Agency for Health Care Administration (AHCA)

State Approves Nursing Home License Transfer

Jan 7, 2018

The state Agency for Health Care Administration approved the transfer of a nursing-home license between two long-term care companies but is requiring as part of the deal that the new facility in Marion County accept Medicaid patients.

AHCA Extends Deadline On Database Rule

Jan 5, 2018
All-Payer Claims Database Council

The Agency for Health Care Administration agreed Thursday to extend by one week the deadline for health-insurance companies and HMOs to submit comments to the state on a proposed rule for a new all-payers claims database.

Transparency Eyed To Hold Down Health Costs

Jan 4, 2018
Politico

Florida Gov. Rick Scott, who has often criticized efforts to overhaul health care at the federal level, has contended for years that more needs to be done to lower the cost of what patients — and the government — pay for care.

Wikimedia Commons

A former Florida health care administrator has been sentenced to 4 years and 9 months in federal prison for accepting bribes from health care facilities to help them stay ahead of regulators.

Nursing Home Generator Costs Estimated At $186 Million

Dec 4, 2017
WMFE

Health care regulators say it will cost Florida nursing homes more than $186 million to comply with a requirement to install generators and have 96 hours of fuel to be able to cool their facilities.

Court Backs Hospitals In Outpatient Rate Dispute

Dec 1, 2017
Wikimedia Commons

Siding with dozens of hospitals across the state, an appeals court Thursday said the Florida Agency for Health Care Administration improperly dismissed challenges dealing with Medicaid reimbursement rates for outpatient care.

Just under three months ago, Florida's Agency for Health Care Administration took nursing home inspections off its website, according to the Miami Herald.

AHCA Seeks To Block Deposition In Nursing Home Case

Nov 19, 2017
wp paarz / Flickr

The state Agency for Health Care Administration asked a judge Friday to shield a high-ranking agency official from being deposed in a legal battle about revoking the license of a Broward County nursing home.

Some Nursing Homes Erroneously Targeted On Power Rules

Nov 12, 2017

Six nursing homes were erroneously included in an announcement Wednesday by Gov. Rick Scott's administration that 23 nursing homes had not complied with an edict about having generators to keep residents safe.

Nursing Homes Raise Concerns About Generator Requirement

Nov 5, 2017
Google Maps

A meeting on a proposed rule to require nursing homes to have generators that can power air-conditioning systems was scheduled for two hours Friday afternoon, but it wrapped up in about 30 minutes.

Latvala Wants To Avoid More Hospital Cuts

Nov 3, 2017
Facebook page

The Florida Legislature during the 2017 session agreed to a $521 million cut in Medicaid funding for hospitals as part of its $83 billion-plus budget.

Broward Nursing Home License Case Slated For January

Oct 31, 2017
Flickr

An administrative law judge will hold a multi-day hearing in January about a state move to revoke the license of a Broward County nursing home where residents died after Hurricane Irma.

Broward Nursing Home Lawsuit Shelved

Oct 29, 2017
Flickr

A circuit judge this week agreed to put on hold a lawsuit about the continued operation of a Broward County nursing home where residents died after Hurricane Irma.

Judge Rejects Emergency Generator Rules

Oct 29, 2017
wp paarz / Flickr

Gov. Rick Scott on Friday vowed to immediately appeal an administrative-court order invalidating a pair of emergency rules requiring nursing homes and assisted living facilities to have generators and enough fuel to cool buildings for 96 hours.

Doctors Can Have Say On Managed Care Plans

Oct 27, 2017

State Medicaid officials are soliciting physicians to share their experiences with Medicaid managed-care plans by Nov. 20.

Decision Delayed On KidCare Premiums

Oct 27, 2017

Members of a children's health-insurance panel said Thursday they wanted to help families in 48 counties who couldn't afford insurance premiums maintain coverage but delayed a vote on a plan until the panel receives details about how it would work and potential costs.

New Standards Add Pharmacies In Medicaid

Oct 26, 2017

To address “concerns and issues” with pharmacy networks, Medicaid officials have reduced maximum times and distances that patients can be forced to drive for prescriptions, members of the House Health Innovation Subcommittee were told Wednesday.

Senior Sheds Interim Label As AHCA Secretary

Jan 12, 2017
Agency For Health Care Administration

Justin Senior was named Wednesday as secretary of the Florida Agency for Health Care Administration, after serving as interim secretary for nearly four months, according to Gov. Rick Scott's office.

Judge Sides With AHCA On Alachua County Nursing Home

Sep 19, 2016
p1 lawyer / Flickr

An administrative law judge Friday upheld a decision by the state Agency for Health Care Administration to approve a new 103-bed nursing home in Alachua County, rejecting a challenge from a competing nursing home firm.

The Calhoun Liberty Hospital has reached a settlement deal with Florida’s health care oversight agency. The hospital faced steep fines over its handling of a woman who was forcibly discharged from the facility and later died.

Court Backs State In Doctor Overpayment Dispute

Sep 1, 2016

An appeals court Wednesday sided with the state Agency for Health Care Administration in a dispute about whether a pediatrician is required to repay more than $1 million to the Medicaid program.

Hospice Seeks Stay In Dispute With AHCA

Mar 31, 2015
Associated Press

Warning of potentially "devastating consequences," a Central Florida hospice firm Monday sought a stay from the 1st District Court of Appeal in a dispute with the Agency for Health Care Administration about the firm's license.

Compassionate Care Hospice of Central Florida Inc., which serves patients in Polk, Highlands and Hardee counties, was notified March 9 that its license had expired and that it would have to cease operations in the area.

An appeals court says Florida Hospital Orlando should repay more than $22,000 in Medicaid payments it claimed in the care of a 3-year-old child with leukemia, the News Service of Florida reports. The judges said Florida’s Agency for Health Care Administration was justified in requesting repayment in the case that centers around the state’s determination of whether care is a “medical necessity,” according to the News Service.

Florida’s Agency for Health Care Administration has publicly accused Health News Florida of making "inaccurate and incomplete statements" about Medicaid's shift of the elderly and disabled into managed care.

Florida’s unprecedented transition to managed care for its most fragile Medicaid patients is working, but questions remain about its benefit down the road, according to a report from Georgetown University’s Health Policy Institute released today.

About 40 different individuals involved in the early phases of shifting elderly and disabled Medicaid patients into managed care plans told researchers they are most concerned that more than a third of participants failed to select a plan. Those patients were automatically enrolled in a plan.

The region that includes Orlando and Melbourne will be the first in the state to enroll its frail elderly patients who are on Medicaid into managed-care plans, the Agency for Health Care Administration announced Monday.

A map on AHCA's website offers a guide as to which counties are included in the rollout, which hinges on approval by the U.S. Department of Health and Human Services for Florida's requests for a waiver of federal law for its Statewide Medicaid Managed Care program. 

After two days of heavy criticism, Gov. Rick Scott’s administration released  a new, much smaller estimate of the cost of expanding Florida Medicaid late Wednesday night. The new report pegs the price tag at about $3 billion.

At the most, if all those eligible signed up, it would cost the state $5 billion over a decade, the new report says. That is less than one-fifth the cost that Scott has been citing.

Gov. Rick Scott is willing to look at estimates on the cost of Medicaid expansion other than the ones he has been using, according to a release  Tuesday evening.  

The statement from Scott's Communications Director Melissa Sellers came in apparent reaction to Health News Florida’s report early Tuesday headlined “Legislative Analysts told Scott His Medicaid Estimates Are Wrong (But He’s Using Them Anyway).”

Associated Press

The state’s chief economist has warned the staff of Gov. Rick Scott that his Medicaid cost estimates are wrong, but Scott keeps using them anyway, according to e-mails obtained by Health News Florida  (Update: Scott to Look at Other Estimates).

Scott says he opposes expanding Florida Medicaid because it would cost too much: $63 billion over 10 years, he says, with the state paying $26 billion of that.