FL H0991

Hospitals accepting $10 million or more annually in state or federal funds for Medicaid services must establish a Medicaid compliance office and appoint a compliance officer reporting to the CEO/president.

Hospitals must develop and distribute a written code of conduct, policies and procedures, risk assessment and internal review processes, and annual training plans addressing federal health care program requirements and anti-kickback laws.

Compliance officer must submit quarterly reports to hospital leadership, monitor compliance activities, report violations to the CEO/president and the Agency for Health Care Administration, and chair a hospital compliance committee.

Hospitals must notify the Agency's inspector general within 30 days of discovering a "reportable event" including substantial overpayments, probable violations of health care laws, employment of ineligible persons, or bankruptcy filings; failure to notify results in a penalty of $1,000 per day per reportable event.

Hospitals must submit annual compliance reports to the agency by January 1 of each year detailing compliance officer changes, committee membership, code of conduct updates, training plans, violations reported, risk assessments, and all reportable events and their investigation status.