medicaid challenge

Judge Rejects State Contracts For HIV And AIDS Care

Nov 21, 2018

An administrative law judge recommended Tuesday that the state Agency for Health Care Administration toss aside agreements it signed for treatment of Medicaid beneficiaries with HIV and AIDS in three South Florida counties.

The First District Court of Appeal ruled Gov. Rick Scott doesn’t have to release calendar and travel records.

An AIDS advocacy group sued Scott for refusing to release the documents as part of a public records request. 

George Hodan (Public Domain Pictures)

An administrative law judge Tuesday agreed to give attorneys for the state and Lighthouse Health Plan another two weeks to try to settle a dispute about a patient-assignment policy for Medicaid beneficiaries in Northwest Florida.

Lighthouse Health Plan attorney Edward Philpot told Judge Robert Telfer III that the parties are working toward an agreement, and “indications appear good that we are on the right track.”

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Legal challenges continue to mount over the state’s Medicaid managed-care program. Lighthouse Health Plan filed a petition in state administrative court last week challenging state decisions that it says will lead to the automatic assignment of Medicaid patients in Northwest Florida to a competitor, Humana. 

Court Keeps Scott Records Ruling On Hold

Sep 19, 2018
Daylina Miller/Health News Florida / WUSF

Gov. Rick Scott on Tuesday received a legal ruling that will at least temporarily allow him to keep from turning over his calendar --- including information about fundraising events and where he will reside at night --- to a health-care organization.

Delay In Federal Approval Trims Medicaid Savings

Aug 7, 2018
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Nearly $100 million the state assumed would be saved by changing a policy about patient eligibility for Medicaid won’t come to fruition this year.

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Twenty-seven legal challenges filed by managed-care plans protesting state decisions to award $90 billion in Medicaid contracts have been grouped into five cases that will be heard in administrative court next month.

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A managed-care plan owned by the North Broward and South Broward hospital districts is fighting a state decision to eliminate it from providing Medicaid services to some of Florida’s sickest children. 

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After a lengthy process that involved awarding tens of billions of dollars in Medicaid contracts, the Florida Agency for Health Care Administration now will have to try to fend off legal challenges from health plans that were denied contracts.