Medicaid Reform: Few beneficiaries have participated in the opt-out program (Report No. 08-37)

O'Dare Wilson, Kellie (author)

Office of Program Policy Analysis & Government Accountability (OPPAGA)

2008

The Medicaid opt-out program is a component of Florida’s Medicaid Reform initiative administered by the Agency for Health Care Administration. The program allows eligible beneficiaries to participate in their employer-sponsored health insurance plan as an alternative to enrolling in a Medicaid Reform plan. Beneficiaries choosing this alternative use their Medicaid premiums to purchase individual or family health insurance. To date, the opt-out program has not been widely used. As of the end of March 2008, only 19 beneficiaries were enrolled in the opt-out program while a total of 30 beneficiaries had enrolled since September 2006. Eleven beneficiaries had disenrolled because they were no longer eligible for Medicaid or lost access to employer-sponsored insurance.

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