What is MMA PLAN and what does it covers?

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

In 2011, the Florida Legislature created a new program called Statewide Medicaid Managed Care (SMMC). Because of this program, the Agency for Health Care Administration (AHCA) will need to change how some individuals receive their health care from the Florida Medicaid Program.

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?

Florida’s SMMC program is changing the way Medicaid health care services are provided. This means that Medicaid members will receive their health care services through a managed care plan. Keep in mind that MMA plans will 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

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

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