Florida's Medicaid managed care program is called Statewide Medicaid Managed Care (SMMC). The plans are available statewide and enrollees have a choice of any plan. The sixteen plans are available for download.
For all types of health plans, the managed care contract requires the health plans to increase compensation for qualified clinical professionals based on savings realized through effective care management, but no comprehensive value-based reimbursement model is in place as of January 2019.
The Long-Term Care (LTC) program provides health care services—including nursing facility and home- and community-based services (HCBS)—to elderly . . .