Cambios de Normas y Avisos

Proyectos de Normas

Nota: La División ha programado (1) Talleres o Audiencias de Norma.

Tipo	Normas	Fecha	Ubicación
Audiencia	69L-31, F.A.C. - Utilization and Reimbursement Dispute Rules	Wednesday, October 7, 2020, 9:30 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/168552765 You may also Join via phone at: United States (Toll Free): (866) 899-4679 United States: (571) 317-3116 Access Code: 168-552-765 A copy of the notice may be found aquí. A copy of the agenda and any meeting materials will be available at this location at least 7 days prior to the hearing.

 

Past Workshops and Hearings

 

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	Miércoles, 22 de julio de 2020 69L-7.710 and 69L-7.720: 9:30 a.m. Eastern Time 69L-7.730 and 69L-7.740: 1:00 p.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 may be found aquí.

 

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