Medicaid Reform seeks to provide beneficiaries with additional choices of managed care options tailored to meet their needs. While Reform has succeeded in increasing the number of managed care plans operating in the five Reform counties, there is limited variation in the health services offered by the plans, and they are also generally similar to managed care plan options offered in non-Reform counties. In addition, only one Medicaid Reform specialty plan (Children's Medical Services) has become available in Broward and Duval counties.
Medicaid Reform plans have customized their service offerings somewhat for different beneficiary groups, although this customization has been limited by federal and state requirements. Some Reform plans offer higher limits on some medical services and provide additional extra services to aged and disabled beneficiaries. Medicaid Reform benefits packages have generally remained similar over the first two years of the initiative, with a few plans offering higher benefit levels, additional extra services, and fewer co-payments in the second year.

Medicaid Reform: Legislature Should Delay Expansion Until More Information Is Available to Evaluate Success
Report 09-29 June 2009
Medicaid Reform: Reform Provider Network Requirements Same as Traditional Medicaid; Improvements Needed to Ensure Beneficiaries Have Access to Specialty Providers
Report 08-64 November 2008
Medicaid Reform: Oversight to Ensure Beneficiaries Receive Needed Prescription Drugs Can Be Improved; Information Difficult for Beneficiaries to Locate and Compare
Report 08-55 September 2008
Medicaid Reform: Risk-Adjusted Rates Used to Pay Medicaid Reform Health Plans Could Be Used to Pay All Medicaid Capitated Plans
Report 08-54 September 2008

Copies of this report in print or alternate accessible format may be obtained by email OPPAGA@oppaga.fl.gov, telephone (850) 488-0021, or mail 111 W. Madison St., Room 312 Tallahassee, FL 32399-1475.