Statewide Medicaid Managed Care

Tallahassee, Florida — The Agency for Health Care Administration’s proposed regional implementation schedule for Managed Medical Assistance (MMA), part of Florida’s Statewide Medicaid Managed Care (SMMC) program, was approved by the Centers for Medicare and Medicaid Services. Implementation for MMA will begin May 1—on the heels of the Long-term Care program rollout, which will go live in the final regions on March 1, 2014.

“The Agency deliberately created a timeline that would not overwhelm our systems and ability to assist recipients with choosing the plan they want while still being rapid enough to ensure continuity of care and sufficient network access as the discontinued plans wind down,” said Agency Secretary Liz Dudek. “Having our Managed Medical Assistance schedule affirmed is a welcome advancement toward our goal of implementing all of SMMC by the end of 2014.”

In general, the rollout will happen in a sequential manner, with 2-3 Medicaid regions going live each month from May to August. The schedule will have the MMA program active statewide by August 1, 2014. Once complete, the transition to MMA will result in more than 83% of Florida’s 3.5 million Medicaid recipients being enrolled in a managed care plan for acute care.

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The SMMC program was designed to:

• emphasize patient-centered care, personal responsibility and active patient participation;
• provide for fully integrated care through alternative delivery models with access to a broader range of providers and services through a uniform statewide program; and
• allow for innovation in reimbursement methodologies that can increase predictability and generate cost savings.

For more information about Statewide Medicaid Managed Medical Assistance Care you can view and print this PDF.

For the Medicaid Long-Term Care Program you can view and print this PDF.