Florida Medicaid Provider Bond

Florida Medicaid Provider Bond

Healthcare providers that allow their patients to use Medicaid as an insurance method must be registered as a Medicaid provider with the Florida Agency for Health Care Administration (AHCA). To be eligible for program approval, a Medicaid Provider Bond is required of the applicant.

QUOTE

Jet Insurance Company provides the Medicaid Provider Bond as a way to financially assure the Florida Agency for Health Care Administration that the applicant will follow all Medicaid program regulations. Most importantly is that the provider pays all mandatory fees to the AHCA.

How Is the Limit and Cost of the Medicaid Provider Bond Determined?

According to the Florida Agency for Health Care Administration, the bond limit must be either $50,000 or the total amount billed by the provider to the program during the most recent calendar year, whichever is greater. If you are new to the program, the bond amount will be determined by the AHCA—it is generally based on the provider’s estimated first year of billing. 

At Jet, prices for the Medicaid Provider Bond are a small percentage of the limit and are based on the personal credit score of the company, agency, or healthcare provider owner. Applicants that are seeking a $50,000 Medicaid Provider Bond (this being the most common bond limit) could pay $500 for a one-year bond term. 

For additional custom bond limits and Jet’s starting rates, take a look at the price chart below.

Bond LimitCost
$20,000$200
$50,000$500
$100,000$1,000
$200,000$2,000
$250,000$2,500
FL Medicaid Provider Bond Pricing

It is important to note that the AHCA requires a Medicaid Provider Bond for each provider location. Providers with a maximum of five locations can qualify for a single $250,000 Medicaid Provider Bond that will cover all of your locations as a whole.

The Florida Medicaid Provider Bond Process With Jet

Your application for the Medicaid Provider Bond can be done online through the button above, or if you’d prefer, you can call us at 855-296-2663 and we’ll help you out right away. Some general information will be needed such as your contact details, required bond limit, Medicaid Provider number, and social security number of the principal owner. Once you have submitted your completed application, a Jet underwriter will conduct a quick review and run a soft credit check (this process won’t impact your current score). 

Our underwriting team may need to collect additional information, such as personal and business financial statements, before eligibility and rate can be determined. Once a determination has been made, you’ll then receive an approved rate that is ready for immediate purchase. Simply fulfill payment and receive a copy of your receipt and bond form instantly. 

Once purchased, a Jet team member will fill out the bond form and send it to your preferred address. It will then be up to you to sign the bond form and file it with the Florida Agency for Health Care Administration. The signed and sealed Medicaid Provider Bond, and all other supporting documents, must be submitted via the Florida Medicaid Web Portal

If you are in need of further information regarding the Medicaid Provider Program, the AHCA’s mailing address and contact details can be found listed below.

Florida Agency for Health Care Administration
Office of Medicaid Program Integrity
2727 Mahan Drive, Mail Stop #8
Tallahassee, FL 32308
850-412-4000

How Does a Medicaid Provider Avoid Surety Bond Claims?

As a licensed Medicaid provider, you and your employees are expected to follow all applicable regulations pursuant to Title XXX, Chapter 409, Part III of the Florida Statutes. Most importantly, providers must apply all funds received appropriately and pay the state the required fees when accepting Medicaid as an insurance method.

If such obligations are not upheld, the Florida Agency for Health Care Administration has the right to pursue a Medicaid Provider Bond claim through the state court system (such proceedings are conducted at the Florida Leon County courthouse). If the judge rules in favor of the AHCA, funds from the Medicaid Provider Bond will be ordered to cover the claimant’s financial losses, as well as their attorney fees. 

Once Jet receives an official claim notice, contact will be made with the Medicaid provider to go over details of the claim and the process to come. The Jet team will then conduct a complete review and investigation into the alleged violation and court proceedings.

If the claim is found to be justified by Jet, the claim will be paid out (only up to the bond limit). It is then expected of the provider to reimburse Jet for the full amount of the claim. Failure to do so will result in future difficulties in obtaining another surety bond, which is required if the healthcare provider wants to be re-enrolled into the Medicaid provider program. 

Are There Other Bonds That a Medicaid Provider Needs?

A $500,000 Health Care Clinic Non-Immigrant Alien Bond is mandated of any home health agency, home medical equipment provider, or health care clinic that is affiliated through ownership or controlling interests with a non-immigrant alien. If you are in need of this specific surety bond, give Jet a call at 855-296-2663 and we’ll help you out right away!

Read More About Managing Your Bond

How to Renew My Bond

For annually-purchased bonds, see Jet’s process to renew your bond. Hint- it’s simple.

How to Cancel My Bond

See the details surrounding cancelling your bond.

Florida Medicaid Provider Bond Example

Florida Medicaid Provider Bond Form

Notary Bond Application:

Business Information:

Indemnity Agreement:

I, the undersigned, hereby apply for a Dishonesty Bond also known as a Business Service Bond or Janitorial Service Bond (“bond”) to the Surety Company (“SURETY”) through Jet Insurance Company (“JET”), with whom I hereby grant the authority to act on my behalf with respect to the bond and assign as my Broker of Record, and declare that the statements herein are true and correct. In consideration of the SURETY issuing, renewing or substituting said bond(s), I, individually and as the owner or officer of the bonded entity, hereby understand and agree, as follows: (i) to reimburse, hold harmless, and indemnify SURETY upon demand for all loss, liability, claim, expense, including but not limited to attorneys’ fees, expert’s fees, investigative fees and claims handling fees, and any other cost which SURETY shall pay or incur in defense, adjustment, or settlement of such claims/suits by reason of such suretyship; (ii) that an itemized statement of loss and expenses by SURETY shall be indisputable proof of my liability to SURETY; (iii) coverage is subject to a $100 deductible; (iv) the employee must be convicted before coverage will apply (v) performance and any form of dispute resolution of this agreement shall take place in the county of SURETY's office of service; and (vi) a facsimile copy or electronically signed version of this agreement shall be binding as if it were an original. This agreement shall survive any changes in, substitute to or renewal of the bond(s).

Required Effect Date of Bond Policy:

Contact Information:

Employee Dishonesty Bond Application:

Business Information:

Business Description:

Coverage Requirements:

Indemnity Agreement:

I, the undersigned, hereby apply for a Dishonesty Bond also known as a Business Service Bond or Janitorial Service Bond (“bond”) to the Surety Company (“SURETY”) through Jet Insurance Company (“JET”), with whom I hereby grant the authority to act on my behalf with respect to the bond and assign as my Broker of Record, and declare that the statements herein are true and correct. In consideration of the SURETY issuing, renewing or substituting said bond(s), I, individually and as the owner or officer of the bonded entity, hereby understand and agree, as follows: (i) to reimburse, hold harmless, and indemnify SURETY upon demand for all loss, liability, claim, expense, including but not limited to attorneys’ fees, expert’s fees, investigative fees and claims handling fees, and any other cost which SURETY shall pay or incur in defense, adjustment, or settlement of such claims/suits by reason of such suretyship; (ii) that an itemized statement of loss and expenses by SURETY shall be indisputable proof of my liability to SURETY; (iii) coverage is subject to a $100 deductible; (iv) the employee must be convicted before coverage will apply (v) performance and any form of dispute resolution of this agreement shall take place in the county of SURETY's office of service; and (vi) a facsimile copy or electronically signed version of this agreement shall be binding as if it were an original. This agreement shall survive any changes in, substitute to or renewal of the bond(s).

Required Effect Date of Bond Policy:

Contact Information:

Contract Bond Application:

Business Information:

Owner Information:

Job Details:

Indemnity Agreement:

I, the undersigned, hereby apply for a Dishonesty Bond also known as a Business Service Bond or Janitorial Service Bond (“bond”) to the Surety Company (“SURETY”) through Jet Insurance Company (“JET”), with whom I hereby grant the authority to act on my behalf with respect to the bond and assign as my Broker of Record, and declare that the statements herein are true and correct. In consideration of the SURETY issuing, renewing or substituting said bond(s), I, individually and as the owner or officer of the bonded entity, hereby understand and agree, as follows: (i) to reimburse, hold harmless, and indemnify SURETY upon demand for all loss, liability, claim, expense, including but not limited to attorneys’ fees, expert’s fees, investigative fees and claims handling fees, and any other cost which SURETY shall pay or incur in defense, adjustment, or settlement of such claims/suits by reason of such suretyship; (ii) that an itemized statement of loss and expenses by SURETY shall be indisputable proof of my liability to SURETY; (iii) coverage is subject to a $100 deductible; (iv) the employee must be convicted before coverage will apply (v) performance and any form of dispute resolution of this agreement shall take place in the county of SURETY's office of service; and (vi) a facsimile copy or electronically signed version of this agreement shall be binding as if it were an original. This agreement shall survive any changes in, substitute to or renewal of the bond(s).

Required Effect Date of Bond Policy:

Contact Information:

Worker's Compensation Application:

Business Information:

Business Description:

Coverage Requirements

Indemnity Agreement:

I, the undersigned, hereby apply for a Dishonesty Bond also known as a Business Service Bond or Janitorial Service Bond (“bond”) to the Surety Company (“SURETY”) through Jet Insurance Company (“JET”), with whom I hereby grant the authority to act on my behalf with respect to the bond and assign as my Broker of Record, and declare that the statements herein are true and correct. In consideration of the SURETY issuing, renewing or substituting said bond(s), I, individually and as the owner or officer of the bonded entity, hereby understand and agree, as follows: (i) to reimburse, hold harmless, and indemnify SURETY upon demand for all loss, liability, claim, expense, including but not limited to attorneys’ fees, expert’s fees, investigative fees and claims handling fees, and any other cost which SURETY shall pay or incur in defense, adjustment, or settlement of such claims/suits by reason of such suretyship; (ii) that an itemized statement of loss and expenses by SURETY shall be indisputable proof of my liability to SURETY; (iii) coverage is subject to a $100 deductible; (iv) the employee must be convicted before coverage will apply (v) performance and any form of dispute resolution of this agreement shall take place in the county of SURETY's office of service; and (vi) a facsimile copy or electronically signed version of this agreement shall be binding as if it were an original. This agreement shall survive any changes in, substitute to or renewal of the bond(s).

Required Effect Date of Bond Policy:

Contact Information: