FL S7124

Creates section 430.84, Florida Statutes, to establish a Program of All-Inclusive Care for the Elderly (PACE) allowing the Department of Elderly Affairs to contract with eligible not-for-profit entities to provide comprehensive services to frail elderly Medicaid beneficiaries.

Requires a two-step provider selection process including eligibility confirmation status and selection based on regions, with no more than one PACE provider per 3,000 estimated eligible enrollees in a particular region.

Mandates annual reviews by the Department of Elderly Affairs and Agency for Health Care Administration to recommend continuing providers, proposed capitation rates, and new provider implementation priorities to the legislature by January 1 each year.

Establishes that PACE enrollment is voluntary on a first-come, first-served basis with a statewide enrollment cap not exceeding 3 percent of total long-term managed care enrollees, and requires providers to meet specific quality and performance standards.

Sets prepaid capitation rates negotiated annually between providers and the agency, with annual rate increases capped at 3 percent over the prior fiscal year, and holds providers financially responsible for enrollees who disenroll and enter nursing home care within 6 months.