Skip to Content

Tag: Florida Medicaid


News

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 want...

Florida Alliance of Home Care Services, Florida Medicaid, Univita


Read Full Articlered right arrow icon

News

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 of the Florida...

Florida Medicaid, managed care, monopoly


Read Full Articlered right arrow icon

News

Providers pay for Medicaid's mistake

January 25, 2013Theresa Flaherty, Managing Editor

TALLAHASSEE, Fla. - Providers here in December got hit with Medicaid letters seeking to recoup five years of overpayments.“Medicaid is saying, 'We accidentally paid you (money) that we shouldn't have and we want that back,” said Rob Brant, an adviser to the Florida Alliance of Home Care Services (FAHCS).What happened is this: In cases where Medicare patients have Medicaid as a secondary insurance, Medicaid makes a payment when its fee schedule amount is more than Medicare's; if it's less,...

FAHCS, Florida Medicaid, HOme medical equipment


Read Full Articlered right arrow icon

News

Florida

March 3, 2010Theresa Flaherty, Managing Editor

TALLAHASSEE, Fla. - HME providers who fail to repay Medicaid for overpayments could get their Medicaid billing numbers yanked. Historically, providers have been allowed to have overpayments deducted from their next regular Medicaid payment, but new rules change that. A Jan. 13 alert from the Agency for Health Care Administration (AHCA), which oversees Florida Medicaid, states that it will now withhold all Medicaid payments beginning 30 days following the notice of an alleged overpayment. If the...

Florida Medicaid


Read Full Articlered right arrow icon