Florida does not have a formal Medical Treatment Guidelines (MTGs) for workers’ compensation. Instead, treatment is governed by statute, carrier authorization, and the standard of care in general medicine.
No Statewide MTGs in Florida
Florida requires treatment for injured workers to be medically necessary and authorized by the employer or their claims administrator before services are rendered (except in emergencies).
- The state has not adopted prescriptive treatment guidelines for specific conditions.
Health Care Provider Reimbursement Manual
In place of treatment guidelines, Florida annually publishes a Health Care Provider Reimbursement Manual that outlines how providers are paid, including the following:
- Physicians, hospitals, Ambulatory Surgical Centers (ASC), and dental
- Billing and payment rules (not clinical treatment protocols)
- Maximum reimbursement allowances for services, supplies, and facilities
Florida |
Statute/Rule |
Statute |
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Section |
440.13 Medical Services and Supplies; Penalty for Violations; Limitations |
Subsection Text |
440.13 (2) (a) Subject to the limitations specified elsewhere in this chapter, the employer shall furnish to the employee such medically necessary remedial treatment, care, and attendance for such period as the nature of the injury or the process of recovery may require, which is in accordance with established practice parameters and protocols of treatment as provided for in this chapter, including medicines, medical supplies, durable medical equipment, orthoses, prostheses, and other medically necessary apparatus. Remedial treatment, care, and attendance, including work-hardening programs or pain-management programs accredited by an accrediting organization whose standards incorporate comparable regulations required by this state or pain-management programs affiliated with medical schools, shall be considered covered treatment only when such care is given based on a referral by a physician as defined in this chapter. Medically necessary treatment, care, and attendance does not include chiropractic services in excess of 24 treatments or rendered 12 weeks beyond the date of the initial chiropractic treatment, whichever comes first, unless the carrier authorizes additional treatment or the employee is catastrophically injured.
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