Notice of Rulemaking for a June 10 Hearing - Rule 69L-31

Attention: Self-Insurers, Insurers, Claim Administrators, and Medical Service Providers

A Notice of Development of Rulemaking was published for 69L-31, Florida Administrative Code.  The notice provides that if requested in writing, a Rule Development Workshop will be held on Friday, June 10, 2016, at 9:30 A.M., eastern time, at 2012 Capital Circle, SE, Room 102, Hartman Building, in Tallahassee, Florida.

The Rules of 69L-31, F.A.C. are being amended which govern the process for resolution of disputes between workers' compensation carriers and health care providers. Revised forms are adopted. Rule 69L-31.005, F.A.C., is amended to provide greater detail regarding materials required to be included in a petition for dispute resolution. Rule 69L-31.008, F.A.C., is revised to provide clarity regarding computation of the time period to submit a petition for dispute resolution, including expanding the time period for submitting petitions for dispute resolution from 30 to 45 days. The time period in Rule 69L-31.009, F.A.C., for a carrier to respond to a petition is expanded from 10 to 30 days. New Rule 69L-31.016, F.A.C., is proposed to limit the scope of the dispute resolutions to compliance with standards under Chapter 440, F.S., and exclude issues of contract interpretation. New Rule 69L-31.017, F.A.C. is proposed to stipulate the consequences for failure to comply with Department Determinations. Minor edits to enhance clarity and additional technical changes are also included. The proposed rules have been renumbered accordingly.

The official Notice of Development of Rulemaking appeared in Volume 42, Number 100 (https://www.flrules.org/BigDoc/View_Section.asp?Issue=2119&Section=1) of the Florida Administrative Weekly, published on May 23, 2016. 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.

https://www.flrules.org/gateway/ruleNo.asp?id=69L-31.003

PROPOSED RULES  http://www.myfloridacfo.com/Division/WC/pdf/Notice%20of%20Development%205-17-16.doc

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