Posts Tagged ‘Agency for Health Care Administration’

AHCA Announces Telephony Program Provider Meetings

June 14, 2013

The Agency for Health Care Administration and Sandata invite home health service (visits, personal care services and private duty nursing) providers that are participating in the Florida Medicaid Home Health Services Telephonic Delivery Monitoring and Verification (DMV) Program to attend a meeting in their region as follows: (more…)

Long-Term Care Medicaid Patients Start Enrolling

May 20, 2013

Phone counselors are now available to help long-term care Medicaid recipients choose their health plans. State officials say the call centers went live Monday. Long-term care Medicaid recipients can call the hotline and ask questions about what doctors and medications are covered in different plans. (more…)

Contract Signing Ceremony Commemorates Statewide Medicaid Managed Care Roll-Out

May 6, 2013

Tallahassee, Fla.— The Agency for Health Care Administration (Agency) has been working diligently toward transforming Florida Medicaid since mid-2011 when the legislation that created the Statewide Medicaid Managed Care program became law. The Agency, in partnership with the Department of Elder Affairs (DOEA), achieved a critical milestone today as Secretary Liz Dudek executed contracts with each of the seven health plans selected to provide services via the SMMC Long-term Care program.

“The signing of these contracts solidifies the commitment from each health plan to deliver high quality services to the approximately 85,000 elderly or disabled Floridians statewide who will be enrolled in the Long-term Care program,” said Agency Secretary Liz Dudek. “The Agency has been conducting targeted outreach to recipients, providers and stakeholders, and we look forward to beginning to provide long-term care services in this new way starting August 1 for those in the greater Orlando area and then working our way around the state.” (more…)

AHCA to Host Webinars on Health Information Exchange

April 18, 2013

The Agency for Health Care Administration Health Information Exchange (HIE) will present three webinars beginning Friday, April 19 about the benefits of Direct Secure Messaging (DSM) and how your agency can sign up for this free service. DSM is a secure, encrypted email service that enables users to safely send messages and attachments containing protected health information.

Each webinar will take participants on a tour of DSM and will be followed by a question-and-answer session with Florida HIE staff. You are not required to register in advance to participate. Simply follow the instructions below to join the webinar. (more…)

Duval County Woman Sentenced to Six Years in Prison for Medicaid Fraud

April 15, 2013

Attorney General Pam Bondi announced today that Edna Lorraine Watkins, owner of Homecare Unlimited LLC, was sentenced to six years in state prison for submitting more than $400,000 in false claims to the Florida Medicaid Program. The State Attorney’s Office for the Fourth Judicial Circuit prosecuted this case, and Watkins entered pleas of guilty to Medicaid Provider Fraud and Grand Theft, both first degree felonies. In addition to the six years in prison, Watkins was ordered to repay the state $402,424 in restitution. (more…)

AHCA: ICD-10 Impact Assessment Survey Now Available

March 25, 2013

In preparation of the nationwide ICD-10 implementation date of October 1, 2014, the Agency for Health Care Administration, along with its fiscal agent, HP Enterprise Services, invites home care providers to participate in a series of short ICD-10 surveys. Your participation will help AHCA better understand your concerns and needs as the Agency works toward a successful implementation. (more…)

Legislators Look to Private Insurers to Expand Medicaid

March 21, 2013

By Kathleen Haughney and William E. Gibson, South Florida Sun-Sentinel

TALLAHASSEE – A panel of Florida lawmakers today is taking up a privatized alternative to Medicaid expansion that could result in as many as one million low-income Floridians qualifying for the first time for subsidized health-care coverage.

The plan, nicknamed “Negron-care” for its Senate sponsor, Joe Negron, R-Stuart, is the Legislature’s first attempt under the Affordable Care Act to look at a way to insure people who are poor, but not poor enough to qualify for existing Medicaid coverage.

“I’m optimistic we’re going to get it done,” Negron said.

But there are still a lot of unanswered questions about Negron’s plan, including whether the House – and the federal government – will agree to it.

We look at what’s in the plan, how it impacts you, your health care and your tax dollars. (more…)

Feds to FL: We’re Flexible; Show Us Your Plan

March 14, 2013

By , Health News Florida

Medicaid expansion for 1 million low-income adults in Florida may technically be dead, after committees in both the House and Senate voted to kill it. And yet, chances for an alternative plan that would accomplish the same goals are looking up.

On Wednesday, federal health officials signaled interest in seeing Florida’s alternative plan, which is still just a gleam in the eye of a powerful state senator, as soon as the state has something in writing.

And a report on how much it would cost the state to offer coverage to private plans to the newly insured estimated that it would cost 3 percent to 4 percent less than for the current Medicaid population.

Even House Speaker Will Weatherford, a vocal opponent of Medicaid expansion, moderated his tone somewhat in speaking to reporters this week. (more…)

AHCA to Conduct Unannounced Compliance Visits for Medicaid Providers

March 8, 2013

The Agency for Health Care Administration announced this week that it will perform unannounced compliance visits for all Medicaid home health care providers. In a letter sent to HCAF by an AHCA official, the Agency will be verifying that all Medicaid recipients are receiving medically-necessary quality care and that Medicaid pays correctly for this care. (more…)

AHCA: Home Care Providers and Their Role in Medicaid Managed Care

March 5, 2013

Medicaid ReformThe Agency for Health Care Administration recently presented a webinar on Statewide Medicaid Managed Care (SMMC) for long-term care (LTC) providers, including home health agencies. The webinar detailed the basic components of Medicaid’s transition from fee-for-service to managed care, as passed into law in 2011 and approved by the federal government last month. The state will begin enrolling Medicaid recipients into managed care plans beginning August 1 in District 7 (Orange, Osceola, Seminole and Brevard counties). (more…)