This could go down as the summer season of the wellness care procurements.
The Division of Health and fitness (DOH) issued a request for details asking interested functions to advise the point out of means to increase and supply data to enable make an forthcoming procurement of a Medicaid managed treatment method for medically sophisticated youngsters.
Intrigued functions have until finally 2 p.m. on Aug. 5 to deliver insights on strategies to make improvements to on the Children’s Clinical Products and services managed treatment software created to serve the wants of kids who, since of continual clinical conditions, involve far more complicated care.
The RFI asks for insights on strategies to increase pediatric specialists and clinics that present medically sophisticated treatment to take part in the CMS community strengthen behavioral and mental wellness accessibility and outcomes tackle health and fitness inequities and increase preventative dental visits and dental sedation obtain.
The CMS network is a single of a quantity of children’s well being coverage courses, all of them operate by means of managed treatment strategies. Sunshine Health Program currently has the agreement to run the CMS managed wellbeing care system.
The poorest little ones in the state, or these residing in households earning 133% or less than the federal poverty stage, qualify for Medicaid, according to state details. There are no co-payments or regular monthly premiums. Little ones dwelling in people that gain much too a great deal to qualify but gain significantly less than 225% of the federal poverty degree qualify for what is named the Children’s Wellbeing Coverage System, or CHIP, which in Florida operates under the Florida KidCare moniker.
Whether or not in the common Medicaid method or Florida KidCare, medically advanced young children are enrolled in the CMS managed treatment network. There’s extra than $168 million in the current year’s spending plan to fund the application.
The DOH, which administers the CMS Medicaid managed care system, also wants insights into methods it can assure a coordination of treatment for kids who changeover in and out of the CMS plan from Medicaid or the Florida KidCare system.
The RFI was to start with printed at the conclude of June and interested functions experienced until eventually July 12 to post any inquiries about the RFI to the point out. The state will publish responses to timely questions by July 19.
Florida Politics requested a duplicate of the issues that were being well timed submitted. The DOH did not react to the requests for the public data by deadline.
Headed by state Surgeon Common Joseph Ladapo, the DOH is the hottest agency to delve into overall health treatment procurement.
The Department of Management Services previously this month produced a few separate ITNs looking for third parties to administer the state’s $3.1 billion self-insured well being treatment program for condition workers, which include legislators and legislative employees.
The Agency for Health Care Administration (AHCA) is working on developing a procurement to place the state’s Medicaid managed care system out for bid. The Medicaid managed treatment contracts are the most valuable in the condition. AHCA hopes to publish the ITNs prior to the conclude of the 12 months.
Comparable to the DOH, AHCA printed a RFI to support advise point out health care officers who are doing the job on the conditions of the procurement.
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