However, the state must accept certain conditions involving managed care plan regulations if the three-year waiver is to be issued. Conditions include that Medicaid HMOs abide by the medical loss ratio, which means at least 85 percent of health insurer premiums from the state must go toward patient care. This stipulation was originally brought up in September.
Additionally, Florida must also measure its Medicaid managed care plans based on quality, and the highest-quality plans will receive the most automatic enrollees, according to the report.
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