The Agency for Health Care Administration (Agency) today announced that it will extend the moratorium on enrollment of new Behavior Analysis (BA) providers in Miami-Dade and Broward counties, with the approval of the Centers for Medicare and Medicaid Services (CMS). The Agency is continuing the moratorium to prevent significant fraud that impacts taxpayers and potentially compromises the quality of care patients receive. The moratorium will extend another six months beginning on November 14, 2018. This moratorium does not impact patients’ ability to obtain services. No Medicaid recipients will go without necessary services. Since May 1, 2018, 14,789 recipients have been approved to receive BA services. All existing BA providers will continue to be reimbursed for legitimate services while the Agency further investigates fraud and abuse.
Investigations of suspected fraud or abuse remain ongoing and are exempt from public disclosure pursuant to s. 409.913(12), F.S. If any recipient is having difficulty accessing services, please encourage them to contact the Florida Medicaid Helpline at 1-877-254-1055 or file a complaint using this online form. Providers who are under investigation and have received correspondence from the Agency should continue to participate in any record review as requested; each provider letter contains a point of contact.
The Agency for Health Care Administration is committed to better health care for all Floridians. The Agency administers Florida’s Medicaid program, licenses and regulates more than 48,000 health care facilities and 47 health plans, and publishes health care data and statistics at FloridaHealthFinder.gov.