Florida Medicaid Reform Health Plan Application, Model Contracts and Updates

Florida Medicaid Reform Health Plan Application, Model Contracts and Updates The Application for Medicaid Reform Fee-For-Service Provider Service Networks (PSNs), Prepaid PSNs, Health Maintenance Organizations (HMOs) and other authorized Health Plans and the Reform Health Plan Model Contracts are now available. The multi-purpose Health Plan Application is designed to capture detailed information that will facilitate a contract between the Agency and any PSN, HMO or other authorized Health Plans that meet the requirements to become a Medicaid Reform Health Plan.

Reform Capitated Contract Documents (HMO and Capitated PSN)

Attachment II - Medicaid Reform Consolidated Model Capitated Health Plan Contract March 2009 [PDF 2.53MB]

Attachment II - Medicaid Reform Consolidated Model Capitated Health Plan Contract January 2008 [PDF 1.15MB]

Attachment II - Medicaid Reform Model Capitated Health Plan Contract January 2007 [PDF 1.08MB]

Medicaid Reform Capitated Health Plan Contract October 2007 [PDF 1.04MB]

Final Reform HMO General Amendment 1 [PDF 393KB]

Final Reform HMO General Amendment 2 [PDF 9KB]

Final Draft Reform HMO General Amendment 6 [PDF 257KB]

Final Draft Reform HMO General Amendment 7 [PDF 152KB]

Reform PSN Contract Documents

Attachment II - Medicaid Reform Fee-for-Service PSN Consolidated Contract, January 2008 [PDF 2.56KB]

Attachment II - Medicaid Reform Fee-for-Service PSN Consolidated Contract, January 2008  [PDF 1.15KB] (Redlined - Track Changes) 

Attachment II - Medicaid Reform Fee-for-Service, Provider Service Network Model Contract, January 2007 [PDF 937KB]

Attachment II - Medicaid Reform Fee-for-Service, Provider Service Network Executed Contract as Amended Effective, September 1, 2006 [PDF 1.15MB]

Final Reform PSN General Amendment 5, 12/19/07 [PDF 365KB]