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Division Director

Tanner Holloman

Assistant Director

Andrew Sabolic


Workers' Compensation
200 East Gaines Street
Tallahassee, FL 32399-0318
Workers' Compensation Claims
(800) 342-1741
Workers' Compensation Exemption/ Compliance
(850) 413-1609

Rule Changes & Notices

Draft Rules

Note: The Division has scheduled (1) Rule Workshops or Rule Hearings.

Type Rules Date Location
Rule Workshop 69L-31, Florida Administrative Code Wednesday, May 30, 2018 9:30 a.m. - 12:00 p.m. (eastern) Room 102, Hartman Building, 2012 Capital Circle SE, Tallahassee, FL
Summary: The proposed rulemaking amends existing rules governing the process for the resolution of reimbursement disputes between workers’ compensation carriers and health care providers, creates a new rule, and repeals four existing rules. The major changes proposed include: adding a rule for defined terms, simplifying requirements for submission of reimbursement disputes, repealing rules related to non-response by a carrier and joint stipulations, and the adoption of revised forms. Please note that the Division encourages all parties to provide details regarding any potential economic or cost impact related to the proposed rule.

A copy of the notice may be found here.

A copy of the Draft Rule, Petition Form, and Petition Response Form may be found here.
 

Past Workshops & Hearings

Type Rules Date Location
Rule Workshop 69L-31, Florida Administrative Code Friday, February 23, 2018 9:30 a.m. - 12:00 p.m. (eastern) Room 102, Hartman Building, 2012 Capital Circle SE, Tallahassee, FL
Summary: The proposed rulemaking amends existing rules governing the process for the resolution of reimbursement disputes between workers’ compensation carriers and health care providers, creates a new rule, and repeals an existing rule. Changes proposed include: amending Rule 69L-31.005, F.A.C., to provide greater detail regarding the materials that must accompany a petition for dispute resolution (Petition Form); amending Rule 69L-31.008, F.A.C., to clarify the computation of the time period within which a Petition Form must be submitted to the Division, to increase the time period for the submission of a Petition Form from 30 days to 45 days, to add the website address for the Division’s Web Portal, and to provide additional guidance regarding the electronic submission of a Petition Form; amending Rule 69L-31.009, F.A.C., to increase the time period for a carrier to respond to a petition from 10 days to 30 days; repealing Rule 69L-31.012, F.A.C.; and creating Rule 69L-31.016, F.A.C., to address penalties for improper reimbursement and billing practices. Revisions to certain rule titles are proposed to more accurately reflect the subject matter or issues addressed by the rule. Other changes proposed include minor edits and the adoption of revised forms.
Please note that the Division encourages all parties to provide details regarding any potential economic or cost impact related to the proposed rule.
  • A copy of the notice may be found here.
  • A copy of the Draft Petition For Resolution of Reimbursement Dispute Form may be found here.
  • A copy of the Draft Carrier Response to Petition For Resolution of Reimbursement Dispute Form may be found here.
  • A copy of the Draft Rule 69L-31, F.A.C. may be found here.
 
Type Rules Date Location
Rule Workshop 69L-6.025, Florida Administrative Code Tuesday, February 20, 2018 (eastern) Room 102, Hartman Building, 2012 Capital Circle SE, Tallahassee, FL
Summary: The proposed amendment to paragraph 69L-6.025(4)(b), F.A.C., will allow employers an additional opportunity to remain compliant with their payment agreement schedules by increasing the number of times the Department will rescind an Order Reinstating Stop-Work Order from two to three in any one case. The proposed amendment to paragraph 69L-6.025(7)(c), F.A.C., will allow employers whose Reinstatement of Stop-Work Orders have been rescinded, the opportunity to enter into new payment agreements after making three monthly payments of the original agreed amount. Currently, the employer is required to make six monthly payments of the original agreed amount after the rescission of the Reinstatement of the Stop-Work Order prior to entering into a new payment agreement. Reducing the number of payments required from six to three will shorten the timeframe for entering into a new payment agreement.
A copy of the notice containing the preliminary text of the proposed Rule may be found at the following link: https://www.flrules.org/gateway/ruleNo.asp?id=69L-6.025

 

New Rules

Note: This tab reflects Rules adopted within the past 6 months.

Effective Date Rules
January 18, 2018
69L-8.071, Materials for use with the Florida Workers’ Compensation Health Care Provider Reimbursement Manual
January 18, 2018 69L-8.074, Materials for use throughout Rule Chapter 69L-7, F.A.C.

 

Notices

Date Subject
May 17, 2018 Notice of Proposed Rule for 69L-6.025, F.A.C.
A Notice of Proposed Rule was published for Rule 69L-6.025, Florida Administrative Code. The notice provides that if requested in writing, a Rule Hearing will be held on Thursday, May 17th, at 9:30 A.M., eastern time, at 2012 Capital Circle, SE, Room 102, Hartman Building, in Tallahassee, Florida.
The proposed amendment to paragraph 69L-6.025(4)(b), F.A.C., will allow employers an additional opportunity to remain compliant with their payment agreement schedules by increasing the number of times the Department will rescind an Order Reinstating Stop-Work Order from two to three in any one case. The proposed amendment to subsection 69L-6.025(7), F.A.C., will allow employers who have made at least three monthly payments of the agreed amount to enter into a new payment agreement in lieu of making six monthly payments. Reducing the number of payments required from six to three will shorten the timeframe for entering into a new payment agreement. The proposed amendment also clarifies that these payments must be based on the employer’s current payment agreement schedule. The proposed amendment to subsection 69L-6.025(8), F.A.C., further clarifies that the Department will only enter into one payment agreement for the recently served penalty. This verifies that the employer can only have one payment agreement and it must be based on the last served penalty. The proposed amendment to subsection 69L-6.025(10), F.A.C., will require employers who have been issued a Stop-Work Order or Order of Penalty Assessment to provide address changes to the Department.
 
Date Subject
April 10, 2018, 01:00 p.m. (Eastern) Three-Member Panel Meeting
Pursuant to s. 440.13(12), Florida Statutes, the Three-Member Panel will hold a meeting to adopt the 2018 schedules for maximum reimbursement allowances for physicians, hospitals, and ambulatory surgical centers. Public comment will also be received.

Three-Member Panel Meeting Agenda and Meeting Packet is available here.

The official Notice of this meeting appeared in Volume 44, Number 60 of the Florida Administrative Weekly, published on March 27, 2018.

If you have questions about the contents of this notice, please contact Theresa Pugh, Program Administrator, Medical Services Section, Division of Workers' Compensation at (850) 413-1721 or Theresa.Pugh@myfloridacfo.com.
 
Date Subject
December ?, 2017 Maximum Workers' Compensation Rate, Effective January 1, 2018
The Maximum Workers' Compensation Rate, Effective January 1, 2018

The Florida Department of Economic Opportunity has determined the statewide average weekly wage paid by employers subject to the Florida Reemployment Assistance Program Law to be $917.18 for the four calendar quarters ending June 30, 2017.

Subsection 440.12(2), Florida Statutes (2017), expressly provides that, for injuries occurring on or after August 1, 1979, the weekly compensation rate shall be equal to 100 percent of the statewide average weekly wage, adjusted to the nearest dollar, and that the average weekly wage determined by the Department of Economic Opportunity for the four calendar quarters ending each June 30 shall be used in determining the maximum weekly compensation rate with respect to injuries occurring in the calendar year immediately following.

Accordingly, the maximum weekly compensation rate for work-related injuries and illnesses occurring on or after January 1, 2018 shall be $917.00.
2018 Max Comp Rate Bulletin pdf
 
Date Subject
August 9, 2017 2017 WCI Conference - DWC Breakout Presentation
The Florida Division of Workers' Compensation recently participated in the 72nd Annual Workers' Compensation Educational Conference with the Workers' Compensation Institute, in Orlando, Florida. The Division's breakout session included the following topics: Legislative and Rule Updates, Claims-Handling from the Regulatory Perspective, Use of Regulatory Data, and Medical Services Updates. If you were unable to attend or would like to view the presentations, click here pdf. Please contact Brittany O'Neil at 850-413-1927 with any questions.