Division of Workers' Compensation

• Recommendations for Determining Customary Charges for Florida Outpatient Hospital Services to Workers’ Compensation Patients [2MB PDF]
• The Division of Insurance Fraud, Bureau of Workers’ Compensation Fraud and the Division of Workers’ Compensation, Bureau of Compliance issued a Joint Report [4MB PDF] summarizing their respective efforts and activities in combating workers’ compensation fraud and employer non-compliance for the period of 7/1/06-6/30/07.
• Special Disability Trust Fund, Actuarial Analysis as of June 30, 2007 [1.5MB PDF]
• New Informational Memorandum: DFS-14-2007 [22K PDF] - Maximum Workers’ Compensation Rate, Effective January 1, 2008
• The Division of Workers’ Compensation has implemented an online Penalty Payment Service for employers that have been issued a Stop-Work Order or Order of Penalty Assessment. This free service allows you to pay your entire penalty in full or to pay the monthly installments that are required in your periodic payment plan. The Penalty Payment Service is convenient, simple to set up, and easy to use. Click here [2.8MB PDF] to obtain a copy of the Instructional Manual, which contains general information about the online service and step-by-step instructions for setting up an online payment account. To make an online penalty payment access the following links:
  • To make a payment in full
  • To make a monthly installment payment
• An interactive Word version of the Florida Workers’ Compensation Uniform Medical Treatment/Status Report Form (DFS-F5-DWC-25) has been added under 69L-7 on the Rules & Forms page.
• Future Claims EDI (non-medical) Release 3 Training: View flyer [14K PDF]
• New Informational Memorandum: DFS-09-2007 [1.3MB PDF] - Orders Setting Assessment Rates for the Workers' Compensation Administration Trust Fund (CY 2008) and Special Disability Trust Fund (FY 2007-2008)
• Injured Worker Workshop [279K PowerPoint] - This presentation provides an overview of injured workers’ rights and responsibilities under Florida’s workers’ compensation law, information on medical and indemnity benefits, and answers many questions injured workers have following their injury.
• ATTENTION: ALL INSURERS AND TPA'S: The Division of Workers’ Compensation announces the adoption of Rule 69L-56, F.A.C., Electronic Data Interchange (EDI) Requirements for Proof of Coverage and Claims (non-medical), effective January 7, 2007. The rule now requires all insurers to report certain claims information to the Division electronically, rather than on DWC Forms adopted in Rule 69L-3, F.A.C. A copy of the rule text has been posted to the Division’s web site here. The rule also incorporates amendments to the POC EDI filing requirements which will become effective April 2, 2007, including the reporting of a new data element, “Transaction Issue Date”, and a revised Florida POC EDI R2.1 Implementation Manual. A copy of the revised POC EDI R1.2 Implementation Manual can be found here.

» All News and Updates

• 69L-24.0231 Benefits and Administration Trust Fund Penalties Improper Filing Practices
  • View updated rule [22K PDF]
• 69L-7.020 Florida Workers' Compensation Reimbursement Manual for Health Care Providers Rule Update - The Florida Workers' Compensation Health Care Provider Reimbursement Manual, 2007 Edition, has been adopted and became effective 10/18/2007. The rule implements new reimbursement rates as authorized by Florida’s Three-Member Panel. A copy can be found below and also under the Publications & Manuals section of our website.
  • PDF and ASCII version of the Florida Workers' Compensation Health Care Provider Reimbursement Manual, 2007 Edition (Effective 10/18/2007). The major change to this reimbursement manual is to incorporate the 2007 Medicare values into Part B and Part C of the manual.
• 69L-7.501 Florida Workers’ Compensation Reimbursement Manual for Hospitals Rule Update - The Florida Workers' Compensation Reimbursement Manual for Hospitals, 2006 Edition, has been adopted and became effective 10/01/2007, and applies to all hospital admissions on or after 10/01/07. This rule implements reimbursement rates as well as other important amendments throughout each section of the rule as authorized by Florida’s Three-Member Panel. A copy can be found below and also under the Publications & Manuals section of our website.
  • Florida Workers’ Compensation Reimbursement Manual for Hospitals, 2006 Edition [105K PDF]
• 69L-7.100 Florida Workers’ Compensation Ambulatory Surgical Center Reimbursement Manual Rule Update -The Florida Workers' Compensation Ambulatory Surgical Center Reimbursement Manual has been adopted and became effective 08/19/2007. This rule implements reimbursement rates as well as other important amendments throughout each section of the rule as authorized by Florida’s Three-Member Panel. A copy can be found below and also under the Publications & Manuals section of our website.
  • 69L-7.100: Florida Workers' Compensation Ambulatory Surgical Center Reimbursement Manual, 2006 Edition
• Rule 69L-56, Electronic Data Interchange Requirements for Proof of Coverage and Claims (non-medical) was revised effective Revised January 7, 2007. The rule now requires all insurers to report certain claims information to the Division electronically, rather than on DWC Forms adopted in Rule 69L-3, F.A.C. A copy of the rule and incorporated Claims EDI Implementation Manual can be found here. The rule also incorporates amendments to the POC EDI filing requirements which will become effective April 2, 2007, and a revised Florida POC EDI R2.1 Implementation Manual. A copy of the revised POC EDI R1.2 Implementation Manual can be found at here.

• The Division of Workers’ Compensation is proposing to amend Rule 69L-24.0231, F.A.C. The purpose of the amendment is to provide a thirty day time period within which a Claims Administrator will not receive a late filing penalty for any First Reports of Injury or Illness accepted by the Division of Workers’ Compensation after the Claims Administrator is first approved by the Division to electronically submit such reports to the Division. The rule workshop is scheduled for Monday, January 7, 9:00am – 12:00 pm in Room104 J of the Hartman Bldg., 2012 Capital Circle S. E., Tallahassee, Florida. View rule [40K PDF]
• The Medical Services Unit, under the direction of the Division of Workers Compensation, will hold a rulemaking workshop on proposed rule 59A-34, Carrier Report of Health Care Provider Violations and Initiation of Investigation. This workshop will take place at the DWC headquarters, 2012 Capital Circle S.E., Tallahassee, FL, 104-J Hartman Building, on December 4, 2007 beginning at 9:00 a.m. This workshop is open to the public and telephonic participation is available by dialing (850) 413-1591 or (SC) 293-1591. External callers can reach Conference Connection via this number. You will need the conference ID number, 920006, to enter the conference call.
  • Proposed Rule 59A-34 [46K PDF]
  • Carrier Report of Health Care Provider Violations Form [69K Word]