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medicaid

Navigating Florida Medicaid Managed Care Changes in 2025: What Providers and Billers Need to Know

Blog Post

Florida Medicaid Managed Care changes in 2025: Key updates for providers and billers under AHCA’s new SMMC 3.0 program. Learn what’s changing and what to do.


Claim.MD
May 8, 2025•Claim.MD
•1 minute read

On February 1, 2025, the Florida Agency for Health Care Administration (AHCA) officially rolled out its new Statewide Medicaid Managed Care (SMMC) 3.0 program. This transition moved nearly all Florida Medicaid recipients into managed care plans, marking a major shift away from traditional fee-for-service Medicaid. 

Learn about the key changes, implications for stakeholders, and recommended actions here.