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Major Changes Ahead for Medicaid

During its 2011 session the Florida Legislature passed HB 7107, a landmark Medicaid reform act that will convert Floridas Medicaid system from a traditional fee-for-service system to one primarily based upon managed care plans. The time for managed care entities to get with the program is now.

By Richard J. Fidei, Esq., Katherine S. Webb, Timothy Fordham Stanfield | Updated on July 26, 2011

During its 2011 session the Florida Legislature passed HB 7107, considered to be a landmark Medicaid reform act that will convert Florida’s Medicaid system from a traditional fee-for-service (FFS) system to one primarily based upon managed care plans. Once overhauled, Florida’s system will be one of the only Medicaid programs in the nation to operate under a managed care system.

According to the Florida Agency for Health Care Administration (AHCA), Florida’s current Medicaid enrollment is approximately 2.97 million people, half of whom are children or adolescents under the age of 20. More than 100,000 Florida medical facilities and medical professionals offer services to Medicaid enrollees. To become eligible to provide services to Medicaid recipients under Florida’s current system, a medical provider need only complete an online application at AHCA’s fiscal agent website.

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