FL S0916

Eliminates fee-for-service reimbursement option for provider service networks, requiring them to operate as prepaid plans receiving per-member, per-month payments instead.

Consolidates Medicaid procurement regions from 11 regions to 8 regions (designated A through H) with revised county assignments to streamline the managed care program structure.

Modifies databook requirements for rate-setting to use the 24 most recent months of validated Medicaid Encounter Data System data consistent with actuarial practices, removing historic fee-for-service claims data requirements.

Increases minimum number of eligible managed care plans the Agency for Health Care Administration must procure in several regions, including requiring at least 3-4 plans for Region A and at least 5-10 plans for Regions C and H.

Adds comprehensive long-term care plan proposals as a selection criterion for eligible plans and removes obsolete implementation timeline provisions referencing 2011-2014 deadlines.