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Every state’s Medicaid and CHIP program is changing and improving – most states are expanding coverage for low-income adults; all states are modernizing their Medicaid/CHIP eligibility, enrollment and renewal processes and systems, and taking advantage of many of the new flexibilities provided by the Affordable Care Act.
2021 Medicaid Managed Care Program Features – Florida Author: Mathematica/CMS Subject: State-level Medicaid managed care program features Keywords: Medicaid managed care; managed care enrollment; managed care programs; managed care program characteristics; Florida Created Date: 5/22/2023 11:46:27 AM
exceptions) participated in a managed care demonstration program called the . Florida Medicaid Pilot (formerly known as . Florida Medicaid Reform, operating under Section 1115 waiver authority). The state initially implemented the pilot in two counties in 2006 and then expanded to three more counties in 2007. In December 2011, the state
care in order to enroll in the Long-Term Care program. Recipients aged 18 to 64 must be eligible for Medicaid by reason of a disability as determined by the Social Security Administration in order to enroll in the Long-Term Care program. In addition to the 60 day enrollment period, once a recipient is enrolled with a plan, they have 120
2018 Medicaid Managed Care Program Features - Florida Author: State-level Medicaid managed care program features Subject: Medicaid Managed Care Enrollment and Program Characteristics, 2018 Keywords: Medicaid managed care; managed care enrollment; managed care programs; managed care program characteristics; Florida Created Date: 8/11/2021 8:28:40 AM
These Managed Care State Profiles and State Program Features reflect the most recently available managed care program information. The State Profiles provide an overview of states' managed care program components and are intended to present a snapshot of each state's managed care landscape as of a given date.
As required within the Special Terms and Conditions of the Managed Medical Assistance Demonstration, the attached continuance letter authorizes the operation of the waiver of retroactive eligibility and the essential provider contracting requirement.
Managed Care is a health care delivery system organized to manage cost, utilization, and quality. Medicaid managed care provides for the delivery of Medicaid health benefits and additional services through contracted arrangements between state Medicaid agencies and managed care organizations (MCOs) that accept a set per member per month (capitation) payment for these services.
Medicaid increased by 8.3% and total Medicaid managed care enrollment increased by 7.9%. The increase in Medicaid enrollment was largely driven by the Families First Coronavirus Response Act (P.L. 116-127), which suspended disenrollment from Medicaid during the federal COVID-19 public
Care (LTC) managed care program. Section 409.978, F.S, directed the Agency for Health Care Administration (AHCA) to develop a Long-term Care program for Florida Medicaid recipients who meet financial eligibility requirements and are (a) age 65 years or older, or (b) age 18 years or older and eligible