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Florida Managed Medical Assistance (MMA) health plans

Florida Medicaid offers several Managed Medical Assistance (MMA) health plans through the Statewide Medicaid Managed Care (SMMC) program. These plans provide medical coverage to eligible Florida Medicaid recipients.

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As part of Florida's SMMC 3.0 program, which began February 1, 2025, the state reorganized its managed care regions and contracted with new health plans. Go here!

10/23/26: Today, the Trump Administration announced $193.7 million in Rural Health Transformation Program (RHTP) funding to 45 organizations across Florida to improve rural health across the state. This investment will help build regional capacity and expand options for rural Floridians to receive high-quality healthcare closer to home.

This transformational funding will expand options for rural Floridians to receive preventive, specialty, and follow-up care in their communities. Florida’s approach uses telemedicine, remote patient monitoring, pharmacy-based services, diagnostic kiosks, and community paramedicine to give patients more ways to access needed care. Partnerships are a defining feature of Florida’s approach, with more than 500 partnerships across the 45 awardees bringing hospitals, clinics, local governments, and community organizations together to support statewide rural healthcare transformation.

The Rural Health Transformation Program is expanding access to quality healthcare, regardless of a patient’s ZIP code, while equipping first responders with the lifesaving resources they need when every second counts.…

Updated Article:

Florida Medicaid's Statewide Medicaid Managed Care (SMMC) 3.0 program introduced new health and dental plan contracts effective February 1, 2025. The program affects how many Florida Medicaid recipients access healthcare, choose managed care plans, receive long-term care services, and obtain dental benefits.

Whether you are applying for Medicaid, already enrolled in a health plan, caring for a family member, or providing healthcare services, understanding SMMC 3.0 can help you navigate coverage and resolve problems more effectively. Read full article.

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The Agency for Health Care Administration (Agency) contracts with health and dental plans to provide Medicaid services to health plan enrollees. The Agency recently entered into new contracts with health and dental plans effective February 1, 2025. Under the new Statewide Medicaid Managed Care (SMMC) contracts, plans are still required to ensure continuity of care (COC) during the transition period for Medicaid recipients enrolled in the SMMC program. Click here to read the full article on Ask Medicaid Florida.

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Florida Medicaid Rule 59G-4.031, F.A.C., establishes coverage-policy requirements for Behavioral Health Community Support Services. The rule is important for Florida Medicaid recipients seeking community-based behavioral health support and for providers responsible for eligibility verification, medical necessity, documentation, authorization, and reimbursement. Learn more

WEST PALM BEACH, Fla.—Today, Governor Ron DeSantis announced results from Florida’s enhanced Medicaid program integrity efforts to combat fraud, waste and abuse, protect taxpayer dollars, and ensure Medicaid resources are directed toward legitimate health care services for eligible Floridians.

In June, Governor DeSantis announced the most significant Medicaid integrity initiative in Florida history, shifting the state away from a “pay-and-chase” model toward preventing fraud before taxpayer dollars are spent. The Agency for Health Care Administration (AHCA) strengthened provider screening and oversight, expanded data analytics and claims monitoring, imposed enrollment moratoriums on certain high-risk provider categories, and launched a statewide revalidation effort for active Medicaid providers.

“Florida’s Agency for Health Care Administration’s Medicaid integrity initiative is delivering results,” said Governor DeSantis. “This year, we announced the most significant Medicaid integrity initiative in the history of our state, and today, I was proud to announce some of the results from these efforts.”

Since…

Medicaid work requirements are changing across the United States. Beginning January 1, 2027, federal law requires states to establish a new Medicaid community-engagement requirement for certain adults, unless a state implements the requirement earlier.

But if you live in Florida, there is an important distinction: the new federal Medicaid work requirement does not automatically apply to every person who receives Florida Medicaid. The federal requirement primarily applies to adults covered through the Affordable Care Act (ACA) Medicaid expansion and certain Medicaid waiver populations. Florida has not adopted the ACA Medicaid expansion, so Florida's Medicaid population is different from the expansion population affected in expansion states.

The Florida Department of Children and Families (DCF) highlighted the state's robust mental health resources in honor of Suicide Prevention Awareness Month. Suicide Prevention Awareness Month, recognized in September, presents an opportunity to emphasize the vital role we all play in suicide prevention by building awareness, learning and sharing the risk factors and warning signs, promoting resiliency, decreasing stigmas, and sharing available resources.

Hundreds of thousands of immigrants with legal status are at risk of losing government health coverage starting Oct. 1, state data shows, signaling that the impact of Medicaid changes in President Donald Trump’s signature legislation from 2025 may be greater than anticipated.

Many lawfully present immigrants will be among the first people to lose Medicaid coverage under congressional Republicans’ One Big Beautiful Bill Act, which is expected to cut spending by more than $900 billion through 2034 for the state-federal health program for people with low incomes or disabilities. The law will strip many more immigrants of their Affordable Care Act plan subsidies and Medicare coverage next year.

Effective October 1, 2026, the operation of the Children’s Medical Services (CMS) Plan will move from Sunshine State Health Plan, Inc. to Molina Healthcare of Florida, Inc.

The Agency previously announced (Medicaid Health Alert) that effective October 1, 2026, the operation of the Children’s Medical Services (CMS) Plan will move from Sunshine State Health Plan, Inc. (Sunshine) to Molina Healthcare of Florida, Inc. (Molina).

To ensure no disruption in current services and to support continuity of care (CoC), Molina will have a CoC period of up to 240 days (8 months). The CoC period covers services authorized by Sunshine Health and documented courses of treatment that are in effect and being delivered as of 10/1/2026 until the authorization, course of treatment, or CoC period ends, or until a new care plan is finalized and new services are authorized, whichever occurs first. 

Regardless of contracting status, enrollees may continue seeing their…

As required by law, on June 1, 2026, the Centers for Medicare & Medicaid Services (CMS) issued an interim final rule implementing a new statutory requirement for certain adults in Medicaid to meet an 80 hours per month work requirement (sometimes referred to as Medicaid community engagement) as a condition of eligibility.

States must generally implement this requirement no later than January 1, 2027. This fact sheet discusses the provisions of the Interim Final Rule with Comment Period. 

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