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It's a New Day in Public Health.

The Florida Department of Health works to protect, promote & improve the health of all people in Florida through integrated state, county, & community efforts.

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Updates and Events

CMS Plan

  • Early Payments Week of November 19, 2017
  • ITN Update
  • Update on Provider Payment Options
  • Welcome, Deputy Secretary Dr. Jeffrey Brosco
  • CMS Plan Invitation to Negotiate
  • CMS Plan Service Delivery Model Public Input
  • Federal Payment Error Rate Measurement (PERM)
  • Patient Centered Medical Home Survey
In observance of the Thanksgiving holiday, payments during the week of November 19, 2017 through November 25, 2017 shall be posted on Wednesday, November 22, 2017 instead of Friday, November 24, 2017.

As announced in the summer of 2017, the Department of Health (Department) intends to issue a new procurement for the Children’s Medical Services Managed Care Plan (CMS Plan) in early 2018 for January 2019 implementation. CMS Plan is transforming how it delivers care to children with medical complexity in its Medicaid and KidCare programs. Based on feedback received from stakeholders, the Department is developing a new model for the CMS Plan that will be reflected in its upcoming ITN. Goals for the new program design include improved outcomes and access for members, enhanced oversight of the program, streamlined administration for providers, and value-added provider contracting.

For more information and updates on the ITN process, please visit http://www.CMSPlanFlorida.gov/cms-plan-invitation-to-negotiate.

In July, providers were sent letters indicating that CMS and MED3000 are partnering with Change Healthcare and ECHO Health to provide more options for electronic delivery of payments. These new options will be available starting with payments dated October 28th and after. Please note that providers who are currently accepting Virtual Card payments from ECHO Health for other payers will begin receiving Virtual Card payments for their CMS claims. Providers are enrolled for EFT payments through Change Healthcare or ECHO Health EFT networks will continue to receive payments via EFT. All other providers will continue to receive paper checks. Providers can change their method of payment preference by contacting ECHO Health at 844-586-7463. Providers can log into www.providerpayments.com to access detailed information for each payment transaction.

The CMS Plan and Specialty Programs welcomes Jeffrey P. Brosco, MD, PhD, who has been named Deputy Secretary for Children’s Medical Services (CMS). As Deputy Secretary, Dr. Brosco will oversee the Division of Children’s Medical Services. He also joins the executive leadership team of the Office of the CMS Managed Care Plan and Specialty Programs, Cheryl Young, Director, Andrea Gary, Director of Operations and Kelli Stannard, Director of Clinical Operations, to oversee the CMS Managed Care Plan and Specialty Programs and the CMS area offices.Dr. Jeffrey Brosco

Dr. Brosco currently serves as the Title V (Maternal and Child Health) statewide consultant for CMS, is professor of clinical pediatrics at the University Of Miami Miller School Of Medicine (UM) and served as a regional medical director for CMS from 2012-2015.  For the past 21 years, he has served at UM’s School Of Medicine in several capacities, most recently as the associate director of UM’s Mailman Center for Child Development, director of faculty education development in the Department of Pediatrics and director of the Leadership Education Neurodevelopmental Disabilities Program. He is also the chair of the Pediatric Bioethics Committee at Jackson Memorial Hospital.

Miami's WLRN recently interviewed Dr. Brosco to find out more. Read the interview here.

The Department of Health’s Office of the Children’s Medical Service Managed Care Plan is committed to ensuring that all stakeholders are informed on the status of the future CMS service delivery model and making certain that there is transparency throughout this process. The goal in developing a new service delivery model is to provide the best medical care and support for Florida’s children with special health care needs.

This communication is intended to update the public on the development of the new CMS Plan delivery system and advise providers and potential partners that the CMS Plan will issue a competitive procurement in the coming months. Through this procurement, CMS intends to identify a partner or a group of partners to implement an improved model for the CMS Plan to support its continued participation in the Statewide Medicaid Managed Care (SMMC) program

On July 14, 2017, AHCA released an ITN for the SMMC program re-procurement. CMS is continuing with its separate procurement process as outlined in the RFI and public meetings held earlier this year. Prospective partners will be permitted to respond to the future CMS procurement even if they are also responding to the AHCA ITN.

If you are a provider and have questions about your participation status in the CMS Plan provider network, please contact the CMS Plan Provider Relations Liaison in you area.  Note, the AHCA ITN process does not impact your current status as a CMS Plan provider.  We look forward to continuing to work together to improve the health of the children we serve.

Please continue to monitor the CMS Plan website for updates.

Additional Information:

The Department of Health’s Office of the Children’s Medical Service Managed Care Plan (CMS Plan) issued a Request for Information (RFI) for the purpose of planning the development of an improved pediatric health care payment and health service delivery model.  Entities with direct experience in administering and delivering health services to medically complex children with special health care needs (CSHCN) were requested to provide input on the design of a draft model focused on improving the health of children and youth eligible for the CMS Plan. Responses to that RFI were due in May.

In addition, the Florida Department of Health recently held a series of statewide public meetings regarding the CMS Plan service delivery model.  The Department, along with an Agency for Health Care Administration representative, facilitated discussions with CMS Plan families, providers, stakeholders and the general public on improved models for the Titles XIX, XXI or V funded delivery systems for Florida's medically complex children with special health care needs.

A summary report of the input received from CMS Plan families, providers and other interested stakeholders are available on this webpage.

The Florida Department of Health held a series of statewide public meetings regarding the Children's Medical Services Managed Care Plan (CMS Plan) service delivery model. Representatives of the Department provided a brief presentation and facilitated discussions with the CMS Plan families, providers, stakeholders and the general public input intended to inform the evaluation of the feasibility of improved models for the Title XIX, XXI or V funded delivery systems for Florida's medically complex children with special health care needs (CSHCN).


A summary report of the input received from CMS Plan families, providers and other interested stakeholders is now available.

Starting in August 2017, the Payment Error Rate Measurement (PERM) program contractor will contact all Medicaid and CHIP providers. If you are contacted you must comply with the medical records request. For more information you can read AHCA'S notice.

The Florida Department of Health Children's Medical Services has a statewide initiative to assist pediatric practices with Patient Centered Medical Home (PCMH) practice transformation and recognition.  The PCMH model has become a widely accepted standard with a variety of tools and processes that enable providers to more effectively deliver better care and achieve improved outcomes.

We have partnered with HealthARCH - a division of the University of Central Florida College of Medicine to assist us with this program.  A survey of pediatric practices is the first step in the process and will assist us with determining who among Florida pediatric practices is interested and ready to begin the medical home journey.

Your results will be kept confidential. The survey should take approximately 20 minutes. Educational content on PCMH is provided throughout the survey to help explain concepts and standards. We appreciate your time and assistance with this program.

Begin the survey:  PCMH Survey