Comprehensive Medicaid Managed Care Enrollment Reports

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.

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.

Current Comprehensive Medicaid Managed Care Enrollment Reports:

August 2014 [688KB, XLS]
July 2014 [1.31MB, XLS]
June 2014 [1.36MB, XLS]
May 2014 [1.24MB, XLS]
April 2014 [1.23MB, XLS]
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

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, PDF]
(Federal Fiscal Year 2012-2013)

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

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