The Agency for Health Care Administration (Agency) issued final orders to five providers for failure to meet licensure requirements during the month of June. There was one final order to revoke an existing license, three final orders to deny license renewals, and one final order for a license surrender. Some of these providers were enrolled in the Medicaid program, and the Agency has terminated, or is in the process of terminating, their participation in the program.
The Agency also issued an Emergency Suspension Order to Rosita Wing d/b/a Tyrone Manor, an assisted living facility in Pinellas County.
In addition, eight providers were issued final orders terminating them from participation in the Medicaid program and have been reported to the federal government for placement on the federal exclusion list, prohibiting them from participating in Medicaid and Medicare nationwide.The Agency also suspended five providers from participation in the Medicaid program, prohibiting their payment for claims to the Medicaid program for furnishing, supervising a person who is furnishing, or causing a person to furnish goods or services.
Agency Medicaid terminations and suspensions typically result from failure to return funds due to the Agency within required timeframes; a charge, indictment, or guilty plea to a health care related crime; suspension, termination, or exclusion from Medicare or Medicaid in another state; or a license denial, revocation, suspension or termination by the licensing agency.
The chart below displays the Agency’s June licensure actions:
The chart below displays the Agency’s June Medicaid final order actions:
Further information about the actions and final orders can be found on the public records search page by clicking HERE. Emergency orders, including moratoriums on admissions and suspensions, can also be found on the public records search page by searching the name of the facility.
The Agency encourages anyone who may have a concern or observes a problem in any health care facility or with any provider regulated by the Agency, to file a complaint by calling our consumer complaint line at 1-888-419-3456 or by reporting online at ahca.myflorida.com/Contact/call_center.shtml.
Tips about suspected fraud can be reported by calling the Attorney General’s Fraud Hotline at 1-866-966-7226 or the Agency’s Consumer Call Center at 1-888-419-3456. Anyone can report fraud online by visiting the Agency’s website at apps.ahca.myflorida.com/mpi-complaintform.
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 44,000 health care facilities and 53 health plans, and publishes health care data and statistics at FloridaHealthFinder.gov. Additional information about Agency initiatives is available via Facebook, Twitter and YouTube.