Medicaid
Medicaid Local Match Program
DCF System Redesign
DCF System Redesign: Contracting with Community Managing Entities |
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DCF System Conversion and Medicaid Managed Care: The impact on provider contracting and reimbursement |
Consultant Resumés
Barbara C. Corbett |
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Consultant available with expertise in HMO/ PPO contract negotiation, Messenger Model negotiations for provider networks, Information Systems for provider organizations, establishing networks as Medicaid billing agents, and Tools for utilization management | |
Thomas Lucking |
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Thomas Lucking has provided training and technical assistance to the State office, provider networks and local agencies in Florida over the past 10 years. He specializes in helping behavioral health systems and providers address the organizational dimensions of Transition. Areas of expertise include: network development, clinical pathway development, planning, marketing, and profitability improvement. Thomas Lucking has provided behavioral health consultation services in 28 states as well. Previously, he was CEO of a large provider agency in Michigan | |
Useful Links
Contact information for Medicaid area offices (by county) |
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Medicaid HMO information: list by county, enrollment, market penetration, data and reports |
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Medicaid Provider Handbooks |
Medicaid Services for Substance Abuse
Community Behavioral Health Services
Presented by Mary Herkert
Examination of general Medicaid rules, specific CBH services and requirements, and revenue maximizing strategies. |
Managed Care Organizations and Provider Networks: Challenges and Opportunities
Neal Cash, CEO
Community Partnership of Southern Arizona
November 7, 2003
| An overview of the Arizona model of managed care and the challenges overcome to design the first public sector full-risk behavioral health care system in the United States. |
Implementation of SB2404 : The Managed Care Time Table
Review ofthe policy issues and provisions of the Florida Legislature's SB 2404. |
Senate Bill 1258 - Key Provisions
| Summary of SB1258 in under three pages. |
Florida HMOs & Medicaid Information
FHA data brief that uses charts and graphs to illustrate HMO trends in Florida through March 31, 2004. |
Medicaid Made Friendly for Substance Abuse Treatment Providers
Exploring Revenue Maximization Opportunities and Strategies
Mary Herkert
Central Florida Behavioral Health Network
Presentation provides a wealth of information in easy to read charts, including funding sources and reimbursable services by episode of care. |
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Supplemental houndouts provided by FADAA. |
Evaluation of Florida's Medicaid Prepaid Mental Health Plans
Year 6 Report
David L. Shern, Ph.D. and the Evaluation Team
Louis de la Parte Florida Mental Health Institute
June, 2003
| For the past six years, under contract with AHCA, the Louis de la Parte Florida Mental Health Institute (FMHI), has conducted a series of integrated, multi-method evaluation projects designed to assess the effects of the Prepaid Mental Health Plan (PMHP) demonstrations on access, cost, quality, and outcomes of services relative to alternative managed care arrangements, and to the traditional financing arrangements that are in use in the rest of the state. |
Evaluation Results of the Prepaid Mental Health Demonstration
Year 7 - Areas 1 and 6
David L. Shern, Ph.D. and the Evaluation Team
Louis de la Parte Florida Mental Health Institute
August 4, 2004
| Briefing for the Substance Abuse and Mental Health Corporation. |
List of Florida Medicaid HMO's by Area
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A list of Florida Medicaid Health Maintenance Organizations compiled by the Bureau of Managed Health Care. |
AHCA Managed Health Care Monthly Enrollment Reports
Monthly enrollment reports composed of Excel spreadsheets and maps. |
Analysis of Medicaid Enrollees and Substance Abuse Billings by Area
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Medicaid enrollment and FY2001 Statewide Medicaid Billings (FMHI data). |
New State Initiatives in Medicaid and DCF Financing & Contracting
Evaluation of system changes mandated by the Florida Legislature, including MH/SA integration and inclusion of HMOs. |
2004 Legislative Action Re- Medicaid Contracting
Overview of how the new legislation affects Substance Abuse and Provider Networks. |
Medicaid pre-paid plan RFP, District #1
Released June 1, 2001 by the Agency for Healthcare Administration |
Contracting with HMOs
Medicaid Training Materials
Substance Abuse Medicaid Training: Listing of substance abuse codes and their requirements, analysis of current billing practices, and methods of maximizing services to Medicaid enrollees: Handouts from Training by Mary Herkert, CFBHN, December, 2004.
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Medicaid Billable Units |
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Medicaid Revenue, Area 4 | |
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Medicaid Revenue, Area 4(2) |
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Medicaid Revenue, Area 7 |
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Medicaid Revenue, Area 9 |
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Medicaid CBHS Changes Section III; Florida Administrative Weekly |
Transcript: Medicaid and Managed Care (FADAA Forum Chat)
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Transcript of an online chat featuring Thomas E. Lucking, a nationally-recognized management consultant. |
Substance Abuse and Mental Health: Network Design
Celeste Putnam, Deputy Secretary
Substance Abuse and Mental Health, Department of Children and Families
Summary of the benefits of an integrated system of behavioral health care for DCF clients and Medipass recipients. |
Evaluation of Florida’s Mental Health and Substance Abuse System Redesign Strategies
Year 1 Report
Neil Jordan Ph.D.
Julienne Giard M.S.W.
Pat Robinson M.S.W.
Rebecca Larsen M.S.P.H.
Mary Rose Murrin, M.A.
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Under contract with the Department of Children and Families (DCF) and in accordance with the requirements of Senate Bill (SB)1258, the Louis de la Parte Florida Mental Health Institute (FMHI), University of South Florida, is conducting an ongoing formative evaluation of the financing strategies authorized to be implemented by the legislation. The demonstration sites that were selected were DCF District 1, including Escambia, Okaloosa, Santa Rosa and Walton Counties and DCF District 8, including Charlotte, Collier, Glades, Hendry and Lee Counties. FMHI’s role is to help identify the most effective methods and techniques used to manage, integrate, and deliver behavioral health services as specified in the legislation. This report describes the progress achieved during fiscal year (FY) 2001-2002. |
