehealth and telemedicine services.

All telemedicine and telehealth services provided by health care practitioners should be billed with Place of Service Code (POS) 02 on the DFS-F5-DWC-09/CMS-1500 claim form.

Reimbursement is according to a mutually agreed upon contract amount or the listed Maximum Reimbursement Allowance (MRA) in the Florida Workers’ Compensation Health Care Provider Reimbursement Manual, 2016 Edition. A copy of this reimbursement manual may be found aquí.

Please email any questions regarding this e-alert notification to Workers.CompMedService@myfloridacfo.com
 
Fecha Asunto
27 de noviembre de 2019 Tasa Máxima de Compensación Legal por Accidente de Trabajo, en Vigencia desde el 1 de enero de 2020
El Departamento de Oportunidades Económicas de la Florida ha determinado que el salario semanal promedio para todo el estado pagado por los empleadores sujeto a la Ley del Programa de Asistencia para la Reincorporación de la Florida será de $970.58 para los cuatro trimestres que finalicen el 30 de junio de 2019.

Section 440.12(2), Florida Statutes (2019), 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, 2020, shall be $971.00.

2020 Max Comp Rate Bulletin