Effective July 1, 2016, the Agency for Health Care Administration (Agency) is suspending the Telephonic Home Health Service Delivery Monitoring and Verification (DMV) Program for the eight counties in which DMV operates: Broward, Duval, Hillsborough, Lee, Miami-Dade, Orange, Palm Beach, and Pinellas.
The suspension of the DMV program requirements for home health providers billing Medicaid fee-for-service allows the Agency to plan for and implement changes to the program in accordance with recent changes in Florida law.
Beginning July 1, 2016, all fee-for-service home health providers rendering home health visits, private duty nursing, and personal care services must start submitting claims directly to Florida Medicaid. DXC Technology (DXC), the Agency’s fiscal agent, offers support for submission of claims through the Florida Medicaid Secure Web Portal and is available at 1-800-289-7799, option 7. DXC can work with providers to answer questions regarding their secure Web Portal account information and provide training support.
Effective July 1, 2016, the Sandata system will be unavailable and no claims will be accepted through the Sandata Santrax system.
All fee-for-service home health service providers must continue seeking prior authorization through eQHealth Solutions, Inc. for home health services. Providers must continue to comply with Medicaid policy for service provision and billing. The Agency reserves the right to review provider claims and activities to ensure compliance with Medicaid policy during or after the DMV program suspension. Improper billing practices may result in actions being taken, including but not limited to claims denial, pre-payment reviews, sanctions, recovery of overpayments and termination from the Medicaid program.