APD > Providers

Fight Medicaid Fraud

The Agency for Persons with Disabilities does not tolerate fraud. To report Medicaid Fraud and False Claims, please contact:

• APD Medicaid Fraud Brochure
• APD Medicaid Fraud Brochure (folleto español)
• 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)
• Read more about Medicaid Fraud

Medication Administration Forms

• Medication administration forms incorporated by Rule 65G-7, Florida Administrative Code.

Provider Rates, Billing, & Payments

• Provider Training for the new EDS Web Portal Claim Submission and CMS 1500 Claim Form
  This training is being provided by the Agency for Health Care Administration and the new Florida Medicaid Fiscal Agent (EDS) to familiarize providers with the new billing system. Registration is required and space is limited.
• Revised Provider Rate Table for Residential Habilitation Services in a Licensed Facility
  Effective January 1 - March 30, as adopted by AHCA Emergency Rule.
• 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
• Provider Rate Table
  Effective January 1, 2007
• National Provider Identifier (NPI) for Waiver Providers
• Billing Adjustments and Voids
• Payment Resolution Information
• Direct Provider Billing Code Matrix | Billing Code Matrix (Excel)
• Direct Provider Billing Training
• APD Operating Procedure 18-002
  Provider Recoupment and Overpayment for Services Funded by the Home and Community-Based Services Waivers

Standard Contract

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

Support Coordination

• Support Coordination Home
  Includes forms, questions and answers, contact information, newsletters, and more.

APD HCBS Medicaid Waiver Provider Application

• Florida Medicaid Provider Enrollment Application
  PDF download from ACS Florida Healthcare Services - Florida Medicaid Fiscal Website.
• In addition to this application, please submit the Provider Supplement.
• Please contact your local APD area office for any questions about this application process. Completed applications should be mailed or delivered to your local district office.

Medwaiver Agreement

• Notice to Medicaid Waiver Providers Concerning Waiver Revenues
• APD Medicaid Waiver Services Agreement

Medicaid Waiver Information

• APD Questions and Answers on the Medicaid Waiver
• Implementing Waiver Changes
  Procedures and Information Related to Waiver and System Changes
• Developmental Services Waiver Coverage and Limitations Handbook
  This 2.6MB PDF file may take a while to download.
• Developmental Disabilities Waiver Provider Rate Table - November 2003

Family and Supported Living Waiver Information

• Family and Supported Living Quick Reference Guide
• Family and Supported Living Waiver Services Directory

Additional Information (as of 12/27/06):
The annual cap has been increased to $14,792.00.
Effective January 1, 2007, Durable Medical Equipment is allowable.
• Durable Medical Equipment (DME) Memo
• Criteria for DME
• Family and Supported Living Waiver Amendments

Training

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

Supported Living

• Family and Supported Living Quick Reference Guide
• Supported Living Cost Containment Measures
• Provision Of In-Home Subsidies for Persons In Supported Living Arrangements

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.

ABC System

• ABC Security Officers

Delmarva

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

APS Healthcare

• APS Healthcare Prior Service Authorization Information and Forms

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
  
  
  
  • Area 8 Incident Reporting Protocol
  • Area 12 Incident Reporting Protocol
  
  
  • Follow-Up Measures Taken