We previously reported that the U.S. Department of Health and Human Services (“HHS”) granted a Medicaid waiver allowing Florida to implement its Medicaid Long-Term Care Managed Care Program.  On February 20, 2013, HHS issued a letter stating it has reached an “agreement in principle” to grant a second Medicaid waiver – this one for Florida’s Managed Medical Assistance program.  Assuming HHS and Florida work out more of the details for the program, it appears HHS will grant the second waiver, which will allow Florida to shift the majority of remaining fee-for-service Medicaid recipients into managed care programs beginning in 2014.