PURPOSE: The purpose of the three LIP Council meetings is to discuss the LIP program including legislative updates, future federal funding and program design, funding methodology, policies and procedures in accordance with the Managed Medical ...

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

The Agency for Health Care Administration announces public meetings to which all persons are invited.

DATES AND TIMES: August 8, 2013, 1:00 p.m. − 5:00 p.m.; August 21, 2013, 10:00 a.m. − 4:00 p.m.; August 28, 2013, 10:00 a.m. − 4:00 p.m.

PLACE: August 8, 2013, 1:00 p.m. − 5:00 p.m.: Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Conference Room A, Tallahassee, FL 32308. To participate by phone, please call 1(877)415-3185, User ID#102 994 78

August 21, 2013, 10:00 a.m. − 4:00 p.m.: Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Conference Room A, Tallahassee, FL 32308. To participate by phone, please call 1(866)318-8612, User ID# 537 336 50

August 28, 2013, 10:00 a.m. − 4:00 p.m.: Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Conference Room A, Tallahassee, FL 32308. To participate by phone, please call 1(877)415-3182, User ID# 596 425 07

GENERAL SUBJECT MATTER TO BE CONSIDERED: PURPOSE: The purpose of the three LIP Council meetings is to discuss the LIP program including legislative updates, future federal funding and program design, funding methodology, policies and procedures in accordance with the Managed Medical Assistance Waiver (previously known as Medicaid Reform Waiver) as approved by the Centers for Medicare and Medicaid Services (Federal CMS) on June 14, 2013.

FUTURE OF LIP PROGRAM: The three LIP Council meetings are being held to discuss the future of the LIP program for the period July 1, 2014 through June 30, 2017. The state’s 3-year waiver extension request including any proposed changes to the LIP program will be submitted to the Centers for Medicare and Medicaid Services in the fall of 2013.

DESCRIPTION OF DEMONSTRATION WAIVER: Florida’s 1115 Research and Demonstration Waiver was initially approved by Federal CMS October 19, 2005. The Agency for Health Care Administration (Agency) implemented the demonstration July 1, 2006, in Broward and Duval Counties, and expanded to Baker, Clay, and Nassau Counties July 1, 2007. On December 15, 2011, Federal CMS approved to extend the demonstration through June 30, 2014.

On June 14, 2013, Federal CMS approved an amendment to the demonstration that allows for implementation of an improved model of managed care to all counties in Florida and the continuation of the LIP program. The amendment also changed the name of the demonstration to the Florida Managed Medical Assistance (MMA) program. The MMA program will be guided by principles designed to improve coordination and patient care while fostering fiscal responsibility. The three fundamental elements of the program are:

• Risk-Adjusted Premiums will be developed for Medicaid enrollees in managed care plans. The risk-adjusted premium will minimize “adverse selection,” and, provide an incentive for plans to take all necessary steps to identify Medicaid enrollees who have undiagnosed chronic conditions.

• Healthy Behaviors will be provided through the managed care plans to encourage and reward healthy behaviors.

• Low-Income Pool (LIP) will be maintained to provide direct payment and distributions to safety net providers in the state for the purpose of providing coverage to Medicaid, the uninsured and underinsured populations. Funds will be distributed to safety net providers that meet certain state and federal requirements.

A copy of the agenda may be obtained by contacting: Nicole Maldonado, [phone], [e-mail].

Pursuant to the provisions of the Americans with Disabilities Act, any person requiring special accommodations to participate in this workshop/meeting is asked to advise the agency at least 7 days before the workshop/meeting by contacting Nicole Maldonado, [phone], [e-mail]. If you are hearing or speech impaired, please contact the agency using the Florida Relay Service, 1[phone] (TDD) or 1[phone] (Voice).

For more information, you may contact: Nicole Maldonado, [phone], [e-mail].