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Fl managed care plan. The Agency successfully completed the implementation of In Florida, the Statewide Medicaid Managed Care (SMMC) system is an important part of Medicaid. Our platform ensures you can securely manage and review patient Information Glossary FAQ Agency Phone Numbers Letters And Brochures Medicaid Fair Hearing FL Medicaid Member Portal When will I be assigned to a managed care plan? Beginning February 1, 2025, all individuals in Florida Medicaid, except for a small group, will be automatically assigned by the Agency for In addition, the Managed Care Contract Development Unit is responsible for developing, maintaining, and publishing the Statewide Medicaid Managed UnitedHealthcare offers UnitedHealthcare Community Plan Medicaid (MMA) plans for Florida and eligible counties. 967, plans and providers participating in the managed medical assistance program shall comply with the Description: In 2011, the Florida Legislature created a new program called the Statewide Medicaid Managed Care (SMMC) program. Learn more about Florida Medicaid options and plans available through Sunshine Health. Medicaid Managed Care Plan Report GuideThe Medicaid Managed Care Plan Report Guide (Report Guide) is a companion to each Managed Care Some plans have different cost-sharing out-of-network. This plan gives you a choice of doctors and hospitals. There are three different Long-Term Care benefits The Statewide Medicaid Managed Care Long-Term Care (SMMC LTC) program provides services and supports to people who qualify for Medicaid nursing home Sunshine Health is a managed care plan with a Florida Medicaid contract. Once a year, you have a chance to change plans. The benefit information provided is a brief summary, Children's Medical Services Managed Care PlanLearn More As of July 1, 2025, the Children's Medical Services' Managed Care Plan enrollment has transferred to the Florida Beginning February 2025, all individuals in Florida Medicaid, except for a small group, will be automatically assigned by the Agency for Health Care Administration (AHCA) to a managed Home Plan Phone Numbers Plan Phone Numbers Health Plans Aetna Better Health Of Florida SMI 1-800-441-5501 (MMA) 1-844-645-7371 (LTC) TDD:711 Scores at the National Average *Calendar Year 2014 was a transition year between Florida’s prior managed care delivery system and the SMMC program implementation. 409. Florida Managed Care Program Features, as of 2019 (1 of 2) Pick a Long-Term Care PlanIndividuals for whom it has been decided are eligible to receive long-term care services (LTC) through the Statewide On Medicaid? Expect a notice from Florida’s Agency for Health Care Administration (AHCA) soon about enrolling in a Statewide Medicaid In Florida, most Medicaid recipients are enrolled in the Statewide Medicaid Managed Care program. Humana Healthy Horizons in Florida is proud to partner with the Florida Agency for Health Care Administration (AHCA) to provide *UnitedHealthcare Community Plan of Florida is a Managed Care Plan with a Florida Medicaid contract. During AHCA contracts with a Medicaid Choice Counseling vendor to assist Medicaid recipients in choosing a managed care plan, enrolling in a new plan, or changing plans. The Agency for Health Care MMA = Managed Medical Assistance Plan LTC+ = Long-Term Care Plus Plan Spec = Specialty Plan When will I be assigned to a managed care plan? Beginning February 1, 2025, all individuals in Florida Medicaid, except for a small group, will be automatically assigned by the Agency for What does the Statewide Medicaid Managed Care program do? Medicaid members receive their health care services through a managed care plan. **The HEDIS NCQA uses an industry leading rating system for Florida Medicaid plans. **The HEDIS Online: Visit the Florida Statewide Medicaid Managed Care website at flmedicaidmanagedcare. Heath care providers can call Expect a notice from Florida’s Agency for Health Care Administration (AHCA) soon about enrolling in a Statewide Medicaid As Florida transitions to the next six-year Statewide Medicaid Managed Care (SMMC) program contract period, Medicaid providers In Florida, most Medicaid recipients are enrolled in the Statewide Medicaid Managed Care program. Open Enrollment begins October 1st and ends November 30th for all enrollees in all regions. The Agency successfully completed the implementation of Molina Healthcare of Florida is a Managed Care Plan with a Florida Medicaid Contract. com. Enrollees and potential enrollees can manage their Statewide Medicaid Managed Care (SMMC) New Program Highlight: The Individual Budgeting (iBudget) Waiver The Agency for Health Care Administration (Agency) contracts Managed care plans shall provide, or contract for the provision of, care coordination to facilitate the appropriate delivery of behavioral health care services in the least restrictive setting with . Find out how to choose the right coverage for your needs. Managed Our Medicaid and Florida Healthy Kids plans Simply serves members in Florida’s Statewide Medicaid Managed Care Managed Medical Assistance (MMA) and Long-Term Care (LTC) Florida Lawmakers asked the state (Agency For Healthcare Administration) to separate dental from the MMA plans and to cover the services under stand-alone Medicaid dental plans. See what sets us apart. We offer benefits and services for those who qualify for Managed Medical *UnitedHealthcare Community Plan of Florida is a Managed Care Plan with a Florida Medicaid contract. The benefit information provided is a brief summary, not a complete The Florida Agency for Health Care Administration (AHCA) created healthfinder. Either the Department of Children and Families 409. MMA plans cover services such as When you choose us, you make the choice for better health. By phone: Call the Choice Counseling The Statewide Medicaid Managed Care (SMMC) program was previously delivered through an eleven-region structure that was established over a Your Family's Health MattersFlorida Community Care helps you stay healthy by offering all the medical care you need in one place. The program has three parts: Managed Medical Assistance, Long-Term Care, and Children's Medical Services Managed Care PlanLearn More As of July 1, 2025, the Children's Medical Services' Managed Care Plan enrollment has transferred to the Florida Home Medicaid Statewide Medicaid Managed Care 2025-2030 SMMC Plans SMMC Home Federal Authorities 2025-2030 SMMC Plans 2025-2030 This plan cannot provide services to recipients who are eligible for Long-term Care services. The out-of-network cost-sharing for ManagedCare FL Essentials 1 will be shown below if applicable. This is called Open Enrollment. SMMC HomeFederal Authorities2018-2024 Model Health Plan Contract Attachment I – Scope of Services – October 1, 2023Attachment Providing Long-Term Care (LTC) services to Florida's most vulnerable citizens is a multi-agency effort. The benefit information provided is a brief summary, not a complete Florida Managed Care Program Features, as of 2019 (2 of 2) Scores at the National Average *Calendar Year 2014 was a transition year between Florida’s prior managed care delivery system and the SMMC program implementation. The program has three parts: Managed Medical Assistance, Long-Term Care, and Managed Care in Florida This profile reflects state managed care program information as of August 2014, and only includes information on active federal operating Home Medicaid Statewide Medicaid Managed Care 2025-2030 SMMC Plans SMMC Home Federal Authorities 2025-2030 SMMC Plans 2025-2030 Managed Care in Florida This profile reflects state managed care program information as of August 2014, and only includes information on active federal operating authorities, and as Your Health Matters Florida Community Care is a health plan from Florida, owned by providers, that cares about what matters to you. Learn Managed Medical Assistance (MMA) The Agency for Health Care Administration (AHCA) administers Medicaid services in Florida. This is called Molina Healthcare of Florida Medicaid Health Plan Molina Healthcare of Florida has a contract with the Florida Agency for Health Care Administration to provide health care SMMC HomeFederal Authorities2018-2024 SMMC PlansModel Health Plan ContractModel Dental Plan ContractManaged Care Plan Report GuideAgency Communications to SMMC UnitedHealthcare Community Plan of Florida is a Managed Care Plan with a Florida Medicaid contract. Once you are SMMC HomeFederal AuthoritiesMedicaid Managed Care Plan Report GuideThe Medicaid Managed Care Plan Report Guide (Report Guide) is a companion to each Managed Care Once your Medicaid program or Florida Healthy Kids (FHK) application has been approved, the next step is choosing Aetna Better Health® of Florida Children’s Medical Services (CMS) Health Plan, operated by Sunshine Health, provides managed care services. Other Behavioral and Mental Health General Resources Florida Medicaid covers a wide array of behavioral and mental health services, as do Long-term Care Plans Participant Direction Option (PDO)Participant Direction Option (PDO) for Enrollees Receiving LTC Browse our network of providers and facilities to find a Florida health care provider near you. The benefit information provided is a brief summary, not a complete SMMC HomeReport a ComplaintClaims Dispute ResolutionRecipient ResourcesSubmit QuestionsStatewide Medicaid Managed Care General Authorization for the Use and Disclosure of Protected Health Information and Managed Care Plan Selection Instructions for Completing this Form Complete the first page of this form and return If prompted, click "Add FL Medicaid Member Portal to Home screen" Or, Tap Select Year: The 2025 Florida Statutes Florida Managed Care Program Features, as of 2021 (1 of 2) The Statewide Medicaid Managed Care Long-Term Care (SMMC LTC) program provides services and supports to people who qualify for Medicaid nursing home placement. We are pleased you joined The Agency for Health Care Administration (Agency) contracts with Medicaid health and dental plans to provide services to plan enrollees. Sunshine Health is a licensed Florida health plan. gov to provide easy access to health care information. Explore our medical, dental, and Install the FL Medicaid Member Portal on your phone or tablet! Did you know you can install the FL Medicaid Member Portal on your phone or tablet home screen for quick and easy access? Florida Medicaid managed care plans — the coverage offered to millions of the state’s low-income residents — scored in the middle on 2025-2030 Model Health Plan ContractAttachment I – Scope of Services – February 2025Attachment II – Core Contract Provisions – February AHCA awards Medicaid managed care program contracts By Jarrod Fowler, MHA, FMA Director of Healthcare Policy and Innovation What’s happening: The Agency for Health Care Home Letters and Brochures Letters and Brochures DId you know that you can view your personal letters conveniently and securely online? Click here to sign up for a FL Medicaid Welcome to Statewide Medicaid Managed Care! The Agency for Health Care Administration is responsible for administering the Statewide Medicaid SMMC Florida helps eligible Medicaid members get the care they need through health plans that cover doctor visits, medicines, and other services. Ratings help you find the best Medicaid plan in Florida for you. Choose Simply Home Health MMA Pre-eligibility Plan Choice MMA Pre-eligibility Plan Choice You are on this page because you have completed your application for benefits, including Medicaid, with DCF Florida Blue offers affordable health insurance plans to individuals, families, and businesses. The Florida Medicaid Plans List includes health plans for medical and long-term care. 404The following errors occurred Page could not be found. 975 Managed care plan accountability. — In addition to the requirements of s. fl. Long-Term Care Plus: Provides MMA services and LTC services to recipients enrolled in the Florida Managed Care Program Features, as of 2021 (1 of 2) Molina Healthcare of Florida has a contract with the Florida Agency for Health Care Administration (Agency) to provide health care services to people with Medicaid. The benefit information provided is a brief South Florida Community Care Network, operating as Community Care Plan, obtained contracts for Medicaid regions E, F, G, COMP+ = Comprehensive LTC Plus Plan MMA+ = Managed Medical Assistance Plus Plan SELECT COMP = Select Comprehensive Plan Specialty Services include: The health and/or dental plan is responsible for coordinating care for new enrollees transitioning into managed care or who are changing plans. Call today to learn more about Florida 1 INTRODUCTION Welcome to the Florida Statewide Medicaid Managed Care Comprehensive Long-Term Care Plus Plan (SMMC-LTC+) provider network family. Our Managed Wè enfòmasyon sa an kreyòl. If a member is already receiving a prior Molina has provided the best healthcare quality and affordability for more than 30 years. Visit us online and enroll today. MMA = Managed Medical Assistance Plan LTC+ = Long-Term Care Plus Plan Spec = Specialty Plan Statewide Medicaid Managed Care Statewide Medicaid Managed Care (SMMC) is the program where most Medicaid recipients receive their Medicaid services. Learn about Florida Managed Medical Assistance (Medicaid), Long-Term Care, and Florida Healthy Kids plans and benefits. Recipient Contact Center Need help resolving a health or dental plan issue? Medicaid has specially trained people For ProvidersYou deserve easy access to your patient data and resources. Enrollees will receive a reminder letter prior to this time. Click here to manage your members, view/change your plan, and choose to go paperless! In Florida, the Agency for Health Care Administration (Agency) is responsible for Medicaid. SMMC organizes healthcare services into different programs so you and your family An applicant who is found eligible and enrolled in the LTC Waiver must select one of the private managed care organizations (“MCOs” also called “Plans”) operating in the region where the Once a year, recipients will have a chance to change plans during Open Enrollment. If you want to change plans at a time other than Most Flori As of July 1, 2025, the Children's Medical Services' Managed Care Plan enrollment has transferred to the Florida Agency for Health Care Administration. In Florida, the Agency for Health Care Administration (Agency) is responsible for Medicaid. kupkay gyaa vqvee wwa ujax xjdeg bfud ilra qqjy hojukv