Florida Statutes
Part III - Medicaid (Ss. 409.901-409.9205)
409.9203 - Rewards for reporting Medicaid fraud.


(1) The Department of Law Enforcement or director of the Medicaid Fraud Control Unit shall, subject to availability of funds, pay a reward to a person who furnishes original information relating to and reports a violation of the state’s Medicaid fraud laws, unless the person declines the reward, if the information and report:
(a) Is made to the Office of the Attorney General, the Agency for Health Care Administration, the Department of Health, or the Department of Law Enforcement;
(b) Relates to criminal fraud upon Medicaid funds or a criminal violation of Medicaid laws by another person; and
(c) Leads to a recovery of a fine, penalty, or forfeiture of property.

(2) The reward may not exceed the lesser of 25 percent of the amount recovered or $500,000 in a single case.
(3) The reward shall be paid from the Operating Trust Fund from moneys collected pursuant to s. 68.085.
(4) A person who receives a reward pursuant to this section is not eligible to receive any funds pursuant to the Florida False Claims Act for Medicaid fraud for which a reward is received pursuant to this section.
(5) Notwithstanding s. 68.085(3), the 10 percent of any remaining proceeds deposited into the Operating Trust Fund from an action based on a claim of funds from the state Medicaid program shall be allocated in the following manner:
(a) Fifty percent of such moneys shall be used to fund rewards for reporting Medicaid fraud pursuant to this section.
(b) The remaining 50 percent of such moneys shall be used by the Medicaid Fraud Control Unit to fund its investigations of potential violations of s. 68.082 and any related civil actions.

History.—s. 20, ch. 2009-223; s. 2, ch. 2013-207; s. 3, ch. 2015-92.

Structure Florida Statutes

Florida Statutes

Title XXX - Social Welfare

Chapter 409 - Social and Economic Assistance

Part III - Medicaid (Ss. 409.901-409.9205)

409.901 - Definitions; ss. 409.901-409.920.

409.902 - Designated single state agency; payment requirements; program title; release of medical records.

409.90201 - Recipient address update process.

409.9021 - Forfeiture of eligibility agreement.

409.9025 - Eligibility while an inmate.

409.903 - Mandatory payments for eligible persons.

409.904 - Optional payments for eligible persons.

409.905 - Mandatory Medicaid services.

409.906 - Optional Medicaid services.

409.9062 - Lung transplant services for Medicaid recipients.

409.9066 - Medicare prescription discount program.

409.907 - Medicaid provider agreements.

409.9071 - Medicaid provider agreements for school districts certifying state match.

409.9072 - Medicaid provider agreements for charter schools and private schools.

409.908 - Reimbursement of Medicaid providers.

409.9081 - Copayments.

409.9082 - Quality assessment on nursing home facility providers; exemptions; purpose; federal approval required; remedies.

409.9083 - Quality assessment on privately operated intermediate care facilities for the developmentally disabled; exemptions; purpose; federal approval required; remedies.

409.909 - Statewide Medicaid Residency Program.

409.910 - Responsibility for payments on behalf of Medicaid-eligible persons when other parties are liable.

409.9101 - Recovery for payments made on behalf of Medicaid-eligible persons.

409.9102 - A qualified state Long-Term Care Insurance Partnership Program in Florida.

409.911 - Disproportionate share program.

409.9113 - Disproportionate share program for teaching hospitals.

409.9115 - Disproportionate share program for mental health hospitals.

409.91151 - Expenditure of funds generated through mental health disproportionate share program.

409.9116 - Disproportionate share/financial assistance program for rural hospitals.

409.9118 - Disproportionate share program for specialty hospitals.

409.91188 - Specialty prepaid health plans for Medicaid recipients with HIV or AIDS.

409.9119 - Disproportionate share program for specialty hospitals for children.

409.91195 - Medicaid Pharmaceutical and Therapeutics Committee.

409.91196 - Supplemental rebate agreements; public records and public meetings exemption.

409.912 - Cost-effective purchasing of health care.

409.91206 - Alternatives for health and long-term care reforms.

409.9121 - Legislative findings and intent.

409.91212 - Medicaid managed care fraud.

409.9122 - Medicaid managed care enrollment; HIV/AIDS patients; procedures; data collection; accounting; information system; medical loss ratio.

409.9123 - Quality-of-care reporting.

409.91255 - Federally qualified health center access program.

409.9126 - Children with special health care needs.

409.9127 - Preauthorization and concurrent utilization review; conflict-of-interest standards.

409.9128 - Requirements for providing emergency services and care.

409.913 - Oversight of the integrity of the Medicaid program.

409.9131 - Special provisions relating to integrity of the Medicaid program.

409.9132 - Pilot project to monitor home health services.

409.9133 - Pilot project for home health care management.

409.914 - Assistance for the uninsured.

409.915 - County contributions to Medicaid.

409.916 - Grants and Donations Trust Fund.

409.918 - Public Medical Assistance Trust Fund.

409.919 - Rules.

409.920 - Medicaid provider fraud.

409.9201 - Medicaid fraud.

409.9203 - Rewards for reporting Medicaid fraud.

409.9205 - Medicaid Fraud Control Unit.