New Florida MLTSS Program To Enroll First Beneficiaries in August
July 16, 2013 10:24 AM
Florida will transition its long-term services and supports (LTSS) from fee-for-service (FFS) to managed care (MLTSS) on August 1. The transition will begin with counties in Central Florida - Brevard, Orange, Osceola and Seminole.
This program is called the Statewide Medicaid Managed Care Long-term Care Program (the Program), has an effective date of July 1, 2013, and will last for three years. The Centers for Medicare & Medicaid (CMS) approved the Program in February.
While the demonstration will transform the way that LTSS users in Florida receive care, many unknowns remain for providers, and home care providers specifically. Concerns remain as to the degree to which care planning is self-directed, and it is unclear specifically to what degree home care providers will be involved in that process. While the Program contains performance measures for the MCO’s care planning, there is no clear mention of quality standards to which home care providers will be held as part of the Program.
To read the full analysis of the Florida LTSS plan done by the National Council on Medicaid Home Care, please click here.