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Medicaid

Medicaid home care aides — hourly workers who help elderly and disabled people with daily tasks like eating, getting dressed and bathing — are emerging as the latest target in the ongoing power struggle between some conservative lawmakers and organized labor.

Delay In Federal Approval Trims Medicaid Savings

Aug 7, 2018

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.

Protests Continue Over HIV Medicaid Contract

Aug 2, 2018

A fight over who should provide care for patients struggling with HIV and AIDS is growing increasingly bitter as opponents continue to blame Gov. Rick Scott. 

A federal court decision to block a change to Kentucky’s Medicaid program could affect a similar request from Florida.

Blue tarps still dot rooftops, homes lack electricity needed to refrigerate medicines, and clinics chip away at debts incurred from running generators. Yet despite these residual effects from last year's devastating hurricanes, Puerto Rico is moving ahead with major cuts to its health care safety net that will affect more than a million of its poorest residents.

Challenge To Medicaid Dental Contracts Scrapped

Aug 1, 2018

Tampa-based Argus Dental and Vision withdrew a legal challenge to recently awarded contracts in Florida’s new Medicaid dental program, clearing the way for the state to move ahead with what one official described as the “broadest dental package ever available” to Medicaid beneficiaries. 

Medicaid Dental Challenge Dropped

Jul 27, 2018

There’s one less Medicaid contract challenge the state Agency for Health Care Administration will have to try to fend off before an administrative law judge. 

The AIDS Healthcare Foundation filed a public-records lawsuit Thursday in Leon County circuit court alleging that Gov. Rick Scott’s staff refused to provide copies of his public calendar and travel schedule. 

Medicaid Enrollment Expected To Keep Dropping

Jul 26, 2018

The number of Medicaid patients in Florida could be decreasing like never before. Members of the state’s Social Services Estimating Conference on Wednesday agreed to revise downward overall Medicaid enrollment estimates for fiscal year 2018-2019 from 4.02 million people to 3.86 million people. 

Judges Set To Hear Medicaid Challenges

Jul 25, 2018

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.

Programs that help people sign up for Affordable Care Act plans in Florida will have their funding cut by 81 percent this year.

State AIDS, Mental Health Changes Spur Protests

Jul 20, 2018

Gov. Rick Scott is coming under fire for his administration's decisions to shift tens of thousands of patients with serious mental illness or HIV into new Medicaid health plans in the coming months, changes that could force many patients to switch doctors.

Eight months pregnant, the drug sales representative wore a wire for the FBI around her bulging belly as she recorded conversations with colleagues at a conference in Chicago. Her code name? Pampers.

State Challenged On Children’s Medical Contract

Jul 18, 2018

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. 

Two Dental Plans Challenge State Over Contracts

Jul 17, 2018

The state’s decision to award Medicaid managed-care contracts to three prepaid dental plans is being challenged by two companies that submitted unsuccessful bids. 

Can the deep-red Florida Statehouse follow Virginia and expand Medicaid?

Highly unlikely anytime soon, many state political analysts say.

State Faces 27 Medicaid Contract Challenges

Jul 13, 2018

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. 

The Trump administration's drive to wean poor people from government benefits by making them work has been slowed by a federal judge framing a fundamental question: Are poverty programs meant to show tough love or to help the needy?

State Awards Medicaid Dental Contracts

Jun 29, 2018

Florida Medicaid officials announced plans Thursday to sign contracts with three managed-care companies to provide dental care. 

Medicaid Contract Challenged In Southwest Florida

Jun 26, 2018

A move by state health-care regulators to avoid litigation has, instead, created more.

Attorneys for Best Care Assurance, a managed care plan affiliated with Lee Memorial Health System, notified the state that they plan to challenge a decision last week to award a Medicaid contract to Molina Healthcare of Florida in a seven-county region of Southwest Florida.

Critics Take Aim At Medicaid Change

Jun 21, 2018

A move by Gov. Rick Scott’s administration to eliminate a long-standing policy that gives poor, disabled and elderly Floridians 90 days to qualify for the Medicaid program isn’t getting support from people who care for patients or from patients’ family members.

Two More Health Plans Get Medicaid Contracts

Jun 20, 2018

Two health plans that would have been locked out of Florida’s Medicaid market for the next five years were awarded state contracts after they threatened legal action.

Health Plan To Challenge Medicaid Contracts

Jun 7, 2018

A decision last week to award Medicaid contracts to two additional managed-care plans could mean more legal challenges for the state Agency for Health Care Administration.

A health care advocacy group was urging Floridians to contact the Trump administration before the end of the day Tuesday to express opposition to a state proposal that would save $98 million by making changes to how people qualify for Medicaid. 

A South Florida hospital has agreed to reimburse the state more than $800,000 to settle Medicaid claims about care for undocumented immigrants who sought treatment.

Two Health Plans Tapped For Medicaid Contracts

Jun 1, 2018

Florida Medicaid officials on Thursday announced their intent to award contracts to two companies owned by health care providers, bringing to 11 the number of managed-care plans expected to sign five-year contracts with the state.

A national group has asked the federal government to extend the deadline for public comment on Florida’s proposed Medicaid changes after a glitch on medicaid.gov prevented submissions.

Wellcare To Buy Health Plans In $2.5 Billion Deal

May 30, 2018

Tampa-based WellCare Health Plans, a major player in Florida’s Medicaid market, announced a $2.5 billion deal Tuesday that includes buying managed-care plans with hundreds of thousands of Medicaid beneficiaries in Michigan and Illinois.

Nelson, Democrats Blast Proposed Medicaid Cut

May 11, 2018

U.S. Sen. Bill Nelson and Democratic U.S. House members Thursday called for the federal Centers for Medicare & Medicaid Services to reject a move by Gov. Rick Scott’s administration to cut $98 million by trimming the length of time people have to apply for the Medicaid program.

“I rise here today because the state of Florida has again proposed to harm thousands of seniors and folks with disabilities who rely on Medicaid for their health care,” Nelson, a Democrat who faces an election challenge this year from Scott, said on the Senate floor.

Health Plans Mount Challenges Over Medicaid Contracts

May 11, 2018

Twelve managed-care companies challenging the state’s award of tens of billions of dollars in Medicaid contracts have spelled out their arguments about why Florida officials were wrong in the handling of the coveted multi-year deals.

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