Community Care Plan Florida Medicaid: Benefits, Coverage, Provider Networks, and How to Get Help
Florida Medicaid recipients have several managed care plans to choose from, and understanding what each plan offers can make a significant difference in accessing healthcare. One option available to eligible Florida residents is Community Care Plan (CCP), a Florida Medicaid Managed Medical Assistance (MMA) health plan that provides medical coverage, preventive care, prescription services, wellness programs, and additional member support.
Through its website, CCPcares.org, Community Care Plan provides resources to help members understand their benefits, locate healthcare providers, manage prescriptions, and receive assistance with their healthcare needs.
Whether you are considering enrolling in Community Care Plan or already receive benefits through this health plan, here is what you should know about its Florida Medicaid coverage.
What Is Community Care Plan Florida Medicaid?
Community Care Plan (CCP) is a Florida-based managed care organization that participates in the state's Statewide Medicaid Managed Care (SMMC) program.
The organization has been serving Florida communities since 2000 and is owned by two established healthcare organizations: Broward Health and Memorial Healthcare System.
Community Care Plan works with the Florida Agency for Health Care Administration (AHCA) to provide Medicaid healthcare services through its Managed Medical Assistance program.
The organization's goal is to improve healthcare access and promote healthier communities by connecting members with medical providers, preventive services, wellness programs, and additional community resources.
CCP also offers specialized support for members with serious mental illness (SMI).
Which Florida Counties Does Community Care Plan Serve?
Community Care Plan provides Florida Medicaid MMA coverage in 19 counties.
Residents in the following counties may have access to Community Care Plan, subject to
Medicaid eligibility and enrollment requirements:
Brevard County
Broward County
Charlotte County
Collier County
DeSoto County
Glades County
Hendry County
Indian River County
Martin County
Miami-Dade County
Monroe County
Okeechobee County
Orange County
Osceola County
Sarasota County
Seminole County
St. Lucie County
Not every Florida Medicaid health plan operates in every county. Before selecting a managed care plan, recipients should verify which plans are available in their residential county.
You can visit CCP's official website to learn more about its coverage areas and member services.
What Benefits Does Community Care Plan Medicaid Offer?
Community Care Plan offers more than basic medical coverage. Its Medicaid program provides access to healthcare services and additional benefits designed to support members and their families.
Covered services are subject to Medicaid rules, medical necessity requirements, plan guidelines, and applicable limitations.
Some of the healthcare services and resources available through the plan include:
1. Primary Care and Preventive Healthcare
Members can access primary care providers for routine medical appointments, annual examinations, preventive screenings, and ongoing healthcare needs.
Preventive healthcare is important because it helps identify potential health problems before they become more serious.
Community Care Plan also encourages members to complete recommended annual checkups and other preventive services.
2. Specialist and Hospital Services
Members may access specialist care and hospital services through participating providers.
Depending on the service, a referral or prior authorization may be required.
Members should verify provider participation and coverage requirements before scheduling non-emergency services.
3. Prescription Drug Coverage
Community Care Plan provides prescription drug benefits through its pharmacy network.
Members can access pharmacy information, review medication coverage, and locate participating pharmacies through the plan's website.
Before filling a prescription, check whether the medication is included on the plan's preferred drug list and whether additional authorization is required.
4. Behavioral Health Services
Behavioral healthcare is another important component of Community Care Plan's Medicaid coverage.
Members can access behavioral health resources and support for certain mental health conditions, including anxiety and depression.
The plan also offers specialized programs for eligible members with serious mental illness.
5. Pregnancy and Maternity Support
Community Care Plan offers its Before Baby & Beyond program to support women during pregnancy.
The program focuses on prenatal care, pregnancy support, and promoting healthier pregnancies.
Members may also qualify for rewards associated with prenatal and postpartum examinations.
6. Chronic Disease Management
Members living with chronic medical conditions may benefit from Community Care Plan's Concierge Care Coordination (C3) programs.
These programs provide case management and disease management support to help members manage conditions such as:
Diabetes
High blood pressure
Asthma
Heart disease
Behavioral health conditions
These services can help members and caregivers better understand treatment plans and coordinate ongoing healthcare needs.
Does Community Care Plan Offer Additional Medicaid Benefits?
Yes. Community Care Plan provides expanded benefits and wellness programs beyond its standard Medicaid services.
Depending on eligibility and applicable program requirements, members may qualify for additional benefits and incentives. Examples of activities recognized through the plan's rewards program include:
Completing annual wellness examinations.
Attending prenatal and postpartum appointments.
Participating in smoking cessation activities.
Joining weight management programs.
CCP also provides wellness and community support resources, including water safety education for children.
Its community resource programs can help members find assistance with food, housing, financial education, employment preparation, and other needs.
Because expanded benefits can have specific eligibility requirements and may change, members should review the current benefit information before relying on a particular service.
How to Find a Community Care Plan Medicaid Doctor
Finding a healthcare provider who accepts your specific Medicaid plan is important.
Community Care Plan provides an online provider directory that helps members search for participating physicians and specialists.
Members can use the directory to locate healthcare professionals and identify providers within the plan's network.
You should verify the following before making an appointment:
Whether the provider currently accepts Community Care Plan.
Whether the provider is accepting new patients.
Whether the requested service is covered.
Whether a referral or prior authorization is necessary.
Whether the provider is located within a convenient distance.
Visit CCP's provider directory to access provider search resources.
How to Contact Community Care Plan Medicaid Member Services
If you are already enrolled in Community Care Plan, its Member Services department can help answer questions about your coverage.
Members can contact the organization for assistance with:
Finding a primary care physician.
Changing a primary care provider.
Replacing a lost Medicaid plan identification card.
Understanding covered medical services.
Obtaining referral information.
Understanding plan changes and benefit options.
Coordinating pregnancy-related care.
Answering general Medicaid managed care questions.
Community Care Plan Member Services
Phone: 1-866-899-4828
TTY: 711
Members can also access the organization's online resources at www.ccpcares.org.
How to Enroll in Community Care Plan Florida Medicaid
Before enrolling in Community Care Plan, you must first qualify for Florida Medicaid.
Florida Medicaid eligibility is determined through the Florida Department of Children and Families (DCF), not directly by Community Care Plan.
The general enrollment process includes the following steps:
Step 1: Apply for Florida Medicaid.
Submit an application through Florida's MyACCESS portal or another approved application method.
Step 2: Receive your Medicaid eligibility determination.
DCF reviews your application and determines whether you qualify for Medicaid coverage.
Step 3: Review available Medicaid managed care plans.
Once approved, review the health plans available in your county.
Step 4: Select Community Care Plan if available.
If CCP serves your county and you meet enrollment requirements, you may select it as your Medicaid managed care plan.
Step 5: Confirm your enrollment and access member resources.
Once enrolled, use the provider directory, member handbook, and member portal to manage your healthcare benefits.
If you are unsure which Medicaid plan you currently have, Florida's Medicaid Choice Counseling Helpline can help. Phone: 1-877-711-3662
Frequently Asked Questions
Is Community Care Plan a Florida Medicaid health plan?
Yes. Community Care Plan participates in Florida's Statewide Medicaid Managed Care program and provides Managed Medical Assistance coverage in 19 Florida counties.
Does Community Care Plan cover prescriptions?
Yes. Prescription drug coverage is included in its Medicaid program. Medication coverage, preferred drugs, and authorization requirements depend on the plan's current pharmacy guidelines.
Can I change my Community Care Plan primary care doctor?
Yes. Community Care Plan provides assistance with selecting or changing your primary care provider. Members can contact Member Services or use the online member portal.
Does Community Care Plan offer pregnancy benefits?
Yes. The Before Baby & Beyond program provides pregnancy-related support. Members may also qualify for rewards associated with prenatal and postpartum appointments.
How do I know if I am enrolled in Community Care Plan?
You can check your Medicaid managed care enrollment through Florida Medicaid Choice Counseling at 1-877-711-3662 or contact Community Care Plan directly.
Where can I find the Community Care Plan member handbook?
Visit CCPcares.org and navigate to the Medicaid member resources section. The handbook provides information about covered services, member rights, responsibilities, appeals, and important contact numbers.
Conclusion
Community Care Plan is one of the managed care options available to eligible Florida Medicaid recipients. Its program combines traditional medical coverage with preventive healthcare, prescription benefits, behavioral health resources, pregnancy support, chronic disease management, and additional wellness programs.
Understanding your plan's benefits, provider network, and member services can help you avoid unnecessary delays and make better healthcare decisions.
If you are currently enrolled in Community Care Plan, take time to review your member handbook, verify your healthcare providers, and understand which services require referrals or prior authorization.
For the most current coverage information, expanded benefits, provider resources, and enrollment assistance, visit the official website at www.ccpcares.org.
Disclaimer:
This article is for educational and informational purposes only and does not constitute medical, legal, or financial advice. Program eligibility, benefits, and requirements may change. Always verify current information directly with the Florida Department of Health or the appropriate government agency before making healthcare or coverage decisions. Read full disclaimer.
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