Posts Tagged ‘Agency for Health Care Administration’

Reminder: Home Health Quarterly Reports are Due to AHCA by January 15th

December 20, 2013

Home health agencies must submit a quarterly report by January 15th to the Florida Agency for Health Care Administration, otherwise non-compliant providers will be fined!
Keep in mind that HCAF successfully lobbied for the passage of Senate Bill 1094 which exempted some home health agencies, who meet certain criteria, from submitting the Quarterly Report. See AHCA’s Frequently Asked Questions to see if you are exempt. Fines were also reduced to $200 per each day late up to a maximum of $5,000 effective July 1, 2013.
By law, agencies must report the following information based on the agency’s patient census as of December 30, 2013:

  • Number of insulin-dependent diabetic patients receiving insulin injection services
  • Number of patients receiving home health services from the home health agency AND a licensed hospice provider
  • Total number of patients receiving home health services
  • The names and license numbers of nurses (RN’s or LPN’s) whose primary job responsibility is to provide home health services to patients and received remuneration in excess of $25,000 for the three months of the quarter

Providers can submit reports anytime between Jan. 1 and Jan. 15. For more information and instructions for submitting the report, click here to access the AHCA website or call the HCAF office at (850) 222-8967 or the AHCA Home Care Unit at (850) 412-4403.

 

 
Search One Inc 500v

Reminder: Home Health Quarterly Reports are Due to AHCA by October 15th

September 18, 2013

Home health agencies must submit a quarterly report by October 15th to the Florida Agency for Health Care Administration, otherwise non-compliant providers will be fined!
Keep in mind that HCAF successfully lobbied for the passage of Senate Bill 1094 which exempted some home health agencies, who meet certain criteria, from submitting the Quarterly Report. See AHCA’s Frequently Asked Questions to see if you are exempt. Fines were also reduced to $200 per each day late up to a maximum of $5,000 effective July 1, 2013.
By law, agencies must report the following information based on the agency’s patient census as of September 30, 2013:

  • Number of insulin-dependent diabetic patients receiving insulin injection services
  • Number of patients receiving home health services from the home health agency AND a licensed hospice provider
  • Total number of patients receiving home health services
  • The names and license numbers of nurses (RN’s or LPN’s) whose primary job responsibility is to provide home health services to patients and received remuneration in excess of $25,000 for the three months of the quarter

Providers can submit reports anytime between Oct. 1 and Oct. 15. For more information and instructions for submitting the report, click here to access the AHCA website or call the HCAF office at (850) 222-8967 or the AHCA Home Care Unit at (850) 412-4403.

Search One Inc 500v

Medicaid’s Elder Experiment Begins

August 1, 2013

By 

Florida’s statewide Medicaid managed-care gamble gets officially under way on Thursday, beginning with thousands of the state’s most vulnerable clients: low-income seniors too sick to get by without help.

If all goes according to plan, taxpayers will save money and frail elders will get preventive and well-coordinated care. They’ll have the medical and social support they need to remain in their own homes or in the community, rather than in a nursing home. (more…)

AHCA: CMS Announces Temporary Provider Enrollment Moratorium

July 30, 2013

The Centers for Medicare & Medicaid Services have announced a temporary moratorium on the enrollment of new home health provider enrollments in Medicare, Medicaid and the Children’s Health Insurance Program (CHIP) in fraud “hot spot” areas of the country. The goal of the temporary moratorium is to fight fraud and safeguard taxpayer dollars, while ensuring patient access to care. Authority to impose such moratoria was included in the Affordable Care Act, and CMS is exercising this authority for the first time. (more…)

Sun-Sentinel: Get Disabled Children Out of Nursing Homes

July 29, 2013

South Florida Sun-Sentinel Editorial

If Pearl Buck was right, and “the test of a civilization is the way that it cares for its helpless members,” Florida got a failing grade this week.

The U.S. Justice Department filed suit Monday against the state, accusing it of violating the federal Americans with Disabilities Act by failing to do enough to keep children with disabilities in Florida from being sent for care to nursing homes for the elderly. The department’s lawsuit called it “deliberate indifference to the suffering” of those children.

The head of the Florida Agency for Health Care Administration, Liz Dudek, called the lawsuit “disruptive” and accused Washington of wanting to take over the state’s Medicaid and disability programs. Seriously?

The Justice Department says it spent six months investigating the plight of disabled kids in Florida nursing homes before calling on the state last September to do more to give their families the option of care at home or in community-based settings. The department filed suit after concluding that it couldn’t count on the state to comply voluntarily. (more…)

Humana to Buy Key Player in Florida’s Medicaid Program

July 26, 2013

TALLAHASSEE — As the state prepares to move forward next month with shifting thousands of elderly Floridians into Medicaid managed-care plans, Humana Inc. is buying a major player in the program.

Humana said Wednesday it has reached an agreement to acquire American Eldercare Inc., which has received contracts to provide long-term care under Medicaid to seniors throughout the state. American Eldercare also has been the largest provider in the state’s longstanding “nursing-home diversion” program. (more…)

Feds Sue Florida for Keeping Kids in Nursing Homes

July 22, 2013

The Associated Press reported today that the U.S. Justice Department is suing Florida, saying the state is unnecessarily keeping hundreds of disabled children in nursing homes.

According to the lawsuit filed Monday, federal officials visited six nursing homes throughout the state and identified about 200 children who didn’t need to be there and could receive care at home. (more…)

AHCA Removes One-Year Home Care Experience Requirement for Therapists

July 12, 2013

The Agency for Health Care Administration has notified HCAF that the rule removing the one-year experience for physical therapists, occupational therapists and therapist assistants is now in effect. As such, providers will not be cited for PT, OT, PTA and OTA hires done on or after July 11, 2013 without the one-year experience.

Other rule changes include: (more…)

AHCA: Drop-off Sites Won’t Be Going Away

June 24, 2013

AHCA has informed HCAF that drop-off sites are here to stay! This news comes after several weeks of uncertainty based on lawmakers’ concerns that the Agency did not have the authority to permit providers to operate a drop-off site.

The Florida Legislature’s Joint Administrative Procedures Committee noted in a letter to AHCA dated April 23, 2013 that, because no statute exists to permit drop-off sites, AHCA cannot have a regulation permitting them and thus they would have to go away. In response, HCAF collected comments from multiple providers at the recent series of District Meetings and shared with AHCA officials. The comments were overwhelmingly in support of keeping the regulation in place, with providers stating that drop-off sites save time and help keep costs down.

Thank you to the providers who submitted feedback about this issue, your input made a difference!

AHCA Announces Changes to the Quarterly Report Effective July 1

June 20, 2013

Following HCAF’s successful efforts to reform the AHCA Home Health Quarterly Report, the Agency has announced changes to the reporting requirement that will go into effect on July 1. The report originated with the 2008 legislative session as a measure to combat health care fraud and abuse. The changes affect the amount of the fine owed for late submissions and which home health agencies are required to report.

Fines Reduced

The fine amounts have been reduced to $200 per day for each day the report is late up to a maximum of $5,000. (more…)