Justin Senior

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Trying to prevent what one official described as "white-knuckle moments" for families, the state plans to change the way it determines the home-based services that will be provided to children with highly complex medical needs.

The proposed changes, which will be published Monday, include assigning care coordinators for all children who receive private-duty nursing services through the Medicaid program. The state Agency for Health Care Administration says the move is designed to make sure children have full access to services at home and in their communities.

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In another step toward transforming Medicaid into a statewide managed-care system, the Florida Agency for Health Care Administration said Tuesday it has chosen five health plans to provide coverage to seniors who need long-term care.