Division of Workers' Compensation

Notices

• The Florida Division of Workers’ Compensation announces a free two day EDI training class April 27 & 28, 2010 in Tallahassee on the Claims EDI Release 3 mandate, and EDI Rule (69L-56, F.A.C.). Seating is limited to 85, and prior registration is required. This training has been modified from previous EDI trainings to incorporate current issues, as well as new and more challenging filing scenarios. New EDI trainees should participate in the EDI R3 Intro Webinar (separate registration required) given the week prior to this training, for an overview of R3 Codes, terminology and FROI/SROI record layout. Attending this training without the Intro Webinar will be a challenge for new EDI participants.
  Please complete and return the EDI Training registration form to the Division. » Click here for registration form
  Please complete and return the EDI Overview for New Participants Webinar registration form to the Division. » Click here for registration form
• Special Disability Trust Fund, Estimation of Liabilities as of June 30, 2009 [204K 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 July 1, 2008 through June 30, 2009.
• New Informational Memorandum: DFS-05-2009 [28K PDF] - Maximum Workers' Compensation Rate, Effective January 1, 2010
• The Division will hold a rule hearing on Rule 69L-7.501, FAC on Wednesday, December 2, 2009 @ 1:30 PM in 104J Hartman Building, 2012 Capital Circle SE, Tallahassee, FL, if a hearing is requested in writing within 21 days of the Notice of Proposed Rule. The title of the rule is the Florida Workers' Compensation Reimbursement Manual for Hospitals. » More info
• A Notice of Change for Rule 69L-7.602, Florida Administrative Code, was published in the Friday, November 13, 2009, Florida Administrative Weekly. The rule, titled the Florida Workers' Compensation Medical Services, Billing, Filing and Reporting Rule, includes changes that have been made to address concerns expressed at the public hearing and in response to written comments received from the Joint Administrative Procedures Committee. » More info
• The Division of Workers' Compensation will hold a rule development workshop on Wednesday, December 2, 2009 @ 9:00 AM in 104J Hartman Building, 2012 Capital Circle Southeast, Tallahassee, Florida. The title of the rule is Carrier Report of Health Care Provider Violations. » More info
• The Division of Workers' Compensation has published its 2009 Annual Report [2.5MB PDF], available under Publications and Manuals. The Annual Report contains a summary of the Division’s activities and accomplishments for fiscal year 2008/2009.
• The Florida Division of Workers’ Compensation and Division of Risk Management announce a free two day EDI training class October 6, 7, and 8, 2009 in Tallahassee on the Claims EDI Release 3 mandate, and EDI Rule (69L-56, F.A.C.). Seating is limited to 75, and prior registration is required. Registration preference will be given to those who have previously submitted a request for future training and those who have not previously attended an EDI training class. Please complete and return the EDI Training Registration form to the Division. » Get form
• Informational Memoranda: DFS-02-2009 [24K PDF] - Employer/carrier reimbursement decisions regarding pharmaceuticals dispensed by Florida licensed physicians
• Informational Memoranda: DFS-03-2009 [3.5MB PDF] - Orders Setting Assessment Rates for the Workers’ Compensation Administration Trust Fund and Special Disability Trust Fund
• The new Non-Compliance Referral Database is now available. It allows individuals to submit referrals of alleged violations of the workers’ compensation laws.
• The Division has submitted to the Three-Member Panel its Annual Report on Reimbursement Disputes and Overutilization [95K PDF].
• Informational Memoranda: DFS-01-2009 [245K PDF] - Wage Loss Discount Factor Tables, May 20, 2009
• The Division is pleased to announce the publication of its first research brief, which focuses on the effects of the changes to the compensability requirements in SB 50A, which was the 2003 workers’ compensation legislative reform bill. - Research Brief [154K PDF]
• The Three-Member Panel has issued its 2009 biennial report [360K PDF] on methods for improving the workers' compensation medical delivery system.
• Attention Business Owners and Employers: The Division is offering free classes regarding Florida’s Workers’ Compensation law and Workplace Safety presented by the U.S. Dept. of Labor OSHA to business owners, licensed contractors and others who are interested. There are several dates and locations available around the State as indicated in the attached flyer: English | Spanish. While there is no fee, advanced registration is required to assure that you have a seat. Registration Form: English | Spanish. Continuing Education Units (CEUs) are available to those licensed by the DBPR - CILB, DBPR - ECLB, State Fire Marshall - Bureau of Fire Prevention, and the Florida Water Well Administration. For additional information you may email bocseminars@MyFloridaCFO.com or call (813) 221-6518.
• A Hearing on the Notice of Proposed Rulemaking for the Division of Workers' Compensation’s EDI Rule, 69L-56, Florida Administrative Code, will be held if requested within 21 days of the date the Notice was published. The proposed rule amendment addresses Electronic Proof of Coverage filing requirements for Employee leasing companies, as well as revisions made to EDI forms and EDI Implementation Manuals. If requested, the hearing will be held on Wednesday, January 21, 2009; 10:00am – 12:00pm in room 104 J Hartman Bldg., 2012 Capital Circle SE, Tallahassee, Florida. If a hearing is not requested, it will not be held.
  • View Proposed Rule 69L-56 [135K PDF]
  • DFS-F5-DWC-EDI-1: EDI Trading Partner Profile [77K Word]
  • DFS-F5-DWC-EDI-4: SSL / FTP Instructions for POC EDI and Claims EDI [83K Word]
  • FL POC EDI R2.1 Edit Matrix Supplement – Draft PEO 69L-56 [74K Excel]
  • FL POC EDI R2.1 Element Requirement Table Supplement - Draft PEO 69L-56 [108K Excel]
• The National Council on Compensation Insurance, Inc. (NCCI) has issued its analysis on the proposed medical fee reimbursement changes for hospital outpatient services. This analysis will be presented at the Three-Member Panel meeting on Thursday, November 20 at 1:00 pm in room 116 of the Larsen Building in Tallahassee, Florida. The Three-Member Panel will consider testimony and comments regarding the proposed adoption of Medicare’s Outpatient Prospective Payment System in concert with determined payment adjustment factors as the methodology for reimbursing hospitals 60% and 75% of usual and customary charges for outpatient services provided to Florida’s injured workers.
  • View NCCI’s analysis [29K PDF]
• Workers' Compensation System Guide (WC System Guide) [496K PDF]
• Disaster Assistance Brochure [1.9MB PDF] (This brochure is also available in Spanish)
• The Division of Workers’ Compensation will hold a rule workshop to amend the rule to adopt the 2008 Edition of the Florida Workers’ Compensation Health Care Provider Manual and implement the 2008 conversion factors issued by the Centers for Medicare and Medicaid Services, as approved by the Three Member Panel, pursuant to Section 440.13(12), Florida Statutes. The workshop will be held on Tuesday, September 9, 2:00 – 4:00 pm., in Room 104J, 2012 Capital Circle SE, Tallahassee, Florida.
  • View Proposed Rule 69L-7.020 [21K PDF] (Florida Workers’ Compensation Health Care Provider Reimbursement Manual) - To view draft manual, click here.
• 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. [spanish version]
• Recommendations for Determining Customary Charges for Florida Outpatient Hospital Services to Workers’ Compensation Patients [2MB PDF]
• 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. See the Instructional Manual [2.8MB PDF] for 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:
  • Make a payment in full
  • Make a monthly installment payment

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