MMA Physician Incentive Program (MPIP)

The Agency for Health Care Administration (Agency) implemented the MMA Physician Incentive Program (MPIP) for dates of service beginning on October 1, 2016, in accordance with Florida Statutes, Section 409.967 (2)(a). Section 409.967 (2)(a), F.S. requires that managed care plans use effective care management to redirect available resources to pay physicians rates which equal or exceed the Medicare rates for similar services. MPIP is designed to increase compensation for designated physician types who meet certain qualifying criteria, primarily associated with key access and performance measures. Each managed care plan was given the option to implement and design their own Individual Health Plan Incentive Program (IHP), subject to approval by the Agency, or to implement the pre-defined Agency Alternative Program (AP). For more detailed information about the program design for each year of MPIP, click the links below.

MPIP Year 1: 2016 - 2017
MPIP Year 2: 2017 – 2018

If you are a provider contracted with a health plan to provide services and you have additional questions regarding MPIP, please contact the plan directly. Plan contact information can be found at the link below.

Health Plan Contacts for Providers [72KB] Information as of 2/27/2017

What region am I in?

The Statewide Medicaid Managed Care program operates in 11 distinct regions.  The Agency selected plans to provide services in each region.  Please click the link above to determine what region you are located.

What plans are in my region?

The Agency selected plans to participate in the SMMC program on a regional basis.  To determine the regions that operate in your region please click on the link above.

How do I join a plan in my region?

If you are interested in contracting with the plans in your region, please click the link above for plan provider relation contact information.

Patient Centered Medical Home Resource Information

Many of the MMA plans have chosen to use certification as a Patient Centered Medical Home as a qualification for the Physician Incentive Program.

How do I enroll as a provider with Medicaid?

If you are not enrolled as a provider in the Medicaid program, but are interested in enrolling, please click on the link above.

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