In September, Prestige Health Choice won a $1 billion contract to provide Medicaid coverage in Miami-Dade and Monroe counties as part of a push to put Medicaid patients into managed care plans.
But four months later, an administrative law judge is urging the state to rescind the award.
In a non-binding recommendation, Judge John Van Laningham said Prestige should not have qualified for the contract because the Miami-based company is not technically a “provider service network.”
To be considered, Prestige would have to be controlled mostly by healthcare providers, Van Laningham said.
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