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CS/HB 1245 — Medicaid Provider Overpayments
by Health and Human Services Committee and Rep. Peters (CS/SB 1370 by Health Policy Committee and Senator Grimsley)
This summary is provided for information only and does not represent the opinion of any Senator, Senate Officer, or Senate Office.
Prepared by: Health Policy Committee (HP)
by Health and Human Services Committee and Rep. Peters (CS/SB 1370 by Health Policy Committee and Senator Grimsley)
The bill authorizes the Agency for Health Care Administration (agency) to certify that a Medicaid provider is “out of business” and that any overpayments made to that provider cannot be collected. Such an authorization allows Florida to use a federal exemption from repayment of the mandatory Medicaid federal share for provider overpayments.
The bill removes obsolete technology references to expand the types of tools available to the agency to verify visits for the delivery of home health services in order to deter fraudulent or abusive billing for these services.
If approved by the Governor, these provisions take effect July 1, 2016.
Vote: Senate 36-0; House 118-0