LISTEN LIVE

Agency for Health Care Administration

The Los Angeles-based AIDS Healthcare Foundation filed a lawsuit against Florida Gov. Rick Scott to get public records related to the state's Medicaid AIDS care contracts. 

State Challenged Over Pasco Hospice Approval

Sep 14, 2018

A preliminary decision by the state to approve a new hospice program in Pasco County faces legal challenges from two companies that were turned down. 

Magellan Drops Medicaid Contract Fight

Aug 28, 2018

Magellan Complete Care is dropping its challenge to contract decisions that were part of Florida’s multibillion-dollar reprocurement of the Medicaid managed-care program.

Mental Health Providers Wait For Medicaid Answers

Aug 23, 2018

Florida is moving ahead with new Medicaid managed-care contracts, but mental-health providers continue to await publication of details about how services need to be delivered.

Medicaid Contract Decision Spurs Court Fight

Aug 23, 2018

A dispute over the the state Agency for Health Care Administration’s decision to award a Medicaid managed-care contract in Southwest Florida has turned into a court battle.

Delay In Federal Approval Trims Medicaid Savings

Aug 7, 2018

Nearly $100 million the state assumed would be saved by changing a policy about patient eligibility for Medicaid won’t come to fruition this year.

Challenge To Medicaid Dental Contracts Scrapped

Aug 1, 2018

Tampa-based Argus Dental and Vision withdrew a legal challenge to recently awarded contracts in Florida’s new Medicaid dental program, clearing the way for the state to move ahead with what one official described as the “broadest dental package ever available” to Medicaid beneficiaries. 

Medicaid Dental Challenge Dropped

Jul 27, 2018

There’s one less Medicaid contract challenge the state Agency for Health Care Administration will have to try to fend off before an administrative law judge. 

Medicaid Enrollment Expected To Keep Dropping

Jul 26, 2018

The number of Medicaid patients in Florida could be decreasing like never before. Members of the state’s Social Services Estimating Conference on Wednesday agreed to revise downward overall Medicaid enrollment estimates for fiscal year 2018-2019 from 4.02 million people to 3.86 million people. 

Judges Set To Hear Medicaid Challenges

Jul 25, 2018

Twenty-seven legal challenges filed by managed-care plans protesting state decisions to award $90 billion in Medicaid contracts have been grouped into five cases that will be heard in administrative court next month.

Two Dental Plans Challenge State Over Contracts

Jul 17, 2018

The state’s decision to award Medicaid managed-care contracts to three prepaid dental plans is being challenged by two companies that submitted unsuccessful bids. 

State Faces 27 Medicaid Contract Challenges

Jul 13, 2018

After a lengthy process that involved awarding tens of billions of dollars in Medicaid contracts, the Florida Agency for Health Care Administration now will have to try to fend off legal challenges from health plans that were denied contracts. 

Judge Closes Book On Disputed Abortion Law

Jul 11, 2018

In a case that focused heavily on First Amendment rights, a federal judge has issued a permanent injunction against a 2016 abortion law approved by Florida lawmakers and Gov. Rick Scott.

Three hospitals in Marion and Citrus counties are challenging a state decision to sign off on a new 66-bed hospital in Marion County, according to documents posted Thursday on the state Division of Administrative Hearings website. 

State Awards Medicaid Dental Contracts

Jun 29, 2018

Florida Medicaid officials announced plans Thursday to sign contracts with three managed-care companies to provide dental care. 

Medicaid Contract Challenged In Southwest Florida

Jun 26, 2018

A move by state health-care regulators to avoid litigation has, instead, created more.

Attorneys for Best Care Assurance, a managed care plan affiliated with Lee Memorial Health System, notified the state that they plan to challenge a decision last week to award a Medicaid contract to Molina Healthcare of Florida in a seven-county region of Southwest Florida.

Two More Health Plans Get Medicaid Contracts

Jun 20, 2018

Two health plans that would have been locked out of Florida’s Medicaid market for the next five years were awarded state contracts after they threatened legal action.

Health Plan To Challenge Medicaid Contracts

Jun 7, 2018

A decision last week to award Medicaid contracts to two additional managed-care plans could mean more legal challenges for the state Agency for Health Care Administration.

Two Health Plans Tapped For Medicaid Contracts

Jun 1, 2018

Florida Medicaid officials on Thursday announced their intent to award contracts to two companies owned by health care providers, bringing to 11 the number of managed-care plans expected to sign five-year contracts with the state.

A national group has asked the federal government to extend the deadline for public comment on Florida’s proposed Medicaid changes after a glitch on medicaid.gov prevented submissions.

Court Rejects New Hospice In ‘Certificate Of Need’ Fight

May 29, 2018

Though describing it as a “close call,” an appeals court Friday upheld a decision by the Florida Agency for Health Care Administration to turn down approval of new hospice provider in Sarasota County. 

Report Targets AHCA Over Nursing Home Verifications

May 7, 2018

The state Agency for Health Care Administration failed to verify that nursing homes properly corrected deficiencies cited by agency staff in 2015, according to a report issued Friday by the U.S. Department of Health and Human Services inspector general’s office. 

State Names Nine Medicaid Health Plans But Challenges Loom

Apr 25, 2018

Florida officials on Tuesday announced the names of the nine health plans the state wants to ink contracts with to provide health care to nearly four million poor, elderly and disabled residents.

AIDS Foundation Protests Over Medicaid Contracting

Apr 13, 2018

The Florida Agency for Health Care Administration’s headquarters in Tallahassee were the site Thursday of the third demonstration in as many days by supporters of the AIDS Healthcare Foundation.

Florida’s Medicaid program has been rapped by auditors who questioned what the state got for millions of dollars spent with a company whose lobbyists included two former Republican House speakers and a former top health-care regulator.

The largest nonprofit AIDS health-care provider in the nation is at risk of being blocked out of South Florida’s Medicaid market.

Citrus Memorial Hospital is challenging an effort by the state Agency for Health Care Administration to recoup what the agency alleges were nearly $5.9 million in Medicaid overpayments during a 10-year period.

State Seeks Changes In Medicaid Program

Mar 29, 2018

For the third time in less than a year, Florida is asking the federal government to amend a sweeping Medicaid “waiver,” including seeking permission to add community mental-health providers to the list of those able to participate in a supplemental Medicaid funding program.

AHCA Extends Deadline On Database Rule

Jan 5, 2018

The Agency for Health Care Administration agreed Thursday to extend by one week the deadline for health-insurance companies and HMOs to submit comments to the state on a proposed rule for a new all-payers claims database.

Assisted Living Group Challenges Scott's Generator Rule

Dec 19, 2017

A statewide long-term care association has challenged a proposal by Gov. Rick Scott's administration to make permanent a controversial rule that requires assisted-living facilities to have generators and enough fuel to provide 96 hours of backup power.

Pages