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Florida: MCO legislation fails to cross finish line

Florida: MCO legislation fails to cross finish line

TALLAHASEE, Fla. – Language that would have required managed care organizations in Florida to reimburse at no less than 100% of the state’s current Medicaid DME schedule was not included in the final version of an appropriations package, according to AAHomecare. “While we didn’t accomplish our top goal this time around, I am convinced that the extensive work engaging legislators, the Agency for Health Care Administration, the Governor’s office, the Florida Association of Health Plans, and other Florida payers has increased understanding about the challenges HME suppliers face in the current market environment,” said Laura Williard, AAHomecare vice president of payer relations. “We’ve raised awareness of the value of HME and need to support our part of the health care continuum in Florida, and I believe that will pay dividends as we continue to fight for better policies and reimbursements here.” House Bill 1165 and Senate Bill 1540, introduced in January, would also have required that Medicaid beneficiaries be allowed to pick their provider and would have prohibited managed care plans from self-referrals.

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