Florida Statutes
Chapter 409 - Social and Economic Assistance
Part IV - Medicaid Managed Care (Ss. 409.961-409.985)

409.961 - Statutory construction; applicability; rules. - History.—s. 2, ch. 2011-134; s. 4, ch. 2012-44.

409.962 - Definitions. - (1) “Accountable care organization” means an entity qualified as an...

409.963 - Single state agency. - History.—s. 4, ch. 2011-134.

409.964 - Managed care program; state plan; waivers. - History.—s. 5, ch. 2011-134; s. 101, ch. 2020-2; s. 3,...

409.965 - Mandatory enrollment. - (1) Women who are eligible only for family planning services....

409.966 - Eligible plans; selection. - (1) ELIGIBLE PLANS.—Services in the Medicaid managed care program shall...

409.967 - Managed care plan accountability. - (1) Beginning with the contract procurement process initiated during the...

409.968 - Managed care plan payments. - (1) Prepaid plans shall receive per-member, per-month payments negotiated pursuant...

409.969 - Enrollment; disenrollment. - (1) ENROLLMENT.—All Medicaid recipients shall be enrolled in a managed...

409.971 - Managed medical assistance program. - History.—s. 12, ch. 2011-134; s. 102, ch. 2020-2.

409.972 - Mandatory and voluntary enrollment. - (1) The following Medicaid-eligible persons are exempt from mandatory managed...

409.973 - Benefits. - (1) MINIMUM BENEFITS.—Managed care plans shall cover, at a minimum,...

409.974 - Eligible plans. - 1(1) ELIGIBLE PLAN SELECTION.—The agency shall select eligible plans for...

409.975 - Managed care plan accountability. - (1) PROVIDER NETWORKS.—Managed care plans must develop and maintain provider...

409.976 - Managed care plan payment. - (1) Prepaid payment rates shall be negotiated between the agency...

409.977 - Enrollment. - 1(1) The agency shall automatically enroll into a managed care...

409.978 - Long-term care managed care program. - (1) Pursuant to s. 409.963, the agency shall administer the...

409.979 - Eligibility. - (1) PREREQUISITE CRITERIA FOR ELIGIBILITY.—Medicaid recipients who meet all of...

409.98 - Long-term care plan benefits. - (1) Nursing facility care. (2) Services provided in assisted living...

409.981 - Eligible long-term care plans. - (1) ELIGIBLE PLANS.—Provider service networks must be long-term care provider...

409.982 - Long-term care managed care plan accountability. - (1) PROVIDER NETWORKS.—Managed care plans may limit the providers in...

409.983 - Long-term care managed care plan payment. - (1) Prepaid payment rates for long-term care managed care plans...

409.984 - Enrollment in a long-term care managed care plan. - (1) The agency shall automatically enroll into a long-term care...

409.985 - Comprehensive Assessment and Review for Long-Term Care Services (CARES) Program. - (1) The agency shall operate the Comprehensive Assessment and Review...