In recent news, the state Agency for Health Care Administration has announced its plans to award contracts to five health plans to participate in the Medicaid managed-care program. These contracts, worth billions of dollars over the coming years, will provide health care coverage to approximately 3.45 million individuals as of February, according to information on the agency’s website.
The five health plans selected for these contracts are Florida Community Care, Humana Medical Plan, Simply Healthcare Plans, Sunshine State Health Plan, and South Florida Community Care Network, operating under the name Community Care Plan. According to a document posted on the agency’s website, Humana, Simply Healthcare, and Sunshine State Health Plan will receive statewide contracts, while the other two will have contracts in specific regions of the state.
The contracting process has been ongoing for over a year now. Eleven plans responded to an “invitation to negotiate” in an attempt to secure these valuable contracts. The agency is mandated by law to go through a procurement process for these contracts every six years. Those who do not receive contracts have the option to file challenges if they wish.
