Statewide Medicaid Managed Care Report Guide

The reporting provisions for reports required through the Statewide Medicaid Managed Care (SMMC) Plan Contract are provided in the Statewide Medicaid Managed Care Report Guide (Report Guide). This Report Guide is a companion to each Managed Care Plan’s contract with the Agency. The Report Guide provides details of Managed Care Plan reporting requirements, including instructions, templates, and submission directions.

Beginning June 1, 2014, the Report Guide reflects the requirements for the following types of Managed Care plans:

Note:  This Report Guide is NOT for use with the 2012-15 Medicaid Health Plan Contract.  The Report Guide for the 2012-15 Medicaid Health Plan Contract is located at http://ahca.myflorida.com/medicaid/Policy_and_Quality/Policy/Managed_Care_contracting/MHMO/med_prov_0912-Archive.shtml

SMMC Report Guide (Effective 4/1/2018)

SMMC Report Guide (Effective 10/1/2017)

SMMC Report Guide Archive