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Florida Medicaid Expansion
Medicaid Expansion:
Florida does not participate in Medicaid Expansion under provisions of the Affordable Care Act (ACA).
For additional background on the State’s policy decisions regarding the Medicaid Expansion option, see: Background.
 
Medicaid in Florida:
The Florida Agency for Health Care Administration administers the Medicaid Program.

Information about the state’s Medicaid program, including patient eligibility information, can be found at: http://www.fdhc.state.fl.us/medicaid/.
 
Provider Participation:
Providers must enroll in the Medicaid fee-for-service program to receive payments for covered services. Information about enrolling in the Medicaid fee-for-service program can be found at: http://www.fdhc.state.fl.us/Medicaid/index.shtml#providers1.
The Medicaid website provides information about services covered by fee-for-service payments and payment amounts: http://www.fdhc.state.fl.us/medicaid/.
In order to retain access to all Medicaid patients in the state, providers must also connect to the managed care plans individually.

 
Medicaid Managed Care:
Some Florida Medicaid Program beneficiaries are enrolled in managed care plans. Basic information about the Florida Statewide Medicaid Managed Care Program can be found at: http://www.fdhc.state.fl.us/mchq/managed_health_care/index.shtml.
Some managed care plans cover individual Florida counties and independent cities. The Medicaid website has jurisdictional information: http://www.fdhc.state.fl.us/mchq/managed_health_care/index.shtml.

Florida Medicaid Beneficiaries Participating in Managed Care:
Managed care plans participating in Statewide Medicaid Managed Care Program offer detailed information about covered benefits for individuals enrolling in their plans. This information is available on the managed care websites shown below.

Reporting Problems

The state Medicaid office is primarily responsible for examining and addressing issues with the Medicaid Managed Care plans offered in the state, and for working with the companies that offer them. If you are experiencing problems as a medical provider with the Managed Care plans or companies operating in the state, or if your patients are experiencing problems with the Managed Care plans or companies in the state, including trouble with access to medications, access to preferred providers, navigating the appeals process, excessive costs, or possible discriminatory policies, or any other problems related to the Affordable Care Act, please report these problems to the state Medicaid Office: 
 
Additionally, if you are experiencing these or other problems, please report these problems to AAHIVM, so that we may track issues affecting our members, and seek additional policies remedies. 
 
Managed Care Plans Participating in Statewide Medicaid Managed Care Program:
Amerigroup FL, Inc.
Plan Website: https://www.myamerigroup.com/English/Medicaid/FL/Pages/Florida.aspx
 
CareFlorida, Preferred Care Partner's Inc.
Plan Website: www.mycareflorida.com
 
Clear Health Alliance, Simply Healthcare Plans, Inc.
 
Coventry Health Care of FL, Inc.
 
FL True Health, INC.
Plan Website: www.fltrueblue.com
 
Freedom Health
Plan Website: www.freedomhealth.com
 
HealthEase, Wellcare
Plan Website: www.wellcare.com
 
Humana Family, Human Medical Plan, Inc.
Plan Website: www.humana.com
 
Magellan Complete Care, FL MHS, Inc.
 
Medica Health Plans of FL
Plan Website: www.ezcaremhpfl.com
 
Molina Health Care of FL
 
Personal Health Plan, Healthy Palm Beaches, Inc.
 
Positive Health Care, AHF MCO of FL, Inc.
 
Preferred Medical Plan, Inc.
 
Simply Health Care, Inc.
 
Staywell Health Plan, WellCare
 
Sunshine State Health Plan
 
United Healthcare of FL, Inc.
 
VISTA, Coventry Health Plan of FL, Inc.
Plan Website: http://chcmedicaid-florida.coventryhealthcare.com/
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