Significant changes to Florida’s Medicaid managed-care system take effect this month, impacting millions of beneficiaries across the state. These changes include new contracts with health plans and a reduction in the number of regions within the system.
The updated contracts, representing tens of billions of dollars in the coming years, were finalized after a lengthy process that began in 2023.
As of December, approximately 3 million Floridians receive healthcare through the Medicaid managed-care system, according to the Agency for Health Care Administration (AHCA).
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Florida’s Medicaid managed-care system, established in 2011, requires most beneficiaries to enroll in managed-care plans. The AHCA has undergone three major contracting processes since then. Previously, contracts were awarded in 11 regions across the state. The latest changes reduce the number of regions to nine.
Eight health plans have been awarded contracts for the medical managed care portion of the program, while two dental plans have received contracts. These changes are expected to streamline the system and improve efficiency in delivering healthcare services to Medicaid beneficiaries.
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