Federal & Healthcare
Medicaid Provider Bond
A bond some state Medicaid agencies require of certain providers before enrolling them or as a condition of staying in the program.
- Required by
- State Medicaid agencies (in Florida, the Agency for Health Care Administration)
- Bond amount
- Set by whoever requires the bond. We confirm it.
What this bond guarantees
The bond promises the state Medicaid agency that the provider will repay overpayments, fines, and other amounts it owes the program. In Florida, the Agency for Health Care Administration may require it of providers paid fee-for-service. If the provider does not pay what it owes, the agency collects from the surety.
Who needs it
- Home health agencies
- Durable medical equipment suppliers billing Medicaid
- Other fee-for-service Medicaid providers the state selects
What the underwriter looks at
- Annual Medicaid billing
- Owner credit
- Provider history and audit findings
- Financial statements
Requirements vary by state and by who asks for the bond. Send us the request you received and we will confirm exactly what it calls for.
Common questions
How much is the bond in Florida?
The agency may require up to $50,000 or the provider's total Medicaid billing in the most recent year, whichever is greater. New providers are bonded on their first-year billing estimate.
Are physician-owned practices treated differently?
In Florida, yes. If licensed physicians own at least half of the provider, the bond need not exceed $50,000. Assisted living facilities have the same cap.
Is this the same as the Medicare DMEPOS bond?
No. The DMEPOS bond is a federal Medicare requirement. The Medicaid bond is a separate state requirement.