Health Care Administration, Agency for

Report NumberRelease DateTitle
16-07 12/16 Review of Medicaid Dental Services
16-03 1/16 AHCA Reorganized to Enhance Managed Care Program Oversight and Continues to Recoup Fee-for-Service Overpayments
14-09 3/14 iBudget Implementation Continues as the Agency for Persons with Disabilities Responds to Legal Challenges
14-05 1/14 Medicaid Program Integrity Recovers Overpayments in Fee-For-Service and Monitors Fraud and Abuse in Managed Care
13-07 3/13 Profile of Florida’s Medicaid Home and Community-Based Services Waivers
12-03 1/12 Profile of Florida’s Medicaid Home and Community-Based Services Waivers
11-22 12/11 Agency for Health Care Administration Continues Efforts to Control Medicaid Fraud and Abuse
11-03 1/11 Profile of Florida’s Medicaid Home and Community-Based Services Waivers
10-51 8/10 Legislature Clarified Responsibility for Educating Exceptional Students in Residential Facilities
10-33 3/10 The State Could Consider Several Options to Maximize Its Use of Funds for Medicaid Home and Community-Based Services
10-32 3/10 Enhanced Detection, Stronger Sanctions, Managed Care Fiscal Safeguards, and a Fraud and Abuse Strategic Plan Are Needed to Further Protect Medicaid Funds
10-23 2/10 The Alzheimer’s Disease Waiver Program Does Not Delay Nursing Home Entry More Effectively Than Other Waivers and Costs the State More Per Participant Than Most Waivers That Serve Similar Persons
10-10 1/10 Profile of Florida's Medicaid Home and Community-Based Services Waivers
10-09 1/10 Number of For-Profit Hospices Has Grown; Current Measures and Standards Are Not Sufficient to Assess Hospice Quality
09-42 12/09 State and Local Entities Use a Variety of Means to Inform Parents About KidCare
09-32 7/09 Florida's Medicaid Home and Community-Based Services Waivers
09-29 6/09 Medicaid Reform: Legislature Should Delay Expansion Until More Information Is Available to Evaluate Success
09-08 2/09 Increased Public Awareness of the Long-Term Care Insurance Partnership Program Would Contribute to the Program’s Success
08-64 11/08 Medicaid Reform: Reform Provider Network Requirements Same as Traditional Medicaid; Improvements Needed to Ensure Beneficiaries Have Access to Specialty Providers
08-55 9/08 Medicaid Reform: Oversight to Ensure Beneficiaries Receive Needed Prescription Drugs Can Be Improved; Information Difficult for Beneficiaries to Locate and Compare
08-54 9/08 Medicaid Reform: Risk-Adjusted Rates Used to Pay Medicaid Reform Health Plans Could Be Used to Pay All Medicaid Capitated Plans
08-46 7/08 Medicaid Reform: Choice Counseling Goal Met, But Some Beneficiaries Experience Difficulties Selecting a Health Plan That Best Meets Their Needs
08-45 7/08 Medicaid Reform: Beneficiaries Earn Enhanced Benefits Credits But Spend Only a Small Proportion
08-44 7/08 Early Steps Has Revised Reimbursement Rates But Needs to Assess Impact of Expanded Outreach on Child Participation
08-40 6/08 Medicaid Reform: Two-Thirds of the Initial Pilot Counties' Beneficiaries Are Enrolled in Reform Plans
08-38 6/08 Medicaid Reform: More Managed Care Options Available; Differences Limited by Federal and State Requirements
08-37 6/08 Medicaid Reform: Few Beneficiaries Have Participated in the Opt-Out Program
08-15 3/08 APD Should Take Steps to Ensure New Needs Assessment and Individual Budget Process Is Timely and Effective
08-08 2/08 AHCA Making Progress But Stronger Detection, Sanctions, and Managed Care Oversight Needed
07-12 2/07 Several Factors Can Delay Eligibility Determination for Medicaid Long-Term Care
07-08 2/07 Legislature Could Consider Options to Address Pharmacy Benefit Manager Business Practices
06-76 12/06 Patient Safety Corporation Has Made Progress; Needs to Continue Developing Its Infrastructure
06-49 5/06 Progress Report: Steps Taken to Maximize Federal Revenue for Exceptional Student Education Program
06-45 5/06 The Nursing Home Diversion Program Has Successfully Delayed Nursing Home Entry
06-29 3/06 Florida’s Certificate of Need Process Ensures Qualified Hospice Programs; Performance Reporting Is Important to Assess Hospice Quality
06-23 3/06 Enhanced Detection and Stronger Use of Sanctions Could Improve AHCA’s Ability to Detect and Deter Overpayments to Providers
06-21 3/06 Substance Abuse and Mental Health Corporation Made Progress But Needs More Narrow Focus
06-10 2/06 Service Use for Nursing Home Diversion Waiver Clients Depends on Living Situation
06-07 1/06 Inflated Pricing and Confidential Information Prevent Medicaid from Ensuring Lowest Prescription Drug Prices
05-62 12/05 A Medicaid Buy-in Program Would Increase Health Care Access for the Uninsured But Also Increase State Costs
05-39 7/05 Disabilities Groups Should Improve Coordination, But Duplication of Activities Appears to Be Low
05-17 3/05 The Substance Abuse and Mental Health Corporation Has Not Addressed Its Responsibilities Fully
05-06 2/05 DOEA Has Taken Reasonable Steps to Begin the Aging Resource Center Initiative
05-03 1/05 Continuing Certain Medicaid Options Will Increase Costs, But Benefit Recipients and the State
04-84 12/04 Legislature Has Several Options for Florida’s KidCare Family Premium
04-77 11/04 Progress Report: AHCA Takes Steps to Improve Medicaid Program Integrity, But Further Actions Are Needed, November 2004
04-67 8/04 Progress Report: DCF Implements Recommendations, But Some Delays Still Occurring in Residential Mental Health Assessment Process
04-53 8/04 Progress Report: Medicaid Should Improve Cost Reduction Reporting and Monitoring of Health Processes and Outcomes
04-39 6/04 Many Children Receiving Intensive Exceptional Student Education Services Are Served by Multiple Programs; No Unnecessary Duplication of Services Found
04-34 5/04 Progress Report: Medicaid Disease Management Initiative Has Not Yet Met Cost-Savings and Health Outcomes Expectations
04-30 5/04 Medicaid Field Offices Can Improve Efficiency and Effectiveness; State Could Outsource Some Activities
04-16 2/04 Maximizing Federal Revenue Could Help Offset Costly Services for Children with Disabilities
03-27 4/03 Progress Report: Changes to Medicaid Preferred Drug List Requirements and Competitive Bidding Pharmacy Contracts Could Save an Additional $86.6 Million in 2003-04
03-15 2/03 Uncertainty Exists Regarding Florida's Proposed Physician Upper Payment Limit Program
03-11 2/03 Legislative Options for County Share of Medical Nursing Home Costs
03-03 1/03 Residential Mental Health Assessment Process Working Well with Minor Delays
02-02 1/02 Healthy Kids Slots Used; Waiting Lists Eliminated, But Could Reoccur If Local Match Is Reinstated
01-61 11/01 Expected Medicaid Savings Unrealized; Performance, Cost Information Not Timely for Legislative Purposes
01-50 10/01 Consolidation of Medical Quality Assurance Governance Structure Only a Partial Solution
01-39 9/01 Medicaid Program Integrity Efforts Recover Minimal Dollars, Sanctions Rarely Imposed, Stronger Accountability Needed
01-27 5/01 Medicaid Disease Management Initiative Sluggish, Cost Savings Not Determined, Design Changes Needed
01-24 5/01 Health Care Regulation Program, Agency for Health Care Administration
01-10 2/01 Growth in Medicaid Prescription Drug Costs Indicates Additional Prudent Purchasing Practices Are Needed
00-14 10/00 Progress Report: Agencies Are Following Through by Consolidating Administrative Services
99-51 5/00 Progress Report: Other Initiatives to Decrease Long-Term Care Costs Should Accompany Medicaid Waiver Expansion
99-35 2/00 Progress Report: Disability Determination Program Taking Actions to Improve Its Timeliness
99-14 11/99 Progress Report: Transportation Disadvantaged Commission
98-68 2/99 Follow-up Report on the Office of Plans and Construction Within the Agency for Health Care Administration
98-27 12/98 Follow-Up Report on Assisted Living Facilities Serving Residents with Severe Mental Illnesses
98-20 11/98 Review of the Provision of Administrative Services in Florida's Health and Human Services Agencies
98-16 10/98 Inventory of Information and Referral Services Offered Through the: Agency for Health Care Administration, Department of Children and Families, Department of Elder Affairs, Department of Health, Department of Juvenile Justice, Department of Labor and Emp
98-14 10/98 Follow-Up Report on the Status of Community Health Purchasing Alliances in Florida
97-74 6/98 Supplemental Analyses of the Pilot Project Authorizing Direct Admission to Extended Congregate Care
97-73 5/98 Follow-Up Report on the Performance Review of the Certificate of Need Program for Nursing Homes
97-26 12/97 Review of the Pilot Project Authorizing Direct Admission to Extended Congregate Care
97-11 10/97 Follow-up Report on Medicaid Managed Care Options
96-75 4/97 Follow-up Report on Client Outcome and Program Effectiveness Systems
96-66 3/97 Review of the Office of Plans and Construction Within the Agency for Health Care Administration
96-57 2/97 Review of Assisted Living Facilities Serving Residents With Severe Mental Illnesses
96-26 12/96 Second Status Report on the Pilot Project Authorizing Direct Admission to Extended Congregate Care
96-14 11/96 Follow-up Report on Efforts to Identify and Deter Provider Fraud and Abuse in Florida's Medicaid Program
96-05 9/96 Review of the Status of Community Health Purchasing Alliances in Florida
95-51 4/96 Performance Review of the Certificate of Need Program for Nursing Homes Administered by the Agency for Health Care Administration
95-49 4/96 Review of Legal Issues Concerning Florida Board of Medicine Disciplinary Practices
95-19 12/95 Status Report on the Pilot Project Authorizing Direct Admission to Extended Congregate Care
95-14 12/95 Review of the Licensing and Disciplinary Practices of the Board of Medicine
94-47 4/95 Follow-up Review of Medicaid Managed Care Administered by the Agency for Health Care Administration
94-24 12/94 Review of Client Outcome and Program Effectiveness Systems Administered by the Department of Health and Rehabilitative Services
94-18 12/94 Performance Review of Medicaid Managed Care Options Administered by the Agency for Health Care Administration
12355 6/94 Performance Audit of the Organ Donor Program Administered by the Department of Highway Safety and Motor Vehicles and the Agency for Health Care Administration
12287 4/94 Performance Audit of Efforts to Identify and Deter Provider Fraud and Abuse in Florida's Medicaid Program Administered by the Agency for Health Care Administration