Florida Medicaid Provider Agreement

2. Any supplier agreement is a voluntary contract between the Agency and the provider, in which the provider agrees to comply with all laws and rules relating to the Medicaid program when providing a service or property to a Medicaid recipient, and the Agency agrees to pay an amount determined by the pricing plan, payment method or otherwise for the service or property provided to the Medicaid beneficiary. Any service provider contract is valid for a specified period, may be terminated by both parties after an appropriate announcement and may be renewed by mutual agreement. b) It is forbidden to require reimbursement from the provider, in all cases where Medicaid`s overpayment is due to an error made by the service in determining the eligibility of a beneficiary. (1) Any supplier agreement requires the supplier to fully comply with all government and federal laws relating to the Medicaid program, as well as all federal, national and local licensing laws, if necessary, and the exercise of one of the curative arts, and requires the provider to provide services or goods that are no less than the volume and quality it offers to the general public. 6. A Medicaid supplier contract may be revoked at the Agency`s choice as a result of a change of ownership of an entity, grouping, partnership or other agency designated as a supplier in the supplier agreement. A supplier provides the Agency with a 60-day notification before the ownership of the company covered in the supplier agreement is changed. b) The Agency transmits fingerprints from the Department of Enforcement. The department conducts a criminal investigation of the state and transmits fingerprints to the Federal Criminal Police Office to verify the national criminal history. The costs of the national and national criminal record review are the responsibility of the supplier.

10. The Agency may refuse to register a provider in the Medicaid program if the supplier or official, director, representative, director or partner, or partner or shareholder with a 5% or more interest in the supplier, if the supplier is a capital company, partnership or other commercial entity, must provide the following information (a) of a completed application form. The application form requires the certificate certifying that the services or goods have been fully made available to the recipient and that the amount charged, with the exception of the services or goods indicated by the Agency, does not exceed the usual and usual fee of the supplier for the same services or products. 409.907 Medicaid Service Delivery Contracts.-The Agency may only make payments for medical assistance and related services to Medicaid recipients to a natural or legal entity that has an existing supplier agreement with the Agency, provides services or supplies goods in accordance with federal, regional and local laws, and accepts that no person is based on a disability. , a race, colour or other national origin as part of a program or other activity. for which the supplier receives payments from the Agency. (8) (a) Each supplier or adjudicating entity of the supplier, whether it is a company, partnership, association or other organization wishing to participate in the Medicaid program, must provide the Agency with a complete set of its fingerprints in order to conduct a criminal background check. Supplier contractors include all executives, directors, accountants, executives or associates, or any partner or shareholder with a 5% or more interest in the supplier.

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