Statewide Medicaid Managed Care Services

The Florida Agency for Health Care Administration (AHCA) has established a Master Agreement (FP118) with Florida Community Care, LLC, providing a comprehensive Statewide Medicaid Managed Care (SMMC) Indefinite Delivery Vehicle. This IDV covers a wide range of healthcare services, including Managed Medical Assistance (MMA), Long-Term Care (LTC), Comprehensive Intellectual and Developmental Disabilities (IDD) Pilot Program, and specialty plans for HIV/AIDS and Serious Mental Illness (SMI). The contract enables Florida Community Care to deliver extensive healthcare services across multiple regions, encompassing preventive care, specialty services, transportation, nutritional support, and health-related social services for diverse population segments such as Temporary Assistance for Needy Families (TANF), Supplemental Security Income (SSI), and Child Welfare populations.

The master agreement is awarded to Florida Community Care, LLC by the Agency for Health Care Administration, with a contract period from February 1, 2025, to December 31, 2030. The IDV covers the entire state of Florida and is structured as a Master Agreement with a total contract value not to exceed $51,151,005,711. Florida Community Care is required to maintain a performance bond of $56,000,000 and must meet specific performance targets for value-based purchasing, birth outcomes, and telemedicine access. The contract includes detailed capitation rates varying by region and population demographics, with potential performance incentives allowing the plan to retain up to an additional 1% of revenue for meeting defined quality standards.