Brochures 

​MMA



LTC




Designation Form



Medicaid Diversion is now called LTC and ACS is now called MMA. I have taken the following information from AHCA's website. At the bottom of the page I have included printable brochures with valuable information. As the industry scrambles to understand the new programs it is difficult to find an "expert" I have gathered this information together for us to try figure out the forever changing Medicaid world we live in( reminds me of a beatles song) ;)


 http://www.flmedicaidmanagedcare.com/MMA/ProgramInformation.aspx

Statewide Medicaid Managed Care (SMMC) – Managed Medical Assistance Program


In 2011, the Florida Legislature created a new program called Statewide Medicaid Managed Care (SMMC).
There are two different parts that make up the SMMC program:

The Managed Medical Assistance (MMA) Program
The Long-term Care (LTC) Program


Medicaid recipients who qualify and become enrolled in MMA will receive all health care services (other than long-term care) from a managed care plan. Medicaid recipients who qualify and become enrolled in LTC will receive long-term care services from a Long-term Care managed care plan.

What does the Statewide Medicaid Managed Care program do?

Medicaid members receive their health care services through a managed care plan. MMA plans cover services such as prescriptions, doctors’ visits and hospital stays.

All MMA plans offer the following health care services:

  • Physician services, including physician assistant services
  • Prescription drugs
  • Hospital inpatient services
  • Hospital outpatient services
  • Mental health services
  • Early periodic screening diagnosis and treatment services for recipients under age 21
  • Emergency services
  • Ambulatory surgical treatment center services
  • Advanced registered nurse practitioner services
  • Optical services and supplies
  • Dental services
  • Medical supplies, equipment, prosthesis, and orthoses
  • Chiropractic services
  • Nursing care
  • Family planning services and supplies (some exception)
  • Podiatric services
  • Healthy Start services (some exception)
  • Physical, occupational, respiratory, and speech therapy services
  • Hearing services
  • Laboratory and imaging services
  • Home health agency services
  • Renal dialysis services
  • Hospice services
  • Respiratory equipment and supplies
  • Optometrist services
  • Rural health clinic services
  • Birthing center services
  • Substance abuse treatment services
  • Transportation to access covered services


The State sends Medicaid recipients a letter notifying them as to whether or not they are required to enroll in the SMMC MMA program.

Note: The SMMC program will not change your Medicare benefits.


 
Long Term Care

 
http://www.flmedicaidmanagedcare.com/GeneralInfo.aspx

In 2011, the Florida Legislature created a new program called the Statewide Medicaid Managed Care (SMMC) program.
There are two different programs that make up the Statewide Medicaid Managed Care:

The Long-term Care (LTC) Managed Care Program
The Managed Medical Assistance (MMA) Program

Medicaid recipients who qualify and become enrolled in the Statewide Medicaid Managed Care – Long-term Care program will receive long-term care services from a long-term care managed care plan. Medicaid recipients who qualify and become enrolled in the Statewide Medicaid Managed Care - Managed Medical Assistance program will receive all health care services other than long-term care from a managed care plan.

What does the Statewide Medicaid Managed Care program do?

Medicaid recipients will receive their long-term care services from a managed care plan. These managed care plans will cover long-term care services only and do not cover medications, doctor’s visits or other healthcare related services.

All long-term care managed care plans offer the following services:

  •  Adult Companion
  •  Adult Day Care (Adult Day Health Care)
  • Assistive Care Services
  • Assisted Living Facility Services
  • Attendant Care
  • Behavior Management
  • Caregiver Training
  • Case Management
  • Home Accessibility Adaptation
  • Home Delivered Meals
  • Homemaker
  • Hospice
  • Intermittent and Skilled Nursing
  • Medical Equipment & Supplies
  • Medication Administration
  • Medication Management
  • Nursing Facility Care
  • Nutritional Assessment and Risk Reduction
  • Occupational Therapy
  • Personal Care
  • Personal Emergency Response System
  • Physical Therapy
  • Respiratory Therapy
  • Respite Care
  • Speech Therapy
  • Transportation


The state will send Medicaid recipients a letter notifying them as to whether or not they are required to enroll in Florida’s Statewide Medicaid Managed Care – Long-term Care program.

Note: The Statewide Medicaid Managed Care program will not change Medicare benefits.

 Recipients should consider the following when choosing a long-term care plan:


What services do I think I need? Assisted Living? Home Health? (Note: These are also known as direct service providers and must be in the plans network.)
Which plan has the providers I currently use or think I will need?
Are the providers I need a part of the plan?

 NOTE: If you need additional information about the program please contact your local Aging and Disability Resource Center (ADRC) at 1-800-96-ELDER (1-800-963-5337).

 

American Eldercare, Inc.
Phone: English 888-998-7732 
TDD Phone: English 1-800-955-8770 
TDD Phone: Spanish 1-800-955-8773 
http://www.americaneldercare.com

 
Molina Healthcare of Florida, Inc.
Phone: English 866-472-4585 
TDD Phone: English 1-800-955-8771 
http://www.molinahealthcare.com

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