Federal Authorities

Managed Medical Assistance

May 2019 - 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 Managed Medical Assistance (MMA) Waiver (Project Number 11-W-002064) to:
  • Increase the behavioral health and supportive housing assistance services annual enrollment limit from 42,500 member months, to 50,000 member months;
  • Modify the Low Income Pool Special Terms and Conditions to:
    • incorporate additional specific tiering criteria for the LIP program within the Federally Qualified Health Centers/Rural Health Clinics (FQHC/RHC) group, and
    • increase the capped annual allotment for the FQHC/RHC group up to $75,000,000;
  • Update Demonstration Year (DY)14, DY15, and DY16 amounts in the Total Spending for Supplemental Budget Neutrality Test-Behavioral Health and Supportive Housing Pilot chart.

Public Notice and Public Comment: May 31, 2019 - June 29, 2019

The Agency will provide a 30-day public notice and comment period prior to the submission of the waiver amendment to Federal Centers for Medicare and Medicaid Services (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 will be held May 31, 2019 through June 29, 2019. 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

Agency for Health Care Administration
6800 N. Dale Mabry Highway, Suite 220
Tampa, FL 33614

Conference Line: 1 (866) 952 8437
Participant Code: 940-795-535
June 6, 2019 9:30am - 10:30am

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 seven days before the workshop/meeting by contacting Kimberly Quinn at (850) 412-4284 or by email at FLMedicaidWaivers@ahca.myflorida.com.

If you are hearing or speech impaired, please contact the agency using the Florida Relay Service, 1 (800) 955-8771 (TTY) or 1 (800) 955-8770 (Voice). To view the webinar, please visit:  https://attendee.gotowebinar.com/register/3439657599719547661.

Click this link to view a recording of the public meeting held on June 6, 2019 at the Agency for Health Care Administration in Tampa, FL: https://register.gotowebinar.com/recording/6138979536979985415

Submit Comments

The 30-day public comment period will be held May 31, 2019 through June 29, 2019.

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
Agency for Health Care Administration
2727 Mahan Drive, MS #20
Tallahassee, Florida 32308

You may also e-mail your comments and suggestions to