Stefan Grow helps healthcare providers and managed care organizations navigate their path forward. Drawing on his in-house experience as general counsel to Florida’s Agency for Health Care Administration -- the state’s $29 billion Medicaid and health facility regulatory agency -- he advises on healthcare regulatory matters and Medicaid program issues faced by hospital systems, managed care organizations and long-term care facilities. He uses his executive leadership experience to help his clients create strategies to anticipate issues, manage conflicting priorities and swiftly respond to emerging concerns.
Stefan serves as an advisor on a wide range of complex healthcare matters, counseling clients on such matters as state regulation and oversight; Medicaid program issues; transactions; rate setting and reimbursement issues; and contracts.
In addition, he advises on government contracting and procurement, bid protests, and agency rulemaking. He also has extensive experience counseling on public records and Florida’s “sunshine” laws. In his most recent post, Stefan oversaw Florida’s Statewide Medicaid Managed Care (SMMC) procurement, the largest procurement in state history with more than $90 billion in contract awards, as well as multiple large healthcare technology procurements.
During the COVID-19 pandemic, he drafted or consulted on nearly every emergency order and executive order issued by the state affecting health care facilities.
Finally, with years of experience as a felony prosecutor and in both civil and administrative litigation, Stefan brings courtroom experience to help clients resolve disputes through litigation.
Led legal defense team for Florida’s Statewide Medicaid Managed Care program, the largest procurement in the history of the state of Florida, with $90 billion in awarded contracts.*
Lead negotiator for the Agency on $40 million Medicaid managed care provider service network contract.*
Led legal team advising on $27 million Medicaid technology contract.*
Member of Agency’s executive management team developing the Agency’s long-term strategy for implementing and setting procurement schedule for federally mandated Medicaid information technology transformation.*
Chief legal advisor to Agency on multi-billion dollar Medicaid managed care plan merger between national Medicaid plans. Worked with Florida Attorney General’s Office and the United States Department of Justice to negotiate antitrust considerations.*
Advised on significant contract actions taken against Medicaid managed care plans by the Agency for non-compliance, including enrollment freezes and liquidated damages.*
Handled and advised the Agency on the largest administrative fine in state history issued against a Hospital in the amount of $870,000.*
Primary drafter for rule language requiring emergency generator power for all of the state’s nursing homes and assisted living facilities.*
Prepared key strategy to secure dismissal of hospital outpatient rate rule challenge brought by statewide health plan association.*
Oversaw outside national counsel representing the Agency in defense of Medicaid low income pool supplemental payment disallowance brought by the Centers for Medicare & Medicaid Services before the U.S. Department of Health & Human Services Departmental Appeals Board.*
Developed response to U.S. Department of Health & Human Services Office of Inspector General audit draft report alleging Medicaid overpayments in excess of $700 million against the state in which no final audit was issued.*
Drafted bill language and worked with legislative staff to revise existing law following an appellate court ruling which resulted in a significant negative impact to the Agency’s audit operation and $50 million impact to Medicaid overpayment projects.*
* Denotes experience prior to joining Parker Hudson.