Federal Authorities

Managed Medical Assistance

Request for Extension of the 1115 MMA Waiver and Public Input

The state is seeking federal authority to extend Florida’s Managed Medical Assistance (MMA) Waiver for the period July 1, 2014 to June 30, 2017. The waiver is designed to implement a new statewide managed care delivery system without increasing costs and to re-design the Low Income Pool program. The MMA program will provide primary and acute medical care for certain populations through high quality, competitively selected managed care organizations (MCOs).

Temporary Extension June 30, 2014

Extension Request Submitted November 27, 2013

On November 27, 2013, the Agency submitted a 3-year waiver extension request to the Centers for Medicare and Medicaid Services.  The 1115 MMA waiver extension request and cover letter can be viewed at the following links. If you have comments, please submit them to the Agency via mail or email (see ‘Submit Comments’ below).

Public Notice Document Posted October 1, 2013

To view the public notice document posted on this webpage during the public comment period conducted from October 1, 2013 through October 30, 2013, please click the following link:

Waiver History (2006-2013)

The following is an historical description of the waiver since authorization 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 to operate the demonstration for the period from July 1, 2006 to June 30, 2010.  The program was implemented in Broward and Duval Counties July 1, 2006 and expanded to Baker, Clay and Nassau Counties July 1, 2007. 

Three-Year Extension Period (2011-2014):  On June 30, 2010, a three-year waiver extension request was submitted to Federal CMS to maintain and continue operations of Medicaid Reform for the period July 1, 2011 to June 30, 2014.  Federal CMS granted temporary extensions of the program until December 15, 2011, when final approval of the waiver extension request was granted for the period December 16, 2011 to June 30, 2014.

MMA Waiver Amendment (June 14, 2013):  On June 14, 2013, Federal CMS approved the MMA amendment that allows for the implementation of a new statewide managed care delivery system without increasing costs and to continue the Low Income Pool program. The amendment also changed the name of the waiver to the Florida Managed Medical Assistance program. 

To view the June 14, 2013 approval letter, approved Special Terms and Conditions of the waiver, and the Waiver and Expenditure Authorities document, please click on the following links:

Legislative Authority to Seek Waiver Extension (2014-2017)

During the 2011 legislative session, the Florida Legislature passed and Governor Scott signed legislation to expand managed care the Florida Medicaid program with the creation of the MMA program.  Part IV of Chapter 409, Florida Statutes, directs the Agency to submit and obtain approval of any federal waivers or state plan amendments necessary to implement the MMA program no later than October 1, 2014.  In accordance with this directive, the Agency is seeking approval to extend the waiver authorization period from July 1, 2014 until June 30, 2017.

To view the law that established the MMA program, please click on the following link:

Public Notice and Public Comment Period Held October 1 – October 30, 2013

The Agency must provide for a 30-day public notice and comment period prior to the submission of the waiver extension request to Federal CMS. The 30-day public notice and public comment period began October 1, 2013 and ended October 30, 2013.  The Agency considered all public comments received during the 30-day public comment period while developing the waiver extension request.

Public Meetings/Workshops

The following outlines the publicly noticed meetings that have occurred.

Schedule of Public Meetings
Location Address Date Time FAR Notice Agenda/Presentation

Tampa
Egypt Shriners
4050 Dana Shores Drive
Tampa, FL 33634
Map It

October 8, 2013 1:00p.m. – 3:30p.m. FAR
[24KB PDF]
Agenda
[78KB PDF] Presentation
[509KB PDF]

Miami
Florida International University (FIU)
Kovens Center
3000 N.E. 151 Street
North Miami, FL 33181-3000
Map It

October 9, 2013 1:00p.m. – 3:30p.m. FAR
[24KB PDF]
Agenda
[79KB PDF] Presentation
[509KB PDF]

Tallahassee
Agency for Health Care Administration
2727 Mahan Drive,
Building 3, 1st Floor
Conference Room A
Tallahassee, FL 32308
Map It

October 11, 2013 1:00p.m. – 3:30p.m. FAR
[24KB PDF]
Agenda
[78KB PDF] Presentation
[509KB PDF]

To view the video recording of the public meeting held in Tallahassee on October 11, 2013, please click on the picture below. This will direct you to the Florida Channel website and then press the play button to view the video. Video provided by The Florida Channel.

Click to view video of public meeting Tallahassee October 11, 2013 re Extenion Request for Florida 1115 Managed Medical Assistance Waiver

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. Linda Macdonald at (850) 412-4031 or by email at Linda.Macdonald@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 notice and public comment period began October 1, 2013 and ended October 30, 2013.  The Agency considered all public comments received during the 30-day public comment period while developing the waiver extension request.

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

Mail comments and suggestions to:

1115 MMA Waiver Extension 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 Extension Request, please provide your information in the box located in the top right hand side of this page named, “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 program Shapshot [400KB PDF]

Public Comments Received 10/1/2013 - 10/30/2013 [1.95MB PDF]