Florida Medicaid Reform Health Plan Application, Model Contracts and Updates


Florida Medicaid Reform Health Plan Application, Model Contracts and Updates The Application for Medicaid Reform Fee-For-Service Provider Service Networks (PSNs), Prepaid PSNs, Health Maintenance Organizations (HMOs) and other authorized Health Plans and the Reform Health Plan Model Contracts are now available. The multi-purpose Health Plan Application is designed to capture detailed information that will facilitate a contract between the Agency and any PSN, HMO or other authorized Health Plans that meet the requirements to become a Medicaid Reform Health Plan.

Reform Capitated Contract Documents (HMO and Capitated PSN)

Attachment II - Medicaid Reform Consolidated Model Capitated Health Plan Contract March 2009 [2.53MB PDF]

Attachment II - Medicaid Reform Consolidated Model Capitated Health Plan Contract January 2008 [1.15MB PDF]

Attachment II - Medicaid Reform Model Capitated Health Plan Contract January 2007 [1.08MB PDF]

Medicaid Reform Capitated Health Plan Contract October 2007 [1.04MB PDF]

Final Reform HMO General Amendment 1 [393KB PDF]

Final Reform HMO General Amendment 2 [9KB PDF]

Final Draft Reform HMO General Amendment 6 [257KB PDF]

Final Draft Reform HMO General Amendment 7 [152KB PDF]


Reform PSN Contract Documents

Attachment II - Medicaid Reform Fee-for-Service PSN Consolidated Contract, January 2008

Attachment II - Medicaid Reform Fee-for-Service PSN Consolidated Contract, January 2008  (Redlined - Track Changes) 

Attachment II - Medicaid Reform Fee-for-Service, Provider Service Network Model Contract, January 2007 [937KB PDF]

Attachment II - Medicaid Reform Fee-for-Service, Provider Service Network Executed Contract as Amended Effective, September 1, 2006 [1.15MB PDF]

Final Reform PSN General Amendment 5, 12/19/07 [365KB PDF]


Reform Policy Transmittals

Click here to view Medicaid HMO Policy Transmittals and Plan Letters

Click here to view PSN Policy Transmittals and Plan Letters


Please mail your comments or suggestions to:

Medicaid Reform
Office of the Deputy Secretary for Medicaid
Agency for Health Care Administration
2727 Mahan Drive, MS #8
Tallahassee, Florida 32308

Email your comments and suggestions on Medicaid reform to
medicaidreform@ahca.myflorida.com




Reporting Medicaid Fraud