FL S1358

Expands audit requirements in section 465.188 to cover Medicaid-related, third-party payor, and third-party administrator records of pharmacy permittees, rather than Medicaid records alone.

Protects pharmacies from financial recoupment on claims containing only clerical or recordkeeping errors (typographical, scrivener's, or computer errors) unless fraud is proven, and applies this protection to third-party claims submitted after July 1, 2011.

Prohibits use of extrapolation accounting practices for calculating penalties or recoupment in Medicaid, third-party payor, or third-party administrator audits.

Requires audits to be conducted by licensed pharmacists with at least 1 week prior notice, limits audit periods to 1 calendar year, prohibits scheduling audits during the first 5 days of any month, and mandates preliminary audit reports within 90 days and final reports within 6 months.

Establishes appeal and preliminary review processes through ad hoc peer review panels of active pharmacists for both Medicaid audits (appointed by the Agency for Health Care Administration) and third-party audits (appointed by the payor or administrator).