By Miriam Harmatz and Andrea Faverio
Background on Retroactive Medicaid Eligibility (RME):
Under the federal Medicaid statute, states must provide up to three months of retroactive coverage to a successful Medicaid applicant if the individual was eligible for coverage when services were provided during those three months prior to application.1 This important consumer protection provision is referred to as “Retroactive Medicaid eligibility (RME).” Consistent with the Medicaid program’s objective to protect low-income persons who otherwise cannot afford needed health-care, Congress passed RME to alleviate financial risk for vulnerable individuals and ensure that those without insurance had an easier path to medical care.
In 2018, Florida received approval from the federal government to “waive” the RME section of the Medicaid statute for non-pregnant adults over 21 and to limit coverage to one month. This was done pursuant to what is referred to as an “1115 waiver” request.2 Because these waivers are time limited, the 2019 Florida Legislature attempted to permanently eliminate RME through a statutory amendment.3 Although the amendment ultimately failed to pass during the 2019 legislative session, Florida continues to utilize the section 1115 waiver to cut funding and limit access to RME.4
Status and Impact: Example of how the RME elimination impacts people and providers:
This elimination of RME is hurting low-income frail and disabled Floridians and critical safety net health care providers. Consider this hypothetical example: On March 15th, “Joe” suffered a sudden heart attack and was rushed to the hospital by ambulance. He was admitted, treated for four days, and sent home. Joe, who is 64 and uninsured, was already suffering from dementia. Since his heart attack, Joe’s dementia has gotten much worse, and his wife, Dora, cannot care for him at home. She calls a nearby nursing home and is told he needed to first apply for Medicaid and be found eligible before he could be admitted. She does not know how to use a computer and is unable to get through on the phone to a local agency for help in filing a Medicaid application. Meanwhile, Joe falls and is taken by ambulance to the hospital on April 15th. He is discharged after receiving a CAT scan and spending the night in the emergency room. Joe’s son, who is in the army and stationed overseas, finally files an application for Medicaid for Joe online on May 1st. Joe is found eligible on June 5th. Joe’s medical bills from May and June will be covered. However, his hospital bills from March and April totaling $35,000 are not covered by Medicaid. Under RME, those bills would have been covered, and it is also more likely that he could have gone straight to a nursing home.
Until RME is restored, a number of low-income, uninsured Floridians like “Joe” and his family will suffer. It is important for the public and policy makers to hear directly from those who are impacted. If you, a friend, or a loved one have been hurt by the loss of RME, we want to hear from you and work with you on the Florida Health Justice STORIES initiative.
1. 42 U.S.C. § 1396a(a)(34).
2. See, 42 U.S.C. § 1315(a).
3. Florida Policy Institute. 2019. https://www.fpi.institute/senate-bill-192-would-put-vulnerable-floridians-in-jeopardy/.
4. See Policy Transmittal Eliminating RME.
The LGBT population encompasses a highly diverse group of individuals that present unique healthcare challenges and barriers. Florida’s distinct demographics add further complexity to these challenges. This brief summarizes LGBT healthcare issues, highlights those challenges unique to Florida, and finally, suggests how expansion of Medicaid in Florida will benefit LGBT individuals in the state.
LGBT Health Concerns
The LGBT population as a whole experiences poorer health than its heterosexual counterpart. LGBT individuals exhibit higher prevalence, as well as earlier onset, of general disability. Studies show that the population experiences elevated rates of asthma, allergies, osteoarthritis, and gastrointestinal problems. The LGBT population also experiences higher risks of cardiovascular disease and some cancers.1 Additionally, gay and bisexual men continue to account for the highest rates of HIV and new HIV infection in the U.S. as well as other sexually transmitted infections.2, 3 Transgender women also face a higher prevalence of HIV.4 Lastly, LGBT persons experience higher rates of mental health conditions and substance abuse.1, 5 These statistics warrant particular attention to LGBT healthcare access.
Florida’s LGBT Population
LGBT individuals in Florida experience higher rates of unemployment, food insecurity, and low-income status than both their national LGBT counterparts and non-LGBT persons in the state. Similarly, lack of health insurance affects Florida LGBT persons at a higher rate. Furthermore, data show that Florida’s LGBT population includes a higher percentage of individuals over the age of 50 compared to national numbers (32% v. 23%). Florida’s LGBT population also consists of a higher percentage of Latino persons (30% v. 21%).6 These factors create a complex array of challenges affecting Florida’s LGBT population.
Sources: Bureau, U.S. Census. (2017). American Fact Finder. Retrieved from Factfinder.census.gov. 6 June 2019.
LGBT Demographic Data Interactive. (January 2019). Los Angeles, CA: The Williams Institute, UCLA School of Law. Retrieved from https://williamsinstitute.law.ucla.edu/lgbtstats/. 6 June 2019.
Impact of Florida Medicaid Expansion
Nationally, Medicaid expansion resulted in an estimated 511,000 additional LGB* individuals being covered thus far in those states opting to expand coverage.7 The Kaiser Family Foundation estimates that 837,000 total Florida residents may benefit from Medicaid expansion in the state. That total ranks second only to Texas of the fourteen states that have not expanded.8 The exact number of LGBT individuals included in Florida’s total remains unknown. However, with an estimated LGBT proportion of 4.6% in Florida, extrapolation yields that approximately 38,500 LGBT individuals might benefit from expansion. This significant number highlights the importance of Medicaid expansion to healthcare for Florida’s LGBT population.
*Transgender individuals not included.
1. Lick, D., Durso, L.E., & Johnson, K.L. (2013). Minority Stress and Physical Health Among Sexual Minorities. Pers on Psychological Sci 8(5): 521-548
2. Centers for Disease Control and Prevention, U.S. Department of Health and Human Services. (2019). HIV Among Gay and Bisexual Men. Retrieved from https://www.cdc.gov/nchhstp/newsroom/docs/factsheets/cdc-msm-508.pdf. 6 June 2019.
3. Centers for Disease Control and Prevention, U.S. Department of Health and Human Services. (2016). Gay and Bisexual Men’s Health: Sexually Transmitted Diseases. Retrieved from https://www.cdc.gov/msmhealth/STD.htm. 6 June 2019.
4. Baral SD, et al. (2013). Worldwide burden of HIV in transgender women: a systematic review and meta-analysis. The Lancet Infectious Disease. 13(3): 214–222.
5. Cochran, S.D., Sullivan, J.G. & Mays, V.M. (2003). Prevalence of mental disorders, psychological distress, and mental health services use among Lesbian, Gay, and Bisexual adults in the United States. Journal of Consulting and Clinical Psychology71(1): 53-61.
6. LGBT Demographic Data Interactive. (2019). Los Angeles, CA: The Williams Institute, UCLA School of Law. Retrieved from https://williamsinstitute.law.ucla.edu/lgbtstats/. 6 June 2019.
7. L. Dawson, J. Kates, and A. Damico. (2018). Kaiser Family Foundation. The Affordable Care Act and Insurance Coverage Changes by Sexual Orientation. Retrieved from https://www.kff.org/disparities-policy/issue-brief/the-affordable-care-act-and-insurance-coverage-changes-by-sexual-orientation/. 12 June 2019.
8. Garfield, Rachel, Kendal Orgera, and Anthony Damico. (2019). The Coverage Gap: Uninsured Poor Adults in States That Do Not Expand Medicaid. Issue brief. Washington, D.C.: Kaiser Family Foundation. Retrieved from https://www.kff.org/medicaid/issue-brief/the-coverage-gap-uninsured-poor-adults-in-states-that-do-not-expand-medicaid/. 13 June 2019.
In this issue:
Alison Yager, FHJP's Director of Policy Advocacy, contributed to the article "Fewer Florida Children Enrolled In Medicaid, CHIP in 2018, Report Says" published on the website of Health News Florida.
Go to article
For Immediate Release: Thursday, May 30, 2019
Contact: Sonia Lindell, Florida Policy Institute, 407.440.1421 ext. 702 or firstname.lastname@example.org
ALMOST 70,000 FEWER FLORIDA KIDS WERE COVERED BY MEDICAID, KIDCARE IN 2018
Florida and six other states accounted for 70 percent of the enrollment decline in the U.S. between 2017 and 2018
TALLAHASSEE, FL - A decline in child enrollment in Medicaid and the Children’s Health Insurance Program (CHIP) — known as KidCare in Florida — is part of an alarming national trend, according to a new report by the Georgetown University Center for Children and Families (CCF). Between 2017 and 2018, found CCF, Florida saw one of the nation’s largest declines, with almost 70,000 fewer children covered by Medicaid and KidCare.
The report found little evidence to support claims that the improving economy was responsible for the decline in child Medicaid and CHIP enrollment.
Most low-income children rely on Medicaid and CHIP-funded programs, such as Florida KidCare, to meet their health needs, explained Tricia Brooks, author of the report and a senior fellow at CCF. She added that it’s unlikely that all of the children who lost public coverage were enrolled in private health insurance plans.
“Florida experienced important gains in the share of insured residents after provisions of the Affordable Care Act first went into effect in 2014,” said Sadaf Knight, CEO of the nonpartisan Florida Policy Institute. “We have not seen the same commitment to coverage under the current federal Administration. Florida already has a growing number of children becoming uninsured, and these declining enrollments in children’s Medicaid and KidCare is a sign that it is getting worse.”
“When kids lose health coverage, they lose critical access to health care,” said Alison Yager, director of policy advocacy for Florida Health Justice Project. “Yet health care is an essential ingredient in a child’s ability to thrive. We know from the research that Medicaid and CHIP coverage contribute to long-term positive outcomes not just in health, but also in school performance, educational attainment, and economic success.”
While data is not yet available on the number of uninsured children in Florida for 2018, Florida was among the states that saw an increase in 2017, the first time in nearly a decade that the uninsured rate for children increased nationwide. Florida saw a statistically significant increase with about 37,000 more children lacking insurance in 2017 than in 2016.
“There are clearly many factors at play that are putting children at risk,” said Brooks. “The Trump Administration took several steps that undermined enrollment including cutting outreach and consumer assistance funding. Proposed immigration policies also have kept many eligible families from seeking or renewing coverage for their children.”
The report found that the enrollment decline was uneven across the states. Combined enrollment in Medicaid and CHIP dropped in 38 states by 912,000 children in 2018. Enrollment declines were concentrated in seven states – California, Florida, Illinois, Missouri, Ohio, Tennessee, and Texas – which account for nearly 70 percent of the losses.
State-specific policy and practices also likely influenced the declines in child Medicaid and CHIP enrollment including cumbersome processes for enrollment and renewal, and stricter rules or more frequent reviews of eligibility, according to the report authors. In Florida, for instance, lack of 12-month continuous eligibility for children on Medicaid can result in breaks in health coverage, known as “churn,” which can disrupt care and exacerbate the seriousness of existing health conditions.
Required monthly premiums also contribute to program churn. Research shows that during 2017, more than 60,000 children were denied eligibility for non-payment. Florida is one of a handful of states that charges premiums for families with income below 150 percent of the poverty level-- just $31,170 per year for a three-person household. In addition, Florida’s income eligibility for its CHIP program — Florida Healthy Kids — is low compared to the national average and other southern states.
“The fact that so many children lost Medicaid and CHIP coverage is very alarming,” said Joan Alker, executive director of CCF. “This report puts policymakers on notice that the success the U.S. has achieved on children’s health coverage is in jeopardy. Federal and state leaders must acknowledge the problem, investigate its causes, and take immediate action to ensure children have the health coverage they need to succeed.”
The CCF is an independent, nonpartisan policy and research center founded in 2005 with a mission to expand and improve high-quality, affordable coverage for America’s children and families. CCF is based at the McCourt School of Public Policy.
Florida Policy Institute is an independent, nonpartisan and nonprofit organization dedicated to advancing state policies and budgets that improve the economic mobility and quality of life for all Floridians.
Florida Health Justice Project, a nonprofit advocacy organization, seeks to improve access to affordable healthcare for Floridians, with a focus on vulnerable low-income populations.
In this issue:
By Miriam Harmatz, Alison Yager, and Matt Childers
BACKGROUND ON MEDICAID EXPANSION
The Affordable Care Act (ACA or Obamacare) provided two “paths to coverage” for people with low to moderate incomes. First, people with moderate incomes (100 to 400% of the federal poverty level) could receive subsidies to help pay for insurance in the new Healthcare Marketplace. Second, the law provided that very low-income, uninsured adults between the ages of 19 and 65 would get health care coverage through an expanded Medicaid program, to be largely paid for by the federal government. The expansion extended coverage to adults below 138% of the federal poverty level (FPL) and eliminated Medicaid’s “categorical requirement,” which limited adult coverage to pregnant women, parents and people who were aged, blind or disabled. Although Medicaid expansion was meant to be national in scale, the Supreme Court ruled in 2012 that the federal government could not force states to expand their Medicaid program, but rather expansion must be a state “option.”
STATUS AND IMPACT
Florida is one of only 14 states that have not expanded Medicaid. As a result, approximately 445,000(1) Floridians fall into the “Coverage Gap,” meaning they have no path to affordable coverage. For example, a working parent with one child who earns just $500/month (less than 50% of FPL) is above the income threshold, and therefore ineligible, for Florida’s very limited Medicaid coverage, and at the same time is below the income cut-off for, and therefore unable to purchase, Marketplace coverage. Additionally, approximately 392,000(2) low-income Floridians who do qualify for Marketplace insurance (those between 100 and 138% FPL) are severely burdened by out-of-pocket costs and challenges in accessing care, many of which would be resolved with Medicaid expansion.
A large body of data and evidence show that those states which have chosen to expand Medicaid under the ACA have witnessed improved healthcare access and individual financial stability, as well as economic benefits for states, local communities and providers.
Until Florida expands Medicaid, policy makers and the public must hear from uninsured residents about the suffering and loss that comes with lacking health coverage. The Florida Health Justice Project is working with impacted individuals, advocates and health care providers to help bring these stories to light through our Florida Health Justice STORIES initiative.
1 Garfield, Rachel, Kendal Orgera, and Anthony Damico. 2019. “The Coverage Gap: Uninsured Poor Adults in States That Do Not Expand Medicaid.” Issue brief. Washington, D.C.: Kaiser Family Foundation. https://www.kff.org/medicaid/issue-brief/the-coverage-gap-uninsured-poor-adults-in-states-that-do-not-expand-medicaid/.
In this issue:
FHJP presented at Catalyst Miami's 4th Annual Oral Health Equity Summit on March 29th, 2019. Executive Director, Miriam Harmatz, discussed policy proposals that could affect oral health in Miami-Dade County. A big thank you to Catalyst Miami for including us in this wonderful event.
Click the button below to download the powerpoint presentation.
FHJP was invited to present at the Alliance For Aging's New Face of Again Conference on March 14, 2019 in Miami. Our presentation on Florida’s Medicaid Long-Term Care Waiver, provided an overview of this complex and critical program, including recent changes to the Medicaid Managed Care contracts and updates to the LTC Advocate’s Guide.
Click the button below to download the presentation.
Florida Health Justice Project Files Comments Related to Florida Medicaid Eligibility Determinations
Florida Health Justice Project Files Comments Opposing the Trump Administration’s Proposed Changes to the “Public Charge” Rule
Florida Health Justice Project Featured in the Miami Herald's Editorial Opposing The Trump Administration's Proposed Changes to the "Public Charge" Rule
The Florida Health Justice Project was featured in an editorial piece regarding the proposed Public Charge rule. The article contains direct quotes from our Executive Director, Miriam Harmatz, and Board Member, Dr. Fred Anderson, that discuss the present and future effects of this rule. Information on how to submit a comment online is also provided in the article.
To read more, click here.
Proposed Changes To the Public Charge Rule will Cause Significant Loss of Health Care Coverage for Florida Children (Updated)
By Matt Childers, Ph.D.
Updated November 14, 2018
On October 10, 2018, the Trump Administration published proposed changes to the “public charge” immigration rules that govern how the use of public benefits affect an immigrant’s legal status. These changes are likely to harm millions of immigrant families across the nation, but states with large immigrant populations will disproportionately feel the impact. In this brief, we analyze the effects that the proposed changes will have on healthcare coverage among U.S.-born children in “mixed-status” families in Florida and its major metropolitan areas (by “mixed-status,” we refer to families whose children are citizens, but one or both of the parents are not). We find that over 107,000 kids will lose health insurance in Florida and over half of them reside in the Miami metropolitan area.
Proposed Changes to the Public Charge Rule Will Push Thousands of Florida’s Children Out of the Supplemental Nutrition Assistance Program (SNAP)
By Matt Childers, Ph.D.
Updated November 14, 2018
On October 10, 2018, the Trump Administration published proposed changes to the “public charge” immigration rules that govern how the use of public benefits affect an immigrant’s legal status. These changes are likely to harm millions of immigrant families across the country, but states with large immigrant populations will be disproportionately affected. In this brief, we analyze the impacts that the proposed changes will have on SNAP enrollment (food stamps) among U.S.-born children in “mixed-status” families in Florida and its major metropolitan areas. (By “mixed-status,” we refer to families whose children are citizens, but one or both of the parents are not.) We find that over 80,000 kids will lose SNAP benefits across the state and over half of them reside in the Miami metropolitan area.
The changing global climate is already creating far-reaching impacts on population health in Florida that, paired with barriers to affordable healthcare access, will impact Florida’s most vulnerable populations. One particular concern is the increased threat of vector-borne diseases. Thanks to South Florida’s unique environment and status as an international gateway, Florida is particularly vulnerable to vector-borne diseases. The public health impacts of this threat are compounded by the fact that many cannot access affordable health coverage, including over 20% of adult Floridians. This brief explains the increasing threat of vector-borne disease in Florida as a result of the changing climate and the available public-sector responses, including expanding Florida’s Medicaid program under the Affordable Care Act (ACA).
Vector-borne diseases are transmitted through a vector species, such as a mosquito, usually through a bite. Several biological and environmental factors control the transmission and spread of vector-borne diseases. While some factors are capable of human control, Florida also faces major environmental factors, including temperature and rainfall, which impact pathogen infectivity and survival as well vector species breeding. Hurricanes also provide an opportunity for vector-borne diseases to spread—heavy rains, storm surge, and damage create breeding opportunities for disease-carrying mosquitoes.
In this issue:
By: Daniel Chang, email@example.com
The Miami Herald's article discussing the Public Charge Rule highlights FHJP's research analyzing the rule's impact in causing children to lose critical benefits, including health coverage and SNAP. The article also features Dr. Fred Anderson, FHJP Board member, discussing how the proposed rule changes are adding to immigrants' fears and raising the likelihood that their medical conditions will worsen.
Advocates Condemn Trump Administration’s Latest Attack on Immigrant Families
For Immediate Release: October 5, 2018
Contact: Matt Childers, firstname.lastname@example.org
Miami, Florida — The Trump administration moved forward this morning with plans to fundamentally alter how immigration officials determine what constitutes a “public charge,” which could result in denial of lawful permanent residence or entry to the U.S. At 8:50 a.m. the administration posted the new rule for “public inspection” and announced that the rule will be formally published in the Federal Register on October 10. This will commence a 60-day public comment period ending December 10, 2018.
The proposed rule, as with the draft released on Sept 22, 2018 , radically alters a 100-plus year old immigration law by significantly expanding the types of public benefits that could be included in a public charge determination. For decades, the only benefits that could be considered were cash assistance or long term institutional care. No other benefits could be part of the calculation. Under the new rule, health care benefits including Medicaid and Medicare low income subsidies for Part D (prescription drugs), housing assistance housing or Section 8 and Supplemental Nutrition Assistance Program (SNAP or food stamps) could be considered. Also, the new rule, for the first time, adopts a new income test for households to overcome a public charge test.
(Miami) - A draconian proposal by the Trump administration to overhaul how immigration officials determine what constitutes a “public charge” (which could result in denial of lawful permanent residence or entry to the U.S.) was announced on Saturday night. There will be a 60 day public comment period.
The proposed new rule radically revamps longstanding immigration law. For the first time, immigration officials could consider use of critical non-cash benefits intended to safeguard the health, nutrition, housing and economic security of America's low-income families in making public charge determinations. States with large immigrant populations like Florida will be disproportionately impacted.
Miriam Harmatz, Co-executive Director of the Florida Health Justice Project, explained that this represents a major shift from long-standing policy in which the only benefits considered in a public charge determination are cash assistance or long-term institutional care. "The chilling effect will result in Florida’s families and children being poorer and sicker.”
Local public officials across the country have been speaking out against the long rumored rule, and the Miami-Dade County Board of County Commissioners passed a resolution on 9/5/18 urging the federal government to maintain the status quo. Citing data provided by Dr. Matt Childers, Director of Policy Research for the Florida Health Justice Project, the Commission’s Resolution opposed any federal regulatory change that would negatively impact immigrant families.
In observing that “this is a disgraceful attack on immigrants legally living and working in our communities,” Maria Rodriguez, Executive Director of Florida Immigrant Coalition, also noted that nothing changes until the Administration reviews and responds to public comments. She urged all members of the public to submit comments. “This is an attack on the entire community.”
Jonathan Fried, Director of WeCount, similarly decried the proposal’s impact. “Key sectors of Florida’s economy, including agriculture and tourism, are dependent on immigrant workers who earn less than a living wage. Their families will forego Medicaid, food stamps, and housing assistance - services to which they are legally entitled - jeopardizing their health, safety and security, as well as Florida’s economic sustainability."
For more information on the rule’s impact in Florida and how to submit comments, contact Matt Childers.
Justice In Aging issues Press Release on the Advocate's Guide to the Florida Long Term Care Medicaid Waiver
Medicaid is critical for low-income Florida seniors, particularly those who can no longer live independently and need help at home. Unfortunately, seniors and people with disabilities often have difficulty getting the long-term services and supports they need to remain living at home and in the community.
The Florida Health Justice Project and Legal Services of Greater Miami Inc., with technical support from Justice in Aging, have created a new guide for advocates to help seniors access home and community-based services through Florida Medicaid’s long-term care waiver. Florida Medicaid covers “home and community-based services” that are not typically available through Medicare or private insurance, such as personal-care aides and private-duty nursing, for over 100,000 Floridians. However, more than 50,000 low-income Floridians are currently on a waiting list for these services.
The Advocate's Guide to the Florida Long Term-Care Medicaid Waiveris a roadmap to navigating eligibility and access to long-term services and supports that enable seniors to age at home and in the community rather than in nursing facilities. The guide provides an overview of the authority governing Florida's Medicaid long-term care waiver and addresses basic questions including:
Florida Health Justice Project issues Advocate's Guide to the Florida Long-Term Care Medicaid Waiver
Miriam Harmatz, J.D., Co-Director
Florida Health Justice Project
Office: (786) 558-4950
Cell: (786) 853-9385
(MIAMI) – Government-subsidized health-care benefits are critical for low-income Florida seniors – particularly those who are frail and disabled – but they can be hard to come by, which is why attorneys at the nonprofit Florida Health Justice Project (FHJP)and Legal Services of Greater Miami Inc. have published a guide for those advocates engaged in helping seniors access long-term care and related services under Florida Medicaid.
The Advocate's Guide to the Florida Long Term Care Medicaid Waiver, made available online thanks to the Florida Justice Technology Center (FJTC), concerns long-term services and supports that are essential to remaining at home or in the community rather than in a nursing home.
“For Florida seniors who want to stay out of a nursing home after they can no longer handle the routines of daily living, these services are critical, but like many Medicaid services, navigating the system is complicated,” said Miriam Harmatz, co-director of the Florida Health Justice Project, a new nonprofit advocacy organization. Earlier this year, the project prepared The Advocate’s Guide to the Florida Medicaid Program.
“These guides exemplify our mission and work,” Harmatz said. “Through collaboration with local legal services programs, FJTC and national partners, including Justice in Aging, we’re providing valuable resources for Florida’s legal aid and pro bono advocates who are helping clients get medically necessary services.” This is the second such collaboration between FHJP and FJTC.
As with The Advocate’s Guide to the Florida Medicaid Program, FJTC took the lead on dissemination by turning both guides into online, interactive versions.
“The advocate community plays such an important role in expanding access to justice, because they’re typically the ones advising and assisting those in need,” FJTC Project Manager Joseph Schieffer said. “We wanted to create something that would amplify their work and streamline the process to find information. Having the guide online makes it easier for advocates to navigate the content and share it with others.”
Long-term care – including both nursing home and community-based care – are both part of Florida Medicaid’s Long-Term Care Program. The new guide, however, focuses exclusively on the part of the program for those living at home or in the community, which falls under Florida Medicaid’s long-term care “waiver.” Under federal law, waivers allow states to provide home and community support services to a set number of people as an alternative to institutional care.
Also known as “home and community-based services,” the covered services are not typically available through Medicare or standard medical insurance, such as personal-care aides and private-duty nursing.
Nationwide, over half of people turning 65 will at some point develop a severe disability or medical condition that will require home and community-based services. Over 100,000 Floridians currently receive services through Florida Medicaid’s long-term care waiver, with over 50,000 on a waiting list.
The guide provides advocates with an overview of the authority governing Florida's Medicaid managed care long-term care waiver and a roadmap addressing basic questions including:
Jocelyn Armand, Legal Services of Greater Miami advocacy director, co-authored the guide with Harmatz, Katy DeBriere, co-director of the Florida Health Justice Project, and Michelle Adams, research assistant.
"The Advocate’s Guide is a much-needed resource for advocates and consumers alike. The guide’s road map helps navigate one of the most complex parts of the Medicaid program. We are extremely appreciative to the Florida Health Justice Project for the opportunity to collaborate on this crucial endeavor,” Armand said.
Anne Swerlick, health policy analyst with the Florida Policy Institute, endorsed the guide.
“This guide is an invaluable tool for Florida advocates seeking to ensure that consumer protection policies are implemented to protect Florida’s frailest residents,” Swerlick said.
Pro bono technical support for the guide also came from other groups, including Justice in Aging, a national organization that uses the power of law to fight senior poverty by securing access to affordable health care, economic security, and the courts for older adults with limited resources.
About the Florida Health Justice Project
A new nonprofit advocacy organization, the Florida Health Justice Project seeks to improve access to affordable health care for Floridians, with a focus on vulnerable low-income populations. FHJP expands the advocacy community’s capacity to resolve individual access issues and educate consumers; identify and address systemic barriers to healthcare; and protect Medicaid and other safety-net programs.
Florida Health Justice Project publishes article in the Florida Bar Health Law Section Newsletter explaining Florida's proposal to eliminate retroactive Medicaid eligibility (See story at page 4)
Florida Health Justice Project files comments opposing Mississippi's request to implement work requirements
In our first newsletter, we highlight what we're working on:
The Florida Health Justice Project, a new nonprofit advocacy organization, seeks to improve access to affordable healthcare for Floridians, with a focus on vulnerable low-income populations.
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