APD > Providers

Fight Medicaid Fraud

The Agency for Persons with Disabilities does not tolerate fraud. To report Medicaid Fraud and False Claims, please contact:

• Medicaid Program Integrity, AHCA, at 1-888-419-3456
• Medicaid Fraud Control Unit, Office of the Attorney General, at 1-866-966-7226
• Office of the Inspector General, APD, at 1-866-APD-CARES (273-2273)
• APD Medicaid Fraud Brochure (English) | Combata el fraude de Medicaid (folleto español)
• Read more about Medicaid Fraud

Seclusion and Restraint Rule (65G-8)

• Effective August 7, 2008, as mandated by the Florida Legislature.

Update on EDS Provider Payment Issue

Behavioral Services Resources

• The materials listed here have been included as resources that we hope will be helpful as you plan, deliver and monitor services to individuals with special needs.

Medication Administration Forms

• Medication Administration Forms
  Incorporated by Rule 65G-7, Florida Administrative Code.

Provider Rates, Billing, & Payments

• Notice to Providers of Upcoming Rate Reductions



• DD Waivers: Rates for Medicaid Waiver Services (Excel)
  Rates for Medicaid Waiver Services (PDF)
  Effective 7/1/08
• DD Waivers: Rates for Residential Habilitation in a Licensed Facility (Excel)
  Rates for Residential Habilitation in a Licensed Facility (PDF)
  Effective 7/1/08
• Provider Training for the new EDS Web Portal Claim Submission and CMS 1500 Claim Form
  This training is being provided by the Agency for Health Care Administration and the new Florida Medicaid Fiscal Agent (EDS) to familiarize providers with the new billing system. Registration is required and space is limited.
• Residential Habilitation Rates - Revised Provider Information
• Procedures for Implementing Revisions to the Residential Habilitation Daily Rates
  Required by Statute, Revised 10-22-07, Effective December 1, 2007
• Revised Provider Rate Table for Residential Habilitation Services in a Licensed Facility
  Effective January 1 - March 30, as adopted by AHCA Emergency Rule.
• Provider Rate Reduction Procedures
  June 6, 2008
• Provider Rate Table
  Effective January 1, 2007
• National Provider Identifier (NPI) for Waiver Providers
• Billing Adjustments and Voids
• Payment Resolution Information
• Direct Provider Billing Code Matrix | Billing Code Matrix (Excel)
• Direct Provider Billing Training
• APD Operating Procedure 18-002
  Provider Recoupment and Overpayment for Services Funded by the Home and Community-Based Services Waivers

Standard Contract

• APD Standard Contract 2007
• APD Standard Contract Audit Attachment 2006

Waivers

• Recent updates, Tiers, Questionnaire for Situational Information (QSI), Support Coordination, FSL, Medicaid and HCBS Waiver information.

Support Coordination

• Includes forms, questions and answers, contact information, and more.

Training

• Required Direct Care Core Competency, optional Delmarva offerings, Supported Employment, Yellow Notebook Series, Personal Outcomes Training and more.

Supported Living

• Family and Supported Living Quick Reference Guide
• Supported Living Cost Containment Measures
• Provision Of In-Home Subsidies for Persons In Supported Living Arrangements

Provider Search

• Agency for Persons with Disabilities HCBS Medicaid Waiver Provider Search
  Search by service category and by district to locate service providers.
• Please note that this listing contains all active providers of record, however, not all active providers of record are still in business or accepting new business.

ABC System

• ABC Security Officers

Delmarva

• Delmarva Provider Performance Review Monitoring Tools
• Changes to WiSCC Procedures

APS Healthcare

• APS Healthcare Prior Service Authorization Information and Forms

Incident Reporting Forms

• APD Operating Procedure 10-002
  Incident Reporting and Risk Prevention for Consumers Living in the Community or in ICF/DDs
  • Incident Reporting Form
  
  
  
  • Area 8 Incident Reporting Protocol
  • Area 12 Incident Reporting Protocol
  
  
  • Follow-Up Measures Taken