Medicaid contracts

Daylina Miller/Health News Florida / WUSF

Moving quickly, an appeals court has scheduled a hearing next week in a public-records lawsuit about whether Gov. Rick Scott should be required to turn over his calendar to an organization locked in a battle with the state about Medicaid contracts. 

Medicaid Patients Face Changes In Health Plans

Sep 19, 2018
iStock

About 600,000 low-income patients will be assigned to new Medicaid managed-care plans in the coming months after the state ended contracts with their existing plans.

Miami-Dade County, the juiciest plum in Florida Medicaid’s switch to mandatory managed care, could still be in play following a ruling against the Agency for Health Care Administration in its contracting decisions. Hundreds of millions of dollars could ride on the outcome. 

The decision by Administrative Law Judge John Van Laningham, issued Jan. 2 tells AHCA that it should rescind its decision to award a contract to Prestige Health Choice for the region that encompasses Dade and Monroe counties.

A South Florida company that unsuccessfully bid for Medicaid managed care contracts is questioning how a company with financial ties to Florida Blue ended up with contracts in eight of the 11 regions, the Florida Times-Union reports (paywall alert).