![FAQs [PDF]](../images/icon-faqs.gif "FAQs [PDF]"){kind=icon}
The Office of Medical Services (OMS) has the lead responsibility for medical cost containment (utilization review, fee schedule development, dispute resolution, etc.) by ensuring that medically necessary treatment, services and supplies are available and accessible to injured employees at an affordable cost to Florida employers; that the services are cost effective and efficiently rendered; and that health care providers are appropriately reimbursed by insurers.
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HCP Compliance Review »
- Rule Chapter 69L-34, F.A.C. – Carrier Report of Health Care Provider Violation
- Health care provider Violation Referral Form DFS-F6-DWC-2000 (static/interactive)
Health Care Provider Updates
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The Florida Division of Workers' Compensation has received a written request for rule hearing on the Florida Workers' Compensation Health Care Provider Reimbursement Manual (Rule Chapter 69L-7.020, F.A.C.) and on the Florida Workers' Compensation Reimbursement Manual for Ambulatory Surgical Centers (ASCs) (Rule Chapter 69L-7.100, F.AC.). Therefore, a rule hearing will be held on Wednesday, July 13, 2011 beginning at 9:00 a.m., Eastern Day Light Savings Time (EDT) for Rule Chapter 69L-7.020 and at 11:00 a.m. for Rule Chapter 69L-7.100 F.A.C.
The hearings will take place in room 104J of the Hartman building, which is located at 2012 Capital Circle Southeast, Tallahassee, Florida 32399. The official Notice of Proposed Rule Development appears in Volume 37, Number 24, of the Florida Administrative Weekly, which was published on June 17, 2011. The draft Florida Workers' Compensation Health Care Provider Reimbursement Manual, 2010 Edition and the draft Florida Workers' Compensation Reimbursement Manual for Ambulatory Surgery Centers, 2010 Edition is provided below. If you have questions about this communication, please contact Eric Lloyd, Program Administrator, Office of Medical Services, at (850) 413-1689 or Eric.Lloyd@myfloridacfo.com. - Informational Bulletin
DFS-02-2009, relating to reimbursement of dispensing physicians
- Current Reimbursement Manuals
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Pending Rule Development Workshops /HearingsOMS has scheduled rule workshops and/or hearings for the adoption of the following policies related to system stakeholders' participation in the FL WC health care delivery system:
- Proposed Carrier Report of Health Care Provider Violations Rule | DFS-F6-DWC-2000 form [55K PDF]
- The Division has submitted a Notice of Proposed Rule for the Florida Workers' Compensation Health Care Provider Reimbursement Manual (Rule Chapter 69L-7.020, F.A.C.) and the Florida Workers' Compensation Reimbursement Manual for Ambulatory Surgical Centers (Rule Chapter 69L-7.100, F.AC.). The Notice provides that, if requested in writing within 21 days of the publication of the official Notice, a rule hearing will be held on Wednesday, July 13, 2011 beginning at 9:00 a.m. (EDT) for Rule Chapter 69L-7.020 and at 11:00 a.m. (EDT) for Rule Chapter 69L-7.100, F.A.C..
- Draft Florida Workers' Compensation Health Care Provider Reimbursement Manual, 2010 Edition [1.5MB PDF]
- Draft Florida Workers' Compensation Reimbursement Manual for Ambulatory Surgery Centers, 2010 Edition [436 PDF] - The Florida Division of Workers' Compensation has submitted a Notice of Proposed Rule Development for the Health Care Provider Certification Rule (Rule Chapter 69L-29, F.A.C.). The notice provides that, if requested in writing and not deemed unnecessary by the agency head, a rule development workshop will be held on 7/13/2011 at 2pm (EDT) in 104J Hartman Bldg. The official Notice of Proposed Rule Development appears in Volume 37, Number 24, of the Florida Administrative Weekly, which was published on June 17, 2011. If you have questions about the contents of this notice, please contact Eric Lloyd, Program Administrator, Office of Medical Services, at (850) 413-1689 or Eric.Lloyd@myfloridacfo.com.