400.5185 Review and modification of prior authorization.—The Agency for Health Care Administration shall review the process, procedures, and contractor’s performance for the prior authorization of home health agency visits that are in excess of 60 visits over the lifetime of a Medicaid recipient. The agency shall determine whether modifications are necessary in order to reduce Medicaid fraud and abuse related to home health services for a Medicaid recipient which are not medically necessary. If modifications to the prior authorization function are necessary, the agency shall amend the contract to require contractor performance that reduces potential Medicaid fraud and abuse with respect to home health agency visits.
History.—s. 15, ch. 2008-246.
Section: Previous 400.476 400.4785 400.484 400.487 400.488 400.491 400.492 400.494 400.497 400.506 400.509 400.512 400.518 400.5185Last modified: September 23, 2016