Adopted Rules

Reimbursement Policies

Note: Selecting the rule name hyperlink will redirect you to the Florida Administrative Register’s (FAR) website. The FAR website will display the rule history, along with any recent notices and reference material on the rule. Selecting the PDF hyperlink under reference material will retrieve the most recently promulgated reference material associated with the rule.

Rule Number Rule Name Effective Date FAR Notice
59G-5.110 Direct Reimbursement to Recipients 6/2/2016 FAR
59G-13.086 Developmental Disabilities Individual Budgeting Waiver Disposable Incontinence Medical Supplies 10/19/2015 FAR
59G-13.081 Developmental Disabilities Individual Budgeting Waiver Services Provider Rate Table 12/15/2020 FAR
59G-6.031 Enhanced Ambulatory Patient Grouping Reimbursement Methodology for Hospital Outpatient Services and Ambulatory Surgical Centers 12/25/2018 FAR
59G-13.102 Familial Dysautonomia Waiver Disposable Incontinence Medical Supplies Fee Schedule and Minimum Quality Standards 06/7/2012 FAR
59G-13.080 Home and Community-Based Services Waivers 12/3/2008 FAR
59G-4.001 Medicaid Providers Who Bill on the CMS-1500 12/3/2008 FAR
59G-4.003 Medicaid Providers Who Bill on the UB-04 [9.28MB] 2/25/2009 FAR
59G-6.090 Payment Methodology for County Health Departments 2/27/2020 FAR
59G-6.080 Payment Methodology for Federally Qualified Health Center and Rural Health Center Services 5/23/2016 FAR
59G-6.040 Payment Methodology for ICF/MR-DD Services in Publicly Owned and Publicly Operated Facilities 11/21/2004 FAR
59G-6.020 Payment Methodology for Inpatient Hospital Services 7/12/2018 FAR
59G-6.010 Payment Methodology for Nursing Home Services 9/14/2021 FAR
59G-6.030 Payment Methodology for Outpatient Hospital Services 6/26/2017 FAR
59G-6.045 Payment Methodology for Services in Facilities Not Publicly Owned and Not Publicly Operated 10/24/2021 FAR
59G-4.251 Prescribed Drugs Reimbursement Methodology 12/20/2021 FAR
59G-4.002 Provider Reimbursement Schedules and Billing Codes 9/29/2021 FAR
59G-1.001 Purpose 4/29/1993 FAR
59G-6.025 Reimbursement Methodology for Cancer Hospitals 5/13/2019 FAR
59G-6.005 Reimbursement Methodology for Services Provided by Medical School Faculty 8/15/2021 FAR

Historical Medicaid Reimbursement Schedules