News, Jazz, NPR
Play Live Radio
Next Up:
0:00
0:00
Available On Air Stations
Health News Florida

AHCA Eyes Changes In Medicaid Beneficiaries Disenrollment

ISTOCK

The Agency for Health Care Administration will hold a public meeting Dec. 17 on the proposed rule changes.

The state released a proposal this week to change rules about when Medicaid beneficiaries can disenroll from managed care plans.

The Agency for Health Care Administration will hold a public meeting Dec. 17 on the proposed changes.

AHCA is proposing to change a rule to delete language that currently allows certain Medicaid beneficiaries to disenroll from managed care plans if they are receiving a ”medically necessary, active and continuing course of treatment” from an out-of-network provider who is participating in another managed care plan’s provider network.

Additionally, the proposal would change from “good cause” to “cause” the reasons why Medicaid beneficiaries can disenroll from plans.

AHCA initially announced that it would alter its rules in August but didn’t release a specific plan until Monday.

Florida had 3.4 million Medicaid beneficiaries as of Oct. 30. The majority of them are enrolled in the state’s mandatory Medicaid managed care program.

Copyright 2020 Health News Florida

WUSF 89.7 depends on donors for the funding it takes to provide you the most trusted source of news and information here in town, across our state, and around the world. Support WUSF now by giving monthly, or make a one-time donation online at WUSF.org/ways-to-support.