Analysis of Medicaid Reform Bill

From

Specialgathering's Weblog

We are grateful for the work that George Andrew did in summerizing the Medicaid Reform Bill as it relates to APD.  Andrew has more than a decade working with people with disabilities.  He worked first for APD and later because a support coordinator, where he is currently serving.

George Andrew Summary of the Medicaid Reform bill 234 pages long as of 2-17-11.

This is as it relates to APD not including the medical part DD folks would still be subject to.

Executive Summary:

Adds Downs Diagnosis to our program.
Requires monthly payments by Medicaid recipients.
Prevents using a Medicaid service if employer has health care sponsored plan
Requires parental income based fee for DD kids in HCBS waivers.
Require AHCA to apply to modify Federal Waiver & run limited managed care if denied
Requires all Medicaid recipients to be enrolled in Medicaid managed care (Emphasis added)
Prevents Medicaid recipient from enrolling in managed care if has employer sponsored HC.
Plans require Primary care providers to get same Medicare rate
APD required to develop / implement a comprehensive redesign the program
AHCA can impose and collect fees from recipients if approved by Medicare s. 409.906(13)(d)

(Continued on site, at http://specialgathering.wordpress.com/2011/02/24/summary-of-florida-medicaid-reform-bill-as-it-relates-to-apd/)

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