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/
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:
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.
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
Better Health, LLC
Provider Enrollment: n/a
Children’s Medical Services (CMS)
Clear Health Alliance, Simply Healthcare Plans, Inc.
Coventry Health Care of FL, Inc, Buena Vista
Humana Family, Human Medical Plan, Inc.
Magellan Complete Care, FL MHS, Inc.
Molina Health Care of FL
Personal Health Plan, Healthy Palm Beaches, Inc.
Positive Health Care, AIDS Healthcare Foundation of FL, Inc.
Preferred Medical Plan, Inc.
Simply Health Care, Inc.
Staywell Health Plan, WellCare
Sunshine State Health Plan (Centene Corporation)
United Healthcare of FL, Inc.