Statewide Medicaid Managed Care Program

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Frequently Asked Questions

In 2011, the Florida Legislature created Part IV of Chapter 409, Florida Statutes, directing the Agency to create the Statewide Medicaid Managed Care (SMMC) program.  The SMMC program has two key components:  the Managed Medical Assistance program and the Long-term Care program.

Program Overview and Summary

There will be two different components that make up the SMMC program:

If you are interested in learning more about these two programs, overviews and summaries may be accessed through the links below.

Updates about the Statewide Medicaid Managed Care program will be posted on this website as they become available.

Achieved Savings Rebate Rule

The “Standards for Independence” document is provided for any plan who intends to participate in the Statewide Medicaid Managed Care program.  This document outlines the standards of independence for audits conducted by independent certified public accountants. (See s. 409.967, F.S.)  These standards of independence are incorporated by reference in Rule 59G-8.800:  Financial Compliance Audits of Medicaid Prepaid Plans.  (Rule 59G-8.800 is currently under development.)

Standards for Determining Independence [97KB PDF]