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Medicaid Health Plans Summary

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Enrollment data are current as of July 1, 2023

Accreditation data are current as of July 1, 2023

Source: Florida Medicaid Monthly Enrollment Report

Health Plan Type	Plan Name	Number of Counties	counties	Statewide Enrollment	Accreditation Status
Medicaid Health Plan	Aetna Better Health of Florida	11	BrevardMiami-DadeHardeeHighlandsHillsboroughManateeMonroeOrangeOsceolaPolkSeminole	189,232	NCQA - 3 Year Accreditation
New Medicaid Health Plan	*Aetna Better Health of Florida - HIV/AIDS	11	BrevardMiami-DadeHardeeHighlandsHillsboroughManateeMonroeOrangeOsceolaPolkSeminole	N/A	NCQA - 3 Year Accreditation
New Medicaid Health Plan	*Aetna Better Health of Florida - SMI	11	BrevardMiami-DadeHardeeHighlandsHillsboroughManateeMonroeOrangeOsceolaPolkSeminole	N/A	NCQA - 3 Year Accreditation
Medicaid Health Plan	*Children's Medical Services	All Counties	All Counties	97,256	NCQA - 3 Year Accreditation
Medicaid Health Plan	Community Care Plan	19	BrevardBrowardCharlotteCollierMiami-DadeDeSotoGladesHendryIndian RiverLeeMartinMonroeOkeechobeeOrangeOsceolaPalm BeachSt. LucieSarasotaSeminole	56,478	NCQA - 3 Year Accreditation
New Medicaid Health Plan	*Community Care Plan - SMI	19	BrevardBrowardCharlotteCollierMiami-DadeDeSotoGladesHendryIndian RiverLeeMartinMonroeOkeechobeeOrangeOsceolaPalm BeachSt. LucieSarasotaSeminole	N/A	NCQA - 3 Year Accreditation
Medicaid Health Plan	Florida Community Care	17	BrevardBrowardCharlotteCollierDeSotoGladesHendryIndian RiverLeeMartinOkeechobeeOrangeOsceolaPalm BeachSt. LucieSarasotaSeminole	17,099	AAAHC - 3 Year Accreditation
New Medicaid Health Plan	*Florida Community Care - HIV/AIDS	50	AlachuaBakerBayBradfordCalhounCitrusClayColumbiaMiami-DadeDixieDuvalEscambiaFlaglerFranklinGadsdenGilchristGulfHamiltonHardeeHernandoHighlandsHillsboroughHolmesJacksonJeffersonLafayetteLakeLeonLevyLibertyMadisonManateeMarionMonroeNassauOkaloosaPascoPinellasPolkPutnamSt. JohnsSanta RosaSumterSuwanneeTaylorUnionVolusiaWakullaWaltonWashington	N/A	AAAHC - 3 Year Accreditation
New Medicaid Health Plan	*Florida Community Care - SMI	50	AlachuaBakerBayBradfordCalhounCitrusClayColumbiaMiami-DadeDixieDuvalEscambiaFlaglerFranklinGadsdenGilchristGulfHamiltonHardeeHernandoHighlandsHillsboroughHolmesJacksonJeffersonLafayetteLakeLeonLevyLibertyMadisonManateeMarionMonroeNassauOkaloosaPascoPinellasPolkPutnamSt. JohnsSanta RosaSumterSuwanneeTaylorUnionVolusiaWakullaWaltonWashington	N/A	AAAHC - 3 Year Accreditation
Medicaid Health Plan	Humana Medical Plan, Inc.	All Counties	All Counties	729,343	NCQA - 3 Year Accreditation
New Medicaid Health Plan	*Humana Medical Plan, Inc. - HIV/AIDS	All Counties	All Counties	N/A	NCQA - 3 Year Accreditation
New Medicaid Health Plan	*Humana Medical Plan, Inc. - SMI	All Counties	All Counties	N/A	NCQA - 3 Year Accreditation
Medicaid Health Plan	Molina Healthcare of Florida, Inc.	2	Miami-DadeMonroe	131,310	NCQA - 3 Year Accreditation
New Medicaid Health Plan	*Molina Healthcare of Florida, Inc. - HIV/AIDS	2	Miami-DadeMonroe	N/A	NCQA - 3 Year Accreditation
Medicaid Health Plan	*Molina Healthcare of Florida, Inc. - SMI	2	Miami-DadeMonroe	25,884	NCQA - 3 Year Accreditation
Medicaid Health Plan	Simply Healthcare Plans, Inc.	All Counties	All Counties	721,618	NCQA - 3 Year Accreditation
Medicaid Health Plan	Clear Health Alliance – HIV/AIDS	All Counties	All Counties	12,466	NCQA - 3 Year Accreditation
New Medicaid Health Plan	Simply Healthcare Plans, Inc. - SMI	All Counties	All Counties	N/A	NCQA - 3 Year Accreditation
Medicaid Health Plan	Sunshine State Health Plan, Inc.	All Counties	All Counties	1,401,515	NCQA - 3 Year Accreditation
Medicaid Health Plan	*Sunshine Health Child Welfare Specialty Plan	All Counties	All Counties	42,498	NCQA - 3 Year Accreditation
New Medicaid Health Plan	*Sunshine State Health Plan, Inc. - HIV/AIDS	All Counties	All Counties	N/A	NCQA - 3 Year Accreditation
Medicaid Health Plan	*Sunshine State Health Plan, Inc. - SMI	All Counties	All Counties	154,018	NCQA - 3 Year Accreditation
Medicaid Health Plan	United Healthcare of Florida, Inc.	30	AlachuaBakerBradfordCitrusClayColumbiaMiami-DadeDixieDuvalFlaglerGilchristHamiltonHardeeHernandoHighlandsHillsboroughLafayetteLakeLevyManateeMarionMonroeNassauPolkPutnamSt. JohnsSumterSuwanneeUnionVolusia	366,743	NCQA - 3 Year Accreditation
New Medicaid Health Plan	United Healthcare of Florida, Inc. - HIV/AIDS	30	AlachuaBakerBradfordCitrusClayColumbiaMiami-DadeDixieDuvalFlaglerGilchristHamiltonHardeeHernandoHighlandsHillsboroughLafayetteLakeLevyManateeMarionMonroeNassauPolkPutnamSt. JohnsSumterSuwanneeUnionVolusia	N/A	NCQA - 3 Year Accreditation
New Medicaid Health Plan	United Healthcare of Florida, Inc. - SMI	30	AlachuaBakerBradfordCitrusClayColumbiaMiami-DadeDixieDuvalFlaglerGilchristHamiltonHardeeHernandoHighlandsHillsboroughLafayetteLakeLevyManateeMarionMonroeNassauPolkPutnamSt. JohnsSumterSuwanneeUnionVolusia	N/A	NCQA - 3 Year Accreditation

Health Plan Type	Plan Name	Number of Counties/ Service Area	counties	Statewide Enrollment	Accreditation Status
Medicaid Health Plan	Aetna Better Health of Florida	11	BrevardMiami-DadeHardeeHighlandsHillsboroughManateeMonroeOrangeOsceolaPolkSeminole	189,232	NCQA - 3 Year Accreditation
New Medicaid Health Plan	*Aetna Better Health of Florida - HIV/AIDS	11	BrevardMiami-DadeHardeeHighlandsHillsboroughManateeMonroeOrangeOsceolaPolkSeminole	N/A	NCQA - 3 Year Accreditation
New Medicaid Health Plan	*Aetna Better Health of Florida - SMI	11	BrevardMiami-DadeHardeeHighlandsHillsboroughManateeMonroeOrangeOsceolaPolkSeminole	N/A	NCQA - 3 Year Accreditation
Medicaid Health Plan	*Children's Medical Services	All Counties	All Counties	97,256	NCQA - 3 Year Accreditation
Medicaid Health Plan	Community Care Plan	19	BrevardBrowardCharlotteCollierMiami-DadeDeSotoGladesHendryIndian RiverLeeMartinMonroeOkeechobeeOrangeOsceolaPalm BeachSt. LucieSarasotaSeminole	56,478	NCQA - 3 Year Accreditation
New Medicaid Health Plan	*Community Care Plan - SMI	19	BrevardBrowardCharlotteCollierMiami-DadeDeSotoGladesHendryIndian RiverLeeMartinMonroeOkeechobeeOrangeOsceolaPalm BeachSt. LucieSarasotaSeminole	N/A	NCQA - 3 Year Accreditation
Medicaid Health Plan	Florida Community Care	17	BrevardBrowardCharlotteCollierDeSotoGladesHendryIndian RiverLeeMartinOkeechobeeOrangeOsceolaPalm BeachSt. LucieSarasotaSeminole	17,099	AAAHC - 3 Year Accreditation
New Medicaid Health Plan	*Florida Community Care - HIV/AIDS	50	AlachuaBakerBayBradfordCalhounCitrusClayColumbiaMiami-DadeDixieDuvalEscambiaFlaglerFranklinGadsdenGilchristGulfHamiltonHardeeHernandoHighlandsHillsboroughHolmesJacksonJeffersonLafayetteLakeLeonLevyLibertyMadisonManateeMarionMonroeNassauOkaloosaPascoPinellasPolkPutnamSt. JohnsSanta RosaSumterSuwanneeTaylorUnionVolusiaWakullaWaltonWashington	N/A	AAAHC - 3 Year Accreditation
New Medicaid Health Plan	*Florida Community Care - SMI	50	AlachuaBakerBayBradfordCalhounCitrusClayColumbiaMiami-DadeDixieDuvalEscambiaFlaglerFranklinGadsdenGilchristGulfHamiltonHardeeHernandoHighlandsHillsboroughHolmesJacksonJeffersonLafayetteLakeLeonLevyLibertyMadisonManateeMarionMonroeNassauOkaloosaPascoPinellasPolkPutnamSt. JohnsSanta RosaSumterSuwanneeTaylorUnionVolusiaWakullaWaltonWashington	N/A	AAAHC - 3 Year Accreditation
Medicaid Health Plan	Humana Medical Plan, Inc.	All Counties	All Counties	729,343	NCQA - 3 Year Accreditation
New Medicaid Health Plan	*Humana Medical Plan, Inc. - HIV/AIDS	All Counties	All Counties	N/A	NCQA - 3 Year Accreditation
New Medicaid Health Plan	*Humana Medical Plan, Inc. - SMI	All Counties	All Counties	N/A	NCQA - 3 Year Accreditation
Medicaid Health Plan	Molina Healthcare of Florida, Inc.	2	Miami-DadeMonroe	131,310	NCQA - 3 Year Accreditation
New Medicaid Health Plan	*Molina Healthcare of Florida, Inc. - HIV/AIDS	2	Miami-DadeMonroe	N/A	NCQA - 3 Year Accreditation
Medicaid Health Plan	*Molina Healthcare of Florida, Inc. - SMI	2	Miami-DadeMonroe	25,884	NCQA - 3 Year Accreditation
Medicaid Health Plan	Simply Healthcare Plans, Inc.	All Counties	All Counties	721,618	NCQA - 3 Year Accreditation
Medicaid Health Plan	Clear Health Alliance – HIV/AIDS	All Counties	All Counties	12,466	NCQA - 3 Year Accreditation
New Medicaid Health Plan	Simply Healthcare Plans, Inc. - SMI	All Counties	All Counties	N/A	NCQA - 3 Year Accreditation
Medicaid Health Plan	Sunshine State Health Plan, Inc.	All Counties	All Counties	1,401,515	NCQA - 3 Year Accreditation
Medicaid Health Plan	*Sunshine Health Child Welfare Specialty Plan	All Counties	All Counties	42,498	NCQA - 3 Year Accreditation
New Medicaid Health Plan	*Sunshine State Health Plan, Inc. - HIV/AIDS	All Counties	All Counties	N/A	NCQA - 3 Year Accreditation
Medicaid Health Plan	*Sunshine State Health Plan, Inc. - SMI	All Counties	All Counties	154,018	NCQA - 3 Year Accreditation
Medicaid Health Plan	United Healthcare of Florida, Inc.	30	AlachuaBakerBradfordCitrusClayColumbiaMiami-DadeDixieDuvalFlaglerGilchristHamiltonHardeeHernandoHighlandsHillsboroughLafayetteLakeLevyManateeMarionMonroeNassauPolkPutnamSt. JohnsSumterSuwanneeUnionVolusia	366,743	NCQA - 3 Year Accreditation
New Medicaid Health Plan	United Healthcare of Florida, Inc. - HIV/AIDS	30	AlachuaBakerBradfordCitrusClayColumbiaMiami-DadeDixieDuvalFlaglerGilchristHamiltonHardeeHernandoHighlandsHillsboroughLafayetteLakeLevyManateeMarionMonroeNassauPolkPutnamSt. JohnsSumterSuwanneeUnionVolusia	N/A	NCQA - 3 Year Accreditation
New Medicaid Health Plan	United Healthcare of Florida, Inc. - SMI	30	AlachuaBakerBradfordCitrusClayColumbiaMiami-DadeDixieDuvalFlaglerGilchristHamiltonHardeeHernandoHighlandsHillsboroughLafayetteLakeLevyManateeMarionMonroeNassauPolkPutnamSt. JohnsSumterSuwanneeUnionVolusia	N/A	NCQA - 3 Year Accreditation

* These plans only serve people with certain diagnoses or conditions.

	Best	at or above 50% of all Medicaid health plans' scores
	Good	better than at least 40% of all Medicaid health plans' scores
	Fair	better than at least 25% of all Medicaid health plans' scores
	Poor	better than at least 10% of all Medicaid health plans' scores
	Very Poor	worse than 90% of all Medicaid health plans' scores
N/A		Not Measurable/Small Population
N/A*		These plans began operation in February 2025 and do not have data for CY2022
N/R		Not Rated

N/A	- Not Measurable/Small Population
N/A*	- These plans began operation in February 2025 and do not have data for CY2022
N/R	- Not Rated

	Best	at or above 50% of all health plans' scores
	Good	better than at least 40% of all health plans' scores
	Fair	better than at least 25% of all health plans' scores
	Poor	better than at least 10% of all health plans' scores
	Very Poor	worse than 90% of all health plans' scores
N/A		Not Measurable/Small Population
N/R		Not Rated

N/A	- Not Measurable/Small Population
N/R	- Not Rated

N/A	- Not Measurable/Small Population
N/R	- Not Rated

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