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:

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:

September 2014 [1.14MB, XLS]
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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