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Florida Statutes § 409.913

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“Oversight of the integrity of the Medicaid program under the social welfare law”

The Agency for Health Care Administration must oversee the Medicaid program to prevent fraudulent and abusive behavior and neglect of recipients. The agency and the Medicaid Fraud Unit of the Department of Legal Affairs must annually submit a joint report to the state legislature to document the effectiveness of the state’s efforts to control Medicaid fraud and abuse and to recover Medicaid overpayments.

A Medicaid provider is subject to review by a peer review organization designated by the Agency for Health Care Administration. The peer review organization’s written findings are admissible in a legal proceeding as evidence of medical necessity or the lack thereof.

A Medicaid provider must retain medical and other business records pertaining to services and goods furnished to a Medicaid recipient and retained for a period of 5 years after the date of furnishing the services or goods.

Related laws:

Florida Statutes § 20.055

Florida Statutes § 408.806

Florida Statutes § 408.815

Florida Statutes § 456.072

Florida Statutes § 456.0635

Florida Statutes § 465.022

42 U.S.C. §1396p

Current as of June 2015