Federal Authorities

Managed Medical Assistance

September 2014 - Request to Amend Florida’s 1115 MMA Waiver (Project Number 11-W-002064) and Public Input

The State is seeking federal authority to amend Florida’s 1115 MMA Managed Medical Assistance (MMA) Waiver (Project Number 11-W-002064) to allow certain populations who were previously excluded from the MMA program to voluntarily enroll. The proposed amendment will allow Medicaid-eligible recipients residing in group home facilities licensed under Section (s.) 393.067, Florida Statutes (F.S.), as well as Medicaid-eligible children receiving Prescribed Pediatric Extended Care (PPEC) services to voluntarily enroll in Florida’s MMA program, a component of the Statewide Medicaid Managed Care (SMMC) program.  This amendment is being submitted to implement Florida law  that was amended during the 2014 Legislative session (HB 5201), that allows recipients residing in a group home facility and children receiving PPEC services to voluntarily enroll in Florida’s MMA program upon federal approval. 

Waiver History (2006-2014)

The following is an historical description of the federal and state authority granted since authorization of the waiver (Project Number 11-W-00206/4) was obtained in 2005.

Initial 5-Year Period (2006-2011):  On October 19, 2005, Florida's 1115 Research and Demonstration Waiver named “Medicaid Reform” was approved by Federal CMS. The program was implemented in Broward and Duval Counties July 1, 2006 and expanded to Baker, Clay and Nassau Counties July 1, 2007.  The program was terminated August 1, 2014 with the implementation of the MMA program.  The state authority to operate this program is located in s. 409.91211, F.S., and sunsets October 1, 2014.

Three-Year Extension Period (2011-2014):  On December 15, 2011, the State received Federal CMS approval to extend the waiver to maintain and continue operations of Medicaid Reform for the period July 1, 2011 to June 30, 2014. 

MMA Waiver Amendment (2014):   On June 14, 2013, the State received Federal CMS approval to amend the waiver to terminate the Medicaid Reform program and implement the MMA program as approved by Federal CMS.  The name of the waiver was changed to Florida’s MMA program. 

Three-Year Waiver Extension (2014-2017):  During the 2011 Florida Legislative session, the Florida Legislature passed and Governor Scott signed legislation to expand managed care in the Florida Medicaid program with the creation of the MMA program.  Part IV of Chapter 409, F.S., directed the Agency to submit any federal waiver or state plan amendment requests to Federal CMS as necessary to implement the MMA program no later than October 1, 2014.  In accordance with this directive, the Agency sought and received approval to extend the waiver authorization period from July 31, 2014 until June 30, 2017.

To view the July 31, 2014, approved Special Terms and Conditions of the waiver, Waiver Authorities document, Expenditure Authorities document and  the Approval Letter, please click on the following links:

Legislative Authority to Seek Waiver Amendment

Part IV of Chapter 409, F.S., directed the Agency to obtain federal approval to allow certain populations who were previously excluded from the MMA program to voluntarily enroll. The proposed amendment will allow Medicaid-eligible recipients residing in group home facilities licensed under Section (s.) 393.067, Florida Statutes (F.S.), as well as Medicaid-eligible children receiving Prescribed Pediatric Extended Care (PPEC) services to voluntarily enroll in Florida’s MMA program, a component of the Statewide Medicaid Managed Care (SMMC) program.

Public Notice and Public Comment:  September 17, 2014 - October 17, 2014

The Agency will provide for a 30-day public notice and comment period prior to the submission of the waiver amendment to Federal CMS. The Agency will consider all public comments received regarding the development of the waiver amendment.

The 30-day public notice and public comment period begins September 17, 2014 and ends October 17, 2014.

To view a comprehensive description of the waiver amendment request, please click the following link:

Public Meetings/Workshops

The dates, times and locations of the public workshops to be held are as follows:

Schedule of Public Meetings
Location Date Time
Tallahassee
Agency for Health Care Administration
2727 Mahan Drive
Building 3, Conference Room A
Tallahassee, FL 32308
September 23, 2014 2:00 p.m. – 2:30 p.m.
FAR [90KB PDF]
Presentation - Amendment Request for Florida’s 1115 Managed Medical Assistance Waiver [71KB PDF]
Tampa
Agency for Health Care Administration
6800 North Dale Mabry Highway
Main Training Room
Tampa, FL 33614
September 29, 2014 1:00-2:00 p.m
FAR [90KB PDF] .

Pursuant to the provisions of the Americans with Disabilities Act, any person requiring special accommodations to participate in this workshop/meeting is asked to advise the agency at least 7 days before the workshop/meeting by contacting Ms. Kym Holcomb at (850) 412-4251 or by email at kym.holcomb@ahca.myflorida.com.

If you are hearing or speech impaired, please contact the agency using the Florida Relay Service, 1 (800) 955-8771 (TDD) or 1 (800) 955-8770 (Voice).

Submit Comments

The 30-day public comment period begins September 17, 2014 and ends October 17, 2014.

To submit comments by postal service or internal email, please follow the directions outlined below.  When providing comments regarding the 1115 MMA Waiver amendment request, please have ‘1115 MMA Waiver Amendment Request’ referenced in the subject line.

Mail comments and suggestions to:
1115 MMA Waiver Amendment Request
Office of the Deputy Secretary for Medicaid
Agency for Health Care Administration
2727 Mahan Drive, MS #8
Tallahassee, Florida 32308

You may also e-mail your comments and suggestions to
FLMedicaidWaivers@ahca.myflorida.com

If you would like to be added to the Interested Parties List to receive email updates about the 1115 MMA Waiver Amendment Request, please provide your information in the box located in the top right hand side of this page named, “Sign Up for Program Updates.”  Please note that information will be sent to this list via mass email. Your email server may recognize this as Spam or Junk Mail and, therefore, some action may be required on your part to receive notices.

Managed Medical Assistance Snapshot [400KB PDF]