No. SB 400
Filed under Healthcare.
Carryforward Funding of Certain Managing Entities; Revising the duties of the Department of Children and Families; revising the criteria for the department’s comprehensive review of certain managing entities; requiring a managing entity to ensure maximum subcontract utilization of current year allocated funds within its network, etc.
Plain English Summary
AI-GENERATEDManaging entities running Florida's behavioral health contracts can no longer deliberately hold back current-year money just to carry it forward to the next fiscal year, unless the department approves that specific plan first.
Each managing entity must instead push its current year's allocated funds out through subcontracts to the providers in its network, rather than sitting on the money at the entity level.
The department must now routinely check how well each managing entity is using its funds, with authority to take corrective action, including sanctions, against entities that underspend their allocations.
The department's existing two-year financial review of each managing entity must now also analyze fund utilization directly, on top of the system-of-care analysis it already required.
AIA managing entity may not intentionally hold back current-year money in order to carry it forward to the next fiscal year, unless the department approves that specific plan in advance.
AIEach managing entity must ensure its current year's allocated funds are put to maximum use through subcontracts with the providers in its network, rather than held at the managing-entity level.
AIThe department must routinely track how much of a managing entity's available funds are actually being used, and can take corrective action if a managing entity is underutilizing its funding.
AIThe department's existing 2-year comprehensive review of managing entities' finances must now also include a financial utilization analysis, not just the system-of-care analysis already required.