Summary

The Agency for Health Care Administration (Agency) is designated as the Medicaid Agency for the State.[1]  This operational audit focused on the Agency’s Medicaid Non-Emergency Transportation Services (NET) contract with the Florida Commission for the Transportation Disadvantaged (CTD).  During our audit period approximately $107 million was expended on the NET contract. 

Our audit covered the period July 2005 through February 2007 and disclosed the following:

Finding No. 1: Agency files did not include a price or cost analysis showing that the contract rate of payment did not exceed the competitive prevailing rate.

Finding No. 2: Our tests of the Agency’s monitoring of the CTD contract disclosed that, based on available documentation, the level of monitoring was not sufficient for the Agency to evaluate performance of the contractor and its subcontractors.

The Secretary's response to our findings is included at the end of this report as Appendix A.