FL S0322

Establishes written notice requirement for the Agency for Health Care Administration to notify hospital providers of Medicaid reimbursement rates, constituting final agency action.

Creates 180-day deadline for hospitals to challenge reimbursement rate calculations through administrative hearing; failure to timely file constitutes acceptance of the rates.

Limits methodology challenges to 5 years before the petition date and caps any court-ordered compensation to $5 million unless a separate appropriation is enacted by law.

Prohibits tolling of time periods during pending administrative or appellate proceedings and establishes administrative proceedings as the exclusive means to challenge reimbursement rates.

Applies retroactively to all pending and future challenges and allows retroactive rate recalculation for cost reports filed late if they would result in lower reimbursement rates.