A move by Gov. Rick Scott’s administration to eliminate a long-standing policy that gives poor, disabled and elderly Floridians 90 days to qualify for the Medicaid program isn’t getting support from people who care for patients or from patients’ family members.
More than 100 comments from people such as physicians, nursing-home and hospital executives and family members were sent to the federal government opposing the proposed change, which the Scott administration submitted for approval in April.
If the change is approved by President Donald Trump’s administration, the state would save an estimated $98 million in Medicaid spending this year. The change would eliminate a three-month window where Medicaid pays health care bills while people apply for the program.
Florida isn’t alone in moving ahead with eliminating the policy, but unlike other states that have made similar decisions, Florida has not expanded Medicaid eligibility to include able-bodied working adults.
American Academy of Family Physicians board Chairman John Megis said in his written comments on the proposal that Medicaid reimburses physicians less than Medicare or commercial health insurance plans and that eliminating the 90-day window could be a step too far.
“Should it be eliminated, it would pose more uncertainty to our members, especially those in rural or underserved areas, who are already operating on thin margins,” Megis wrote. “We fear the elimination of retroactive coverage would further dissuade physicians from treating Medicaid populations, further entrenching the health disparities facing the state, and leave others unable to offer services to vulnerable Medicaid populations altogether.”