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Deadline to submit Program Year 2021 applications August 31, 2021
Deadline to submit outstanding Program Year 2021 documentationOctober 22, 2021


Program Year 2021 marked the end of the Promoting Interoperability Incentive Program. Since the inception of the Program, AHCA has made over $591 million in total payments to Eligible Hospitals and Professionals (EPs). EHs accounted for a total of 539 payments representing 182 unique hospitals and as of October 1st there has been over 18,508 payments for EPs comprised of 9060 unique providers. All program payments must be made through AHCA by no later than December 31st. It should be noted that program audits will continue and the Featured FAQ below provides additional information on the ongoing audit process. If you have any questions about the program or any application, please reach out to MedicaidHIT@ahca.myflorida.com. Thank you for your participation and continued support over the last 10 years.


What, if any, types of audits will be conducted on incentive payments received?

The Agency is required to perform provider audits to ensure that incentive payments were made to EPs that met all program requirements. The Agency has contracted with KPMG LLP (KPMG), a public accounting and auditing firm, to conduct these post-payment audits. Providers will initially be notified by the Agency of their selection for audit. KPMG will then contact the provider directly with a list of requested documentation and information on how to submit documentation. KPMG, in conjunction with Agency staff, will conduct an auditee webinar further explaining the audit process including viewed request documentation.

If selected for an audit, providers must respond within the time periods specified. Failure to provide documentation by the deadline will result in notification from the Agency that if documents are not provided in 30 days, it will be assumed that the provider does not qualify for the payment and the Office of the General Counsel will be notified to begin recoupment.

In addition to audits conducted on behalf of the Agency, the Florida Auditor General, the Centers for Medicare and Medicaid Services (CMS), and the Federal Office of the Inspector General (OIG) may conduct audits of EHR incentive payments.