Federal and State Program Integrity |
F.S.A. § 456.057 |
Ownership and control of patient records; report or copies of records to be furnished
This section refers to “record owners” as any... |
Florida Administrative Code § 64B16-30.001 |
“Disciplinary guidelines; range of penalties; aggravating and mitigating circumstances under the Department of Health regulations”
The... |
Florida Administrative Code § 64B18-14.002 |
“Disciplinary guidelines under the Department of Health regulations”
The Board of Podiatric Medicine may discipline and fine podiatrists... |
Florida Administrative Code § 64B19-17.002 |
“Disciplinary guidelines under the Department of Health regulations”
The Board of Psychology may discipline and fine psychologists for a... |
Florida Administrative Code § 64B27-2.001 |
“Disciplinary guidelines under the Department of Health regulations”
The Department of Health must impose disciplinary... |
Florida Administrative Code § 64B32-5.001 |
“Disciplinary guidelines under the Department of Health regulations”
The Board of Respiratory Care may discipline and fine respiratory... |
Florida Administrative Code § 64B8-30.015 |
“Disciplinary guidelines under the Department of Health regulations”
The Board of Medicine may discipline and fine a physician assistant... |
Florida Administrative Code § 64B8-8.001 |
“Disciplinary guidelines under the Department of Health regulations”
The Board of Medicine may fine or suspend, deny, place on probation... |
Florida Administrative Code §59A-7.037 |
“Rebates prohibited- penalties under the Agency for Health Care Administration regulations”
Clinical laboratories may not pay... |
Florida Statutes § 112.3187 |
“Adverse action against employee for disclosing information of specified nature prohibited; employee remedy and relief under the Whistle-blower... |
Florida Statutes § 16.53 |
“Legal Affairs Revolving Trust Fund under the executive branch law”
The Legal Affairs Revolving Trust Fund is established within the... |
Florida Statutes § 16.59 |
“Medicaid fraud control under the executive branch law”
The Department of Legal Affair’s Medicaid Fraud Control Unit is authorized... |
Florida Statutes § 390.025 |
“Abortion referral or counseling agencies; penalties under the public health law”
An abortion referral or counseling agency may not... |
Florida Statutes § 391.095 |
“Program integrity under the Children’s Medical Services Act”
The Department of Health must operate a system to oversee the... |
Florida Statutes § 395.0185 |
“Rebates prohibited; penalties under the public health law”
A hospital may not pay or receive any commission, bonus, kickback, or rebate... |
Florida Statutes § 400.17 |
“Bribes, kickbacks, certain solicitations prohibited under the public health law”
Any person that accepts a bribe or kickback for a... |
Florida Statutes § 400.176 |
“Rebates prohibited; penalties under the public health law”
A nursing home is prohibited from paying or receiving any commission, bonus,... |
Florida Statutes § 400.474 |
“Administrative penalties under the public health law”
A home health agency may face disciplinary sanctions for the following acts:... |
Florida Statutes § 400.518 |
“Prohibited referrals to home health agencies under the public health law”
A hospital or ambulatory surgical center that has a financial... |
Florida Statutes § 400.957 |
“Prohibited acts under the public health law”
Home medical equipment providers must comply with state and federal laws regarding... |
Florida Statutes § 408.08 |
“Inspections and audits; violations; penalties; fines; enforcement under the public health law”
The Agency for Health Care Administration... |
Florida Statutes § 408.810 |
“Minimum licensure requirements under the Health Care Licensing Procedures Act”
Prior to providing services to a patient, a licensed... |
Florida Statutes § 409.902 |
“Designated single state agency; payment requirements; program title; release of medical records under the social welfare law”
The Agency... |
Florida Statutes § 409.907 |
“Medicaid provider agreements under the social welfare law”
Health care providers participating in the Medicaid program must comply with... |
Florida Statutes § 409.91212 |
“Medicaid managed care fraud under the social welfare law”
Each Medicaid managed care plan must adopt an anti-fraud plan to detect and... |
Florida Statutes § 409.913 |
“Oversight of the integrity of the Medicaid program under the social welfare law”
The Agency for Health Care Administration must oversee... |
Florida Statutes § 409.9131 |
“Special provisions relating to integrity of the Medicaid program under the social welfare law”
Physicians are subject to Medicaid fraud... |
Florida Statutes § 409.920 |
“Medicaid provider fraud under the social welfare law”
A health care provider that participates in Medicaid may not:
File claims with... |
Florida Statutes § 409.9201 |
“Medicaid fraud under the social welfare law”
A person who sells or attempts to sell a prescription drug that was paid by Medicaid is... |
Florida Statutes § 409.9203 |
“Rewards for reporting Medicaid fraud under the social welfare law”
The Department of Law Enforcement or the Medicaid Fraud Unit may pay... |
Florida Statutes § 409.963 |
“Single state agency under the social welfare law”
The Agency for Health Care Administration must ensure that each Medicaid recipient... |
Florida Statutes § 409.966 |
“Eligible plans; selection under the social welfare law”
The Agency for Health Care Administration must compile and publish a databook... |
Florida Statutes § 456.052 |
“Disclosure of financial interest by production under the regulations and occupations law”
A health care provider must not refer a... |
Florida Statutes § 456.053 |
“Financial arrangements between referring health care providers and providers of health care under the Patient Self-Referral Act of 1992... |
Florida Statutes § 456.054 |
“Kickbacks prohibited under the regulation of professions and occupations law”
A health care provider may not offer, pay, or receive a... |
Florida Statutes § 456.0635 |
“Health care fraud; disqualification for license, certificate, or registration under the regulation of professions and occupations law”
A... |
Florida Statutes § 458.327 |
“Penalty for violations under the regulation of professions and occupations law”
A physician is guilty of a felony of the third degree... |
Florida Statutes § 459.013 |
“Penalty for violations under the regulation of professions and occupations law”
Each of the following acts constitutes a felony of the... |
Florida Statutes § 459.015 |
“Grounds for disciplinary action; action by the board and department under the regulation of professions and occupations law”
The Board... |
Florida Statutes § 462.14 |
“Grounds for disciplinary action; action by the department under the regulation of professions and occupations law”
Naturopathic... |
Florida Statutes § 463.016 |
“Grounds for disciplinary action; action by the board under the Optometry Practice Act”
Optometrists may be denied a license or... |
Florida Statutes § 465.185 |
“Rebates prohibited; penalties under the Florida Pharmacy Act”
Pharmacists are prohibited from paying or receiving any commission, bonus... |
Florida Statutes § 465.188 |
“Medicaid audits of pharmacies under the Florida Pharmacy Act”
The Agency for Health Care Administration may annually audit a licensed... |
Florida Statutes § 466.0235 |
“Dental charting under the regulation of professions and occupations law”
All referrals made during the provision of dental charting... |
Florida Statutes § 468.365 |
“Disciplinary grounds and actions under the regulation of professions and occupations law”
Respiratory therapists may be denied a license... |
Florida Statutes § 483.245 |
“Rebates prohibited; penalties under the regulation of professions and occupations law”
Clinical laboratories are prohibited from paying... |
Florida Statutes § 483.825 |
“Grounds for disciplinary action under the regulation of professions and occupations law”
Clinical laboratory personnel may be denied a... |
Florida Statutes § 486.125 |
“Refusal, revocation, or suspension of license; administrative fines and other disciplinary measures under the regulation of professions and... |
Florida Statutes § 490.009 |
“Discipline under the regulation of professions and occupations law”
The Board Psychology may deny a license or impose disciplinary... |
Florida Statutes § 491.009 |
“Discipline under the regulation of professions and occupations law”
The Board of Clinical Social Work may deny a license or impose... |
Florida Statutes § 624.351 |
“Medicaid and public assistance fraud strike force under the insurance law”
The Medicaid and Public Assistance Fraud Strike Force is... |
Florida Statutes § 624.352 |
“Interagency agreements to detect and deter Medicaid and public assistance fraud under the insurance law”
The Chief Financial Officer of... |
Florida Statutes § 626.989 |
“Investigation by department or Division of Insurance Fraud; compliance; immunity; confidential information; reports to division; division... |
Florida Statutes § 626.9891 |
“Insurer anti-fraud investigative units; reporting requirements; penalties for noncompliance under Unfair Insurance Trade Practices Act”... |
Florida Statutes § 626.9892 |
“Anti-fraud reward program; reporting of insurance fraud under Unfair Insurance Trade Practices Act”
The Office of Insurance Regulation... |
Florida Statutes § 636.206 |
“Examination and investigations under the insurance law”
The Office of Insurance Regulation may examine or investigate the business and... |
Florida Statutes § 641.3915 |
“Health maintenance organization anti-fraud plans and investigative units under the Health Maintenance Organization Act”
A health... |
Florida Statutes § 641.418 |
“Examination of prepaid health clinic by the office under the Prepaid Health Clinic Act”
The Office of Insurance Regulation must examine... |
Florida Statutes § 68.081 |
“Florida False Claims Act; short title; purpose under the Florida False Claims Act”
The purpose of the Florida False Claims Act is to... |
Florida Statutes § 68.082 |
False claims against the state; definitions; liability under the Florida False Claims Act”
Any person who files a false claim for payment to... |
Florida Statutes § 68.083 |
“Civil actions for false claims liability under the civil practice and procedure law”
The Department of Legal Affairs is responsible for... |
Florida Statutes § 68.084 |
“Rights of the parties in civil actions under the Florida False Claims Act”
The Department of Legal Affairs has the primary... |
Florida Statutes § 68.085 |
“Awards to plaintiffs bringing action under the Florida False Claims Act”
If the Department of Legal Affairs prosecutes an individual who... |
Florida Statutes § 817.234 |
“False and fraudulent insurance claims under the crimes law”
A person who submits a false claim to a health insurer is guilty of a felony... |
Florida Statutes § 817.50 |
“Fraudulently obtaining goods, services, etc., from a health care provider under the crimes law”
An individual who fraudulently obtains... |
Florida Statutes § 817.505 |
“Patient brokering prohibited; exceptions; penalties under the crimes law”
It is unlawful for a health care provider or facility to offer... |