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Statewide Medicaid Managed Care Program |
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HB 7107 directs the Agency for Health Care Administration (Agency) to apply for and implement state plan amendments and waivers of applicable federal laws and regulations necessary to implement the Statewide Medicaid Managed Care (SMMC) program. On August 1, 2011, the Agency submitted the required documents requesting the necessary authorities to implement the program. All of the submitted documents are available on the program implementation tab above. The full bill language can be found on the public information, related documents tab above. Updates about the Statewide Medicaid Managed Care program will be posted on this website as they become available.
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Public InformationThis page will contain public information relating to the Statewide Medicaid Managed Care program, including information about public meetings and outreach, and links to related documents, public presentations and press releases. Members of the media should contact the Office of Communications at AHCACommunications@ahca.myflorida.com or by calling 850-412-3623. Members of the public can email comments and suggestions about the Statewide Medicaid Managed Care program to FLMedicaidManagedCare@ahca.myflorida.com or mail them to: Statewide Medicaid Managed Care program |
Public Meeting SchedulesThe following outlines the publicly noticed meetings that have occurred. Additional public meetings will be scheduled in the future and all related information will be posted on this page. A Spanish translation of the presentation provided at the September 2011 meetings can be viewed here.
A Spanish translation of the presentation that was provided at each of the June 2011 meetings can be viewed here.
You may watch a closed captioned reading of the standard presentation by clicking on the video below. [22.92MB Flash Video] (Due to the large size of the video it may take longer to download.)
Additionally, the presentation used at the June 2011 meeting in Tallahassee which includes the sign-language interpreters, was video-taped and is available by e-mailing your request to FLMedicaidManagedCare@ahca.myflorida.com |
Press ReleasesInformation about press briefings will be posted here as it becomes available. Additionally, all press releases related to any component of the Statewide Medicaid Managed Care program will be archived here. |
Guidance StatementsFrom time to time during program development and implementation, the Agency will post guidance statements to provide the public with clarification regarding program components. |
2/10/2012Program ImplementationImplementation of the Statewide Medicaid Managed Care (SMMC) program will have several stages. Approval: The Medicaid program is a joint program involving both the state and the federal government, and therefore the Agency is required to request federal approval for many program components. Procurement and Plan Selection: The Agency will also issue Invitations to Negotiate (a formal competitive procurement process) in order to select plans to provide services to Medicaid recipients under the SMMC. Enrollment: Once plans are selected, the Agency will begin the process of enrolling appropriate recipients into the plans. Outreach: Public outreach will be a key component throughout the process. In addition to other public outreach efforts, this page will be continuously updated to provide access to information regarding program implementation. Please note, the Agency submitted waivers, waiver amendments and state plan amendments to the federal Centers for Medicare and Medicaid Services by August 1, 2011 as required by HB 7107. These submissions are posted on the federal submissions tab above. Frequently asked questions about managed care and the Statewide Medicaid Managed Care program can be found here. |
Program Implementation Timeline
To print a copy of the draft timeline click here. |
Procurement DocumentsThe Agency is seeking information from entities with direct experience in the managed health and long term care industries about best practices and innovations in business models and service delivery for Medicaid managed care. Please click on the following link to view the request for information:
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- LTC Managed Care Home
- Technical Advisory Workgroup
- Previous Meeting Information
- Federal Submissions and Authorities
Long-term Care Managed CareThe Long-term Care Managed Care component of the Statewide Medicaid Managed Care program will be implemented first. HB 7107 sets specific timelines for implementation of the Long-term Care Managed Care component:
The Agency must competitively procure plans to serve the Long-term Care Managed Care population. Further, the Agency is required to conduct simultaneous procurements for Long-term Care Managed Care plans in each of the 11 regions. There is a specified minimum and maximum number of plans for each region as demonstrated in the chart below.
The Agency anticipates release of the procurement no later than July 1, 2012. Frequently asked questions about the Long-term Care Managed Care program can be found here. |
Long-term Care Managed Care Technical Advisory WorkgroupAs defined in HB 7107, Section 26, the following is the language providing the authority for the Long-term Care Managed Care Technical Advisory Workgroup:
Next Meeting - Monday, February 13, 2012
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Long-term Care Managed Care Technical Advisory Workgroup
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Long-term Care Managed Care Submissions and AuthoritiesLong –term Care Managed Care: Request for new 1915 (b)/(c) waiver
Federal and State Correspondence after Request Submission October 6, 2011 Response to Informal Questions on the 1915(b) submission [79KB PDF] November 22, 2011 Response to Formal Questions on the 1915(b) submission [2.46MB PDF] December 8, 2011 Response to Formal Questions on the 1915(c) submission [2.46MB PDF] |
Managed Medical Assistance |
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The Managed Medical Assistance component of the Statewide Medicaid Managed Care program will be implemented second. HB 7107 sets specific timelines for implementation of the Managed Medical Assistance component:
The Agency must competitively procure plans to serve the Managed Medical Assistance population. Further, the Agency is required to conduct simultaneous procurements for Managed Medical Assistance plans in each of the 11 regions. There is a specified minimum and maximum number of plans for each region as demonstrated in the chart below.
The Agency anticipates release of the procurement no later than January 1, 2013. Frequently asked questions about the Managed Medical Assistance program can be found here. |
Federal Submission and Authorities |
Program Overview and Summary of Requests to federal CMS Request(s) for Amendment of the Florida Medicaid State Plan Request(s) for Amendment of the 1115 MEDS AD Waiver
Request(s) for Amendment of the 1115 Medicaid Reform Waiver
Federal and State Correspondence after Request Submission The Agency anticipates release of the procurement no later than January 1, 2013. Frequently asked questions about the Managed Medical Assistance program can be found here. Federal and State Correspondence after Request Submission
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