Mary Beth Sheffield, CPA, CIA, CFE, CIG, CIGI
https://apps.ahca.myflorida.com/mpi-complaintform/ Inspector General
2727 Mahan Drive, MS4
Tallahassee, FL 32308
(850) 921-6009 Fax
The Office of the Inspector General is an integral part of the Agency for Health Care Administration (Agency). The purpose of the Office of the Inspector General is to provide a central point for coordination of and responsibility for activities that promote accountability, integrity, and efficiency in the Agency. Section 20.055, Florida Statutes, mandates the duties and responsibilities of each inspector general, with respect to the state agency/department in which the office is established.
The primary mission of the Office of the Inspector General is to assist the Secretary and other Agency management in championing accessible, affordable, quality health care for all Floridians by assessing the efficiency and effectiveness of health care administration resource management.
This is accomplished by providing an independent examination and evaluation of Agency programs, activities, and resources and by conducting internal investigations of alleged violations of Agency policies, procedures, rules or laws.
For an itemization of the specific duties and responsibilities of the Inspector General, and a summary of the Inspector General's activities for the latest complete fiscal year, please view the Office of the Inspector General Annual Report. [3MB, PDF]
The Inspector General shall be appointed by the Chief Inspector General and reports to both, the Chief Inspector General and Agency Secretary. The Inspector General oversees three sections: Internal Audit, Investigations and HIPAA Compliance Office.
Internal Audit - Performs management consultation, management reviews, special projects, and independent audits. Internal Audit provides Agency management with an independent analysis of operations and controls within the Agency and recommends methods by which these functions may be improved in pursuant to Section 20.055(6), Florida Statutes. Audits are conducted in accordance with professional auditing standards.
Investigations - Provides for the receiving, processing, investigation, and documentation of complaints of alleged violations of Agency policies, procedures, rules, or laws by the Agency or its employees. Conducts investigations pursuant to the Whistle-blower Act in accordance with Sections 112.3187 through 112.31895, Florida Statutes. Office of the Inspector General Investigations are conducted in compliance with the Quality Standards for Investigations found within the Principles and Standards for Offices of Inspector General.
HIPAA Compliance Office - Advises and assists the agency in its HIPAA compliance efforts and in safeguarding the privacy of all Protected Health Information (PHI) in the Agency's custody. Assists Medicaid recipients in exercising their rights as provided by HIPAA.