2. Florida is expected to find out
in mid to late February whether
the Federal Government has
approved its request to expand
a 5 county Managed Care
system for Medicaid to all 67
counties

3. has the opportunity to respond regardless
of the Federal Government’s decision
using two alternate approaches

4. Tap Established Industry Leaders
•Reach out to current HMO/PSN pilot program participants for Support
Coordination/Fraud Services
Approach Withdrawees
•Reach out to WellCare to help restore name and other pilot program
withdrawees or non-participants to help them re-enter/enter the market
Submit bid as “Specialty Plan”
•Enter bid process in February to serve as “select eligibility group” (children
with chronic conditions or people with HIV/AIDS)

5. Florida Association of
Counties
*Major advocate in legislature
on behalf of all counties
*Medicaid billing in top 3
priorities for 2013
Polk County Manatee County
*Chair of Senate Appropriations on Health *Recovered $1 Million in Medicaid
and Human Services Subcommittee overbilling from State
*Oversees $21 Million Medicaid Budget *State Senator on Health and Human Service
Subcommittee
Hillsborough County
Sarasota County
*Led charge on Medicaid overbilling, stating
$11 Million in “errors” *State Medicaid bill revised down to
$3 Million from $6 Million following
*Recent scandal involving pay for 24 hour
“discrepancy”
care for disabled teens

6. The Florida Public
Interest Research
Group wrote a scathing
report, critical of the
pilot program and
push for a Statewide
transition