APD > Providers

Fight Medicaid Fraud

As a result of new legislation passed this year, persons who report Medicaid fraud may be entitled to a reward up to 25 percent of the amount recovered, or a maximum of $500,000 per case, if a criminal case results in a fine, penalty or a forfeiture of property. Tips about suspected fraud can be reported by calling the Attorney General's Fraud Hotline at 1-866-966-7226 or the Agency for Health Care Administration's Consumer Call Center at 1-888-419-3456. Citizens may also report fraud on-line by visiting the AHCA web site, http://ahca.myflorida.com and clicking the "Report Fraud" button.

• Medicaid Program Integrity, AHCA, at 1-888-419-3456
• Medicaid Fraud Control Unit, Office of the Attorney General, at 1-866-966-7226
• Office of the Inspector General, APD, at 1-866-APD-CARES (273-2273)
• APD Medicaid Fraud Brochure (English) | Combata el fraude de Medicaid (folleto español)
• Read more about Medicaid Fraud

ABC System

• ABC Security Officers

APS Healthcare

• APS Healthcare Prior Service Authorization Information and Forms

Behavioral Services Resources

• The information listed here has been included as resources that we hope will be helpful as you plan, deliver and monitor services to individuals with special needs.

Delmarva

• Delmarva Provider Performance Review Monitoring Tools
• Changes to WiSCC Procedures

Important Information for Providers

• Service Authorization Memo About Tiers to Providers

Incident Reporting Forms

• APD Operating Procedure 10-002
  Incident Reporting and Risk Prevention for Consumers Living in the Community or in ICF/DDs
  
  
  • Incident Reporting Form
  
  
  
  • Follow-Up Measures Taken

Medication Administration

• Medication Administration Forms
  Incorporated by Rule 65G-7, Florida Administrative Code.



• Rule 65G-7 Medication Administration

Provider Rates, Billing, & Payments

• Florida Medicaid Provider Training



• DD Waivers: Rates for Medicaid Waiver Services (Excel)
  Rates for Medicaid Waiver Services (PDF)
  Effective 7/1/08



• DD Waivers: Rates for Residential Habilitation in a Licensed Facility (Excel)
  Rates for Residential Habilitation in a Licensed Facility (PDF)
  Effective 7/1/08



• Residential Habilitation Rates - Revised Provider Information



• Procedures for Implementing Revisions to the Residential Habilitation Daily Rates
  Required by Statute, Revised 10-22-07, Effective December 1, 2007



• Revised Provider Rate Table for Residential Habilitation Services in a Licensed Facility
  Effective January 1 - March 30, as adopted by AHCA Emergency Rule.



• Provider Rate Reduction Procedures
  June 6, 2008



• National Provider Identifier (NPI) for Waiver Providers



• Payment Resolution Information - Provider Relations Liaisons



• Direct Provider Billing Code Matrix | Billing Code Matrix (Excel)


• Monroe County Only Direct Provider Billing Code Matrix | Billing Code Matrix (Excel)



• Direct Provider Billing Training



• Recoupment and Overpayment (APD Operating Procedure 18-002)
  Provider Recoupment and Overpayment for Services Funded by the Home and Community-Based Services Waivers

Provider Search

• Agency for Persons with Disabilities HCBS Medicaid Waiver Provider Search
  Search by service category and by district to locate service providers.
• Please note that this listing contains all active providers of record, however, not all active providers of record are still in business or accepting new business.

Standard Contract

• APD Standard Contract 2007
• APD Standard Contract Audit Attachment 2006

Support Coordination

• Includes forms, questions and answers, contact information, and more.

Supported Living

• Supported Living Cost Containment Measures
• Provision Of In-Home Subsidies for Persons In Supported Living Arrangements

Training

• Required Direct Care Core Competency, optional Delmarva offerings, Supported Employment, Yellow Notebook Series, Personal Outcomes Training and more.

Waivers

• Recent updates, Tiers, Questionnaire for Situational Information (QSI), Support Coordination, FSL, Medicaid and HCBS Waiver information.