Medicaid Reform proposal by the Governor was based on the rising costs in the budget.
Florida Legislature passed SB 838 in the 2005 session that allowed the Agency for Health Care Administration, AHCA, to apply for a Section 1115 demonstration & research waiver from the federal government that would allow the state the flexibility to change Medicaid outside of current federal rules.
Individuals who are recipients of TANF, temporary assistance for needy families, children, and the aged and disabled, SSI
Voluntary populations; individuals residing in nursing homes, children with chronic conditions, foster care children, pregnant women above 27% of poverty, dual eligible who are covered under Medicare-Medicaid.
The voluntary recipients will be included in the next phase of Medicaid reform
Choice counseling provided & 30 days to chose a plan.
If plan not chosen within 30 days, enrollee will be assigned to a plan. After 90 days they can chose another plan if not satisfied. Waiver allows the state to cover only emergency care and nursing home up to 30 days from eligibility to selection of plan.
Under the recently approved waiver there is no longer the provision for a 3 month retroactive coverage for enrollees.
Florida Waiver Approved in Record Time by federal Center for Medicaid and Medicare Services, CMS Fast Track for Legislative Approval of the AHCA Implementing Plan