Office of Program Policy Analysis and Government Accountability
Office of Program Policy Analysis and Government Accountability

Medicaid Reform: Two-Thirds of the Initial Pilot Counties' Beneficiaries Are Enrolled in Reform Plans

Report 08-40, June 2008




Report Summary

The Agency for Health Care Administration began providing Medicaid Reform managed care services to beneficiaries in Broward and Duval counties in September 2006, and began serving beneficiaries in Baker, Clay, and Nassau counties in September 2007. The agency used a phase-in process to transition beneficiaries into Reform plans. As of May 2008, about two-thirds of beneficiaries (187,264 or 65%) in Broward and Duval counties were enrolled in Medicaid Reform health plans. As of this same time, 13,419 beneficiaries, or 55% of the Medicaid population in Baker, Clay, and Nassau counties were enrolled in Reform health plans. Overall, most (73%) of those enrolled in Reform plans in the five counties are served by health maintenance organizations. However, in Baker, Clay, and Nassau counties, almost two-thirds (64%) of Reform beneficiaries are enrolled in provider service networks.


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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.
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.
social services, health, Medicaid, Medicaid Reform, opt-out, employer sponsored insurance, managed care, Health Maintenance Organization (HMO), Provider Service Network (PSN), fee-for-service (FFS), waiver, medical services, premium assistance, enrollment, Medicaid state plan, choice counseling, Broward County, Duval County, Baker County, Clay County, Nassau County, human services, Medicaid, Medicaid Reform, opt-out, employer sponsored insurance, managed care, Health Maintenance Organization (HMO), Provider Service Network (PSN), fee-for-service (FFS), waiver, medical services, premium assistance, enrollment, Medicaid state plan, choice counseling, Broward County, Duval County, Baker County, Clay County, Nassau County, Developmental disabilities, DD/HCBS waiver, Home and Community-Based Services waiver, individual budgets, needs assessment process, Family and Supported Living waiver, developmental disabilities, waiver support coordinator, developmental services, Medicaid Waiver