Aetna Better Health of Florida provides Medicaid coverage through Florida’s Managed Medical Assistance (MMA) and Long-Term Care (LTC) programs. Members receive doctor visits, prescriptions, behavioral health services, transportation, and added benefits like OTC allowances and wellness support. Coverage and extras vary by region, so eligibility and provider networks should be reviewed carefully before selecting a plan.

Florida’s SMMC 3.0 transition could disrupt coverage for seniors, long-term care recipients, children with special needs, and dual-eligible beneficiaries. If you rely on Medicaid for ongoing treatment, specialist care, or home services, plan changes and provider network shifts may affect you. Reviewing your coverage before automatic enrollment decisions are made is critical to avoiding care interruptions.

SMMC 3.0 Pharmacy COC requirements ensure that when enrollees transition from one health plan to another, or one service delivery system to another (i.e., fee-for-service to managed care), their services continue throughout their transition.

This rule applies to all providers rendering such services to Medicaid recipients and is governed by the Florida Medicaid Inpatient Hospital Services Coverage Policy.

This rule applies to all providers rendering Florida Medicaid behavioral health community support services to recipients. All providers must be in compliance with the provisions of the Florida Medicaid Behavioral Health Community Support Services Coverage Policy, November 2019, incorporated by reference.