Agency gets the Nod from Feds to Continue MMA Waiver

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News Release: Agency for Healthcare Administration
August 1, 2014

TALLAHSSEE – The federal government has given Florida approval to continue the 1115 Managed Medical Assistance (MMA) waiver through June 30, 2017. The state expects to save approximately $2 billion over the 3-year life of the waiver. About 3 million Floridians are enrolled in the MMA program.

“I am delighted that the state can move forward with this important program,” said Secretary Liz Dudek. “Our staff has worked tirelessly on this approval and we appreciate the federal government cooperating with us to create a managed care system that works best for our state.”

The Agency for Health Care Administration (Agency), along with sister agencies, has worked diligently for more than three years to successfully implement the Statewide Medicaid Managed Care (SMMC) program.

The SMMC program has two components: the Long-term Care (LTC) Program and the Managed Medical Assistance program (MMA). As of August 1, 2014, the Agency completed implementation of both components of the SMMC program. Both programs were implemented on a regional roll-out schedule, and the Agency completed the SMMC rollout months in advance of the statutory deadline for doing so.

The MMA component of the SMMC program operates under the 1115 Demonstration waiver. The waiver was designed to implement a new statewide managed care delivery system without increasing costs. The MMA program will provide primary and acute medical care for certain populations through high quality, competitively selected managed care organizations (MCOs).

Under the waiver, the Agency continues to build on the following objectives:

  • Improving outcomes through care coordination, patient engagement in their own health care, and maintaining fiscal responsibility.

  • Improving program performance by increasing patient satisfaction.

  • Improving access to coordinated care by enrolling all non-exempt, eligible Medicaid participants in managed care.

  • Enhancing fiscal predictability and financial management by converting the purchase of Medicaid services to capitated, risk-adjusted payment systems, with strict financial oversight requirements for MCOs to improve fiscal integrity.

The MMA waiver approval documents can be viewed on the Agency’s Statewide Medicaid Managed Care website at:This LINK.

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