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The law does away with "fee-for-service" Medicaid payments, in which doctors, hospitals and other providers directly billed the state. The final order, signed by AHCA Secretary Liz Dudek on Friday, rejects a recommendation from an administrative law judge who held hearings in the case in November. In addition, the judge said, Florida True Health holds an option to půjčky prestige healthcare providers purchase the other 60 percent of shares. They cannot override findings of fact. The company plans to file an appeal with the First District Court of Appeal in Tallahassee, the statement says. Region 4, Northeast Florida,  First Coast Advantage.   His decision was issued on Jan. The long-term-care rollout is in its final phase, and other medical beneficiaries will be shifted between May and August of this year půjčky prestige healthcare providers.   The judge, John Van Laningham, wrote that the corporate structure of Prestige Health Choice did not meet the definition for a "provider service network," or PSN. 2, and Health News Florida filed this report. State agencies and boards can overrule the recommendations of hearing officers if they can cite specific errors in the legal reasoning used to arrive at a decision. The three regions in which other PSNs were chosen were Region 2, Panhandle, Better Health Plan.    Florida True Health, a company formed by two insurers, Florida Blue and AmeriHealth Caritas, owns 40 percent of Prestige půjčky prestige healthcare providers. Another 13 percent of Prestige is owned by Florida Health Choice Network, which is a consortium of neighborhood health centers. Van Laningham ruled that Florida Health Choice Network is not a Medicaid provider, so therefore Prestige could not qualify as a PSN půjčky prestige healthcare providers. Care Access PSN, which brought the protest that led to půjčky prestige healthcare providers the hearing, stood to inherit the contract if Prestige were not eligible. Tags:Florida Medicaidmanaged care Health News Florida Partners. While HMOs and PSNs may seem similar from the point of view of the patient, an HMO is a commercial operation that is dually licensed by AHCA and the Office of Insurance Regulation. The Legislature created the law in 2011 that requires virtually all Medicaid beneficiaries -- including those in long-term care -- to enroll in a managed-care plan, either an HMO or a PSN. In its ruling, AHCA said Van Laningham had misconstrued two sections of the law that established the statewide managed-care Medicaid program půjčky prestige healthcare providers. So if Prestige was not a true PSN, then the contract would have to půjčky prestige healthcare providers be awarded to a competitor. With a billion dollars riding on the contested decision, Floridas Agency for Health Care Administration says it will award its Medicaid managed-care contract for Miami-Dade and Monroe counties to Prestige Health Choice.

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