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Statewide Medicaid Managed Care
Frequently Asked Questions
 

General FAQ

  1. How do I change plans?
If you have been approved for Medicaid, you may change your plan during the first 120 days of your enrollment. After the 120 days, you will only be able to change your plan during your open enrollment period or with a State-approved For Cause reason.
  1. What is "Open Enrollment"?
Open Enrollment is the 60-day period each year when you can change plans without state approval.
  1. What is the "No Change Period"?

The No Change Period is the time period between the end of your initial first 120 days of enrollment and your 60-day annual open enrollment period. No change period also exists between your 60-day open enrollment periods going forward. Please refer to the chart below for reference. You will receive reminder letters assisting you with these time periods.


Exhibit 0-1: Enrollment Timeline

  1. What is "For Cause"?
This is a State-approved reason to change plans during the no change period.
  1. What happens to my plan if I relocate or my address changes?

If your address changes, you may need to select another plan if your region has changed. You may need to contact the Department of Children and Families (DCF) at 1‑866-762-2237 or the Social Security Administration (SSA) at 1-800-772-1213 to report a change in address.
 

Health Plan FAQ

  1. Will enrolling into MMA cancel my Medicare?
No, the MMA program will not cancel your Medicare. You are allowed to be enrolled in this program and Medicare at the same time because they cover different services.
  1. If I enroll in an MMA plan, will it change my enrollment in a Medicaid waiver?
No. If you are enrolled in an MMA plan, your enrollment in a Medicaid waiver will not change and your waiver services will not change.
  1. If my Long-term Care plan is also an MMA plan, can I choose it to be my MMA plan?
Yes. You can only be enrolled into one plan. If you are eligible for both LTC and MMA, you will receive services through the same plan.
  1. I have a special healthcare need. Are there special plans that will cover my needs?
Yes. All MMA plans cover people with special health care needs. There may also be special plans in your area for your health care needs. Also, if you have a child with a special health care need, the state’s Children’s Medical Services Network plan may be available to you. You may want to choose MMA plans that best meet your family’s needs.
  1. I am pregnant. How do I enroll my baby in my MMA plan?
If you are not enrolled into a Specialty plan, the State will enroll your baby into the same MMA plan. This will begin when your baby is born. Please tell your MMA plan and your doctor that you are pregnant. Your MMA plan can help you get the care you need. If you are enrolled in a Specialty plan, your baby will be assigned to a different MMA plan.
  1. When do I choose an MMA Plan?
An MMA plan may be chosen during the following events:
  • Upon application for Medicaid
  • Initial 120 days after plan enrollment

 

Dental FAQ

  1. Will enrolling into the Dental program cancel my Medicare?
No, the Dental program will not cancel your Medicare. You are allowed to be enrolled in this program and Medicare at the same time because they cover different services.
  1. If I enroll in a Dental plan, will it change my enrollment in a Medicaid waiver?
No, the Dental program will not cancel your Medicare. You are allowed to be enrolled in this program and Medicare at the same time because they cover different services.
  1. I am pregnant. How do I enroll my baby in my Dental plan?
The State will enroll your baby into the same Dental plan. This will begin when your baby is born.
  1. When do I choose a Dental plan?
A Dental plan may be changed during the following events:
  • Upon application for Medicaid
  • Initial 120 days after plan enrollment
  • Open Enrollment
  1. Why does my MMA no longer cover dental?
Florida Lawmakers asked the state (Agency For Healthcare Administration) to separate dental from the MMA plans and to cover the services under stand-alone Medicaid dental plans. Click here to see what dental plans are available.
  1. What extra benefits does my Dental plan cover?
All dental plans offer the same expanded (extra) benefits if you are 21 or older and with prior approval from your dental plan. Click here to see a list of expanded benefits.
  1. What services does my Dental plan cover?
For children, comprehensive dental care, including medically necessary dental services. For adults, all State Plan dental services. Such as dental exams, dental screenings, dental X-rays, and extractions. Click here to see a list of benefits.
  1. What dental plans are available?
The Medicaid dentals plans are DentaQuest and Liberty. Click here for plan contact information.
  1. Am I required to have a dental plan?
All Medicaid recipients, whether they are getting services through straight Medicaid or an MMA plan, are required to enroll in a dental plan. This includes Medically Needy and iBudget recipients. Please contact the State at 1-877-254-1055 for more information about enrollment in dental plans.
  1. I have a dental appointment scheduled but now my plan has changed. Can I still go to my appointment? Will it be covered?
Dental plans must cover any ongoing course of treatment for up to 90 days after the new plan’s start date if it was authorized prior to enrollment into the new plan. This is called continuity of care. Active Orthodontia services go beyond the 90-day period, the services last until the completion of care.
  1. My child has braces. If I change plans, will they still be covered?

Dental plans must cover any ongoing course of treatment for up to 90 days after the new plan’s start date if it was authorized prior to enrollment into the plan. This is called continuity of care. Active Orthodontia services go beyond the 90-day period, the services last until the completion of care.



Content Owner: SMMC
Version: 100
Date: March 10, 2025

Keywords: questions,frequent,faq,managed,care