Program Overview
In 2009, the Florida Legislature made changes to the law impacting the Medicaid Program
and the delivery of Home Health Services. This website provides information
on changes occurring as part of the Comprehensive Care Management (CCM) Program.
Effective July 1, 2010, the Agency for Health Care Administration (AHCA) contract
with KePRO to implement a project to monitor on-site delivery of Home
Health Services in Miami-Dade County. KePRO shall implement a comprehensive care
monitoring (CCM) program for providers of Home Health Services, which includes face-to-face
assessments of the recipient by a licensed registered nurse, consultation with the
physicians ordering the services, and on-site or desk reviews of recipients’ medical
records. The staff hired to effectively perform the different stages of the program
are seasoned licensed health care professionals with experience in the Home Health
Service field.
The objectives of the program are to reduce and prevent unnecessary program cost to
the State, identify fraudulent or wasteful use of Medicaid Home Health services,
and in the process, educate all stake holders about the goals and objectives of the
program, along with the ramifications of fraud and abuse.
Program Materials
KePRO's materials are available in various file formats, which may require specific
tools to enable you to view them. The file types and links to the associated tools
that you may need to download and install are listed below:
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