Tag: Florida
Florida providers to receive ARPA funds
June 12, 2023HME News Staff
TALLAHASSEE, Fla. – Florida’s Agency for Health Care Administration will grant one-time payments to providers of home and community-based services including DME, calculated as a 19% increase based on Medicaid managed care claims paid from July 1, 2020, through June 30, 2021. The relief is possible thanks to the funding provided by the American Rescue Plan Act (ARPA), which went into effect April 1, 2021. The payments do not require any application or reporting from eligible suppliers....
Florida providers are in line for rate increase
May 15, 2023HME News Staff
WASHINGTON – HME providers in Florida will receive a 7.5% increase to the Medicaid fee schedule, the first in 23 years, AAHomecare reports.
Additionally, the increase must be passed along from managed care organizations (MCOs), which manage 73% of the Medicaid population in the state, to providers.
"This rate bump will protect access to critical home care services and begin to relieve the financial stress on businesses in our industry,” said Crispin Teufel, CEO of Clearwater,...
Florida Medicaid sued over access to incontinence supplies
July 27, 2022HME News Staff
JACKSONVILLE, Fla. – A lawsuit filed by attorneys for the Florida Health Justice Project and Disability Rights Florida on behalf of two women with disabilities alleges that Florida Medicaid is improperly denying coverage for incontinence supplies, in violation of federal law and the Americans with Disabilities Act. The lawsuit, reported in Health News Florida, says the state stopped providing the supplies to Blanca Meza and Destiny Belanger once they turned 21. “Plaintiffs are medically...
Florida: MCO legislation fails to cross finish line
March 17, 2022HME News Staff
TALLAHASEE, Fla. – Language that would have required managed care organizations in Florida to reimburse at no less than 100% of the state’s current Medicaid DME schedule was not included in the final version of an appropriations package, according to AAHomecare. “While we didn’t accomplish our top goal this time around, I am convinced that the extensive work engaging legislators, the Agency for Health Care Administration, the Governor’s office, the Florida Association...
Florida providers push hard to safeguard Medicaid
February 4, 2022Theresa Flaherty, Managing Editor
TALLAHASSEE, Fla. – Providers in Florida believe new legislation aimed at improving the state’s Medicaid managed care program will provide much-needed stability in a state that has had a troubled relationship with the program in the past.
Introduced in January, House Bill 1165 and Senate Bill 1540 would require payers to reimburse providers at 100% of the state’s fee schedule for durable medical equipment and complex rehab technology.
“The cost of goods,...
Rehab Medical opens fifth location in Florida
July 13, 2021HME News Staff
INDIANAPOLIS – Rehab Medical has opened a new office in Tampa, Fla., the next step in the company’s plans to expand its mobility services along the U.S. coastline.
Rehab Medical opened its first location on the coast in Pensacola, Fla., nearly 10 years ago and has since opened locations in Winter Haven, Tallahassee, Orlando and now Tampa.
“We are excited to open the Tampa office as part of Rehab Medical’s continued growth plan,” said Paul Martin, regional sales...
Florida Medicaid: FAHCS lawyers up
June 8, 2018Theresa Flaherty, Managing Editor
TALLAHASSEE, Fla. - Fearing another Univita debacle, the Florida Alliance of Home Care Services has retained legal counsel to ensure that the state's Medicaid managed care contracts are aboveboard.
In April, the Agency for Health Care Administration awarded contracts to 12 health plans in 11 regions, effective Jan. 1, 2019. Of concern to FAHCS and its members: Who will act as the third-party administrators, if any, for the health plans, and who will provide DME equipment and services?
“We...
Providers see business opportunities in Cuba
April 29, 2016Tracy Orzel
YARMOUTH, Maine - As diplomatic relations between the U.S. and Cuba slowly improve, HME providers in Florida are eager to gain a foothold on the isolated island.
“Obviously, there's a big interest in doing business in Cuba, especially in Miami, because of the proximity,” said Angel Pardo, owner of DMR in Doral. “We could be the main hub for any business transactions in Cuba.”
The demand for HME on the communist island is strong. Cubans live an average of 79 years,...
Univita assets sold
November 13, 2015HME News Staff
MIRAMAR, Fla. - A chunk of Univita Health's assets sold this week for $2.5 million. Just prior to a telephone auction on Nov. 11, the trustee for the provider's bankruptcy case accepted a bid from Integrated Home Care Investors. The assets include seven Florida locations, office equipment and furniture, supplies, HME inventory and a fleet of 90 vehicles. The sale is expected to close Nov. 16. The Miami-based Integrated Home Care is led by Jorge Pereda, a former CEO of All-Med Services of Florida,...
Managed care monopoly?
May 30, 2014Liz Beaulieu, Editor
ORLANDO, Fla. - Industry stakeholders are taking issue with Univita Health's role as both a third-party administrator (TPA) and HME provider in Florida's transition to managed care for Medicaid.
Univita has been chosen as the network administrator for 10 of the 14 plans participating in the program, representing roughly 84% of impacted Medicaid recipients. That means it decides which providers are allowed into its network and which get referrals, according to Deanna Rollyson, president...