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|September 6, 2018
IMPROVEMENTS TO THE RECIPIENT AND PROVIDER EXPERIENCE IN THE NEW SMMC CONTRACTS
Medicaid New SMMC Five-Year Contract Begins January 1, 2019
The Agency for Health Care Administration (AHCA) is providing updates on their website in preparation of the upcoming shift to the Statewide Medicaid Managed Care (SMMC) program new contract period. A recent update explains the improvements to the recipient and provider experience within this new SMMC contract. These improvements include benefit design for the recipients and increased enhancements for the provider.
If you have questions, please contact Dana McHugh via email or by calling her at (850) 339-2909.
AHCA Upcoming Webinar: SMMC Program Overview
SMMC Program Roll-out: Recipient Letters Mail Out Approximately 45 days Prior to Regional Roll-out
The Agency transitions to the new contracts with a regional phased roll-out. Recipients will receive letters confirming their assigned health plan 45 days prior to the region roll-out. Below is a chart showing the roll-out over three months and the approximate mailings for recipients.
Please inform the family members or applicable guardian to watch for these letters. Information will be provided within the letter explaining how to hange the assigned enrollment if the recipient is interested in changing their assigned health plan.
RIPPED FROM THE HEADLINES
RIPPED FROM THE HEADLINES
Telemedicine Headed for Boom with CHRONIC Care Act. Medicare is about to loosen its purse strings on telemedicine. Starting in 2020, Medicare will be allowed to pay providers for more telemedicine services for Medicare Advantage enrollees who have chronic medical conditions. About a third of all Medicare beneficiaries, or 19 million people, are in these managed care plans. Read more...
Health plan updates
Prepare Now for Portal Closure. On October 3, 2018, Humana is retiring its secure medical provider portal. To continue or begin working with Humana online, prepare now by registering for the Availity Provider Portal and participate in training at no cost. Read more...
Amerigroup Florida and Better Health will continue as Simply Healthcare Plans, Inc., in the new SMMC MMA and LTC programs. Amerigroup FL and Better Health merged into Simply Healthcare Plans in October 2017. Amendments will be added to current Amerigroup, Better Health and Simply contracts to add new lines of business and update status to participating under Simply Healthcare Plans, Inc. Read more...
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