Medicaid Hospital Provider Payments will be delayed due to the upcoming holidays as reported by AHCA on 12/18/25. Bank closures on Christmas and New Years day will effect Provider Payments. Provider payments will not be available until Friday December 26, 2025 and Friday January 2, 2026.

Community Care Network will manage Behavioral Analysis (BA) services in-house effective 1/1/26. Health Network One/ Therapy Network of Florida will continue to administer Dermatology, Podiatry, Occupational Therapy, Physical Therapy, and Speech Therapy services for CCP.

Find updated information on Florida Medicaid’ inclusion of the Rapid Whole Genome CPT codes 81425, 81426, and 81427 on Medicaid’s Laboratory Fee Schedule. Eligible recipients are 20 or younger with an acute, complex, unknown-etiology illness in an ICU/high-acuity unit.

The Florida Agency for Health Care Administration (AHCA) is launching a new provider enrollment system in early 2026 as part of the AHCA Enterprise modernization. This modernization will streamline enrollment, renewal, and account maintenance, making the process faster, easier, and more secure for Medicaid providers.

Florida’s Statewide Medicaid Managed Care (SMMC) Program remains one of the most searched policy topics in the state, driven by enrollee transitions, plan changes, provider adjustments, and new compliance expectations under SMMC 3.0.

As of early 2025, nearly all Medicaid recipients in Florida are being transitioned into the Statewide Medicaid Managed Care (SMMC) program. Under this system, enrollees are either automatically assigned to a managed care plan or must select one, instead of traditional fee-for-service Medicaid.

This book is a step-by-step guide designed for new and seasoned assisted living owners, operators, and investors who want to confidently set prices that reflect the true value of their care while remaining competitive in their market. Inside, you’ll learn how to: Understand Market Trends – Analyze your location, clientele, and competitors to find your ideal price range .Break Down Costs – Calculate base rates by factoring in staffing, mortgage/rent, food, insurance and licens

The Florida Agency for Health Care Administration (AHCA) is launching a new provider enrollment system in early 2026 as part of the AHCA Enterprise modernization. This modernization will streamline enrollment, renewal, and account maintenance, making the process faster, easier, and more secure for Medicaid providers.

Florida’s Medicaid program faces a convergence of operational, fiscal and policy pressures in 2026–27. The most urgent issues are falling enrollment that masks unmet need, procedural disenrollments, a major managed-care transition, provider network stress, federal funding shifts and political resistance to Medicaid expansion.

Legislators may have shortchanged the state Medicaid program in the just-passed budget, projections from the state’s top economists show. And Medicaid funding problems may only increase in state fiscal year 2026-27.

Starting February 2025 Most people in Florida Medicaid will be automatically placed in a managed care plan by the Agency for Health Care Administration (AHCA). This includes some individuals who are not usually required to enroll in a plan. Every plan must follow continuity of care (COC) requirements during your transition. Your Right to Continuity of Care Continuity of care means you can keep receiving approved services and treatments without interruption when you switch to

Complete 2025 guide to Florida Medicaid. How to apply via MyACCESS. What SMMC 3.0 means. Redetermination outcomes. How to find a Medicaid doctor or dentist. Eligibility, benefits, appeals, and provider guidance.

The Agency for Health Care Administration (Agency) is excited to announce the upcoming statewide launch of the Intellectual and Developmental Disabilities Comprehensive Managed Care (ICMC) Program , beginning October 1, 2025 ! What is ICMC? The Intellectual and Developmental Disabilities Comprehensive Managed Care (ICMC) Program is a new statewide Medicaid program that provides people with intellectual and developmental disabilities all their regular healthcare services plu

The Federal Rural Health Transformation Grant Program. It allocates $50 billion to strengthen rural health care systems across the U.S. The OBBBA establishes a grant opportunity for Medicaid states to improve health care outcomes in rural counties through the Rural Health Transformation Program (RHTP).

Learn how to apply for Medicaid Florida and eligibility requirements. How to Make Your Own Living Trust, Avoid Probate & Protect Your Heirs.

Discover the top 9 rated assisted living essentials for people with disabilities in 2025, designed to enhance comfort, safety, and independence. This year's list features advanced mobility aids, voice-activated smart devices, ergonomic furniture, and more—each carefully selected to meet evolving needs. Whether for daily living, accessibility, or emergency support, these essentials empower individuals to lead fuller lives.

Many DME items are covered by Medicare, Medicaid, or private insurance if prescribed by a healthcare provider and deemed medically necessary. Understanding your coverage and choosing the right products can significantly improve health outcomes and comfort.

Medicaid serves more than 700,000 seniors and about 62% of nursing homes in the state rely on it. Proposed budget cuts threaten to undermine critical services, jeopardize hospital operations, and increase health disparities across the state.

While its supporters tout enhanced take‑home pay, business incentives, and bolstered defense and border security, opponents warn of devastating impacts on social-safety programs—potentially stripping healthcare and food aid from millions—and deepening the national debt by trillions. As the bill faces final congressional scrutiny, its passage signals a pivotal test for the GOP:

Ask Medicaid Florida is a Medicaid Florida Informational Web Portal used by recipients and participating providers. Do you need help understanding your Medicaid Florida coverage? All Floridians can submit a Request Form for personalized recommendations. Our #1 mission is to give recipients and healthcare professionals the opportunity to make more informed decisions surrounding Medicaid of Florida.