Florida Administrative Code

Rulemaking Authority 408.918 FS. Law Implemented 408.918 FS. History-New 4-24-03, Repealed 9-23-10.

Rulemaking Authority 409.9065(4)(b) FS. Law Implemented 409.906(20), 409.9065(4)(b), 409.908, 409.912 FS. History-New 1-9-03, Repealed 5-9-10.

Rulemaking Authority 409.9065(4)(b) FS. Law Implemented 409.906(20), 409.9065(4)(b), 409.908, 409.912 FS. History-New 1-9-03, Repealed 5-9-10.

Rulemaking Authority 409.9065(4)(b) FS. Law Implemented 409.906(20), 409.9065(4)(b), 409.908, 409.912 FS. History-New 1-9-03, Repealed 5-9-10.

Rulemaking Authority 409.9065(4)(b) FS. Law Implemented 409.906(20), 409.9065(4)(b), 409.908, 409.912 FS. History-New 1-9-03, Repealed 5-9-10.

Rulemaking Authority 409.9065(4)(b) FS. Law Implemented 409.906(20), 409.9065(4)(b), 409.908, 409.912 FS. History-New 1-9-03, Repealed 5-9-10.

Rulemaking Authority 409.919 FS. Law Implemented 409.902, 409.906, 409.907, 409.908, 409.912 FS. History-New 2-3-05, Repealed 1-26-10.

Rulemaking Authority 409.919 FS. Law Implemented 409.902, 409.906, 409.907, 409.908, 409.912, 409.913 FS. History-New 9-21-11, Amended 11-1-13, Repealed 3-21-18.

Rulemaking Authority 409.919 FS. Law Implemented 409.902, 409.906, 409.907, 409.908, 409.912, 409.913 FS. History-New 6-1-05, Amended 4-17-06, 7-8-10, Repealed 8-28-14.

Rulemaking Authority 409.919 FS. Law Implemented 409.902, 409.906, 409.908, 409.912, 409.913 FS. History-New 7-8-10, Repealed 8-28-14.

Rulemaking Authority 409.919 FS. Law Implemented 409.902, 409.906, 409.907, 409.908, 409.912, 409.913 FS. History-New 6-7-12, Repealed 8-28-14.

Rulemaking Authority 409.919 FS. Law Implemented 409.902, 409.906, 409.907, 409.908, 409.912, 409.913 FS. History-New 5-28-12, Repealed 8-28-14.

Rulemaking Authority 409.919 FS. Law Implemented 409.906, 409.908, 409.912 FS. History-New 5-31-10, Repealed 8-28-14.

Rulemaking Authority 409.919 FS. Law Implemented 409,902, 409.906, 409,907, 409.908, 409.912, 409.913 FS. History-New 6-7-12, Repealed 8-28-14.

(1) This rule applies to all providers rendering Florida Medicaid Developmental Disabilities Individual Budgeting Waiver services to recipients. (2) All providers must be in compliance with the provisions of the Florida Medicaid Developmental Disabilities Individual Budgeting Wai…

(1) This rule applies to all settings where Florida Medicaid waiver services are rendered to individuals enrolled in home and community-based service (HCBS) waiver programs authorized under sections 1915(c), 1915(i), and 1915(k) of the Social Security Act. (2) All settings must b…

(1) Purpose. Under authority of section 2176 of Public Law 97-35, Florida obtained waivers of federal Medicaid requirements to enable the provision of specified home and community-based (HCB) services to persons at risk of institutionalization. Through the administration of sever…

(1) This rule applies to all providers that render Florida Medicaid Developmental Disabilities Individual Budgeting Waiver services to recipients. (2) Florida Medicaid reimburses providers in accordance with the Florida Medicaid Developmental Disabilities Individual Budgeting Wai…

Rulemaking Authority 409.919 FS. Law Implemented 409.906, 409.908 FS. History-New 11-22-06, Amended 12-3-08, Repealed 10-27-13.

Rulemaking Authority 409.919 FS. Law Implemented 409.902, 409.906, 409.907, 409.908, 409.912, 409.913 FS. History-New 12-3-08, Amended 7-8-10, 5-3-12, Repealed 10-19-15.

Rulemaking Authority 409.919 FS. Law Implemented 393.0661, 409.906, 409.908 FS. History-New 10-13-08, Repealed 10-27-13.

(1) Developmental Disabilities Waiver disposable incontinence medical supplies are reimbursed according to the Florida Medicaid Developmental Disabilities Individual Budgeting Waiver Disposable Incontinence Medical Supplies Fee Schedule, October 2015, incorporated by reference, a…

(1) Recipients enrolled in the Individual Budgeting (iBudget) Waiver receiving Consumer-Directed Care Plus program services, along with all program representatives, consultants, employees, vendors, and Agency for Persons with Disabilities staff must be in compliance with the prov…

Rulemaking Authority 409.919 FS. Law Implemented 409.906, 409.908 FS. History-New 10-18-07, Amended 7-29-08, Repealed 10-27-13.

Rulemaking Authority 409.919 FS. Law Implemented 409.906, 409.908 FS. History-New 10-18-07, Repealed 10-27-13.

(1) This rule applies to all Familial Dysautonomia waiver services providers enrolled in the Medicaid program. (2) All Familial Dysautonomia waiver services providers enrolled in the Medicaid program must be in compliance with the Familial Dysautonomia Waiver Disposable Incontine…

Rulemaking Authority 409.919 FS. Law Implemented 409.906, 409.908, 409.912 FS. History-New 2-3-05, Amended 5-31-06, Repealed 3-21-18.

Rulemaking Authority 409.919 FS. Law Implemented 409.902, 409.906, 409,907, 409.908, 409.912, 409.913 FS. History-New 6-7-12, Repealed 3-21-18.

Rulemaking Authority 409.919 FS. Law Implemented 409.906, 409.907, 409.908, 409.912 FS. History-New 5-31-06, Repealed 3-21-18.

Rulemaking Authority 409.919 FS. Law Implemented 409.902, 409.906, 409.907, 409.908, 409.912, 409.913 FS. History-New 8-5-09, Amended 9-21-11, 11-1-13, Repealed 3-21-18.

Rulemaking Authority 409.919 FS. Law Implemented 409.902, 409.906, 409.907, 409.908, 409.912, 409.913 FS. History-New 6-7-12, Amended 5-17-15, Repealed 3-21-18.

(1) Purpose. The Florida Kidcare Dispute Review and Grievance Process (Process) is a comprehensive review of disputes relating to eligibility and enrollment for the Title XXI, Children's Health Insurance Program (CHIP), conducted in accordance with Title 42, Code of Federal Regul…

Rulemaking Authority 409.818 FS. Law Implemented 409.818 FS. History-New 2-27-08, Repealed 7-11-16.

Rulemaking Authority 409.818 FS. Law Implemented 409.818 FS. History-New 2-27-08, Repealed 7-11-16.

Rulemaking Authority 409.818(3)(f) FS. Law Implemented 409.814(10) FS. History-New 2-27-08, Amended 4-8-10, Repealed 7-11-16.

Rulemaking Authority 409.818 FS. Law Implemented 409.818 FS. History-New 2-27-08, Repealed 7-11-16.

Rulemaking Authority 409.818 FS. Law Implemented 409.818 FS. History-New 2-27-08, Repealed 7-11-16.

Rulemaking Authority 409.818 FS. Law Implemented 409.818 FS. History-New 2-27-08, Repealed 7-11-16.

(1) All Medicaid providers and their billing agents who submit claims on behalf of an enrolled Medicaid provider who are required by their service specific coverage and limitations handbook or other notification by the Medicaid Program to bill the Florida Medicaid Program on a pa…

(1) This rule applies to providers rendering Florida Medicaid services to recipients. (2) Florida Medicaid reimburses for services rendered in the fee-for-service delivery system based on a fee schedule, cost report, or contract. The following fee schedules and billing codes are …

(1) All Medicaid providers and their billing agents who submit claims on behalf of an enrolled Medicaid provider, who are required by their service-specific coverage and limitations handbook or other notification by the Medicaid Program to bill the Florida Medicaid Program on a p…

Rulemaking Authority 409.919 FS. Law Implemented 409.905, 409.907, 409.908, 409.9081 FS. History-New 12-21-80, Formerly 10C-7.52, Amended 8-18-92, Formerly 10C-7.052, Amended 8-22-96, 3-11-98, 10-13-98, 6-8-99, 4-23-00, 8-5-01, 2-20-03, 8-5-03, 8-3-04, 8-18-05, Repealed 10-27-13.

(1) This rule applies to any person or entity prescribing or reviewing a request for allergy services and to all providers of allergy services who are enrolled in or registered with the Florida Medicaid program. (2) All persons or entities described in subsection (1), must be in …

(1) This rule applies to all providers rendering Florida Medicaid emergency transportation services to recipients. (2) All providers must be in compliance with the provisions of the Florida Medicaid Emergency Transportation Services Coverage Policy, October 2016, incorporated by …

(1) This rule applies to all providers rendering Florida Medicaid ambulatory surgical center services to recipients. (2) All providers must be in compliance with the provisions of the Florida Medicaid Ambulatory Surgical Center Services Coverage Policy, January 2019, incorporated…

(1) This rule applies to any person or entity prescribing or reviewing a request for anesthesia services and to all providers of anesthesia services who are enrolled in or registered with the Florida Medicaid program. (2) All persons or entities described in subsection (1), must …

(1) This rule applies to all providers rendering Florida Medicaid assistive care services to recipients. (2) All providers must comply with the provisions of the Florida Medicaid Assistive Care Services Coverage Policy, July 2017, incorporated by reference, and available on the A…

(1) This rule applies to any person or entity prescribing or reviewing a request for gastrointestinal practitioner services and to all providers of gastrointestinal practitioner services who are enrolled in or registered with the Florida Medicaid program. (2) All persons or entit…

(1) This rule applies to all providers of behavioral health overlay services who are enrolled in the Florida Medicaid program. (2) All providers of behavioral health overlay services must be in compliance with the provisions of the Florida Medicaid Behavioral Health Overlay Servi…

(1) This rule applies to all providers rendering Florida Medicaid behavioral health assessment services to recipients. (2) All providers must be in compliance with the provisions of the Florida Medicaid Behavioral Health Assessment Services Coverage Policy, November 2019, incorpo…