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  2. In Florida, the Agency for Health Care Administration (Agency) is responsible for Medicaid. The Agency successfully completed the implementation of the Statewide Medicaid Managed Care (SMMC) program in 2014. Under the SMMC program, most Medicaid recipients are enrolled in a health plan. Nationally accredited health plans were selected through a ...

  3. Recipient Resources | Florida Agency for Health Care...

    ahca.myflorida.com/medicaid/recipient-resources

    Contact Florida Medicaid. If you have questions about Medicaid coverage, please call the Medicaid Helpline at 1-877-254-1055 (TDD 1-866-467-4970). Staff are available to assist you Monday through Friday, 8am-5pm EST. If you want to authorize someone else to verbally discuss specific topics with the Agency on your behalf, or to select or change ...

  4. Statewide Medicaid Managed Care | Florida Agency for Health Care...

    ahca.myflorida.com/medicaid/statewide-medicaid-managed-care

    In Florida, the Agency for Health Care Administration (Agency) is responsible for Medicaid. The Agency successfully completed the implementation of the Statewide Medicaid Managed Care (SMMC) program in 2014. Under the SMMC program, most Medicaid recipients are enrolled in a health plan. Nationally accredited health plans were selected through a ...

  5. Medicaid State Plan Under Title XIX of the Social Security Act...

    ahca.myflorida.com/medicaid/medicaid-state-plan-under-title-xix-of-the-social...

    Florida's Medicaid State Plan (the Plan) is a comprehensive written statement describing the scope and nature of the Medicaid program. The Plan outlines current Medicaid eligibility standards, policies and reimbursement methodologies to ensure the state program receives matching federal funds under Title XIX of the Social Security Act.

  6. As champions of this mission, we are responsible for the administration of the Florida Medicaid program, licensure and regulation of Florida's health facilities and for providing information to Floridians about the quality of care they receive. The Agency is responsible for health facilities licensure, inspection, and regulatory enforcement ...

  7. Florida Medicaid’s Covered Services and HCBS Waivers

    ahca.myflorida.com/medicaid/medicaid-policy-quality-and-operations/medicaid...

    Florida Medicaid’s Covered Services and HCBS Waivers. The list below provides direct links to a general overview for each of the covered services. For specific policy and limits information, please see the Medicaid coverage policies and fee schedules by visiting the Agency Website. The Agency is committed to working with SMMC plans to promote ...

  8. Statewide Medicaid Managed Care Long-term Care Program - The...

    ahca.myflorida.com/medicaid/statewide-medicaid-managed-care/long-term-care-program

    The Agency for Health Care Administration (AHCA) administers the Statewide Medicaid Managed Care (SMMC) Long-Term Care program, sets coverage policy, and gets those eligible for services enrolled in a LTC plan. The Department of Children and Families (DCF) is responsible for determining financial eligibility for services.

  9. Find Medicaid Doctors, Dentists, and Specialists | Florida Agency...

    ahca.myflorida.com/consumer-information/find-medicaid-doctors-dentists-and...

    Consumer Information. Find Medicaid Doctors, Dentists, and Specialists. "To find doctors, dentists, and specialists in your community that serve Medicaid patients, go to www.flmedicaidmanagedcare.com or call 1-877-711-3662 to talk to a Choice Counselor." Return to top. ahca.myflorida.com. Official website of the State of Florida.

  10. Eligibility for Medicaid Services | Florida Agency for Health...

    ahca.myflorida.com/medicaid/medicaid-policy-quality-and-operations/medicaid...

    Eligibility for Medicaid Services. Recipient eligibility for Medicaid is determined by the: Department of Children and Families, Office of Economic. Self Sufficiency - The Department of Children and Families determines eligibility for low-income children and family programs and the institutional care program. Social Security Administration ...

  11. Florida Medicaid Preferred Drug List (PDL)

    ahca.myflorida.com/medicaid/prescribed-drugs/medicaid-pharmaceutical...

    The Florida Medicaid Preferred Drug List is subject to revision following consideration and recommendations by the Pharmaceutical and Therapeutics (P&T) Committee and the Agency for Health Care Administration. The Changes Summary Report lists only changes made to the Preferred Drug List as a result of the P&T Committee meeting on September 13 ...