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Agency for Health Care Administration

Lawmakers Ready To Shift Regulatory Power To AHCA

Mar 18, 2019

Lawmakers are poised to give the Agency for Health Care Administration complete rule-making authority over hospice care, assisted living facilities, adult family-care homes and adult day-care programs. 

DeSantis Goes Light On Medicaid Cuts

Feb 4, 2019

As a congressman, Ron DeSantis carved out a name for himself railing against Medicaid spending. 

Finding a lack of need, an administrative law judge Thursday called for state regulators to reject a proposed 50-bed rehabilitation hospital in Escambia County.

DeSantis Still Looking For Health Secretary

Jan 30, 2019

Gov. Ron DeSantis still hasn’t found the doctor he’s looking for. The governor, who took office Jan. 8, told reporters on Tuesday that he is continuing to interview candidates to lead the Florida Department of Health.

The secretary of the department must be a physician and doubles as the state surgeon general.

State Medicaid Changes Come Under Fire

Jan 23, 2019

Florida has put in place sweeping changes to its main health-care safety net program over the last several months, but legislators on Tuesday received an earful about ongoing problems with the $28 billion Medicaid program.

New AHCA Secretary Has Fans, Detractors

Jan 14, 2019

While Gov. Ron DeSantis announced that Mary Mayhew will take the helm at the state Agency for Health Care Administration, it hasn’t been made clear when she will begin the job or how much she will earn.

Johns Hopkins Medicine has hired a former federal prosecutor to investigate the heart institute at All Children's Hospital in St. Petersburg.

Payments Frozen For Some Autism Providers

Jan 9, 2019

The state has frozen payments to some providers who treat children with autism while it tries to ferret out fraudulent activity, but a high-ranking Medicaid official said the freeze should be lifted within two weeks.

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Gov.-elect Ron DeSantis on Friday named an ardent opponent of Medicaid expansion to lead the state Agency for Health Care Administration and backed former state Sen. Dana Young to lead the tourism-marketing agency Visit Florida.

Health Outreach Group Could Lose State Money

Dec 17, 2018

Florida Covering Kids & Families has for 11 years received state funding to conduct outreach for the Florida KidCare health-insurance program for children.

Plan Seeks To Help Children Get Health Insurance

Dec 17, 2018

Florida may have a plan to address the increasing number of children who lack health insurance, but it remains to be seen whether the proposal will get funded.

Senior To Leave Top AHCA Post In January

Nov 28, 2018

The state’s top health-care regulator is stepping down effective Jan. 7.

Justin Senior, the secretary of the Florida Agency for Health Care Administration, sent an email to his staff Tuesday afternoon saying he will leave the agency to pursue an “outside opportunity.” The Safety Net Hospital Alliance of Florida announced late Tuesday that Senior will become the group's chief executive officer.

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.

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