AGENCY FOR HEALTH CARE ADMINISTRATION
Proposed Amendment to Florida’s 1115 Managed Medical Assistance Waiver
The Agency for Health Care Administration (Agency) is seeking public input on a proposed amendment to Florida’s 1115 Managed Medical Assistance (MMA) Waiver.
DATE AND TIME: Tuesday, September 23, 2014, 2:00 p.m. ‒ 2:30 p.m.
PLACE: Agency for Health Care Administration, Building 3, Conference Room A, 2727 Mahan Drive, Tallahassee, FL 32308. To participate by phone, please call: 1(888)670-3525 and enter the participant code: 3715274100#
DATE AND TIME: Monday, September 29, 2014, 1:00 p.m. ‒ 2:00 p.m.
PLACE: Agency for Health Care Administration, 6800 North Dale Mabry Highway, Main Training Room, Tampa, FL 33614. To participate by phone, please call: 1(888)670-3525 and enter the participant code: 4201652735 #.
SUMMARY DESCRIPTION OF PROPOSED AMENDMENT:
The Agency plans to submit an amendment to Florida’s 1115 MMA Waiver to the Centers for Medicare and Medicaid Services (Federal CMS). The proposed amendment will allow for Medicaid-eligible recipients residing in group home facilities licensed under Section 393.067, Florida Statutes, as well as Medicaid-eligible children receiving Prescribed Pediatric Extended Care (PPEC) services to become eligible to voluntarily enroll in Florida’s MMA program, a component of the Statewide Medicaid Managed Care (SMMC) program. This amendment is being submitted to implement newly amended Florida Law (HB 5201), that allows recipients residing in a group home facility and children receiving PPEC services to voluntarily enroll in Florida’s MMA program upon federal approval.
Group home facilities licensed under s. 393.067 are residential facilities licensed which provide family living environments including supervision and care necessary to meet the physical, emotional, and social needs of its residents. The proposed amendment will ensure continuity of care and allow these individuals access to expanded benefits offered by the plans.
The purpose of the Florida Medicaid PPEC services is to enable recipients under the age of 21 years with medically-complex conditions to receive medical and therapeutic care at a non-residential pediatric center. Currently under Florida law, children receiving PPEC services are excluded from participating in the MMA program and, therefore, would be unable to receive services from an MMA plan such as the Children’s Medical Services Network.
The proposed amendment will allow for those children receiving PPEC services and currently enrolled in the Children’s Medical Services Network or another managed care plan to remain in that plan without disruption of services, ensuring their continuity of care and participation in the MMA program. It would also allow children not currently enrolled in a Medicaid managed care plan to select an MMA plan to take advantage of the higher standards required of the plans and the expanded benefits offered by the plans.
Public Notice and Public Comment Period: SEPTEMBER 2, 2014 – OCTOBER 2, 2014
The Agency will conduct a 30-day public notice and comment period prior to the submission of the proposed amendment request to Federal CMS. The Agency will consider all public comments received regarding the proposed amendment request. The 30-day public notice and public comment period begins September 2, 2014 and ends October 2, 2014. This public notice and public comment period is being held to solicit public input from recipients, providers and all stakeholders and interested parties on the development of the proposed amendment request to Florida’s 1115 MMA Waiver.
To submit comments by postal service or internet e-mail, please follow the directions outlined below. When providing comments regarding the proposed amendment to the 1115 MMA Waiver please have ‘Proposed Amendment to 1115 MMA Waiver’ referenced in the subject line. Mail comments and suggestions to:
Proposed Amendment to 1115 MMA Waiver
Office of the Deputy Secretary for Medicaid
Agency for Health Care Administration
2727 Mahan Drive, MS #8
Tallahassee, Florida 32308
E-mail your comments and suggestions to: FLMedicaidWaivers@ahca.myflorida.com
More information is available on the Agency’s website at the following link: http://ahca.myflorida.com/medicaid/statewide_mc/mma_fed_auth.shtml
