Medicaid Managed Care Enrollment Information

Specialists help Medicaid recipients enroll in a Medicaid managed care plan by advising recipients of physicians that are in the plans, and can help recipients understand the differences in benefits offered by the plans.  They can enroll recipients in the plan of their choice or assist recipients in changes from one plan to another.  

In addition to the enrollment and disenrollment helpline, Medicaid Options and Choice Counseling provides written materials to assist Medicaid participants in choosing a Medicaid managed care plan. This helpline is operated by Florida's Medicaid Fiscal Agent, who is contracted by the state to provide enrollment and disenrollment services to Medicaid recipients.

Medicaid Options

Medicaid Options is the name for Florida Medicaid's Managed Care enrollment broker for all counties except Baker, Broward, Clay, Duval and Nassau and is operated by Florida's Medicaid fiscal agent.   In Medicaid Options, Medicaid recipients get care through MediPass,  Medicaid contracted HMOs, or Provider Service Networks (PSNs) or other contracted entities. To assist recipients in making choices, the state of Florida has created an enrollment and disenrollment helpline.  You can contact a Medicaid Options enrollment specialist by dialing the toll-free number of the helpline:

Medicaid Options Helpline : 1-888-367-6554

Choice Counseling

Choice Counseling is the name for Florida Medicaid's Managed Care Reform enrollment broker for Baker, Broward, Clay, Duval and Nassau counties and is operated by Florida's Medicaid fiscal agent.   In Choice Counseling, Medicaid recipients get care through MediPass,  Medicaid contracted HMOs, or Provider Service Networks (PSNs) or other contracted entities. To assist recipients in making choices, the state of Florida has created an enrollment and disenrollment helpline for Baker, Broward, Clay, Duval and Nassau counties.  You can contact a Choice Counseling enrollment specialist by dialing the toll-free number of the helpline:

Choice Counseling Helpline : 1-866-454-3959

Additional Information:

Consumer Information concerning Medicaid Reform:
http://ahca.myflorida.com/Medicaid/medicaid_reform/beneficiary/index.shtml

HMO Report Card Information:
Choosing a Quality Health Plan

Other Health Service Information and Reports:
www.FloridaHealthFinder.gov

Patient Rights and Responsibilities (44K PDF)

More Consumer links from AHCA: Consumer Resources

 


Reporting Medicaid Fraud