|
gptkbp:instanceOf
|
Medicaid program
|
|
gptkbp:administeredBy
|
gptkb:Agency_for_Health_Care_Administration
|
|
gptkbp:appealsProcess
|
available for denials and grievances
|
|
gptkbp:behavioralHealthBenefits
|
included in most plans
|
|
gptkbp:childHealthCheckup
|
required for children
|
|
gptkbp:dentalBenefits
|
provided through separate dental plans
|
|
gptkbp:eligibility
|
pregnant women
elderly
disabled individuals
low-income children
parents and caretakers
|
|
gptkbp:enrollment
|
mandatory for most Medicaid recipients
|
|
gptkbp:establishedIn
|
2011
|
|
gptkbp:fundedBy
|
gptkb:State_of_Florida
gptkb:government
|
|
gptkbp:goal
|
control Medicaid costs
improve care coordination
improve health outcomes
|
|
gptkbp:hasComponent
|
gptkb:Long-term_Care
gptkb:Managed_Medical_Assistance
Dental
|
|
gptkbp:hearingBenefits
|
included in most plans
|
|
https://www.w3.org/2000/01/rdf-schema#label
|
Florida Medicaid Managed Care
|
|
gptkbp:longTermCareBenefits
|
provided through long-term care plans
|
|
gptkbp:numberOfPlans
|
over 10 managed care plans
|
|
gptkbp:offersProgram
|
gptkb:Statewide_Medicaid_Managed_Care
|
|
gptkbp:openEnrollmentPeriod
|
once per year
|
|
gptkbp:operatesIn
|
gptkb:Florida
|
|
gptkbp:oversees
|
subject to state and federal regulations
|
|
gptkbp:pharmacyBenefits
|
included in most plans
|
|
gptkbp:phoneNumber
|
1-877-711-3662
|
|
gptkbp:planChangeAllowed
|
during open enrollment
with good cause
within 90 days of enrollment
|
|
gptkbp:planSelectionAssistance
|
available through Choice Counseling
|
|
gptkbp:planSelectionPeriod
|
30 days after eligibility
|
|
gptkbp:planTypes
|
gptkb:Health_Maintenance_Organizations
gptkb:Provider_Service_Networks
|
|
gptkbp:pregnancyCare
|
prenatal and postpartum care included
|
|
gptkbp:providerNetwork
|
must meet state standards
|
|
gptkbp:qualityMeasures
|
gptkb:CAHPS
gptkb:HEDIS
|
|
gptkbp:renewalPeriod
|
annual eligibility review
|
|
gptkbp:replacedBy
|
Fee-for-service Medicaid in Florida
|
|
gptkbp:reportingRequirements
|
annual performance reports
|
|
gptkbp:requiresPlanSelection
|
Yes
|
|
gptkbp:targetAudience
|
Medicaid beneficiaries in Florida
|
|
gptkbp:transportationBenefits
|
non-emergency medical transportation included
|
|
gptkbp:visionBenefits
|
included in most plans
|
|
gptkbp:website
|
https://ahca.myflorida.com/medicaid/statewide-medicaid-managed-care
|
|
gptkbp:bfsParent
|
gptkb:Sunshine_Health
|
|
gptkbp:bfsLayer
|
5
|