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Transforming Florida Medicaid

By: Florida Agency for Health Care Administration Email
By: Florida Agency for Health Care Administration Email

Press Release: Florida Agency for Health Care Administration

Tallahassee, Fla.—The Agency for Health Care Administration (Agency) has been working diligently toward transforming Florida Medicaid since mid-2011 when the legislation that created the Statewide Medicaid Managed Care program became law. The Agency, in partnership with the Department of Elder Affairs (DOEA), achieved a critical milestone today as Secretary Liz Dudek executed contracts with each of the seven health plans selected to provide services via the SMMC Long-term Care program.

“The signing of these contracts solidifies the commitment from each health plan to deliver high quality services to the approximately 85,000 elderly or disabled Floridians statewide who will be enrolled in the Long-term Care program,” said Agency Secretary Liz Dudek. “The Agency has been conducting targeted outreach to recipients, providers and stakeholders, and we look forward to beginning to provide long-term care services in this new way starting August 1 for those in the greater Orlando area and then working our way around the state.”

“For over twelve years, Florida has led the nation in the design and delivery of Medicaid managed long-term care,” said DOEA Secretary Charles Corley. “We look forward to seamlessly transitioning the 85,000 current Medicaid long-term care recipients to the new service delivery model and to continue providing and monitoring these vital long-term care services to Florida’s frail elders and adults with disabilities.”

Each of the health plans was present at the ceremony to accept their original signed contract and pledge their commitment to deliver superior care to Long-term Care program recipients.

“American Eldercare is excited to be a participant in the new Medicaid Long-term Care program. As the only provider selected statewide we are working diligently to prepare for the challenge of providing care to an anticipated enrollment of over 25,000 Floridians. We believe that the new program will offer more choices for the frailest population. Whereas in the past many of Florida’s elderly and disabled were unable to remain in their homes or couldn’t leave a nursing home because of waiting lists for home care, the new program will allow recipients to receive services in their homes,” said Robert G. Schemel, President of American Eldercare, Inc. “American Eldercare was the only Provider Service Network selected and is the only provider licensed to directly provide home health services. For over ten years AEC has specialized in long term care managed care and has been recognized for superior services.”

“Long-term care coordination for seniors and people with disabilities improves the quality of care received and lifts the burden so often faced by family members and caregivers,” said Rosy Cozad, Amerigroup Florida chief executive officer. “We are committed to the communities we serve in Florida and proud to help support greater independence for these individuals at home and in the community.”

Christopher Ciano, Chief Executive Officer of Coventry Health Care of Florida said, “Coventry is honored to participate in the state’s Long-term Care program. We have been serving Floridians since 1985 and are committed to providing our members with access to quality health care. Those served by the LTC program are an especially vulnerable population and we look forward to delivering compassionate, quality and customized care to these individuals.”

“We’re honored to take part with AHCA and DOEA for today’s formal signing of Humana’s state contract to provide long-term care in Florida,” said Humana Florida Medicaid Executive Director Heidi Garwood. “This state award reflects Humana’s goal to improve the health and well-being of our members by delivering expanded offerings that focus on wellness and quality of life.”

“Molina Healthcare of Florida is pleased to have the opportunity to continue delivering on our commitment to keep Florida’s senior population as safe and healthy as possible,” said David Pollack, president of Molina Healthcare of Florida. “We look forward to building on our strong partnerships with the state, our providers, and community-based organizations to provide high-quality health care services to some of Florida’s most vulnerable citizens.”

“Sunshine State Health Plan is pleased to expand our partnership with the state of Florida to provide critical long-term care services through an individually-centered, personal approach for some of the state’s most vulnerable residents,” said Chris Paterson, Sunshine Health CEO. “We look forward to working with providers and community organizations in realizing the state’s vision for this program in each of the 10 regions we’ve been selected to serve as a Long-term Care plan.”

“For over two decades, Florida has led the nation with long term care programs designed to help keep our most frail and elderly citizens independent and safely in their homes. United Healthcare has been honored to have partnered with the Agency for Health Care Administration in developing and expanding these programs,” said Kathleen Crampton, President and CEO of United Healthcare of Florida Community Plan, “and is excited about the opportunity to continue delivering high quality, community-based services to our most vulnerable citizens.”

The Agency has created an online hub at http://ahca.myflorida.com/SMMCwhere providers, recipients and stakeholders can learn more about the SMMC program, the phased-in implementation plan, communication tools and information about which plans will operate in each of the regions.

The Agency for Health Care Administration is committed to better health care for all Floridians. The Agency administers Florida’s Medicaid program, licenses and regulates more than 45,000 health care facilities and 37 health maintenance organizations, and publishes health care data and statistics at www.FloridaHealthFinder.gov. Additional information about Agency initiatives is available via Facebook (AHCAFlorida), Twitter (@AHCA_FL) and YouTube (/AHCAFlorida).


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