Rule No.: RULE TITLE
59G-8.100: Medicaid Contracts for Prepaid Health Plans
PURPOSE AND EFFECT: The purpose of the proposed rule is to incorporate changes to the Payment Methodology for Participating Medicaid Managed Health Care Plans, as incorporated by reference in Rule 59G-8.100, F.A.C., to provide the following changes based Section 409.9124, F.S., Managed care reimbursement, effective July 1, 2010.
The Agency for Health Care Administration will modify the payment methodology for participating Medicaid managed health care plans to reflect the use of fee for service encounter data and financial data as data sources in the rate setting process.
SUBJECT AREA TO BE ADDRESSED: Payment methodology for participating non-pilot capitated Medicaid managed health care plans.
SPECIFIC AUTHORITY: 409.9124, 409.919 FS.
LAW IMPLEMENTED: 409.9124 FS.
IF REQUESTED IN WRITING AND NOT DEEMED UNNECESSARY BY THE AGENCY HEAD, A RULE DEVELOPMENT WORKSHOP WILL BE HELD AT THE DATE, TIME AND PLACE SHOWN BELOW:
TIME AND DATE: August 30, 2010, 1:00 p.m. – 2:00 p.m.
PLACE: 2727 Mahan Drive, Conference Room C, Building 3, Tallahassee, Florida 32301
THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE DEVELOPMENT AND A COPY OF THE PRELIMINARY DRAFT, IF AVAILABLE, IS: Edwin Stephens, Medicaid Cost Reimbursement, Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Tallahassee, Florida 32308, (850)412-4077 or edwin.stephens@ahca.myflorida.com

THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS NOT AVAILABLE.