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HB 1091: Medicaid Provider Accountability

GENERAL BILL by Nunez

Medicaid Provider Accountability; Requires background screening of persons who provide personal care or services for reimbursement under consumer-directed care program; extends period of time that provider must retain certain medical & Medicaid-related records under provider agreements with AHCA; requires provider to report change of principal in writing to agency within specified period of time; authorizes agency to perform certain inspections before entering into provider agreement; removes provision that exempts certain providers & programs from agency onsite inspections; specifies applicability of background investigations with regard to principals of certain hospitals & nursing homes; removes provision permitting proof of compliance with background screening requirements to be retroactive; expands agency authority with respect to conducting Medicaid fraud, abuse, overpayment, & recipient neglect reviews & investigations; extends time period for retention of certain records by Medicaid provider; requires agency to seek remedy provided by law for certain actions by provider; requires agency to base determination of overpayment to provider on certain information available before issuance of audit report; requires timeframe for establishment of payment arrangements for provider to reimburse agency for overpayments & fines; requires agency to terminate provider's participation in Medicaid program if provider fails to reimburse overpayment or pay fine imposed by agency within specified period of time; expands conditions under which person who reports fraud or suspected fraudulent acts by Medicaid provider may be granted immunity from civil liability.

Effective Date: 7/1/2012
Last Action: 3/9/2012 House - Died in Health and Human Services Quality Subcommittee, companion bill(s) passed, see CS/CS/CS/HB 943 (Ch. 2012-73)
Location: In committee/council (HSQS)
Bill Text: PDF



Bill History

Date Chamber Action
12/20/2011 House • Filed
1/9/2012 House • Referred to Health and Human Services Quality Subcommittee; Appropriations Committee; Health and Human Services Committee -HJ 106
1/10/2012 House • Introduced -HJ 106
3/9/2012 House • Died in Health and Human Services Quality Subcommittee, companion bill(s) passed, see CS/CS/CS/HB 943 (Ch. 2012-73)