The Florida Agency for Health Care Administration ("AHCA") Managed Care
Behavior Health Discussion Group ("Group") met on July 18, 2011.
Platt, the Group's coordinator, prefaced the meeting with an announcement that the Group will not
discuss the Medicaid Managed Care Reforms passed during Florida's 2011 Legislative
Instead, the Group first discussed a conflict found in the Medicaid manual, in
which both AHCA and managed care plans are required to approve targeted case management training
programs. It is AHCA's position that managed care plans must approve targeted case management
training programs and that its position will be reflected in all future AHCA
The group then discussed a proposed tool to standardize provider record
review. Some concern was expressed by managed care plan representatives and providers that the
criteria in the tool needs to be defined in order for the tool to be reliable. AHCA will
distribute the tool for public comment.