Rescheduled Rule Development Workshop – Early Intervention Services

Florida Medicaid 

Rule 59G-4.085, Early Intervention Services
Rescheduled Rule Development Workshop
Provider Type(s): 70, 78, 81

The Agency for Health Care Administration has rescheduled a workshop for Rule 59G-4.085, Early Intervention Services and new Rule 59G-4.086, Early Intervention Session Services.

The reschedule workshop will be held on November 13, 2018 from 8:00 a.m. to 8:45 a.m., EST at:

Agency for Health Care Administration
2727 Mahan Drive
Building 3
Tallahassee, FL 32308

There will NOT be a phone call-in number available.

Official notice of the rescheduled workshop was published in Volume 44, Number 211 of the Florida Administrative Register (FAR) on October 29, 2018. A copy of the notice may be found on the FAR website.

Please note that a preliminary draft of the reference material, if available, will be posted prior to the workshop on the Agency’s Rules webpage.

Official comments to be entered into the rule record following the publication of a Notice of Rule Development or Notice of Proposed Rule may be e-mailed to MedicaidRuleComments@ahca.myflorida.com. For general inquiries and questions about the rule, please contact Matt Brackett, Bureau of Medicaid Policy, 2727 Mahan Drive, Mail Stop 20, Tallahassee, Florida 32308-5407, telephone: (850)412-4151, e-mail: Matt.Brackett@ahca.myflorida.com.

Webinar: SMMC – Overview of Early Intervention Service

October 26 Webinar: Statewide Medicaid Managed Care (SMMC) Program:  Overview of Early Intervention Service
For All Provider Types

The Agency for Health Care Administration (AHCA) is hosting a public webinar on October 26, 2018, to share information about updates to the Statewide Medicaid Managed Care program.

AHCA contracts with Medicaid health and dental plans to provide services to health plan enrollees in the SMMC program. AHCA recently entered into new contracts with health and dental plans. As part of those contracts, AHCA achieved program changes that greatly benefit enrollees and providers.

In addition, AHCA is focused on fully integrated health care.  As such, under these new contracts, health plans will be responsible for covering services previously paid for through the fee-for-service program.  One of these services includes Early Intervention Services.  This webinar will focus on Early Intervention Services. 

Join the webinar on Friday, October 26, 2018 at 2:00 PM EDT. To register for this webinar, please click the “Register Now” button below:

Register now!

In order to accommodate as many participants as possible, please try to consolidate participation within organizations. Please note that if you are unable to attend due to scheduling conflicts or the webinar has reached the webinar capacity limit, the information will be posted on AHCA’s website.

In addition, AHCA will be hosting other informative webinars in preparation for the implementation of the new SMMC program contracts. Dates will be forthcoming.

For additional information on the SMMC program please visit AHCA’s website.

DCF Mental Health Program Workshop Notice

Notice of Meeting/Workshop Hearing
Department of Children and Families
Mental Health Program

The purpose of this meeting and webinar of the Florida Children’s System of Care State Advisory Team is to give an update on the progress of the statewide plan and discuss future business.

For more information: http://www.socflorida.com/

Date/Time:
October 31, 2018, 10am-12pm

Webinar:
http://floridadcf.adobeconnect.com/r5lal4bvcfvt/

In Person:
Department of Children and Families Headquarters
1317 Winewood Boulevard
Building 6, Conference Room A
Tallahassee  Florida  32399

Official Notice

Hurricane Michael – Resources for Recovery

During this time of recovery following Hurricane Michael, FCAAP will stay in close communication with the American Academy of Pediatrics Disaster Preparedness Advisory Council (“AAP DPAC”) to secure and provide resources for the families, practices, and patients of Florida’s pediatricians. The AAP DPAC’s connections with federal agencies such as the CDC Children’s Preparedness Unit, the FEMA national children’s advisor, Save the Children, the American Red Cross, and Child Care Aware, will help FCAAP and its members during this recovery period. 

Resources will be posted on this website as they become available. Below are some resources that can be used immediately:   

 

New Resources:

Telemedicine companies staffed by pediatricians and who are already providing pediatric care in partnership with FL based organizations such as Nemours are offering free medical care for simple conditions to all those impacted by Hurricane Michael.  Many of our FCAAP pediatricians provide service to patients through one or more of the following:

  • MDLIVE  888-959-9516 and provide the code MICHAEL18 to schedule their initial consultation.
  • AmWell
  • Doctors on Demand enter the code HURRICANEMICHAEL to redeem a free visit with a medical physician
  • Teladoc

Details are available here.

Additional information on pediatric telehealth care is available from the AAP Section on Telehealth Care.

Additional New Resources:

Hurricane Michael Preparedness

Hurricane Michael is expected to make landfall in the Florida panhandle as a category 2 or 3 hurricane tomorrow afternoon, Wednesday, October 10. Florida Governor Rick Scott has issued an Executive Order declaring a state of emergency for the counties in the panhandle of the state and several areas have been ordered to evacuate.

Visit FloridaDisaster.org to find current evacuation orders and other resources to help prepare your family for the storm. The State of Florida Emergency Response Team recommends that all preparations be completed before tonight.

The AAP’s Healthy Children website provides tips and resources to help prepare families for a hurricane. Visit the site to download a information on how to create a disaster supplies kit, prepare your home and pets, and help children cope.

Remember to listen to emergency officials and follow evacuation orders. FCAAP will continue to monitor Hurricane Michael as the storm approaches Florida’s coast and will remain in communication with the AAP and our members to assist with recovery efforts after the storm passes.

Webinar: SMMC Program: Overview of Early Intervention Services

Statewide Medicaid Managed Care Program:
Overview of Early Intervention Services
October 5, 2018, 9:30am EST – Webinar

Due to Hurricane Michael, the webinar was cancelled. You may review the information about the Program here.

The Agency for Health Care Administration (“Agency”) will be hosting a public webinar on October 5, 2018, to share information about updates to the Statewide Medicaid Managed Care (“SMMC”) program.

The Agency contracts with Medicaid health and dental plans to provide services to health plan enrollees in the SMMC program. The Agency recently entered into new contracts with health and dental plans. As part of those contracts, the Agency achieved program changes that greatly benefit enrollees and providers.

In addition, the Agency is focused on fully integrated health care.  As such, under these new contracts, health plans will be responsible for covering services previously paid for through the fee-for-service program.  These services include:

  • Early Intervention Services
  • Medical Foster Care
  • Nursing Facility Services
  • Child Health Services Targeted Case Management

This webinar will focus on Early Intervention Services.  Additional webinars will be presented at a later date on the three remaining services listed above.

Join the webinar on Friday, October 5, 2018, at 9:30 AM EST. To register for this webinar, please click the “Register Now” button below:In order to accommodate as many participants as possible, please try to consolidate participation within organizations. Please note that if you are unable to attend due to scheduling conflicts or the webinar has reached the webinar capacity limit, the information will be posted on the Agency’s website.In addition, the Agency will be hosting other informative webinars in preparation for the implementation of the new SMMC program contracts. Dates will be forthcoming.

For additional information on the SMMC program please visit the agency’s website at http://ahca.myflorida.com/Medicaid/statewide_mc/

Rule 59G-4.085, Early Intervention Services Notice of Rule Development Workshop

The Agency for Health Care Administration has scheduled a workshop for Rule 59G-4.085, Early Intervention Services.

The workshop is October 15, 2018 from 10:30 a.m. to 11:00 a.m., EST at the following address:

Agency for Health Care Administration
2727 Mahan Drive
Building 3
Tallahassee, FL 32308

There will not be a phone call-in number available. 

Official notice of the workshop was published in Volume 44, Number 190 of the Florida Administrative Register (FAR) on September 28, 2018. A copy of the notice may be found on the FAR website.  

Please note that a preliminary draft of the reference material, if available, will be posted prior to the workshop on the Rules webpage.

THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE DEVELOPMENT AND A COPY OF THE PRELIMINARY DRAFT, IF AVAILABLE, IS: Matt Brackett, Bureau of Medicaid Policy, 2727 Mahan Drive, Mail Stop 20, Tallahassee, Florida 32308-5407, telephone: (850)412-4151, e-mail: Matt.Brackett@ahca.myflorida.com.

Official comments to be entered into the rule record will be received until 5:00 p.m. on October 16, 2018 and may be e-mailed to MedicaidRuleComments@ahca.myflorida.com. For general inquiries and questions about the rule, please contact the person specified above.

SMMC Program Changes

SMMC Program Changes

The Agency for Health Care Administration (“AHCA”) is responsible for administering the Statewide Medicaid Managed Care (“SMMC”) program. Most Medicaid recipients receive all their Medicaid services through the SMMC program. The following explains AHCA’s plan for communicating with Medicaid recipients to prepare them for the transition to the new SMMC plans. AHCA recently re-procured health plans for the SMMC program. These plans will provide medical, behavioral health, and long-term care services. AHCA also competitively selected dental managed care plans to provide dental services for adults and children. Recipients will enroll in one plan for their medical, behavioral, and long-term care services and a second plan for their dental services.

The new contracts contain major program improvements that will greatly benefit recipients and providers.  Some of the most noteworthy benefits include:

Recipients

  • Double the primary care providers in each network
  • Guaranteed access to afterhours care and, where available, telemedicine
  • Higher standards and accountability for transportation services
  • More than 55 expanded benefits offered by health plans and extensive adult dental benefits offered by dental plans
  • Smoother process for complaints, grievances, and appeals

Providers

  • More pediatric physicians participating in the Medicaid Physician Incentive Program, which pays providers at the Medicare rate
  • Plans will complete credentialing of providers seeking to join a plan’s network in 60 days
  • Prompt authorization of services
  • Smoother process for complaints, grievances, and appeals

AHCA will transition to the new contracts through a regional phased rollout. During this transition, enrollees and new recipients will receive letters with specific enrollment information and needed action approximately 45 days prior to each phase going live. The chart below shows when AHCA will transition to the new contracts and when letters will be sent for each Medicaid region.

Below are links to resources about changes to the SMMC program:

 

USF Named the FCAAP Statewide Brain Bowl Champion

USF Named the FCAAP Statewide Brain Bowl Champion

Congratulations to the 2018-2019 Statewide Brain Bowl Champion! The pediatric resident team from the University of South Florida walked away victorious after the 2018 FCAAP Brain Bowl competition on Friday, August 31, 2018, at The Future of Pediatric Practice 2018, stealing the title from the two-time champion Florida Hospital Orlando. The USF team, led by Dr. Sharon Dabrow, included Dr. Alexandra Howard, Dr. Carissa Simone, Dr. Mahad Mohammad, and Dr. Matthew Gates.