Bill > H0939

This bill makes several changes to Florida's Medicaid program, primarily focusing on provider oversight and fraud prevention. It requires Medicaid providers to report changes in their ownership or key personnel to the Agency for Health Care Administration (AHCA) within 30 days, and clarifies that both the seller and buyer are liable for outstanding overpayments in cases of facility ownership changes. The bill also revises requirements for background checks on providers and allows AHCA to enroll providers who are licensed in Florida and offer diagnostic services via telecommunications technology, even if they are located out of state within 50 miles of the border. Additionally, it modifies procedures for contesting the amount of medical expense damages in third-party liability cases, specifies rules for admissible evidence and venue in such proceedings, and outlines grounds for terminating providers from the program, seeking remedies for violations, and imposing sanctions. The bill also limits the information AHCA can consider when determining overpayments, clarifies rules regarding accrued interest on withheld payments, and revises how providers must reimburse overpayments. Finally, it adjusts the membership of the Medicaid and Public Assistance Fraud Strike Force within the Department of Financial Services (DFS) and includes provisions for future review and repeal of sections related to interagency agreements for fraud detection and deterrence.