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Three counties reject revised Medicaid bills

Three Florida counties have opted to challenge their Medicaid backlog bills in court, arguing that even after months of review the state has still incorrectly calculated how much they owe. The Agency for Health Care Administration has asked for the state Division of Administrative Hearings to review bills for Broward, St. Johns and St. Lucie counties, the News Service of Florida reported.

By challenging the amount the state says they owe for unpaid Medicaid bills -- $18.6 million in Broward, $11.9 million in St. Lucie and $763,286 in St. Johns -- these counties are on the hook for repaying the full amounts if an administrative judge rules against them.

The rest of Florida's counties have agreed to pay back what they state says they owe over the next three years, minus a 15 percent discount for not challenging the final numbers. In total, the state stands to collect $120 million from the 64 remaining counties.

Initially, the state estimated that it was owed $325 million in upaid Medicaid bills.

However, most counties are still moving forward with a lawsuit filed in Leon County's Circuit Court by the Florida Association of Counties to challenge the new Medicaid billing system as an unfunded mandate.