Florida Statewide Medicaid Managed Care Plans

Florida’s Statewide Medicaid Managed Care (SMMC) program provides access to healthcare services through approved managed care plans. Learn how these plans work, what benefits they offer, and how they may support individuals and families receiving Medicaid coverage.

Statewide Medicaid Managed Care

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Once you receive the LTCC Florida Medicaid eligibility, then you must choose a LTCMC Medicaid plan, or the state will choose one for you. Go to the Florida Medicaid Member’s Portal website at https://members.flmedicaidmanagedcare.com/ and create an online account. You will need your Medicaid number to be able to enroll into the dedicated portal for FL Medicaid. This portal allows you to manage and choose your plan.

Florida transitioned the long-term Medicaid recipients into a Statewide Medicaid Managed Care (SMMC) system in order to control costs. There are three different programs that makeup Statewide Medicaid Managed Care:

(MMA) – Managed Medical Assistance Program
(LTCC) – Long-Term Community Care Program
* Dental Program

These programs consist of eleven regions throughout Florida and have various Long-Term Care Managed Care (LTCMC) Medicaid plans to serve them. The plans are operated by private companies, mostly Health Maintenance Organizations (HMO’s).

All the LTCMC plans must cover certain core services including: adult day care, assisted living facilities, nursing facility care, caregiver training, case management, home accessibility adaptation, home-delivered meals, homemaker/chore services, hospice, nursing care, medical equipment and supplies, medication administration and management, personal care, personal emergency response systems, respite care, transportation, and occupational, physical, speech, and respiratory therapy services.

You can compare and choose Florida LTCMC plans at The Florida Agency for Health Care Administration Site. You can also receive help from Choice Counselors at 1-877-711-3662 to answer questions and help you make a decision about the Managed Care Medicaid Programs from M-TH 8am-8pm, and F 8am-7pm.

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Medicaid Coverage

What Florida Long-Term Care Medicaid May Help Cover

Nursing Home Care

Assisted Living Support

Home Health Aide Services

Adult Day Care

Certain Medical Costs

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Related Benefits

Medical Necessity for LTCC Medicaid

To qualify for Florida's LTCC Medicaid program, you must meet the Level of Care criteria…

Income Limits for LTCC Medicaid

Financial Eligibility is determined by the income and the assets of the individual applying for the benefits. To qualify for Florida's LTCC Medicaid program, there are income limits…

Asset Limits for LTCC Medicaid

Financial eligibility is determined by income and assets of the individual applying for the benefits. To qualify for Florida's LTCC Medicaid Program, there are asset limits…

Statewide Medicaid Managed Care Plans

Florida transitioned long-term recipients into a Long-Term Care Managed Care system (LTCMC)...

Assisted Living Facilities

A Florida Assisted Living Facility (ALF) provides room, board, and personal care...

Home Health Services

Home Health Care can include skilled nursing, therapy services, or home health ideas…

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