Florida Managed Medicaid Plans



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Florida Managed Medicaid Plans

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Managed Care in FloridaMedicaid.gov

www.medicaid.gov

Managed Care in Florida. This profile reflects state managed care program
information as of August 2014, and only includes information on active federal
operating authorities, and as such, the program start date may not reflect the
earliest date that a program enrolled beneficiaries and provided services. Some
states report …

Florida Managed Medical Assistance ProgramMedicaid.gov

www.medicaid.gov

Oct 1, 2014 Florida. Managed Medical Assistance. Program. 1115 Research and
Demonstration Waiver. Final Annual Report. Demonstration Year 8. July 1, 2013
– June 30, 2014 …

Florida Managed Medical Assistance ProgramMedicaid.gov

www.medicaid.gov

Mar 31, 2015 On July 31, 2014, the Centers for Medicare and Medicaid Services (CMS)
approved a three- year extension of the Florida Managed Medical Assistance (
MMA) Program 1115 Research and. Demonstration Waiver. The approved
waiver extension documents can be viewed on the. Agency for Health Care …

Florida Managed Medical Assistance Program – The Agency For …

www.medicaid.gov

Requirement: A historical narrative summary of the demonstration project. In
2011, the Florida Legislature created Part IV of Chapter 409, Florida Statutes (
F.S.), directing the Agency for Health Care Administration (Agency) to create the
Statewide. Medicaid Managed Care (SMMC) program. The SMMC program has
two key.

Florida Managed Care Organizations Received Medicaid Capitation …

oig.hhs.gov

Florida MCOs Received Medicaid Capitation Payments After Beneficiary's Death
(A-04-15-06182) i. EXECUTIVE SUMMARY. WHY WE DID THIS REVIEW. The
Florida Statewide Medicaid Managed Care Program (SMMC) pays managed
care organizations (MCOs) to provide covered health care services in return for a
 …

Provider Handbook – Florida Department of Health

www.floridahealth.gov

Aug 5, 2016 Under the Managed Medical Assistance (MMA) component of the Statewide
Medicaid Managed Care (SMMC) program, Children's Medical Services (CMS)
has formed a Medicaid health plan known as Children's Medical. Services
Managed Care Plan (CMS Plan). In 2014, CMS Plan signed a contract with …

An Overview of Statewide Medicaid Managed CareFlorida

www.floridahealth.gov

Oct 31, 2013 The Statewide Medicaid. Managed Care Program. Florida Medicaid. October
2013. Topics. • Overview of Statewide Medicaid Managed Care. • Long-term
Care Component. • Managed Medical Assistance Program Component. • Eligible
Recipients. • Covered Services. • MMA Added Values/ Benefits.

powerpoint guidelines – Florida Department of Health

www.floridahealth.gov

THE FOUNDATION OF CMS PLAN. Children's Medical Services (CMS) Managed
Care Plan provides medically necessary services for children with special
healthcare needs eligible for KidCare and Medicaid. Mission. Goals. Protect,
promote and improve the health of children up to age 21 with chronic and serious
physical …

BILL ANALYSIS AND FISCAL IMPACT STATEMENT – The Florida

www.flsenate.gov

Jan 8, 2016 I. Summary: SB 994 removes dental services as a required benefit from the
Medicaid Managed Assistance. (MMA) program component of the Statewide
Medicaid Managed Care (SMMC) program effective March 1, 2019. The bill
requires the Agency for Health Care Administration (AHCA) to provide the …

Guidelines for the Provision of Personal Care Services in Medicaid

www.health.ny.gov

May 31, 2013 OFFICE OF HEALTH INSURANCE PROGRAMS. Guidelines for the Provision of
Personal Care Services in Medicaid Managed Care. Overview. In response to
Medicaid Redesign Team (MRT) proposal #1458, the personal care benefit was
added to the. Medicaid managed care (MMC) benefit package.

What's a Medicare Advantage Plan? – Medicare.gov

www.medicare.gov

The plan determines how much it will pay doctors, other health care providers,
and hospitals, and how much you must pay when you get care. • Special Needs
Plans (SNPs)—SNPs provide focused and specialized health care for specific
groups of people, like those who have both Medicare and Medicaid, live in a
nursing …

Managed Care Solutions for Long-Term Services and Supports— A …

www.dhh.louisiana.gov

Implementing a Medicaid Managed Long-term Services and Supports (MLTSS)
program represents a unique opportunity …. their care through shared decision-
making tools or self-managed programs. Arizona and Florida are two states that
have adopted this consumer-directed approach to care delivery. Effective
programs …

FAQs for Displaced Puerto Ricans in Florida Puerto Rico's Medicaid

stephaniemurphy.house.gov

CENTERS FOR MEDICARE & MEDICAID SERVICES. OFFICE OF
COMMUNICATIONS. FAQs for Displaced Puerto Ricans in Florida. Puerto Rico's
Medicaid managed care program – Government Health Plan (GHP). Q. If a
resident of Puerto Rico who is enrolled in the Puerto Rico Medicaid Government.
Health Plan (GHP) …

Analyses of MAX Claims: SAMHSA Fee-for-Service … – SAMHSA Store

store.samhsa.gov

Service Spending Estimates, Medicare-Medicaid Enrollee Analysis, and
Managed Care Summary. HHS ….. Appendix K. Medicaid Enrollment in Managed
Care Plan Combinations Versus Fee-for-Service by Eligibility for All ….. payments
in proportion to the 1 percent of reported claims in Florida, we allocated
payments.

A Profile of Medicaid Managed Care Programs in 2010 – Montana …

leg.mt.gov

medicaid kaiser commission o n uninsured and the. A Profile of Medicaid
Managed Care Programs in 2010: Findings from a 50-State Survey. Prepared by
….. ID. HI. GA. FL. DC. DE. CT. CO. CA. AR. AZ. AK. AL. 51% – 65% (15 states). 0
% – 50% (9 states). 80%+ (9 states). 66% – 80% (17 states and DC). U.S. Overall
= 65.9% …

Characteristics of Children in Medicaid Managed Care and …

www.cdc.gov

Jun 8, 2015 adopting Medicaid managed care plans, analyses of children enrolled in
Medicaid based only on …. Medicaid managed care plan arrangements: a
comprehensive risk-based plan, a primary care case management plan, or a
limited-benefit plan (11). …… FL: American Statistical Association. 2011. 18. HHS
 …

State Medicaid Integration Tracker – Oregon.gov

www.oregon.gov

Jul 9, 2013 Projected Medicaid Managed LTSS Program & State Initiatives to Integrate Care
for Dual Eligible Individuals. The Florida Agency for Health Care Administration (
AHCA) recently (2/ 1/ 2013) received approval of its application for a §1915(b)(c)
combination waiver from CMS to implement the long-term care …

behavioral health carve-out program – Maryland Department of …

health.maryland.gov

Behavioral health carve-outs are defined as programs that contract directly with
managed behavioral … specialization for Medicaid managed care than integrated
behavioral health programs. Through contract …. Florida Behavioral Health, a
group of local, not-for-profit mental health and substance abuse providers. FHP
has …