Florida Senate - 2015                        COMMITTEE AMENDMENT
       Bill No. SB 7068
       
       
       
       
       
       
                                Ì948500yÎ948500                         
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                  Comm: FAV            .                                
                  04/03/2015           .                                
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       The Committee on Children, Families, and Elder Affairs (Garcia)
       recommended the following:
       
    1         Senate Amendment 
    2  
    3         Delete lines 342 - 384
    4  and insert:
    5         (c) The contract with each managing entity must be
    6  performance-based and contain specific results, measureable
    7  performance standards and timelines, and identify penalties for
    8  failure to timely plan and implement a regional, coordinated
    9  care organization, to meet other specific performance standards,
   10  including financial management, or other contractual
   11  requirements. The contract must have a schedule of penalties
   12  scaled to the nature and significance of the managing entity’s
   13  failure to perform. Such penalties may include, but are not
   14  limited to, a corrective action plan, liquidated damages, or
   15  termination of the contract. The contract must provide a
   16  reasonable opportunity for managing entities to implement
   17  corrective actions, but must require progress toward achievement
   18  of the performance standards identified in paragraph (e)
   19  Contracting and payment mechanisms for services must promote
   20  clinical and financial flexibility and responsiveness and must
   21  allow different categorical funds to be integrated at the point
   22  of service. The plan for coordination and integration of
   23  services required by subsection (3) shall be developed based on
   24  contracted service array must be determined by using public
   25  input and, needs assessment, and must incorporate promising,
   26  evidence-based and promising best practice models. The
   27  department may employ care management methodologies, prepaid
   28  capitation, and case rate or other methods of payment which
   29  promote flexibility, efficiency, and accountability.
   30         (d) The department shall establish a 3-year performance
   31  based contract with each managing entity by July 1, 2017. For
   32  managing entities selected after the effective date of this act,
   33  the department shall use a performance-based contract that meets
   34  the requirements of this section. For managing entities with
   35  contracts subject to renewal on or before July 1, 2015, the
   36  department may renew, or if available, extend a contract under
   37  s. 287.057(12), but contracts with such managing entities must
   38  meet the requirements of this section by July 1, 2017.
   39         (e) If the department terminates a contract with a managing
   40  entity due to failure to establish a coordinated care
   41  organization or meet other contractual requirements, the
   42  department must issue an invitation to negotiate in order to
   43  select a new managing entity. The new managing entity must be
   44  either a managing entity in another region, a Medicaid managed
   45  care organization operating in the same region, or a behavioral
   46  health specialty managed care organization established pursuant
   47  to part IV of chapter 409. The