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FL S1280
Bill
AI Summary
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Requires the Agency for Health Care Administration (AHCA) to establish specific network requirements for each type of behavioral health provider serving Medicaid enrollees, including community-based and residential providers, and to contract for systematic testing of plan provider networks to confirm accuracy, enrollee acceptance, and timely access to services
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Directs AHCA to establish outcome performance measures to reduce the incidence of crisis stabilization services for children and adolescents who are high users, including plan-specific, year-over-year improvement targets to reduce repeated use
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Requires managed care plans to collect and report Adult Core Set behavioral health measures beginning with 2025 calendar year data, and to stratify reported measures by age, sex, race, ethnicity, primary language, and disability status beginning with 2026 data
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Mandates AHCA to amend existing managed care plan contracts to implement the act's requirements, with amendments effective before January 1, 2025
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Requires AHCA to submit an annual report to the Legislature beginning October 1, 2024, on Medicaid-enrolled children and adolescents who are the highest users of crisis stabilization services, including demographic and geographic data, plan-specific performance and network testing data, trend analysis back to fiscal year 2021-2022, and enforcement actions taken to ensure compliance
Legislative Description
Medicaid Behavioral Health Provider Performance
Last Action
Died in Health Policy
3/8/2024