The Agency for Health Care Administration (AHCA) in Florida was created by Chapter 20 of the Florida Statutes and serves as the primary health policy and planning institution for all of Florida.
Florida’s Medicaid program is worth $25.2 billion. The more than 4 million Floridians served by that program and the licensure of the almost 50,000 health care facilities in Florida all fall under the jurisdiction of the AHCA in Florida.
What Does the AHCA Do in Florida?
Essentially, the AHCA regulates and coordinates the Medicaid system and the healthcare providers that offer medical services through that program to Floridians, so there is sharing of healthcare data and resources across the state through the Florida Center for Health Information and Policy Analysis.
As much as the AHCA is a regulatory agency in Florida, they have ongoing goals to get more Floridians the health insurance they need, identify and eliminate fraudulent providers that are raising costs for everyone, and cut back on regulations that aren’t valuable or productive.
What Are Florida AHCA Regulations?
It may be easier to list what Florida AHCA does NOT regulate rather than all it does, but here are just a few of the primary things that ACHA regulates:
- Fraud and abuse of billing and services
- Licensure of healthcare professionals, healthcare clinics and other facilities, including hospitals and long-term care programs
- Quality of care and civil rights complaints in all healthcare facilities
- Compilations of healthcare data
- Background screenings for those who work as administrators or employees in nursing homes
- Health plan enrollment, rates, contracts, and related information
What Do I Need to Be in Compliance With ACHA in Florida?
Every healthcare provider and facility will have a different list of regulations, licensure, and other compliance tools to address with the ACHA. Contact us at the Florida Healthcare Law Firm to set up an appointment. We can help you discover what you and your business need to remain compliant.