You Have 30 Days to Challenge a Qlarant Score — and the Plan of Remediation Goes Somewhere Else Entirely
Three different organizations handle the three things that happen after a Provider Discovery Review, and sending the right paperwork to the wrong one is how providers lose the only deadline that cannot be extended. Qlarant scores you. Your Regional APD office runs remediation. AHCA handles repayment.
What happens after a failed Qlarant Provider Discovery Review?
A Provider Discovery Review report lands and something on it is wrong, or something on it is right and expensive. The instinct is to reply to Qlarant about all of it.
That instinct is understandable and it can cost you the one thing in this process that cannot be recovered. After a PDR there are three different jobs, and Qlarant only does one of them.
Three bodies, three jobs
- Disagreeing with the score is Qlarant's. It is called a Reconsideration Request, it is in writing, and it has a hard 30-day deadline.
- Fixing what was found belongs to your Regional APD office. That is the Plan of Remediation.
- Money being taken back is AHCA. Neither Qlarant nor your APD region decides it.
Those are not our categories. They come from Qlarant's own published FAQ for the Florida Statewide Quality Assurance Program.
The 30-day clock, which is the part that is actually urgent
Qlarant's FAQ states that the Reconsideration Request must be made in writing and received within 30 days of the mailing of the annual PDR report. Two details in that sentence do real damage if they are skimmed.
The clock runs from the mailing of the report — not from the day you opened it, and not from the day the reviewer left. And there is no grace period: the FAQ says that if the request is not submitted within the 30 days, it will not be processed and the request will be deemed ineligible. Requests go by secure fax to 1-888-877-5526, and Qlarant commits to completing the Reconsideration Report within 30 days of receiving yours.
The Plan of Remediation does not go to Qlarant
Following a PDR, providers develop a Plan of Remediation. The part that surprises people is where it goes. Qlarant's FAQ: You do not need to send this information to Qlarant. Remediation activities are facilitated by your Regional APD office.
So the reviewer who found the problem is not the person who signs off on the fix. If you have been waiting on Qlarant to acknowledge a remediation plan, that is why nothing has come back.
Recoupment is a third conversation, with a third organization
Qlarant does not take money back. Their FAQ says it directly — Qlarant does not have a role in repayment — and points providers at APDproviderbilling@ahca.myflorida.com to discuss repayment options.
That matters, because recoupment is the part operators are most frightened of, and the fear is often aimed at the wrong body and at the wrong trigger.
What Advisory 2026-016 actually says about where your records live
There is a belief circulating in Florida provider groups that Qlarant can recoup payment where documentation is not in iConnect before billing. That is not what the advisory says, and the difference is worth real money to anyone weighing whether to move their whole record system.
APD Provider Advisory #2026-016, effective 1 July 2026, states that Qlarant will review and accept documentation found in iConnect or in a provider's own data management system, and that documentation supporting the review standards is acceptable both in iConnect, or outside of iConnect, and will be considered "Met" with no associated recoupment required during the remediation process.
The recoupment sentence is about absence, not location: If documentation is not found that supports the standards outlined in the QIO's PDRs, either in iConnect, or outside of iConnect, citations will be issued, and recoupment will be required as applicable per the PDR tools.
The tools are public, and almost nobody reads them
Qlarant publishes the instruments it scores you against on the FSQAP site — the FL DD Administrative tool, the Qualified Organization Administrative tool, and the service-specific record review checklists. They are free, they are downloadable, and they are the forms the reviewer actually completes.
Worth knowing too: Qlarant updated its Operational Policies and Procedures Manual on 21 July 2026, expanding the Provider Discovery Review section into three categories — standard PDR, Qualified Organizations, and Consumer Directed Care representatives — and updating the process timeframes. A copy downloaded a year ago is out of date.
Where Care Wizard fits, and where it does not
Being straight about this, because a page about a failed review is not the place for a stretch. Care Wizard does not write your Plan of Remediation, does not file a Reconsideration Request, and holds no service documentation — no service logs, no progress notes, nothing at all about the people you support.
What it does is the part that turns up in findings as a date: which staff member is current on which training, when a background screening was run, when a medication validation expires, and the drills, extinguisher checks and inspections for each home. Those are the records a reviewer asks for against a roster, and they are the ones that are easiest to lose track of between reviews.
Sources
- Frequently Asked Questions, Florida Statewide Quality Assurance Program (Qlarant) — the 30-day Reconsideration Request deadline and its ineligibility rule, the secure fax number, the 30-day turnaround on the Reconsideration Report, remediation being facilitated by the Regional APD office, and Qlarant having no role in repayment. Read 7 September 2026.
- Provider Review Tools, Florida Statewide Quality Assurance Program (Qlarant) — the published FL DD Administrative and QO Administrative instruments and the service-specific record review checklists. Read 7 September 2026.
- Operational Policies and Procedures Manual update, 21 July 2026 (Qlarant) — Provider Discovery Review section expanded to PDR, QO and CDC representative categories, process timeframes updated, and iConnect grace period language added in response to APD Advisory #2026-016. Read 7 September 2026.
- APD Provider Advisory #2026-016, iConnect Service Documentation and Service Authorization Guidance, effective 1 July 2026 — documentation accepted in iConnect or a provider's own system, recoupment tied to documentation not being found, and user provisioning before 1 October 2026. Read in full 7 September 2026 from the APD provider advisories list.
This article is general information for Florida APD group-home providers, not legal advice or a guarantee of compliance. Rules change and vary by region — always confirm the current requirement with the cited source and your APD regional office.
