Statewide Medicaid Managed Care Waiver

Medicaid Waiver Approved by Feds

Florida CHAIN For Immediate Release:  Friday, June 14, 2013 Media Contacts: Leah Barber-Heinz, [email protected], 850-294-6087, or Laura Goodhue, [email protected], 954-213-8647 Medicaid Waiver Approved by Feds In response to the announcement that the federal Centers for Medicare and Medicaid Services has granted Florida final approval of its request for a waiver to expand its Medicaid managed […]

Medicaid Waiver; Progress Made; Concerns Remain

Florida – Today, conditional approval was given to the state of Florida to move almost all Medicaid recipients into managed care. CMS and Florida appear to be moving in the right direction, but we will reserve judgment until we see the final document, should the waiver ultimately be approved. This has been a long, long process and […]

Medicaid Misinformation: What FL Leaders Get Away With Saying

Despite’s stated aim of “sorting out the truth in politics” and the Pulitzer Prize it received for its efforts, it nevertheless came under heavy fire last month for naming the claim that “Republicans voted to end Medicare” the Lie of the Year for 2011. Objectors (like Florida CHAIN) insisted that the House GOP was in fact trying to fundamentally end the program by supporting a plan to convert Medicare to a system of private vouchers. There may be some room to misinterpret such an oversimplified statement, but it’s certainly no lie. Furthermore, once explained, it turns out to be fully true.

The Extension of Florida’s Medicaid Reform Experiment, Explained

After more than a year of negotiations, the federal Centers for Medicare and Medicaid Services (CMS) is ready to formally approve Florida’s request to continue Medicaid Reform experiment in the five-county Pilot area.

FAQ’s on FL’s statewide Medicaid Managed Care proposal to CMS

August 11, 2011-  What did the State of Florida submit to the federal Centers for Medicare and Medicaid Services (CMS) on August 1st?  Why did AHCA propose amendments to the Medicaid Reform Waiver? Why three amendments instead of one?  What would the proposed State Plan amendment do? Click to read the full report: Florida’s Proposal for Statewide Medicaid […]

Proposed changes to Medicaid Reform pilot from federal CMS and what it means for new experiment

Click for the downloadable version: Summary of Federal CMS’ Proposed Changes to the Medicaid Reform Waiver and Implications for Florida’s New Statewide Medicaid Managed Care Experiment July 28, 2011-  In June 2010, the State of Florida submitted a request to the federal Centers for Medicare and Medicaid Services (CMS) for an extension of the 5-year “Medicaid Reform” […]

Un-“waivering” Confusion?

I received an e-mail last weekend asking how federal approval of Florida’s new statewide Medicaid managed care experiment could possibly have been forthcoming so quickly. The short answer is: it hasn’t come at all. In fact, the State’s application for a new waiver of Medicaid rules to the federal Centers for Medicare and Medicaid Services […]

Q & A About CMS Letter and Its Implications for Florida

On April 28, 2011, a high-ranking official at the federal Centers for Medicare and Medicaid Services (CMS) sent a letter to the secretary of Florida’s Agency for Health Care Administration (AHCA). The following questions and answers help explain the significance of CMS’ letter and its impact on current proposals to overhaul Florida’s Medicaid program:   […]

Don’t Overlook Scariest Part of Scary Medicaid Overhauls

Both Medicaid overhaul bills moving through the Legislature are scary in that they aim to expand the failed Medicaid Reform experiment statewide and turn decision-making over to mostly for-profit managed care plans. These plans have a long history in Florida of boosting their shareholders’ bottom line at the expense of vulnerable Medicaid patients. Despite ongoing […]

HMO Medicaid Takeover Fails…For Now

A month ago, massive expansion of Medicaid managed care seemed one of the safest bets of the 2010 legislative session. Yet the session ended with the Legislature taking only the minimum action necessary to keep the current Medicaid Reform experiment alive. House Proposal  The House had made Medicaid “sustainability” one of its top priorities, assigning […]