What are the basics about Medicaid Managed Care in Florida?

MANAGED CARE – CareSource announces John Koehn as Massachusetts market president following its recent affiliation with Commonwealth Care Alliance
MANAGED CARE - CareSource announces John Koehn as Massachusetts market president following its recent affiliation with Commonwealth Care AllianceAlternative Headline: New
MANAGED CARE – Molina cuts 2025 earnings outlook again on ACA, Medicaid pressures
MANAGED CARE - Molina cuts 2025 earnings outlook again on ACA, Medicaid pressuresAlternative Headline: Molina Cuts Outlook Again[MM Curator Summary]: Molina slashed
MANAGED CARE – How Wayspring and Highmark Health Are Changing the SUD Care Playbook
MANAGED CARE - How Wayspring and Highmark Health Are Changing the SUD Care PlaybookAlternative Headline: Outreach Boosts SUD Care[MM Curator Summary]: A
MANAGED CARE – Medicaid work requirements in reconciliation bill revive calls to update managed care texting ban
MANAGED CARE - Medicaid work requirements in reconciliation bill revive calls to update managed care texting banAlternative Headline: Medicaid Cuts, Texting
MANAGED CARE – Digitizing Prior Authorization Could Ease Burden on Patients and Providers
MANAGED CARE - Digitizing Prior Authorization Could Ease Burden on Patients and ProvidersAlternative Headline: Insurers Simplify Prior Authorization[MM Curator Summary]: Insurers’ pledge
MANAGED CARE – 30-day public comment period underway for new Medicaid managed care program
MANAGED CARE - 30-day public comment period underway for new Medicaid managed care programAlternative Headline: Florida Expands IDD Care Pilot[MM Curator
MANAGED CARE – Three years of Healthy Opportunities Pilot at Access East changing lives across eastern North Carolina
MANAGED CARE - Three years of Healthy Opportunities Pilot at Access East changing lives across eastern North CarolinaAlternative Headline: HOP Boosts
MANAGED CARE – TrueCare Appoints Key Executives to Lead Operations and Compliance
MANAGED CARE - TrueCare Appoints Key Executives to Lead Operations and ComplianceAlternative Headline: TrueCare Expands Executive Team[MM Curator Summary]: TrueCare names two seasoned
MANAGED CARE – Retirement Systems of Alabama Reduces Stake in Molina Healthcare, Inc
MANAGED CARE - Retirement Systems of Alabama Reduces Stake in Molina Healthcare, IncAlternative Headline: Institutional Shifts in Molina Stock[MM Curator Summary]: Institutional
MANAGED CARE – CarDon CEO Zach Cattell: Managed Medicaid is ‘Biggest Wrench’ Pushing System Overhaul
MANAGED CARE - CarDon CEO Zach Cattell: Managed Medicaid is ‘Biggest Wrench’ Pushing System OverhaulAlternative Headline: Managed Medicaid Spurs Overhaul[MM Curator
  • Most members are required to receive services through a Medicaid managed care plan
  • There are 3 main Medicaid managed care programs in this market:
    • Managed Medical Assistance
    • Long-Term Care
    • Dental
  • State began managed care program in 2013

Type of managed care in state

  • Managed Medical Assistance: Medical services like doctor visits, hospital care, prescribed drugs, mental health care, and transportation to these services.
  • Long-Term Care: LTC services like care in a nursing facility, assisted living, or at home.
  • Dental: All Medicaid recipients who receive a dental benefit enroll in a dental plan
https://ahca.myflorida.com/Medicaid/recent_presentations/2019/SenateHealthPolicy_010419.pdf
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