Although 2009 Florida legislation called for a Medical Home Pilot, no formal medical home program has been implemented. 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 Medical Assistance Program (MMA) of the Statewide Medicaid Managed Care (SMMC) program is comprised of serval types of managed care plans including:
Most Medicaid recipients must enroll in the MMA program. The Managed Medical Assistance Program is expected to begin in May 2014.
Dual Eligible | 2703 SPA | CPC | CPC+ | PCMH QHP | PCMH Legislation | Private Payer |
---|---|---|---|---|---|---|
Program Name | Payer Type | Coverage Area | Parent Program | Outcomes |
---|---|---|---|---|
Children's Home Society of Florida Wellness Cottage Program | Grant | CMS Health Care Innovation Award (Round 2) | ||
Coordinating All Resources Effectively (CARE) - Florida | Grant | California, Colorado, Florida, Missouri, Pennsylvania, Texas, Ohio | CMS Health Care Innovation Award (Round 2) | |
Florida Pediatric Medical Home Demonstration Project | Grant | Florida | CHIPRA Quality Demonstration Grant | |
Florida Provider Service Networks (PSNs) | Medicaid | 5 counties | Medicaid Section 1115 Waiver | |
Orlando Health Medical Neighborhood Demonstration - Florida | Grant | Orlando & Clermont | CMS Health Care Innovation Award - PCMN Demonstration |
Program Name | Payer Type | Coverage Area | Parent Program | Outcomes |
---|---|---|---|---|
Capital Health Plan | Commercial | Tallahassee | ||
Cigna Accountable Care Program - BayCare Health System | Commercial | Tampa-area | Cigna Collaborative Care Program | |
Cigna Accountable Care Program - Orlando Health Physician Partners | Commercial | Orlando-area | Cigna Collaborative Care Program | |
Florida Blue Patient Centered Medical Home Program | Commercial | Statewide | Blue Cross Blue Shield Value-Based Care Program |