Statewide Medicaid Managed Care (SMMC) is the program where most Medicaid recipients receive their Medicaid services. If you are enrolled in a SMMC health or dental plan go to the SMMC website for more information.
Recipients who are not required to enroll in managed care obtain services through the Medicaid enrolled providers of their choice on a fee-for-service basis. For assistance with Medicaid Fee For Service contact the Medicaid Help Line at 1-877-254-1055.
Children’s Medical Services Health Plan
Children’s Medical Services Health Plan (CMS Health Plan) is a Statewide Medicaid Managed Care (SMMC) Managed Medical Assistance (MMA) Specialty Plan for children and youth with special health care needs. This plan is offered by the Florida Department of Health who has contracted with WellCare of Florida, Inc to provide managed care services to our members. You can visit www.CMSPlanFlorida.gov to learn more.
If you are the treating physician of a child and you would like to attest to the eligibility of your patient for the CMS plan, please review the CMS Clinical Eligibility Attestation for Physicians and a list of qualifying chronic and serious conditions. Completed and signed attestations can be submitted by the physician to the Department of Health via secure email at CMS.ClinicalEligibilityScreening@flhealth.gov or via fax to 850-488-3813. Please be sure to submit all five pages of the attestation.
If physicians have questions about the CMS Clinical Eligibility Attestation, please contact a CMS plan nurse at 1-855-901-5390.
Recipient eligibility for Medicaid is determined by the:
AHCA is also the lead agency for the Children’s Medical Insurance Programs (Title XXI–SCHIP). In Florida, this program is known as the Florida KidCare program and is the state's children health insurance program for uninsured children.
Each program has its own income and asset requirements.