Fraud - An intentional deception or misrepresentation made by a person with the knowledge that the deception results in unauthorized benefit to herself or himself or another person. The term includes any act that constitutes fraud under applicable federal or state law.
Waste – Mismanagement of resources, including incurring unnecessary costs because of inefficient or ineffective practices or systems.
Abuse - Provider practices that are inconsistent with generally accepted business or medical practices and that result in an unnecessary cost to the Medicaid program or in reimbursement for goods or services that are not medically necessary or that fail to meet professionally recognized standards for health care, or recipient practices that result in unnecessary cost to the Medicaid program.
Suspected fraud, waste, and/or abuse will be reported to:
Compliance Officer: Nanette O’Donnell
complianceofficer@floridacareservices.org
or contact the Compliance Hotline:
(877) 337-0172