Florida Medicaid officials announced their intention to award six-year contracts to the following individuals: florida community care and Simply Healthcare That’s because states are testing whether managed care can help integrate traditional medical care with home- and community-based services.
The Healthcare Administration Agency (AHCA) announced the contract for Medicaid Regions D and I. Region D consists of Hardy, Highlands, Hillsborough, Manatee, and Polk counties. Medicaid Region I covers Miami-Dade and Monroe counties.
It is unclear how many organizations responded to the Medicaid Invitation to Negotiate (ITN). Originally removed in November 2023. AHCA did not respond to repeated requests for information from Florida Politics. ITN required states to negotiate with all entities that meet a minimum assessment score of 70%.
According to the notice, AHCA only negotiated with Florida Community Care, whose response to the ITN received 983 points, and Simply Healthcare, whose response received a total of 938 points. A total of 1,000 points were available.
Lawmakers have given the green light to test whether managed care is a viable delivery system for people with intellectual and developmental disabilities. Last year’s SB2510. This legislation would allow up to 600 volunteers who are 18 years old on the waiting list for services in the current Medicaid iBudget Waiver program to enroll in the new Pilot His program.
iBudget Waiver allows people with intellectual or developmental disabilities to receive the types of home- and community-based services they need to live outside of institutions. These services, which include dating and grooming assistance, have traditionally not been covered by Medicaid, so states have had to exempt them from providing the care.
Advocates, families and caregivers have long opposed efforts to mandate managed care for people with intellectual and developmental disabilities. Opponents have previously been successful in blocking efforts to require enrollment in managed care plans.
Lawmakers directed Medicaid officials to create a pilot program, but it is not the only effort underway to enroll people with developmental and intellectual disabilities into managed care plans.
Under the terms of the new Medicaid managed care ITN, states assign individuals with intellectual or developmental disabilities to Medicaid managed care plans, but these individuals can later opt out.
AHCA is expected to announce the statewide Medicaid managed care award winners on Feb. 23, according to the latest timeline.
AHCA is also negotiating the Medicaid Dental ITN and plans to announce which entity it will enter into a contract with on March 29th. AHCA sent out a Medicaid alert in January and said Avesys of Florida, DentaQuest of Florida, Liberty Dental Plan of Florida, and Managed Care of Florida had issued Medicaid alerts. Announced. North America now supports Dental ITN.
Post views: 0
