Florida Medicaid enrollment
A readiness check before anything is filed, then the application and follow-up until your Medicaid ID is issued.
- Readiness check
- Enrollment application
- Follow-up until the ID is issued
Medicaid and the health plans, from license to loaded.
A license lets you open. For many Florida agencies, Medicaid and the managed care plans are how you get paid. We handle the applications and keep following up until you're in.
Who this is for
- You're licensed (or about to be) and want to serve Medicaid patients
- You applied to a health plan months ago and never heard back
- Your Medicaid revalidation is coming up
- You're not sure which plans serve your counties
How it works in Florida
- Florida Medicaid enrollment gives your agency a Medicaid provider ID.
- Most Medicaid home care in Florida is paid through the Statewide Medicaid Managed Care (SMMC) health plans. Each plan credentials and contracts with your agency separately.
- Once contracted, your agency has to be loaded into each plan's systems before referrals and payments flow.
What we do
Health plan credentialing
Applications to the managed care plans in your region, with follow-ups about every two weeks — logged, so you always know where each plan stands.
- Plan applications
- Regular follow-ups with every plan
- Contract review checklist
- Loading into the plan's systems
Medicaid revalidation
Done on time, so your enrollment never lapses.
Florida rules we watch for you
Plain-language summaries. The citation is there so you (or your attorney) can read the rule itself.
Medicaid providers must revalidate their enrollment at least every five years. 42 CFR 455.414
For licensed provider types, your AHCA license comes before Medicaid enrollment. Florida Medicaid provider enrollment requirements
Questions
Can I enroll in Medicaid before I'm licensed?
Licensed provider types need their AHCA license first. We can prepare everything else while the license is pending, so enrollment is ready to file the day it's issued.
Can you guarantee a health plan contract?
No. Each plan decides whether its network needs your agency in your area. We make sure your applications are complete and keep following up until you have an answer.
How long do the health plans take?
It varies a lot by plan and region. That's why we follow up with every plan regularly and keep a log you can see.