FL S0476

Requires managed care plans providing behavioral health services to Medicaid recipients to spend at least 80 percent of capitation payments on behavioral health care services.

Mandates that any underspent capitation amounts (less than 80 percent) be returned to the Agency for Health Care Administration and deposited into the Medical Care Trust Fund.

Allocates returned funds to community behavioral health providers enrolled in the managed care plan's network, proportional to each provider's earnings, for use in Medicaid behavioral health and case management services.

Requires community behavioral health agencies to submit encounter data and medical necessity documentation to support fee-for-service reimbursement for unpaid claims when the 80 percent spending requirement is not met.

Effective July 1, 2010.