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Florida Statewide Medicaid Monthly Enrollment Report

The Statewide Medicaid Managed Care (SMMC) program has two key components:  The Managed Medical Assistance program and the Long-Term Care program.  Implementation of the SMMC program is complete and operational statewide as of August 1, 2014.

The Agency publishes 14 Medicaid enrollment reports on a monthly basis.  These monthly reports reflect enrollment as of the Friday before the first Saturday of the reporting month.  For example, the September 2014 enrollment report captures enrollment as of September 5, 2014.
The report is published in Excel and descriptions of the tabs are listed below:

  • Tab: “MEDICAID”; Title:  Statewide Medicaid Enrollment Report
    This report shows the total enrollment of both the current reporting month and the previous reporting month(s) by program and by plan.
  • Tab: “MARKETSHARE”; Title: Medicaid Managed Care Market Share Report
    This report shows the market share for each health plan by program and by plan.
  • Tab: “AGEGROUP”; Title: Medicaid Enrollment by AGEGROUP
    This report shows the MMA Enrollment by age group, by plan.
  • Tab: “MAN-VOL”; Title: Medicaid Enrollment By Mandatory/Voluntary
    This report shows the MMA Enrollment by Mandatory, Voluntary, by age, by plan  
  • Tab: “DISTRICT”; Title: Program Enrollment by District
    This report shows the Medicaid enrollment by program, by area, and by county.
  • Tab: “DISTRICT_TANF_SSI”; Title: Program Enrollment by District by Eligibility
    This report shows Medicaid enrollment by district, by county, by program.
  • Tab: “COUNTY-MMA”; Title: SMMC MMA Enrollment by county, by plan
    This report shows the MMA enrollment by plan, by county.
  • Tab: “COUNTY-LTC”; Title: SMMC LTC Enrollment by county by plan
    This report shows the LTC enrollment by plan, by county.
  • Tab: “MMAC”; Title: SMMC MMA Capitated Enrollment Report
    This report shows the enrollment of Medicaid MMA by program, by plan, and by area.
  • Tab: “MMASC”; Title: SMMC MMA Specialty Capitated Enrollment Report
    This report shows the enrollment of MMA Specialty Capitated plans by program, by plan, and by area.
  • Tab: “MMACC”; Title: SMMC MMA Child Welfare Capitated Enrollment Report
    This report shows the enrollment in Medicaid MMA Child Welfare program by age band, by plan, and by area.
  • Tab: “LTC”; Title: SMMC Long Term Care Capitated Enrollment Report
    This report shows the LTC enrollment by age band, by program, by plan, and by area.
  • Tab: “LTC_ENR_MMASVC”; Title: SMMC Long Term Care Enrollment for MMA Services
    This report shows the MMA program enrollment of LTC enrollees by MMA programs by plan and by area.
  • Tab: “CMSMA”; Title: SMMC CMSMA Assignment Enrollment Report
    This report shows the enrollment in CMSMA program by age band, by plan, and by area.
  • Tab: “MMAC_MMASC_TANF”; Title: SMMC MMA Age Band Enrollment Report- TANF
    This report shows the enrollment in TANF program by age band, by plan, and by area.  
  • Tab: “MMAC_MMASC_SSI”; Title: SMMC MMA Age Band Enrollment Report- SSI and LTC
    This report shows the enrollment in SSI and LTC programs by age band, by plan, and by area.

If you have any questions about this enrollment report or the data it contains, please contact Debra Bouteiller, MHCP Analyst, Bureau of Medicaid Analytics, at (850) 412-4134 or via email at Debra.Bouteiller@ahca.myflorida.com.

Current Comprehensive Medicaid Managed Care Enrollment Reports

2018

2017

2016

2015

2014

Prior Enrollment Reports

Previous Enrollment Reports

Non-Reform Enrollment Reports

Reform Enrollment Reports

Mandatory/Voluntary

MediPass/Medicaid Recipient and Provider Enrollment Reports: 2000-July 2008 MediPass

Commercial HMO Enrollment Data: Florida Department of Financial Services - Office of Insurance Regulation

Child Health Check-Up Data

Section 409.912[28), Florida Statutes, requires the Agency to publish annually the Child Health Check-Up (CHCUP) screening rates of each health plan it contracts with on a prepaid basis to serve Medicaid recipients. Each health plan is required to achieve an annual CHCUP screening rate of at least 60 percent for those Medicaid recipients between the ages of less than 1 year to less than 21 years who are enrolled continuously in the same health plan for at least 8 months.

From the graph below, it is evident that while the statewide rate for child health checkups exceeds the required 60 percent, individual health plans vary in their ability to meet the requirement. For any health plan that does not meet the annual 60 percent screening requirement, the health plan must submit a corrective action plan for the Agency’s approval and monitoring.

CHCUP Graph Florida 60% Screening Ratio  [188KB]
(Federal Fiscal Year 2012-2013)

Note: Beginning October 1, 2014, the Florida Screening Ratio requirement will increase to 80%.