As of August 2008, the Agency for Health Care Administration no longer posts individual monthly reports for the traditional Medicaid Managed Care Plan [1915(b)] and Medicaid Pilot (1115 – formerly known as Medicaid Reform) populations. Instead, the two enrollment reports have been merged and combined into one comprehensive monthly report. Beginning with the January 2009, this report also includes elements from the previously published MediPass Enrollment Report.

Beginning August 2013, the Comprehensive Enrollment Report includes the Statewide Medicaid Managed Care Long Term Care (SMMC LTC) enrollment data.

The comprehensive report includes eleven sections, described below.

  • Comprehensive Report by Program and Assignment Plan - This report shows the total Medicaid Managed Care Plan [1915(b)] and Medicaid Pilot (1115) enrollment in each health plan for both the current reporting month and the previous reporting month. The plans are separated by type – HMOs, PSNs, and Primary Care Case Management (PCCM). Also included are totals for Nursing Home Diversion and Fee-for-Services.

  • Medicaid Comprehensive Report By County – This report, containing elements of the old MediPass Enrollment Report, shows Medicaid Managed Care Plan [1915(b)], Medicaid Pilot (1115), and PCCM enrollment for each county in Florida. The counties are grouped by Medicaid Area.

  • Medicaid Comprehensive Report By County and By Category of Eligibility - This report, containing elements of the old MediPass Enrollment Report, shows Medicaid Managed Care Plan [1915(b)], Medicaid Pilot (1115), and PCCM enrollment for three eligibility categories: TANF, SSI, and Dual-Eligible. The enrollment for each eligibility category is broken down by county and grouped by Medicaid Area.

  • Market Share Report by Program and Plan - This report shows the market share for each Medicaid Managed Care Plan [1915(b)] HMO and Medicaid Pilot (1115) health plan, as well as their enrollment by eligibility category (TANF and SSI).

  • Medicaid Managed Care Plan [1915(b)] – HMO Enrollment by County - This report shows the enrollment in each Medicaid Managed Care Plan [1915(b)] HMO by county.

  • Medicaid Managed Care Plan [1915(b)] – HMO Enrollment by Category of Eligibility - This report shows the enrollment in Medicaid Managed Care Plan [1915(b)] HMOs by the beneficiary’s category of eligibility (TANF and SSI). The enrollment totals are broken down by the health plan’s name and county of operation.

  • Medicaid Managed Care Plan [1915(b)] – HMO TANF Enrollment by Age Group - This report shows the TANF enrollment in each Medicaid Managed Care Plan [1915(b)] HMO, separated by the beneficiary’s age group. Enrollment is broken down by the health plan’s name and county of operation.

  • Medicaid Managed Care Plan [1915(b)] – HMO SSI Enrollment by Age Group - This report shows the SSI enrollment in each Medicaid Managed Care Plan [1915(b)] HMO, separated by the beneficiary’s age group. Enrollment is broken down by the health plan’s name and county of operation.

  • Medicaid Pilot (1115) – Plan Enrollment by County - This report shows the enrollment in each Medicaid Pilot (1115) health plan (HMO and PSN) by county.

  • Medicaid Pilot (1115) – Plan Enrollment by Category of Eligibility - This report shows the enrollment in Medicaid Pilot (1115) health plans (HMOs and PSNs) by the beneficiary’s category of eligibility (TANF and SSI). The enrollment totals are broken down by the health plan’s name and county of operation.

  • Medicaid Pilot (1115) – Provider TANF Enrollment by Age Group - This report shows the TANF enrollment in each Medicaid Pilot (1115) health plan (HMO and PSN), separated by the beneficiary’s age group. Enrollment is broken down by the health plan’s name and county of operation.

  • Medicaid Pilot (1115) – Provider SSI Enrollment by Age Group - This report shows the SSI enrollment in each Medicaid Pilot (1115) health plan (HMO and PSN), separated by the beneficiary’s age group. Enrollment is broken down by the health plan’s name and county of operation.

  • SMMC LTC (1115) - SMMC-LTC SSI Enrollment by Age Group - This report shows the SSI enrollment in each Medicaid Waiver (1115) health plan (HMO and PSN), separated by the beneficiary's age group. Enrollment is broken down by the health plan's namd and region of operation.

  • SMMC LTC (1115) - SMMC-LTC TANF Enrollment by Age Group - This report shows the TANF enrollment in each Medicaid Waiver (1115) health plan (HMO and PSN), separated by the beneficiary's age group. Enrollment is broken down by the health plan's namd and region of operation.
If you have any questions about this comprehensive enrollment report or the data it contains, please contact John Churchill, OMC, Health Systems Development, at (850) 412-4037 or via email at John.Churchill@ahca.myflorida.com.

Comprehensive Medicaid Managed Care Enrollment Reports:

March 2014 (1.22MB, XLS)
February 2014 (1.24MB, XLS)
January 2014 (1.22 MB, XLS)
December 2013 (1.22MB, XLS)
November 2013 (1.22MB, XLS)
October 2013 (1.18MB, XLS)
September 2013 (1.34MB, XLS) -Corrected 10-2-13
August 2013 (1.16MB, XLS) *Beginning with August Reports Include SMMC LTC
July 2013 (1.12MB, XLS)
June 2013 (1.12MB, XLS)
May 2013 (1.15MB, XLS)
April 2013 (1.17MB, XLS)

Prior Enrollment Reports

Comprehensive Medicaid Managed Care Enrollment Reports

Previous Enrollment Reports

Non-Reform Medicaid Enrollment Report

 Non-Reform Enrollment Reports

Reform Medicaid Enrollment Reports

 Reform Enrollment Reports

Mandatory/Vouluntary  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, PDF)
(Federal Fiscal Year 2012-2013)

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

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