Thousands of vulnerable, frail elderly and disabled people are being asked to select a long-term managed care provider this summer as Florida’s experiment with privatized Medicaid care goes live statewide — not without bumps.
People who use Medicaid to pay for such services as nursing homes, assisted living quarters, adult day care and visiting home nurses are receiving letters advising them of the shift now. The deadline is approaching quickly. Those who live in Palm Beach, Indian River, Martin, Okeechobee, and St. Lucie counties have until Thursday to select a long-term care plan, and it all will go live on Sept. 1.
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Who’s providing Medicaid managed long-term care policies for the Palm Beach County region:
- American Eldercare of Delray Beach (Humana planning to purchase before year’s end)
- Coventry Health Plan (Owned by Aetna)
- Sunshine State Health Plan (Owned by Centene)
- United Healthcare of Florida
Most people on Medicaid who use nursing homes, assisted living and adult day care services need to select a managed care company by Thursday or the state will select one for them based on the services they use.
About 8,000 people are affected in this region. Statewide, about 80,000 people are affected.
New policies become active on Sept. 1.
A state web site describes providers, plans and how to enroll. The address is http://www.flmedicaidmanagedcare.com .
Information is also available by phone at 1-877-711-3662 . It’s also possible to request a home visit from a choice counselor.
Caregivers may need to have medical power of attorney to get information by phone.
To select a plan, the best approach for patients and caregivers is to ask care providers for the plans they have a relationship with because they may not have contracts with all four plans.
Beneficiaries will have 90 days to change plans if they find they have selected the wrong one. After 90 days, they can only change plans for “good cause.”
Source: The Florida Agency for Health Care Administration