Steven Grigas

Steven Grigas

Akerman LLP

Recognized since 2013

Tallahassee, Florida

Practice Areas

Health Care Law

Litigation - Health Care

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A former interim Medicaid Director, Assistant Deputy Secretary, Deputy General Counsel, and Chief Medicaid Counsel for the State of Florida, Steven Grigas has presided over the State of Florida’s $15 billion Medicaid program with particular focus in managed care, disease management, pharmacy services, long term care, and hospital services.

Steven is well-versed in Medicaid policies and procedures, reimbursement issues, program integrity, and fraud control. His deep healthcare sector knowledge is widely recognized, and he frequently conducts presentations at both the state and federal level. Steven is also an accomplished litigator with considerable experience in administrative, state, and federal courts. In addition to his legal education, he holds an MBA from the University of Miami, and has worked in various capacities in both federal and state government.


  • 201 East Park Avenue, Suite 300
    Tallahassee, FL 32301


  • English


  • Florida State University , J.D., graduated 1993
  • University of Miami , MBA, graduated 1986
  • Hood College, BA, graduated 1979

Bar Admissions

  • Florida, The Florida Bar


  • American Health Lawyers Association - Member
  • Florida Healthy Kids Corporation - Board Member
  • The Florida Bar, Administrative Law Section - Member
  • Transportation Disadvantaged Council - Commissioner
  • Florida Association of Health Plans - Legal Counsel
  • Florida Bar, Health Law Executive Council - Chair (2016-17)

Court Admissions

  • U.S. District Court, Northern District of Florida
  • U.S. District Court, Middle District of Florida
  • U.S. Court of Appeals, Eleventh Circuit
  • U.S. Supreme Court
  • U.S. District Court, Southern District of Florida

Akerman LLP
Los Angeles, California

170 The Best Lawyers in America® awards

64 Best Lawyers: Ones to Watch in America awards

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Recognized in The Best Lawyers in America® 2022 for work in:

  • Health Care Law
  • Litigation - Health Care


  • Martindale-Hubbell, AV Rated
  • Davis Productivity Awards 1999, 2002, 2003
  • Governor's Letter of Commendation, Tobacco Litigation

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Published Work and Lectures

  • The Florida Bar, Meeting of the Board of Governors, Speaker, " Health Law Section Report," January 20, 2017
  • Healthcare Financial Management Association (HFMA), 6th Annual Healthcare CPE Forum, Speaker, "Legislative Update," January 19th, 2017
  • Health Law Rx Blog, Editor & Contributor
  • The Florida Bar, Health Law Section Newsletter, Author, "Notes From the Chair," Vol. XVII, No. 10, Fall 2016
  • The Florida Bar, Health Law Section Newsletter, Co-Author, "Healthcare Providers, Listen Up: Accommodating Patients Who Are Deaf, Hard of Hearing or of Limited English Proficiency," Vol. XVII, No.9, May 2016
  • The Florida Bar Health Law Section, Speaker, "2015 Legislative Update," June 25, 2015
  • The Florida Bar Health Law Section, Speaker, "2013 Legislative Update," July 9, 2013
  • House Health Care Appropriations Committee, Behavioral Health Services, February 2005
  • The Florida Bar Elder Law Section, Speaker, "Medicaid Managed Care and Legislative Update," March 2010
  • The Florida Bar Health Law Section, Speaker, "2012 Legislative Update," August 2012
  • The Florida Bar Health Law Section, Speaker, "Medicaid Overview," April 2006
  • House Future of Florida's Families Committee Meeting, Behavioral Health Services, February 2005
  • Health Systems Development RFI Workshop, Disease Management, February 2005
  • Florida Healthy Kids Corporation, Medicaid Reform, February 2005.
  • Florida Substance Abuse and Mental Health Corporation, Implementation Update, February 2005
  • Nassau County Community Alliance, Medicaid Modernization, December 2004
  • American Legislative Exchange Council, Disease Management, December 2004
  • Community Health Alliance, Medicaid Reform, November 2004
  • The Governor Reuben Askew FSU Center for Government, Medicaid Primer, November 2004
  • South Florida Community Health Alliance, Medicaid Modernization, November 2004
  • Developmental Disabilities Workgroup, Medicaid Reform, October 2004
  • Family Cafe for the Developmentally Disabled, Medicaid Forum, May 2004
  • Medical Malpractice Summit, Medicaid, November 2002
  • Florida College of Emergency Room Physicians, Medicaid Update, August 2003

Representative Experience

  • Representation of the Florida Agency for Healthcare Administration in tobacco litigation.
  • Representation of the State of Florida in complex computer services contract litigation.
  • Representation of the Florida Agency for Health Care Administration, Department of Health, Agency for Persons with Disabilities, Department of Children and Families, Department of Corrections, and the Department of Education in multi-agency litigation.
  • Representation of national HMOs in payment disputes with the State and third party vendors.
  • Representation to obtain Florida Certificate of Authority and associated licensing for managed care organization entering the Florida marketplace.
  • Negotiation of change of ownership, licensure, and overpayment issues with the State for numerous clinics, managed care organizations, and providers.
  • Defense of contract in $250 million health services bid dispute.
  • Drafted and reviewed a significant number of contracts and agreements between private sector organizations and the State for healthcare services, disease management programs, provider networks, and structured settlements.

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