CopyCited 8 times | Published | Supreme Court of Florida | 2001 WL 776533
...2671 (1980), the United States Supreme Court concluded that the Hyde Amendment did not violate either the Equal Protection Clause or the right of privacy found in the Due Process Clause of the federal constitution. The Medicaid program in Florida is administered by AHCA. See § 409.902, Fla. Stat. (2000). Section 409.902 provides that state Medicaid payments "shall be made, subject to any limitations or directions provided for in the General Appropriations Act, only for services included in the program, shall be made only on behalf of eligible individ...
CopyCited 5 times | Published | Florida 1st District Court of Appeal | 2001 WL 360245
...We reverse because the unambiguous language of the statute in question does not allow a reduction of the lien for attorney's fees and costs. Appellant, Agency for Health Care Administration (AHCA) is the sole Florida state agency authorized to make payments under the Florida Medicaid program. See § 409.902, Fla....
CopyCited 4 times | Published | Florida 1st District Court of Appeal | 2000 WL 423471
...de in its Medicaid Plan those medically necessary abortions for which federal reimbursement is unavailable ... [w]e hold only that a state need not include such abortions in its Medicaid plan." Id. at 311, footnote 16. It appears that our State, via section 409.902, Florida Statutes, has elected to fund only those services included in the program....
CopyCited 3 times | Published | Florida 1st District Court of Appeal | 2003 Fla. App. LEXIS 4733, 2003 WL 1798101
...Historically, Appellants' two facilities involved here have been high Medicaid providers: currently, 90% (Washington County) and 85% (Walton County), compared to the statewide average of 50-55%. AHCA is responsible for the administration of Medicaid in Florida. § 409.902, Fla....
CopyCited 1 times | Published | Florida 2nd District Court of Appeal | 2005 WL 2467615
...During her birth, the Decedent suffered a lack of oxygen to her brain and remained in a vegetative state until her death on August 3, 2003. She accumulated $74,903.41 in medical bills. The Agency paid these medical expenses through Florida's Medicaid program. § 409.902....
CopyCited 1 times | Published | Florida 1st District Court of Appeal | 2006 Fla. App. LEXIS 6903, 2006 WL 1210200
...§ 431.10. In Florida, the Agency for Health Care Administration (AHCA) is designated as the Florida state agency authorized to make payments to qualified providers for medical assistance and related services on behalf of eligible individuals. See § 409.902, Fla....
CopyCited 1 times | Published | Florida 1st District Court of Appeal | 2007 WL 2174850
...In each *156 state, a "single state agency" is responsible for administering the Medicaid program. 42 C.F.R. § 431.10. In Florida, AHCA is designated as the Florida state agency authorized to make payments to qualified providers for medical assistance and related services on behalf of eligible individuals. See § 409.902, Fla....
CopyCited 1 times | Published | Florida 4th District Court of Appeal | 2005 WL 3533677
...heir total claim. Affirmed. KLEIN, J., and HOROWITZ, ALFRED, Associate Judge, concur. NOTES [1] §
768.16, Fla. Stat. (1999). [2] §
409.910, Fla. Stat. (1999). [3] Florida's Medicaid program is authorized under Title XIX of the Social Security Act. §
409.902, Fla. Stat. (1999); see 42 U.S.C. § 1396 (2000). The Agency for Health Care Administration makes the payments for medical assistance and related services for those who qualify. §
409.902, Fla....
CopyPublished | Florida 1st District Court of Appeal
...Dist. v. Save the Manatee Club, Inc.,
773 So. 2d 594, 597
(Fla. 1st DCA 2000).
2. The Law
Under Florida’s Medicaid Third Party Liability Act, AHCA is
responsible for administering Florida’s Medicaid program. §
409.902, Fla....
CopyPublished | Florida 2nd District Court of Appeal | 2015 Fla. App. LEXIS 17914, 2015 WL 7566262
...Perón has been approved by the Department to receive Medicaid ICP benefits since 2008. Medicaid ICP is a program that provides coverage for. healthcare services to individuals who require institutional care in nursing facilities. The Department is the state entity that determines ICP eligibility. § 409.902, Fla....
CopyPublished | Florida 4th District Court of Appeal | 2004 Fla. App. LEXIS 4091, 2004 WL 625773
...ve intent and supported by competent substantial evidence.” Williams v. Dep’t of Mgmt. Servs., Div. of Retirement,
678 So.2d 1282, 1283 (Fla.1996) (citation omitted). DCF is the agency charged with making Medicaid eligibility determinations. See §
409.902, Fla....
CopyPublished | Florida 2nd District Court of Appeal | 2017 WL 945532, 2017 Fla. App. LEXIS 3214
...Willoughby sought UM benefits from his insurer,
21st Century Centennial Insurance Company. 21st Century denied coverage and
refused to pay. Mr. Willoughby sued, claiming that 21st Century acted in bad faith and
1
AHCA administers the Florida Medicaid program. See § 409.902, Fla.
Stat....
CopyPublished | Florida 4th District Court of Appeal | 2003 Fla. App. LEXIS 11714, 2003 WL 21750273
...rges ensue. We therefore affirm as to all issues raised by appellants but, in light of our conclusion that no hearing was necessary, remand for further proceedings consistent with this opinion. WARNER, and SHAHOOD, JJ., concur. . The State has cited section 409.902, Florida Statutes, which provides: *325 As a condition of Medicaid eligibility, subject to federal approval, the Agency for Health Care Administration and the Department of Children and Family Services shall ensure that each recipient...
CopyPublished | Florida 1st District Court of Appeal
...that left him with life threatening injuries. As a result of those
injuries, the decedent received extensive medical care that was
paid by Florida’s Medicaid program. Florida’s Medicaid program
is administered by the Agency for Health Care Administration
(AHCA). See § 409.902(1), Fla....
CopyPublished | Florida 1st District Court of Appeal | 2016 WL 764718
...to pay down the previously
incurred nursing home debt.
The Agency for Health Care Administration (AHCA) is charged with
managing Florida’s State Medicaid program while the Department is responsible for
making eligibility determinations. § 409.902, Fla....
CopyPublished | Florida 1st District Court of Appeal
...§
1396b(v)(2). In fact, federal law mandates that state Medicaid
programs provide services necessary to treat an undocumented
alien’s emergency medical condition. 42 U.S.C. § 1396(b)v.
Florida enacted legislation consistent with federal law. See §§
409.902(2)(b),
409.904(4), Fla....
...Eligibility can be authorized only for the
duration of the emergency. Medicaid will not pay for
continuous or episodic services after the emergency has
been alleviated. (emphasis added).
Florida law designates DCF as responsible for determining
eligibility for Medicaid. § 409.902(1), Fla. Stat. The Agency “is
designated as the single state agency authorized to make
5
payments” under Medicaid. § 409.902(1), Fla....
...le for making
Medicaid eligibility determinations based on information
submitted by providers. Conversely, the Agency’s assigned
Medicaid role is to determine the medical necessity of the services
rendered to treat the emergency medical condition. § 409.902, Fla.
Stat....
CopyPublished | Florida 4th District Court of Appeal | 2003 Fla. App. LEXIS 1395, 2003 WL 289462
...of Psychological Exam’rs.,
622 So.2d 1109, 1113 (Fla. 1st DCA 1993). We must remand the case because the hearing officer failed to make necessary findings of fact and based on the appellate record it appears that DCF exer *539 cised its discretion in a manner inconsistent with agency rules. Section
409.902, Florida Statutes (2001), assigns the responsibility of determining Medicaid eligibility to DCF....
CopyPublished | Florida 1st District Court of Appeal | 2016 WL 1295045, 2016 Fla. App. LEXIS 5171
...Medicaid Services (CMS) oversees state Medicaid programs. In Florida, the Agency
for Health Care Administration (AHCA) administers the Medicaid program, while
DCF determines eligibility determinations and calculates participants’ co-payment
amounts. See § 409.902, Fla....
CopyPublished | Florida 1st District Court of Appeal
...Facts The Hospitals provide inpatient and outpatient hospital care in Florida to Medicaid patients. Reimbursement for the services provided is based on Medicaid rates calculated by the Agency each year. The Agency is the single state agency authorized to make Medicaid payments for services rendered. See § 409.902(1), Fla....
...Acad. of Cosmetic Surgery ,
808 So.2d 243 , 251 (Fla. 1st DCA 2002). The Statutes and GAAs The Agency makes payment to qualified providers as set forth in Chapter 409, Florida Statutes, subject to the limitations or directions enumerated in the GAAs. §
409.902(1), Fla....
CopyPublished | Florida 1st District Court of Appeal
...Facts The Hospitals provide inpatient and outpatient hospital care in Florida to Medicaid patients. Reimbursement for the services provided is based on Medicaid rates calculated by the Agency each year. The Agency is the single state agency authorized to make Medicaid payments for services rendered. See § 409.902(1), Fla....
...Acad. of Cosmetic Surgery ,
808 So.2d 243 , 251 (Fla. 1st DCA 2002). The Statutes and GAAs The Agency makes payment to qualified providers as set forth in Chapter 409, Florida Statutes, subject to the limitations or directions enumerated in the GAAs. §
409.902(1), Fla....
CopyPublished | Florida 1st District Court of Appeal
...Facts
The Hospitals provide inpatient and outpatient hospital care
in Florida to Medicaid patients. Reimbursement for the services
provided is based on Medicaid rates calculated by the Agency each
year. The Agency is the single state agency authorized to make
Medicaid payments for services rendered. See § 409.902(1), Fla.
Stat.
Historically, the Agency reimbursed hospitals on a fee-for-
service basis....
...1st DCA
2002).
31
The Statutes and GAAs
The Agency makes payment to qualified providers as set forth
in Chapter 409, Florida Statutes, subject to the limitations or
directions enumerated in the GAAs. § 409.902(1), Fla....
CopyPublished | Florida 3rd District Court of Appeal | 2004 WL 840149
...59G-4.230, Florida Administrative Code, [2] as well as certain portions of the Florida Medicaid Physician Coverage and Florida Medicaid Provider Reimbursement handbooks incorporated in those rules, are invalid. The rules were implemented pursuant to section 409.902, Florida Statutes (2000) which authorizes the Agency to make payments for medical services under Title XIX of the Social Security Act and state law....
