Statewide Medicaid Managed Care

Program Updates
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In 2011, the Florida Legislature created Part IV of Chapter 409, Florida Statutes, directing the Agency to create the Statewide Medicaid Managed Care (SMMC) program.  The SMMC program has two key components:  the Managed Medical Assistance program and the Long-term Care program.

Please select one of the links below for more information.

Recipients

Providers

Plans

Program Information

Title Date
Network Providers & Potential Network Snapshot [418KB PDF] September 30, 2014
Continuity of Care Requirements [112KB PDF] April 18, 2014
Ambulance Transportation Service Requirements in the MMA Program [129KB PDF] September 23, 2014
General Transportation Service Requirements in the MMA Program Snapshot [131KB PDF] July 7, 2014
Children’s Medical Services Network Plan [75KB PDF] June 5, 2014
Child Welfare Population Snapshot [73KB PDF] May 9, 2014
Children’s Multidisciplinary Assessment Team (CMAT) Services Snapshot [66KB PDF] May 9, 2014
Florida Assertive Community Treatment Program & Managed Medical Assistance Snapshot [65KB PDF] May 30, 2014
The Individual Budgeting (iBudget) Waiver and the Managed Medical Assistance Program Snapshot [44KB PDF] April 24, 2014
Coordinating Dual Eligibles’ Medicare and Medicaid Managed Medical Assistance Benefits Snapshot [131KB PDF] June 27, 2014
Services New to the MMA Program [61KB PDF] July 8, 2014
Targeted Case Management Snapshot [179KB PDF] August 27, 2014
Mixed Services Snapshot [257KB PDF] August 27, 2014
Prescribed Drug Services Snapshot [178KB PDF] August 27, 2014
Assistive Care Services in SMMC [124KB PDF] March 3, 2014
Expanded Benefits Offered by Plans [47KB PDF] June 11, 2014
Documenting Patient Responsibility for Reimbursement of Nursing Facility Services Snapshot [319KB PDF] September 30, 2014
Nursing Facility Services and Medicaid Pending Snapshot [60KB PDF] September 30, 2014
Requirements for Reimbursement of Nursing Facility Medicare Part A Coinsurance Claims Snapshot [124KB PDF] September 30, 2014
Requirements for SMMC Reimbursement of Nursing Facility Medicare Part B Claims Snapshot [55KB PDF] September 30, 2014
Patient Responsibility and Reimbursement of Nursing Facility Services Snapshot [367KB PDF] September 30, 2014
Pro-Rating Patient Responsibility for Reimbursement of Nursing Facility Services Snapshot [61KB PDF] September 30, 2014
Why Nursing Facility Services Are Not Mixed Services Snapshot [49KB PDF] September 30, 2014