Florida Medicaid Reform

Under the Florida Medicaid Reform demonstration participation in managed care is mandatory for TANF related populations and the aged and disabled with some exceptions. The demonstration allows managed care plans to offer customized packages, although each plan must cover all mandatory services. The demonstration provides incentives for healthy behaviors, allows beneficiaries to opt out of Medicaid to take advantage of employer sponsored insurance, and established a Low Income Pool (LIP) to support coverage to the uninsured. Services are provided through health maintenance organizations and provider service networks. The primary objectives are to increase the number of health plan choices for beneficiaries, increase access to services and providers, and increase access to the uninsured.