Medical Billing Services in Florida
Florida's Statewide Medicaid Managed Care program runs through a fixed statewide plan list for 2025–2030 — knowing which plans are in it is the first step to billing correctly.
Jargon Buster is on: hover or tab to any underlined term for a plain-English definition.
Statewide Medicaid Managed Care (SMMC) plans
Florida's current SMMC contract term runs 2025–2030. Per AHCA's own Managed Medical Assistance (MMA) program reporting, the plans contracted statewide are:
- Aetna Better Health of Florida
- Community Care Plan
- Florida Community Care
- Humana Medical Plan
- Molina Healthcare of Florida
- Simply Healthcare of Florida
- Sunshine State Health Plan
- Children's Medical Services (specialty plan)
This list is confirmed against AHCA's own program reporting for the current contract term. Which plan serves which region is not stated here — regional assignment varies, and the sources checked for this page gave conflicting region maps. Confirm a patient's specific plan and region directly with AHCA or the plan itself before billing, rather than relying on a third-party region list.
A billing audit can show whether claims are already going to the wrong plan or being denied for an eligibility mismatch. Accurate eligibility verification before the visit is the main defense against this.
Last verified: November 2026
Frequently asked questions
Eight, including a dedicated specialty plan for children (Children’s Medical Services), under the current 2025–2030 contract term.
That varies by region and isn’t listed on this page because the available sources gave conflicting region assignments — confirm directly with AHCA or the plan.