Subject


The purpose of this public meeting is to discuss regular agenda topics and activities of the Medical Care Advisory Committee, and to provide stakeholders with the opportunity to provide meaningful comment on the progress of Florida’s 1115 Managed Medical Assistance (MMA) Waiver (previously known as Medicaid Reform Waiver), approved by the Centers for Medicare and Medicaid Services (Federal CMS) on June 14, 2013. In addition, the future of Florida’s 1115 MMA Waiver will be discussed to include the following topics: legislation creating the MMA program passed during the 2011 Florida Legislative Session, overview of the existing waiver and description of the draft waiver extension request. There will be an opportunity for public comment at the meeting. As specified in Special Term and Condition #18, “Post Award Forum,” of the 1115 MMA Waiver, the Agency for Health Care Administration (Agency) must afford the public with an opportunity to provide meaningful comment on the progress of the 1115 MMA Waiver within six months of approval of the waiver amendment (see “Summary Description of the Demonstration Waiver” below for more information), and annually thereafter. The Agency can use its Medical Care Advisory Committee to meet this requirement, and the Agency must publish the date, time and location of the public meeting at least 30 days prior to the public meeting date. SUMMARY DESCRIPTION OF THE DEMONSTRATION WAIVER: Florida’s 1115 Research and Demonstration Waiver was initially approved by Federal CMS October 19, 2005 to operate the demonstration for the period from July 1, 2006 to June 30, 2010. Implementation of the demonstration occurred in Broward and Duval Counties on July 1, 2006 with expansion to Baker, Clay and Nassau Counties occurring July 1, 2007. Federal CMS granted temporary extensions of demonstration until December 15, 2011, when final approval of the extension request was granted, for the period from December 16, 2011 to 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 Low Income Pool program. The amendment also changed the name of the demonstration to the Florida Managed Medical Assistance program. The program is guided by principles designed to improve coordination and patient care while fostering fiscal responsibility.