MMA Evaluation Contract

Contractor: University of Florida

Agency Contract Number: MED180

Current Contract Period:   11/1/2016-6/30/2019

The Agency has contracted with the University of Florida (UF) to conduct an independent assessment of the Statewide Medicaid Managed Care (SMMC) Managed Medical Assistance (MMA) program, authorized under the Section 1115 waiver approved by the Centers for Medicare and Medicaid Services. The SMMC program is designed to: emphasize patient centered care, personal responsibility and active patient participation; provide for fully integrated care through alternative delivery models with access to providers and services through a uniform statewide program; and implement innovations in reimbursement methodologies, plan quality and plan accountability.

The Vendor shall complete research projects and program evaluations on the MMA waiver for Demonstration Years (DY) 9 (2014-15), 10 (2015-16) and 11 (2016-17). The goal of the evaluation projects is to provide the Agency with an unbiased program evaluation that describes and analyzes recipient, service and program characteristics.

Projects to be completed under this contract include the following:

• Project 1:  Studying the effect of managed care, customized benefit plans, and having separate managed care programs for MMA and LTC services on beneficiaries’ choice of plans, access to care, quality of care, and cost of care.
• Project 2:  Managed Medical Assistance (MMA) plans’ Healthy Behaviors Programs Evaluation
• Project 3:  Evaluation of the Managed Medical Assistance (MMA) Program’s Ability to Deter Fraud and Abuse.
• Project 4:  Studying the effect of Low Income Pool (LIP) funding on the provision of health care services to the uninsured and the impact of Tier-One initiatives on: Access to and quality of care; Population health; and Per capita costs and the cost-effectiveness of care.
• Project 5:  Evaluation of Outcomes for Dual-Eligible Individuals Enrolled in a Medicare Advantage Plan and a Managed Medical Assistance (MMA) Plan

Agency Contact: Michelle Harkness