Florida Statewide Medicaid Managed Care member guidance

What changed

AHCA's Medicaid page says Medicaid provides access to health care for low-income families and individuals and helps older adults and people with disabilities with nursing facility and other medical and long-term-care expenses. AHCA says it is responsible for administering SMMC, that most Florida Medicaid recipients are enrolled in SMMC, and that the program has Long-Term Care, Managed Medical Assistance, and Dental components. AHCA states that SMMC 3.0 was implemented on February 1, 2025, with new health and dental plan contracts. AHCA's covered-services and HCBS-waivers page indexes direct service overviews and HCBS waiver links, while the LTC page explains AHCA, DCF, and DOEA roles in coverage policy, financial eligibility, medical eligibility, level of care, screening, eligibility, enrollment, complaints, and fair hearings.

Why it matters

Florida caregivers need a high-level map before they can tell whether an issue belongs to DCF eligibility, DOEA level of care, an SMMC plan, AHCA policy, or a service-specific coverage rule. This row marks the official member-guidance layer for later service-specific explainers.

Who it touches

Family caregivers, Care providers and plans, People receiving careFlorida Medicaid recipients, Statewide Medicaid Managed Care enrollees, long-term care Medicaid enrollees, dental plan enrollees, older adults, people with disabilities, family caregivers, providers

What it does

Plans, studies, registries or guidance

• AHCA Medicaid
• AHCA Statewide Medicaid Managed Care
• AHCA Florida Medicaid Covered Services and HCBS Waivers
• AHCA Statewide Medicaid Managed Care Long-Term Care Program

Last reviewed Jul 4, 2026. This is information, not legal advice; check the source for the current text.