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Florida Long-term Care Managed Care Independent Assessment

Contractor: Florida State University Colleges of Medicine and Social Work and Claude Pepper Data Center

Agency Contract Number: MED186

Current Contract Period:  10/1/2016 – 4/30/2021

The Agency has contracted with FSU to conduct an independent assessment of the Statewide Medicaid Managed Care (SMMC) Long-term Care (LTC) program, authorized under the Section 1915 (b) & (c) waivers approved by the Centers for Medicare and Medicaid Services. States are required to evaluate access to care, quality of care and cost-effectiveness.

The goals of the LTC program are to replace services that were provided by the Aged and Disabled Adult waiver, Assisted Living waiver, Nursing Home Diversion waiver, Channeling waiver and Frail Elder Option with long-term care and services provided by managed LTC plans and to shift service delivery from nursing facilities to less restrictive home and community-based settings.  LTC plans must provide access to care and quality of care at a level equivalent to or greater than the previous legacy waivers/programs.  The total cost of care must be equivalent to or less than the previous legacy waivers/programs.

  • Project 1:  Independent Assessment of the Effect of the Statewide Medicaid Managed Care LTC program on Access to Care
  • Project 2:  Independent Assessment of the Effect of the Statewide Medicaid Managed Care LTC program on Quality of Care
  • Project 3:  Independent Assessment of the Effect of the Statewide Medicaid Managed Care LTC program on Cost-effectiveness
  • Project 4:  Special Research on Five (5) Areas of Focus in the Florida Statewide Medicaid Managed Care LTC Program
Deliverable / Activity Name
Independent Assessment of the Florida SMMC LTC Program Final Interim Report (SFY 2014-15) [3.07MB PDF]
Independent Assessment of the FL SMMC LTC Program SFY 17-18 - Accessibility and Utilization of LTC Services [1.41MB PDF]
Independent Assessment of the FL SMMC LTC Program SFY 17-18 - Current Practices and Factors Associated with Transition into HCBS [972KB PDF]
Independent Assessment of the FL SMMC LTC Program SFY 17-18 - NF Plans of Care and Case Management Notes [1.26MB PDF]

Agency Contact: Maurice Patterson, Contract Manager