The Florida Agency for Health Care Administration (AHCA) released an invitation to negotiate for the upcoming new Statewide Medicaid Managed Care Program (SMMC) contract on Tuesday. Most Medicaid recipients in Florida are enrolled in the SMMC, which covers 4.4 million individuals, and consists of: Managed Medical Assistance (MMA), which provides Medicaid-covered medical services like doctor … Read more
Our first Florida newsletter of 2023 features a conversation with newly appointed House health committee Chair Rep. Randy Fine about his priorities for this session, a breakdown of some of the health-related funding proposals in Gov. Ron DeSantis’s recently released FY 2023-2024 budget, and information on how healthcare leaders in the state are preparing for … Read more
The Agency for Health Care Administration (AHCA) continues to prepare for the reprocurement process for its Statewide Medicaid Managed Care (SMMC) program this year. Enrollment in Florida Medicaid has continued to increase throughout the pandemic, with over 5.3 million beneficiaries as of June 2022. In early June, 58 health care organizations including health plans, providers, … Read more
Florida’s Agency for Health Care Administration (AHCA), which oversees the Statewide Medicaid Managed Care (SMMC) Program is currently in the process of kicking off 5 Medicaid Medical Care Advisory Committee (MCAC) Subcommittees, each pertaining to a specific Medicaid subpopulation. This is the first time the committees will convene since the onset of the COVID-19 pandemic. … Read more
The Agency for Health Care Administration (AHCA), which administers Florida’s Statewide Medicaid Managed Care (SMMC) program, received several recommendations to improve care delivery for behavioral and women’s health, along with other services as part of its federally-required External Quality Review (EQR). Health Services Advisory Group (HSAG), an EQR Organization for Medicaid, conducted the … Read more
To cap off our 2022 Florida State of Reform Health Policy Conference, Health Management Associates Principal Beth Kidder shared remarks on the future of Florida health care and health policy. Kidder brings over 20 years of experience in managed care and organizational development and served as the Florida Deputy Secretary for Medicaid from 2016-2021. … Read more
Florida’s rising Medicaid enrollment is pushing stakeholders to collaborate and adapt in the face of two major changes. First, the Agency for Health Care Administration (AHCA) is set to release its new Statewide Medicaid Managed Care procurement contract in September. All states must also prepare for the Medicaid eligibility redetermination process once the federal public … Read more
Last Tuesday, the Agency for Health Care Administration and Agency for Persons with Disabilities announced the approval of up to $502.7 million in Federal Medical Assistance Percentage (FMAP) funding to be distributed to eligible providers. “From the beginning of his administration, Governor DeSantis has led the charge amongst the nation’s governors in putting Florida’s seniors … Read more
On Thursday, the Agency for Health Care Administration (AHCA) announced that it will move forward with the adoption of proposed rule 59A-4.1081 which formally establishes the requirements of the Personal Care Attendant (PCA) Training Program as directed in HB 485, passed during the 2021 Legislative Session. This announcement comes after Governor Ron DeSantis approved three … Read more
Unfinished budget negotiations in the legislature are pushing session past its scheduled adjournment on Friday, due to a mandatory 72-hour “cooling off” period before policy makers can vote on the proposed appropriations bills. Last week, the Florida Policy Institute (FPI) published a 56-page analysis on the House and Senate proposed FY 2022-23 budgets, as well … Read more