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On Medicaid? Expect a notice from Florida’s Agency for Health Care Administration (AHCA) soon about enrolling in a Statewide Medicaid Managed Care plan.

This year, AHCA will automatically enroll you in a Managed Care plan, and it is your responsibility to disenroll if you do not want the plan.

What is happening? 

In 2022, the Florida legislature passed a bill called “SB 1950 — Statewide Medicaid Managed Care Program.” This bill makes statewide changes to Medicaid, which are going into effect at the beginning of 2025.

The bill approved a new Medicaid process. Everyone who received Medicaid state plan services will be automatically enrolled in a Medicaid Managed Care plan for state plan services, not waiver services.

You will receive more information from the Agency for Healthcare Administration in November. At that time, you can disenroll and stay on “fee for service” Medicaid or change plans. Either way, you will need to notify them of your choice. 

Visit Florida’s Agency for Health Care Administration’s webpage titled “Information for Recipients" to learn about the New Plans by Region, and how this works depending on the program(s) you are enrolled in, including the Behavior Analysis Program, the Continuity of Care Provisions Program, the iBudget Program Highlight, and the PPEC Program.  

Florida’s Agency for Health Care Administration two-page handout explains how this works with the iBudget program, especially the “what to expect” section at the end of page 2 or in the timeline section below. 

You can also visit the AHCA’s webpage titled ‘New SMMC Program’ on their website. 

What is the timeline for this to happen? 

Late September 2024

The Agency will mail all voluntary Florida Medicaid recipients a letter explaining that the Statewide Medicaid Managed Care program is transitioning and that they will need to either select a managed care plan, opt not to enroll in a managed care plan, or be automatically enrolled in a managed care plan.

Mid-November 2024

• The Agency will inform all recipients of their managed care plan assignments via letter, which will include additional information on how to disenroll or change plans if desired.
• During this time, AHCA will contact those living in the following counties: Broward, Charlotte, Collier, DeSoto, Glades, Hendry, Indian River, Lee, Martin, Miami-Dade, Monroe, Okeechobee, Palm Beach, Sarasota, and St. Lucie.
• Recipients may change their assigned plan by visiting flsmmc.com or calling 1-877-711-3662.

Early December 2024

• The Agency will inform all recipients of their managed care plan assignments via letter, which will include additional information on how to disenroll or change plans if desired.  
• During this time, AHCA will contact those living in the following counties: 
• Alachua, Baker, Bay, Bradford, Brevard, Calhoun, Citrus, Clay, Columbia, Dixie, Duval, Escambia, Flagler, Franklin, Gadsden, Gilchrist, Gulf, Hamilton, Hardee, Hernando, Highlands, Hillsborough, Holmes, Jackson, Jefferson, Lafayette, Lake, Leon, Levy, Liberty, Madison, Manatee, Marion, Nassau, Okaloosa, Orange, Osceola, Pasco, Pinellas, Polk, Putnam, Santa Rosa, Seminole, St. Johns, Sumter, Suwannee, Taylor, Union, Volusia, Wakulla, Walton, and Washington 
• Recipients may change their assigned plan by visiting flsmmc.com or calling 1-877-711-3662.

February 1, 2025

Voluntary recipients who have opted to enroll in a managed care plan will begin receiving their Florida Medicaid services through the Statewide Medicaid Managed Care Program.

When to Contact Disability Rights Florida 

If you experience issues accessing your Medicaid services or run into barriers opting out of the new Statewide Medicaid Managed Care Plans, you can contact Disability Rights Florida. You can also review the services DRF provides on our website. 

Contact information: 

• Phone: 800-342-0823 Toll Free 
• Website: DisabilityRightsFlorida.org/contact 
• TDD: 800-346-4127 

Disability Rights Florida | 800-342-0823 | TDD 800-346-4127

www.DisabilityRightsFlorida.org