State Legislation
Florida
When it comes to workers’ compensation claims administration, CorVel offers a simplified approach to a complex process for Florida payors. It starts with efficient incident reporting and immediate intervention by an integrated service model that advocates focused claims management from the very onset of injury. Because all of our claims management services are connected in a single database, interested parties can access healthcare intervention, reporting, analytics and claims data in real time, reducing costly delays.
Our comprehensive return to work program ensures collaboration and communication with all interested parties including the injured worker, employer, human resources, medical and safety teams, and healthcare providers. We use technology, compassionate case management for employees and cost containment measures, to give Florida employers a superior program.
Florida Regulatory Updates 07/11/2024
Florida SB 362 – Medical Treatment Under the Workers’ Compensation Law; Increasing Limits on Witness Fees Charged By Certain Witnesses; Increasing Maximum Reimbursement Allowances For Physicians and Surgical Procedures, Etc.
Issues: Workers’ Compensation (Medical Coverage And Reimbursement), Workers’ Compensation (General)
Summary For 03/06/2024:
This measure increases the witness fee maximum in workers’ compensation cases to $300 from $200. It also increases the maximum reimbursement for physicians to 175% and surgical procedures to 210% of the Medicare rate. It takes effect January 1, 2025
Most Recent Update:
- 06/14/2024 – Signed by Governor Ron DeSantis (R)
Florida Regulatory Updates 04/11/2024
Florida HB 161 – Payments For Health Care Providers and Surgical Procedures Under Workers’ Compensation; Increases Maximum Amounts of Certain Witness Fees Related to Workers’ Compensation Cases; Increases Maximum Reimbursements For Physicians & Surgical Procedures Under Workers’ Compensation.
Issues: Workers’ Compensation (Medical Coverage And Reimbursement), Workers’ Compensation (General)
Summary For 02/25/2024 :This measure increases the maximum workers’ compensation witness fee from $200 to $300. It also increases the maximum reimbursement for physicians and surgeries to 150% of the Medicare rate. It takes effect January 1, 2025.
Most Recent Update:
03/08/2024 This measure failed upon the adjournment of the Legislature on March 8. This measure is ineligible for further consideration.
Florida SB 362 – Medical Treatment Under the Workers’ Compensation Law; Increasing Limits on Witness Fees Charged By Certain Witnesses; Increasing Maximum Reimbursement Allowances For Physicians and Surgical Procedures, Etc.
Issues: Workers’ Compensation (Medical Coverage And Reimbursement), Workers’ Compensation (General)
Summary For 03/06/2024:
This measure increases the witness fee maximum in workers’ compensation cases to $300 from $200. It also increases the maximum reimbursement for physicians to 175% and surgical procedures to 210% of the Medicare rate. It takes effect January 1, 2025
Most Recent Update:
3/07/2024 Following unanimous House passage, the Senate unanimously concurred in the House amendments on March 7. This measure is eligible to be sent to Governor Ron DeSantis (R) for approval.
Florida SB 1658 – Workers’ Compensation Insurance For Employee Leasing Companies; Defining the Terms “Client Company” and “Employee Leasing Company”; Authorizing the Insurer of an Employee Leasing Company to Require That the Employee Leasing Company and Client Company Provide Certain Information and to Audit the Operations of the Employee Leasing Company and Client Company; Requiring the Insurer of an Employee Leasing Company to Provide Workers’ Compensation Coverage to All Employees of the Client Company Under Certain Conditions; Requiring Insurers to Conduct Annual Audits of Employee Leasing Companies and Client Companies For Certain Purposes, Etc.
Issues: Workers’ Compensation (Medical Coverage And Reimbursement), Workers’ Compensation (General)
Summary For 01/09/2024
This measure requires employee leasing companies to grant workers’ compensation insurance for all leased employees. The company that obtains such coverage in the voluntary workers’ compensation market can elect, with the voluntary market insurer’s knowledge and consent, to secure the coverage on leased employees through a workers’ compensation policy.
During the contract period of an employee leasing arrangement with a client company, the insurer of an employee leasing company must provide workers’ compensation coverage for all leased and nonleased employees of the client company. The failure by a client company to report a leased employee’s hiring to an employee leasing company will not serve as a basis for the denial of workers’ compensation benefits. This does not preclude the charging of additional premiums and penalties established by the coverage company.
If an employee leasing company fails to provide reasonable access to payroll and classification records for a payroll and classification audit, the employee leasing company or the client company must pay a premium to the insurer not to exceed three times the most recent estimated annual premium.
This measure takes effect July 1, 2024.
Most Recent Update:
3/08/2024 This measure failed upon the adjournment of the Legislature on March 8. This measure is ineligible for further consideration.
Florida Managed Care Arrangement
Florida Statute 440 Managed Care Arrangement (MCA) is an optional state program and requires a filing of an application and managed care plan every two years to the State of Florida. A Managed Care Coordinator (MCC) is identified as a gatekeeper or primary care physician who must authorize all specialists that treat in order to prevent doctor shopping. This provides better control and oversight of physicians and outside channeling. Learn more about the Florida MCA.
We are here to help.
CorVel has been a certified MCA in Florida since 1994 and will authorize all specialists in compliance with Florida requirements. Read CorVel’s workers’ compensation solutions or contact a local representative for additional information.
Florida Services
- Workers’ compensation claims management
- Industry leading savings for bill review
- Full visibility to pharmacy data
- State-approved utilization management
Florida Resources
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