RetiredAgency for Health Care AdministrationPolicy 11-W-00206/4

Florida Managed Medical Assistance Program Section 1115 Demonstration Waiver Authorities

Customize your policy alerts

Sign up for Agency for Health Care Administration Policy 11-W-00206/4 alerts

Get alerted when Policy 11-W-00206/4 changes without checking for updates manually.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

This document identifies the Medicaid statutory requirements waived to allow Florida to operate the Managed Medical Assistance Program demonstration under section 1115 of the Social Security Act. It affects the Agency for Health Care Administration, the demonstration, participating managed care plans, and Medicaid beneficiaries subject to the approved program terms.

Policy Summary

PayerAgency for Health Care Administration

PolicyFlorida Managed Medical Assistance Program Section 1115 Demonstration Waiver Authorities

Policy CodePolicy 11-W-00206/4

Change TypeAmendment — non-material

Effective DateJuly 31, 2014

Next Review DateN/A

Key ActionApply all Medicaid requirements not expressly waived to the demonstration.

SourceLink

POLICY UPDATE CHANGES

CMS amended the Florida Managed Medical Assistance Program approval on October 15, 2015.

2014–2017Demonstration period

3Waiver authorities

§1115(a)(1)Statutory authority

Protected

OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.

RetiredAgency for Health Care AdministrationPolicy 11-W-00206/4

Florida Managed Medical Assistance Program Section 1115 Demonstration Waiver Authorities

Customize your policy alerts

Sign up for Agency for Health Care Administration Policy 11-W-00206/4 alerts

Get alerted when Policy 11-W-00206/4 changes without checking for updates manually.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Policy Summary

PayerAgency for Health Care Administration

PolicyFlorida Managed Medical Assistance Program Section 1115 Demonstration Waiver Authorities

Policy CodePolicy 11-W-00206/4

Change TypeAmendment — non-material

Effective DateJuly 31, 2014

Next Review DateN/A

Key ActionApply all Medicaid requirements not expressly waived to the demonstration.

SourceLink

POLICY UPDATE CHANGES

CMS amended the Florida Managed Medical Assistance Program approval on October 15, 2015.

2014–2017Demonstration period

3Waiver authorities

§1115(a)(1)Statutory authority

Protected

Key Definitions

Managed Medical Assistance Program

Program typeFlorida's section 1115 demonstration, formerly titled Medicaid Reform

Operating modelOperates managed care arrangements and managed care plans

Program authorityImplemented under section 1115(a)(1) of the Social Security Act

Waiver Authority

DefinitionAn expressly waived Medicaid statutory requirement that permits specified aspects of the demonstration to operate differently from otherwise applicable Medicaid requirements

Requirements that remain applicableAll Medicaid requirements expressed in law, regulation, and policy that are not expressly waived remain applicable to the demonstration

Demonstration safeguardsThe waivers do not permit limitation of family planning benefits or restriction of freedom of choice of family planning providers

Policy Summary

PayerAgency for Health Care Administration

PolicyFlorida Managed Medical Assistance Program Section 1115 Demonstration Waiver Authorities

Policy CodePolicy 11-W-00206/4

Change TypeAmendment — non-material

Effective DateJuly 31, 2014

Next Review DateN/A

Key ActionApply all Medicaid requirements not expressly waived to the demonstration.

SourceLink

On This Page