8 payers to challenge new Florida Medicaid contracts 

Eight managed care organizations have filed notices of intent to challenge Florida's recent Medicaid contract awards, which provide health coverage to more than 3.4 million people, per Florida Politics.

The six-year contracts were announced April 12 for Florida Community Care (Independent Living Systems), Humana, Simply Healthcare Plans (Elevance), Community Care Plan (Broward Health and Memorial Healthcare), and Sunshine State Health Plan (Centene).

The existing contracts expire at the end of 2024. Aetna, Molina, UnitedHealth and AmeriHealth Caritas hold existing contracts and were not chosen for new ones. Sentara Care Alliance (Universal Health Services and Sentara Health Plans) and ImagineCare (CareSource and Spark Pediatrics), also submitted bids but were not selected.

Aetna, AmeriHealth Caritas, Florida Community Care, ImagineCare, Molina Healthcare, Sentara Care Alliance, Community Care Plan, and UnitedHealthcare are all planning to challenge the new contracts, Florida Politics reported April 18.

ImagineCare and Sentara Care Alliance were first-time bidders for Florida’s Medicaid managed care contracts, and Florida Community Care saw their Medicaid footprint decrease.

The state must resolve the challenges within seven business days. If not, the issue moves to arbitration and a hearing must occur within 30 days.

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