CMS Denies Parts of Florida’s Medicaid Plan

CMS has struck down parts of Florida’s Medicaid proposal, which state Republicans hope to expand to a completely privatized program, according to an Associated Press/Miami Herald report.

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CMS officials said Florida could not impose $10 monthly premiums on Medicaid beneficiaries, nor could it charge $100 co-pays for non-emergency visits to the emergency room, according to the report.

Florida’s Medicaid budget is roughly $20 billion per year. Under the state’s proposal, the Medicaid program would act like an HMO. Florida tested a pilot version of this proposal in 2006, in which several patients said they struggled to get physicians appointments and many healthcare providers dropped out due to low profit margins.

CMS said it still plans to work with Florida to move forward with the Medicaid HMO proposal, according to the report.

Related Articles on Florida Medicaid:

St. Vincent’s HealthCare CFO Mark Doyle: 3 Burning Questions Right Now

President of Lee Memorial Health: Florida Medicaid Cuts Are “Draconian”

CMS to Approve Florida’s Waiver to Continue Medicaid Managed Care

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