Florida managed medicaid number. Florida | Simply Healthcare Plans, Inc.

Florida managed medicaid number. Create yours and access the secure tools you need today. com. For Medicaid Applicant & Member Services, call 1-877-711-3662, TDD 1-866-467-4970. If you have questions about the information in this manual or about our policies, go to UHCprovider. . Sunshine Health is a Managed Care Organization (MCO) contracted with the Florida Agency for Health Care Administration (AHCA) to serve Medicaid and other government services program members. With Humana Healthy Horizons, you get Medicaid that provides you with the everyday benefits, rewards, and support Jun 10, 2025 · The law also involves a Medicaid managed-care pilot program launched at the behest of then-House Speaker-Designate, now speaker, Perez in 2023. to 7 p. Find one who meets your needs using the search tool below. Since that time, Florida’s provider networks, health care delivery model, and referral patterns have changed significantly. Either the Department of Children and Families (DCF) or the Social Security Administration (for SSI recipients) determines member eligibility. As a result of this policy, Florida saw a significant increase in the number of individuals and families seeking Medicaid Look at the Health Plan and Program Information page to see the Florida Medicaid Managed Medical Assistance core benefits that all plans offer. Customer Service is available Monday through Thursday from 8 a. The unit also oversees the Pharmaceutical and Therapeutics Committee and Drug Utilization Review Board a Managed Medical Assistance (MMA) The Agency for Health Care Administration (AHCA) administers Medicaid services in Florida. Call the toll-free number (888) 540-5437 or TTY (877) 316-8748 or visit www. You can search by name, specialty or location. gov Contacts Database. Understand mandatory enrollment and the open enrollment period. These changes include new contracts with health plans Feb 1, 2025 · MCNA no longer serves members enrolled in Florida Medicaid as of February 1, 2025. Under the bill, in July 2026 the program would open to every Medicaid-eligible intellectually disabled person, including those already enrolled in the iBudget program and a different Medicaid managed-care program known as the Statewide Medicaid Managed Care (SMMC) long-term care program. This is called the Statewide Medicaid Managed Care (SMMC) Program. org. aetnabetterhealth. What if I want to change my managed care plan? Customer Services: 800-600-4441 (TTY: 711) Mon-Fri, 8 a. Search for contacts using the search options below. The Family-Related Medicaid Program Fact Sheet is intended to provide a general description and explanation of the coverage groups within the Family-Related Sign in with your Florida Medicaid account (use new password if you recently completed a reset). For specific policy and limits information, please see the Medicaid coverage policies and fee Jun 22, 2023 · Molina Healthcare of Florida has a contract with the Florida Agency for Health Care Administration to provide health care services to people with Medicaid. The program has three parts: Managed Medical Assistance, Long-Term Care, and Dental. The Medicaid Reform program was terminated on August 1, 2014. Jul 8, 2025 · Complete our Medicaid Eligibility Test or use our free service to find the most appropriate and affordable Medicaid Planning Advisor. The nurse may direct you to other care or may help you over the phone. Health Plan Portal User Manual Secure Web Portal User Guide Reset an Account Password Quick Reference Guide The Pharmacy Policy Unit oversees pharmaceutical coverage and reimbursement policy, clinical criteria, and monitoring pharmaceutical utilization. Statewide Medicaid Managed Care Statewide Medicaid Managed Care (SMMC) is the program where most Medicaid recipients receive their Medicaid services. Sunshine Health exists to improve the health of its beneficiaries through focused, compassionate and coordinated care. RulesThe Rules Unit is responsible for coordinating and providing support to Florida Medicaid staff related to administrative rules promulgated in the Florida Administrative Code. There are three different programs that makeup the Statewide Medicaid Managed Care Managed Medical Assistance (MMA) Program, Long-term Care (LTC) Program, Dental Program, and the Intellectual & Developmental Disabilities Comprehensive Managed 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? You will need the Florida Medicaid or Gold Card Number and birth year for each person you are enrolling. Today, Centene is the largest Medicaid managed care organization in the nation serving 13 million members, and a leader in California, Florida, New York, and Texas, four of the largest Medicaid states. Medicaid recipients who qualify and become enrolled in the Managed Medical Assistance (MMA) Program, will receive all health care services (other than long-term care) from a managed care plan. 4 kB ] – October 1, 2023 Attachment II – Core Contract Provisions [ 1. * * If you do not have this information you may contact your Department of Children and Families office. You can also go online to www. Text your enrollment or frequently asked questions to 357662. Florida Medicaid ComplaintsAnyone can submit a complaint to the Agency using the Florida Medicaid Complaint Form. flmedicaidmanagedcare. Florida Medicaid Managed Care Quick reference guide This quick reference guide provides a list of the departments who may assist with member coordination, authorization and unresolved issues requiring escalation. 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. Statewide Managed Care: Overview FL Medicaid Managed Care Today – A Snapshot Contracts: What is Changing? Two Program Components: Managed Medical Assistance (MMA) Program Managed Care is a health care delivery system organized to manage cost, utilization, and quality. When you file a complaint, you get a tracking number. 1. The following MMA Initial Login Guide© Administered by Automated Health Systems, Inc. 5 kB ] Provider Claims and Credentialing Program Highlight [ 161. Health Plan Portal User Manual Secure Web Portal User Guide Continuity of Care New Medicaid members are given a Continuity of Care (COC) period, where Florida Community Care helps transition those who have been seeing non-participating providers to ones within our Florida Community Care network. Have your Florida Community Care ID card number handy. The Agency is responsible for health facilities licensure, inspection, and regulatory enforcement; investigation of consumer complaints related to health care facilities and managed care plans; the implementation of the Certificate of Need program; the 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 placement. Purpose. m. to 6 p. Most people pay very little — and some pay nothing at all — for Medicaid. The Statewide Medicaid Managed Care (SMMC) program has two key components: The Managed Medical Assistance program and the Long-Term Care program. FCC. Jul 8, 2025 · Furthermore, under each state’s Medicaid program, there are multiple Medicaid programs with program-specific names. We have also provided names and teams that may assist with any issues that need to be escalated. Eligibility The CMS Health Plan is for children who: Are under age 21 and eligible for Medicaid and Have special healthcare needs that require extensive preventive and ongoing care Managed Medical Assistance Plan vs Fee-for-Service [ 183. Already submitted a complaint? Find your Complaint Status here. Aug 2, 2024 · Provider resources for UnitedHealthcare Community Plan of Florida products including prior authorizations, provider manuals, forms, recent news and more. 59G-8. The Agency believes that access to clear, up-to-date, and transparent information is essential for making better Call 1-877-711-3662 Follow the steps to enroll via the Automated Phone System You will need your pin (from the letter) along with the Florida Medicaid or Gold Card Number, and birth year for each person you are enrolling. The guides detail billing guidelines, duplicate billing, corrected claims processes and many more topics. Welcome to Statewide Medicaid Managed Care!Medicaid is the medical assistance program that provides access to health care for low-income families and individuals. (Simply) | Statewide Medicaid Managed Care (SMMC) This guide lists the departments at Simply that may help coordinate and approve services for members. 3 kB ] Provider Fee Schedules, Rules, and Coverage Policies Provider Services Providers and Agents Refer to the Secure Web Portal Account Maintenance and Reset Password Quick Reference Guide for assistance. 5 million in November 2022. State Medicaid Managed Care for Long Term Care (SMMCLTC) The State Medicaid Managed Care Program provides community-based services, Assisted Living, and Nursing Home assistance to frail functionally impaired seniors and disabled adults age 18 and above at risk of nursing home placement. Federal regulations and the Florida Statutes and Florida Administrative Code contain specific policies for eligibility. Managed-Medical Assistance Florida Medicaid’s Covered Services and HCBS Waivers The list below provides direct links to a general overview for each of the covered services. Medicaid managed care provides for the delivery of Medicaid health benefits and additional services through contracted arrangements between state Medicaid agencies and managed care organizations (MCOs) that accept a set per member per month (capitation) payment for these services. This means that we will offer you Medicaid services. Learn about Humanas Medicaid plans and coverage. , and Friday from 8 a. * Call-In Medicaid Choice Counselors are available to help you enroll in a plan that best fits your needs. to 8 p. To view a list of all of the Agency’s Contracts and Agreements, simply select the Agency for Health Care Administration and hit search. Please avoid including sensitive details such as your member ID, address, or phone number in […] Sunshine Health offers affordable Florida Medicaid, Medicare Plans and our Health Insurance Marketplace product, Ambetter. You can immediately request a hearing with the state if one of the following Providers and Agents Refer to the Secure Web Portal Maintenance Quick Reference Guide for assistance. Sign in with your Florida Medicaid account (use new password if you recently completed a reset). PLAN or TTY 711Language AssistanceMonday to Friday 8am to 8pm. Your submission will be directed to our call center where someone will review your request and respond within 2 business days. The pilot was designed to care for up to 600 individuals and was approved for Medicaid regions D and I, which serve Hillsborough, Polk, Manatee, Hardee, Highlands, Miami-Dade, and Monroe counties. Our Medicaid (MMA) plan covers children, families, pregnant women and single adults who may qualify based on income. You may be eligible to enroll in the plan if you: Are age 18 or older Are eligible for Medicaid Have had a review by Children’s Medical Services (CMS) Health Plan, operated by Sunshine Health, provides managed care services. Apr 1, 2025 · The Florida Medicaid Plans offer a range of benefits along with extras that you may find useful. CMSPlanFlorida. Sep 30, 2024 · Learn more about the UnitedHealthcare Community Plan Medicaid (MMA) plan for Florida. com Statewide Medicaid Managed Care (SMMC) is the program where most Medicaid recipients receive their Medicaid services. Some states report populations and services available to program participants under the On this page, you can find contact info for Member Services, the 24-Hour Nurse Line and more. Rides available can include: Sedan, Van, Taxi, Public Transit, Stretcher vehicle, Wheelchair vehicle The Florida Department of Children and Families Public Benefits and Assistance help promote strong and economically self-sufficient communities by determining eligibility for food, cash, and medical assistance for individuals and families in Florida. There are three different programs that makeup the Statewide Medicaid Managed Care. Find a provider today. The success of Centene's Medicaid programs supports our Feb 1, 2025 · Find out if you need a Medicaid pre-authorization with Sunshine Health's easy pre-authorization check. A Florida Medicaid recipient (herein referred to as an enrollee) who is required to enroll in the Statewide Medicaid Managed Care (SMMC) program, may request to change managed care plans. Welcome to Sunshine Health’s Statewide Medicaid Managed Care Plan Sunshine Health has a contract with the Florida Agency for Health Care Administration (Agency) to provide health care services to people with Medicaid. Learn more about Florida Medicaid options and plans available through Sunshine Health. Feb 17, 2025 · Find the managed care organization list by state in the US for better healthcare navigation and selection. Some states report populations and services available to program participants under the Florida Medicaid covers behavior analysis services through the Statewide Medicaid Managed Care (SMMC) program and the fee-for-service delivery system. 1 Listed in: Reimbursement Florida Medicaid Health Alert - Provider Types (ALL) August 21, 2023 The Statewide Medicaid Managed Care annual open enrollment (OE) season begins October 1, 2023. Alivi provides transportation for Sunshine Health Medicaid members. The Florida Agency for Health Care Administration oversees the Statewide Medicaid Managed Care program, providing resources and support for Medicaid recipients in Florida. Oct 1, 2023 · 2018-2024 Model Health Plan Contract Home Medicaid Statewide Medicaid Managed Care 2018-2024 Model Health Plan Contract SMMC Home Federal Authorities 2018-2024 Model Health Plan Contract Attachment I – Scope of Services [ 287. Medicaid Provider Directories Medicaid Provider Directory - Region A (PDF) Serving Bay, Calhoun, Escambia, Franklin, Gadsden, Gulf, Holmes, Jackson, Jefferson, Leon, Liberty, Madison, Okaloosa, Santa Rosa, Taylor, Wakulla, Walton and Washington counties The Centene story began in 1984 as a single nonprofit Medicaid health plan operating in the basement of a Milwaukee, Wisconsin hospital. The program assists clients to remain in their own homes or Assisted Living facilities.   If you are enrolled in a SMMC health or dental plan go to the SMMC website for more info Here are some answers! In 2011, the Florida Legislature created a new program called Statewide Medicaid Managed Care (SMMC). If you think you need emergency care, call 911 or go to the nearest hospital. Exceptions to a plan appeal. Health Plan Portal User Manual Secure Web Portal User Guide Florida Medicaid managed care. Visit us online and enroll today. 833. Install the FL Medicaid Member Portal on your phone or tablet! Sep 5, 2025 · The Florida Medicaid Plans offer a range of benefits along with extras that you may find useful. Oct 10, 2022 · General Information Payer Name: Florida Medicaid Plan Name/Group Name: FL100/FLMedicaid BIN: Ø13352 PCN: PØ35Ø13352 Processor: Prime Therapeutics State Government Solutions LLC Create your account on the FL Medicaid Member Portal to manage your benefits and access services conveniently online. Protecting your personal health information (PHI)This page is intended for general inquiries only, not for sharing PHI (Protected Health Information). An enrollment broker can assist you and answer your questions. com/florida Children's Medical Services (CMS) [Specialty Plan] 1-866-376-2456 TDD:1-800-955-8771 http://www. We would like to show you a description here but the site won’t allow us. You can receive medical services, like doctor visits, labs, and emergency care, from a Managed Medical Assistance (MMA) plan This guide provides comprehensive information about Medicaid eligibility in Florida. Medicaid insurance Medicaid is a health insurance program for individuals who meet the income and eligibility requirements. May 9, 2025 · APD serves 35,790 individuals through iBudget Florida. Contact Your Health Plan: recipient enrolled in a health plan is always encouraged to contact the health plan first with any questions, issues or complaints that they have. Sunshine Health has developed the expertise to work with Medicaid members to improve their health status and quality of life. You can use this tracking number to check the status of your complaint online. Contact us by phone, online, or by mail. com/medicaid Community Medicaid is the medical assistance program that provides access to health care for low-income families and individuals. Since Medicaid is administered at the state level, many states refer to their Medicaid programs by alternative names. Please call the Florida Statewide Medicaid Managed Care toll-free helpline at 1-877-711-3662 if you have questions. Use the form below to submit a question, comment, or complaint. "To find doctors, dentists, and specialists in your community that serve Medicaid patients, go to www. ; Friday from 8 a. gov to provide easy access to health care information. There are many types of Medicaid services you can receive in the Statewide Medicaid Managed Care (SMMC) Program. Learn more about what Medicaid health plans are available to you. We’ve partnered with many providers in your area. The State received approval from CMS on June 14, 2013 to terminate the Medicaid Reform program, implement the Managed Medical Assistance (MMA) program, and rename the waiver “Managed Medical Assistance”. SMMC Florida helps eligible Medicaid members get the care they need through health plans that cover doctor visits, medicines, and other services. By phone: Call the Choice Counseling Helpline at 1-877-711-3662 (TTY 711), Monday through Thursday from 8 a. UnitedHealthcare Community Plan of Florida provides comprehensive long-term care (LTC) services in regions B, D and I. Welcome to Modivcare of Florida. Central to this legislation is the creation of the Statewide Managed Medical Assistance program which would provide primary and acute medical care for specified populations through competitively selected MCOs in 11 Sunshine Health is a Managed Care Organization (MCO) contracted with the Florida Agency for Health Care Administration (AHCA) to serve Medicaid and other government services program members. In Florida, most Medicaid recipients are enrolled in the Statewide Medicaid Managed Care program. The enclosed waiver amendment request seeks federal auth ity to implement these changes. Please click on the links below to Apr 5, 2023 · Medicaid is a public health insurance program available to low-income or disabled people of any age. We work with a group of health care providers to help meet your needs. Enrollees WAIVERS FOR FLORIDA’S MANAGED MEDICAL ASSISTANCE SECTION 1115 DEMONSTRATION NUMBER: TITLE: AWARDEE: 11-W-00206/4 Managed Medical Assistance Program Agency for Health Care Administration All requirements of the Medicaid program expressed in law, regulation and policy statement, not expressly waived in this list, shall apply to the demonstration project. Submit a question online Call us Send us mail Phone Numbers Medicaid Members Current WellCare of North Carolina Members: Member Services 1-866-799-5318 (TTY 711) Monday - Saturday, 7 a. The Agency for Health Care Administration (AHCA) administers the Statewide Medicaid Managed Care (SMMC) Long-Term Care program, sets coverage policy Call us Call Member Services Medicaid (MMA) members 1-844-406-2396 (TTY 711) Long-Term Care (LTC) members 1-877-440-3738 (TTY 711) Our reps are available Monday through Friday from 8 a. Choose Simply Healthcare Plans as your health insurance plan today. Ancillary MMA/SMI/CW Including Home Health, PDN Ancillary CMS Including Home Health, PDN Ancillary LTC Search Providers PageThank you for choosing the Children's Medical Services (CMS) Managed Care Plan for your health care needs. May 10, 2021 · Here’s how to contact the Florida Medicaid Agency: To reach Florida KidCare, call 1-800-821-5437. How to enroll in Medicaid in Florida. The program program enrolled has has in the the Statewide three three of Statewide these parts: benefit parts: types: Medicaid Managed Managed Managed Medical program. Nurse Advice Line 1-800-919-8807 24 Sign in with your Florida Medicaid account (use new password if you recently completed a reset). You are enrolled in our SMMC plan. Click here to create a FL Medicaid Member Portal account and send a secure message. This application provides access to the CMS. Contact UsWe’d love to hear from youGet help if you have questions. The program also Significant changes to Florida's Medicaid managed-care system take effect this month, impacting millions of beneficiaries across the state. We are committed to improving health for all Floridians. Individuals who are pregnant, children, adults, and people with disabilities may qualify for this type of health coverage. gov Simply Healthcare Plan SMI 1-844-406-2396 TDD:711 http://www. Search for many different types of providers, like: Primary care providers (PCP) Specialists Hospitals and facilities Behavioral health providers (mental health and substance abuse) Labs (to get blood tests) Pharmacies Vision care Sign in with your Florida Medicaid account (use new password if you recently completed a reset). Medicaid insurance covers things like doctor visits, hospital stays Resource guide for Simply Healthcare Plans, Inc. The Managed Care Care program. Find resources related to returning to normal operations and restarting full Medicaid and CHIP eligibility renewals. 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 Member Portal account. Medicaid Managed Medical Assistance (MMA) Florida Healthy Kids (FHK) Long-Term Care (LTC) Medicaid Managed Medical Assistance (MMA) Find out more on Medicaid and CHIP flexibilities, coverage, and benefits related to COVID-19. Provi Billing and Claims Please see the Provider Billing Manual and Billing Quick Reference Guides (QRGs). You Mar 28, 2025 · Humana Healthy Horizons in Florida is proud to partner with the Florida Agency for Health Care Administration (AHCA) to provide Medicaid coverage to eligible Florida residents through managed medical assistance (MMA) plans. com or call 1-877-711-3662 to talk to a Choice Counselor. Online: Visit the Florida Statewide Medicaid Managed Care website at flmedicaidmanagedcare. Who may enroll in a Statewide Medicaid Managed Care (SMMC) - Managed Medical Assistance Program? Voluntary Recipients: Install the FL Medicaid Member Portal on your phone or tablet! Aetna Better Health Of Florida SMI 1-800-441-5501 (MMA) 1-844-645-7371 (LTC) TDD:711 http://www. Our number one priority is the promotion of healthy lifestyles through Updated April 2024 The Department of Children and Families (DCF) determines eligibility for public assistance programs. If you need help submitting a complaint, you can call our Medicaid Helpline at 1-877 Serving Patients Across All Of Florida. m Welcome to the Agency for Health Care Administration’s Dashboard Page. This site is designed to provide facilities with information, phone numbers and forms you will find helpful. The QRGs include targeted claims and authorization instructions per provider type. Medicaid also assists the elderly and people with disabilities with the costs of nu As a result of this policy, Florida saw a significant increase in the number of individuals and families seeking Medicaid assistance, from 3. 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 such, the program start date may not reflect the earliest date that a program enrolled beneficiaries and provided services. Contracts and Agreements can searched by the specific Agency assigned ID number, Vendor name, dollar value range, date range, or commodity/service type. Note: some of the “alternative names” below refer to a state’s Medicaid managed care program. Extra service offered by each plan are also listed. It offers coverage for those who meet certain income, age or disability requirements. Medicaid also assists the elderly and people with disabilities with the costs of nursing facility care and other medical and long-t Information Glossary FAQ Agency Phone Numbers Letters And Brochures Medicaid Fair Hearing FL Medicaid Member Portal Manage your Florida Medicaid health and dental plans, view eligibility, and access resources through the FL Medicaid Member Portal. Recipient SupportManaged Care RecipientsStatewide Medicaid Managed Care (SMMC) is the program where most Medicaid recipients receive their Medicaid services. The Long-Term program has three parts: Managed Medicaid In Florida, most Medicaid recipients are enrolled in the Statewide Medicaid Managed Care program. If you are an elder or adult with disabilities, you can receive nursing facility and home and community-based services in a Long-Term Care (LTC) plan. Clear Health Alliance is a health plan for people on Medicaid who are living with HIV/AIDS. Open enrollment will occur in The Statewide Medicaid Managed Care program operates in 9 distinct regions (A-I). 7 kB ] PPEC Program Highlight [ 243. Check eligibility, explore benefits, and enroll today. simplyhealthcareplans. Have a Medicare or DSNP question? We're here to help you find the right plan for you or someone else. The Agency provides various kinds of data tools to the public. Below you can access rule information about adopted rules and rules curre Welcome to Molina Healthcare of Florida’s Statewide Medicaid Managed Care Plan 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. Pharmacy Services 1-866-799-5318 (TTY 711) Monday - Saturday, 7 a. Jul 7, 2025 · 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 Statewide Medicaid Managed Care (SMMC) program was previously delivered through an eleven-region structure that was established over a decade ago. Operating their state Medicaid programs, including eligibility and enrollment How we can help The Centers for Medicare & Medicaid Services (CMS) can help with: General policy guidance Grants and reimbursements Technical assistance about specific initiatives and information systems Call us: Toll-Free: 877-267-2323 Local: 410-786-3000 Call your Medicaid health plan for any questions about your Medicaid services. 3 kB ] Medicaid Points of Contact [ 379 kB ] MMA Physician Incentive Program Plan Type Program Highlight [ 506. " Medicaid recipients who qualify and become enrolled in the Managed Medical Assistance (MMA) Program, will receive all health care services (other than long-term care) from a managed care plan. Implementation of the SMMC program is complete and operational statewide as of August 1, 2014. If you have a certain health condition Nov 20, 2024 · Medicaid enrollment information from Humana. 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) programs, as well as members enrolled in Florida Healthy Kids. Our reps can help with: Primary care Providers and Agents Refer to the Secure Web Portal Account Maintenance and Reset Password Quick Reference Guide for assistance. com or call Provider Services Oct 18, 2024 · Contact information for Humana Florida Medicaid members including medical, dental, prescription and transportation contact information. For enrollees with Medicare coverage, to get emergency services, you should follow the instructions of your primary Medicare insurance. UnitedHealthcare Community Plan Long-Term Care (LTC) is a coordinated care management program for community-based elderly who are at risk of nursing home placement. Medicaid MMA In Florida, regular Medicaid is known as Managed Medical Assistance (MMA). Sep 11, 2025 · Sunshine Health offers free online accounts for providers. to 7:30 p. floridakidcare. Florida | Simply Healthcare Plans, Inc. Fax: 239-338-2642 The request must include your name, the name of who the hearing is for, their Medicaid ID number, phone number, mailing address, email (if available), and details about the services that were denied, reduced or stopped. 9 MB ] – October 1, 2023 Jul 1, 2023 · The Florida Agency for Health Care Administration (AHCA) created healthfinder. See state-specific Medicaid eligibility criteria and available programs relevant to the elderly. Providing Long-Term Care (LTC) services to Florida's most vulnerable citizens is a multi-agency effort. Enrollees have the right to use any hospital or other settings for emergency care. Access your Florida Medicaid account and manage your benefits through the FL Medicaid Member Portal. It includes long-term care services to help you live at home or in setting that you choose. State Profiles Every state’s Medicaid and CHIP program is changing and improving – most states are expanding coverage for low-income adults; all states are modernizing their Medicaid/CHIP eligibility, enrollment and renewal processes and systems, and taking advantage of many of the new flexibilities provided by the Affordable Care Act. 8 million enrolled in March 2020 to 5. Find plans now. Updates to Behavior Analysis Up-to-date information regarding Florida Medicaid behavior analysis service can be found here. UnitedHealthcare Long Term Care is a coordinated care management program for community-based elderly who are at risk of nursing home placement. Whether you're a child, parent, pregnant woman, or adult, this guide will help you understand if you qualify for Florida Medicaid coverage and how to apply. The Family-Related Medicaid Program Fact Sheet is intended to provide a general description and explanation of the coverage groups within the Family-Related Do You Have a Question, Comment or Suggestion? If so, we want to hear from you. Get covered with Sunshine Health today. The Medicaid continuous enrollment condition, authorized by the Families First Coronavirus Response Act, ended on March 31, 2023. Florida Healthy Kids members 1-844-405-4298 (TTY 711) Our reps are available Monday through Friday from 7:30 a. If you need help finding contact information for your plan, call our Medicaid Helpline at 1-877-254-1055 or visit Sign in with your Florida Medicaid account (use new password if you recently completed a reset). Sunshine Health is a licensed Florida health plan. fl. Your Health Matters Florida Community Care is a health plan from Florida, owned by providers, that cares about what matters to you. You can receive medical services, like doctor visits, labs, and emergency care, from a Managed Medical Assistance (MMA) plan. In Florida, most Medicaid recipients are are one enrolled enrolled in or more in the Statewide Medicaid Medicaid Managed Care program. list of contacts for each health and dental plan, including a toll-free number, TTD number, and link to the plan webpage is available on the Agency’s webpage: See full list on myflfamilies. There are no limits to the number of trips during the year between medical appointments, healthcare facilities or pharmacies. Transportation is provided for medical appointments to individuals that have no other means of transportation. This year, AHCA will automatically enroll you in a Managed Care plan, and it is your responsibility to disenroll if you do not want the plan. list of contacts for each health and dental plan, including a toll-free number, TTD number, and link to the plan webpage is available on the Agency’s webpage: Learn about Florida Managed Medical Assistance (Medicaid), Long-Term Care, and Florida Healthy Kids plans and benefits. The official website for Florida Medicaid with information for recipients and providers. Managed Medical Assistance (MMA) Services Available in the Pilot ProgramMMA services include primary and acute medical care and behavioral health services. 600 Disenrollment from Managed Care Plans. Oct 14, 2024 · On Medicaid? Expect a notice from Florida’s Agency for Health Care Administration (AHCA) soon about enrolling in a Statewide Medicaid Managed Care plan. By contracting SMMC HomeFederal AuthoritiesProvider EnrollmentProvider Enrollment is responsible for enrolling qualified providers to receive Medicaid reimbursement for services rendered to Statewide Medicaid Managed Care and Medicaid Fee-For-Service recipients. Requests must be submitted via telephone or in writing to the Agency for Health Care Administration (AHCA) or its enrollment broker. There are many types of Medicaid services you can receive in the SMMC program. During open enrollment, enrollees may choose a different managed care plan or remain with their current plan. ET Mon-Fri, 8 a. Florida's Medicaid Redetermination Plan Since the beginning of the Public Health Emergency (PHE), as a requirement to receive additional funding from the federal government, Florida has provided continuous Medicaid coverage and has not disenrolled ineligible recipients. Access your Florida Medicaid Member Portal to manage benefits, find resources, and get assistance with your healthcare needs. Aug 21, 2023 · Statewide Medicaid Managed Care Open Enrollment Begins Oct. 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 Health Care Administration (AHCA) to a managed care plan. flsmmc. Dental services are provided through a statewide managed care dental plan. Aetna Better Health offers Medicaid plans in many states across the country. The interactive Provider Search Tool allows you to search for a quality health care provider in your area that is participating in the CMS Plan, including primary care physicians, hospitals, pharmacies and other health care professionals. Eastern time. bnt jisnhnn zfr avbr pmbc fgy sbpnq wylkyk fgkwtt pexr