Florida DOH Publishes RFI for Children’s Medical Services Managed Care Plan – State of Reform

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The Office of Children’s Medical Services last month issued a Request for Information (RFI) through the Florida Department of Health (DOH) seeking best practices in providing services to Children with Special Health Needs (CYSHCN).

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Medicaid-eligible CYSHCNs under the age of 21 may receive health insurance Managed care plan of medical care for children (CMS health plan). Services covered include ambulance transport, behavioral health and substance abuse programs, early intervention, home health and community-based services, occupational therapy, and more.

The CMS health plan covers approximately 91,000 CYSHCN in Florida and will be operated by Centene/Sunshine Health through January 31, 2024. DOH is expected to begin reallocating contracts for the plan in early 2023.

“The Department is attempting to obtain information through this RFI to assist in the future development of an Invitation to Negotiate (ITN) for the delegation of managed care services,” the RFI said. “The RFI seeks to obtain information from respondents who have experience with or ability to provide integrated managed care services to CYSHCN.”

The RFI outlined several care management goals for respondents to strive for, including:

Questions regarding the RFI must be submitted in writing to DOH by 5:00 p.m. Eastern Time on July 12, 2022. DOH will respond to questions by 5:00 p.m. ET on July 19, 2022.RFI responses to DOH are due by 5:00 p.m. ET on August 2, 2022. Full RFI and filing instructions are located here here.

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