2012-2018 SMMC Plans

Model Contract

Attachment I – Scope of Services – February 1, 2018 [522KB PDF]
Attachment II – Core Contract Provisions – February 1, 2018 [1.74MB PDF]
- Exhibit II-A – Managed Medical Assistance Program – February 1, 2018 [1.31MB PDF]
- Exhibit II-B – Long-term Care (LTC) Managed Care Program – February 1, 2018 [945KB PDF]
- Exhibit II-C – Child Welfare (CW) – February 1, 2018 [559KB PDF]
- Exhibit II-C – HIV/AIDS – February 1, 2018 [417KB PDF]
- Exhibit II-C – Serious Mental Illness (SMI) – February 1, 2018 [558KB PDF]
- Exhibit II-C – Chronic Disease – February 1, 2018 [399KB PDF]

For additional information relating to Florida Medicaid Health Plan Contracts, please visit the Managed Care Policy and Contract Development page under Medicaid Policy by clicking on the following link: http://ahca.myflorida.com/Medicaid/Policy_and_Quality/Policy/Managed_Care_contracting/index.shtml

Amendment Tracking Log

Amendment Tracking Log – February 1, 2018 [382KB PDF]

Prior Model Contracts

LTC Prior Model Contracts

Statewide Medicaid Managed Care Report Guide

Agency Communications to SMMC Plans

Participant Direction Option (PDO)

Achieved Savings Rebate Rule

The “Standards for Independence” document is provided for any plan who intends to participate in the Statewide Medicaid Managed Care program. This document outlines the standards of independence for audits conducted by independent certified public accountants. (See s. 409.967, F.S.) These standards of independence are incorporated by reference in Rule 59G-8.800: Financial Compliance Audits of Medicaid Prepaid Plans. (Rule 59G-8.800 is currently under development.)

Standards for Determining Independence [97KB PDF]