Florida Medicaid Managed Care Programs



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Florida Medicaid Managed Care Programs

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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 Medicaid 1915(b) Managed Care Waiver Long-Term Care …

www.medicaid.gov

Florida Medicaid. 1915(b) Managed Care Waiver. Long-Term Care Program. (
Waiver #FL-17). Effective Dates: 12/28/16 – 12/27/21. Submitted June 17, 2016.
Re-Submitted August 19, 2016. US DEPARTMENT OF HEALTH AND HUMAN
SERVICES. Centers for Medicare & Medicaid Services. Center for Medicaid and
State …

National Summary of State Medicaid Managed Care Programs

www.medicaid.gov

Jun 30, 2016 NATIONAL SUMMARY of. STATE MEDICAID MANAGED. CARE PROGRAMS.
PROGRAM DESCRIPTIONS. AS OF JULY 1, 2012 … The report provides
descriptions of the States' Medicaid managed care programs as of July 1, 2012.
The data … Page 20. Florida *Statewide Inpatient Psychiatric Program.

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.

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
 …

HOUSE OF REPRESENTATIVES STAFF ANALYSIS BILL #: HB …

www.flsenate.gov

Apr 17, 2017 The SMMC has two components: managed medical assistance. (MMA) and long-
term care managed care (LTC). The MMA waiver expires on June 30, 2017, and
the LTC waiver was recently extended through December 27, 2021. The bill
enhances the SMMC program by incorporating changes informed …

Overview of the Medicaid Managed Care Programs in Florida

www.flsenate.gov

Nov 12, 2010 The Florida Senate. Issue Brief 2011-221. November 2010. Committee on Health
Regulation. OVERVIEW OF MEDICAID MANAGED CARE PROGRAMS IN
FLORIDA. Statement of the Issue. Florida Medicaid beneficiaries receive services
through several different delivery systems, including a number of.

GAO-16-77, MEDICAID MANAGED CARE: Trends in Federal …

www.gao.gov

Dec 17, 2015 flexibility within broad federal parameters to design and implement their Medicaid
programs, and therefore play a critical role in overseeing managed care. GAO
was asked to examine managed care expenditures and provide information on
certain components of state oversight of. Medicaid managed care.

Texas Medicaid Managed Care and – Texas Health and Human …

hhs.texas.gov

Texas Medicaid Managed Care and. Children's Health Insurance Program.
Summary of Activities and Trends in Health Care. Quality. Contract Year 2016.
Measurement Period: 2011 through 2016. The Institute for Child Health Policy.
University of Florida. The External Quality Review Organization for Texas
Medicaid and …

EXAMINING MEDICAID MANAGED LONG-TERM SERVICE AND …

new.dhh.louisiana.gov

and state officials, researchers, representatives from managed care
organizations, service providers, and consumer … enrollment in Medicaid MLTSS
plans is mandatory or voluntary and whether the MCO is sponsored by a ….
states – Arizona, Florida, Hawaii, Massachusetts, Minnesota, New Mexico, New
York,. Tennessee …

behavioral health carve-out program – Maryland Department of …

health.maryland.gov

INTRODUCTION. As federal and state health care expenditures continue to rise,
state agency leaders look to the managed care industry for solutions to better
manage health care costs while covering more members. The. Congressional
Budget Office Extended Baseline Scenario projects costs for Medicaid, Medicare,
the.

Characteristics of Children in Medicaid Managed Care and …

www.cdc.gov

Jun 8, 2015 Objectives—Medicaid claims have been used to characterize utilization patterns
of child Medicaid beneficiaries. However, because states are increasingly
adopting Medicaid managed care plans, analyses of children enrolled in
Medicaid based only on claims for fee-for-service (FFS) programs may not …

An Examination of Expected Payer Coding in HCUP … – AHRQ

www.hcup-us.ahrq.gov

EXECUTIVE SUMMARY. The “expected payer” data element in HCUP databases
and other similar hospital encounter databases provides information on the type (
category) of payer that the hospital expects to be the source of payment for the
hospital bill. This data element is widely used as an important explanatory …

State Medicaid Integration Tracker – Oregon.gov

www.oregon.gov

Jul 9, 2013 managed care delivery model that operates statewide for both Medicaid State
Plan groups as well as demonstration ….. Florida. Currently Operating Medicaid
Managed LTSS Program. Florida Long-term Care Community Diversion Program
operating under §1915(a) and §1915(c) Medicaid authorities …

Commonwealth of Kentucky Department for Medicaid Services …

chfs.ky.gov

1. Commonwealth of Kentucky. Department for Medicaid Services. Division of
Program Quality and Outcomes. Comprehensive Evaluation Summary of the.
Commonwealth of Kentucky Strategy for Assessing and Improving the Quality of
Managed Care Services. FINAL REPORT. July 2014 …

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

www.medicare.gov

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 home, or have
certain chronic medical conditions. • HMO Point-of-Service (HMOPOS) plans
These are …

Medicaid Managed Care Procurement – Ohio Health Transformation

healthtransformation.ohio.gov

Jun 7, 2012 for applications (RFA) from qualified managed care organizations (MCOs)
interested in providing … The re-procurement of Ohio's Medicaid managed care
contracts is part of Ohio Medicaid's commitment to … product lines in Arizona,
Florida, California, Maryland and Texas (with the exception of its Texas …

comparative analysis – Georgia Department of Community Health

dch.georgia.gov

Jul 17, 2008 COMPARISON OF GF MODEL CONTRACT TO OTHER STATE MEDICAID
MANAGED CARE. CONTRACTS . …… and plan. Table: Comparison of Prior
Authorization Service Types by State and CMO/MCO. Georgia. Florida. Indiana
Michigan Missouri Pennsylvania Virginia. Service Type. A. M. E. R. IG. R. O.