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Frequently Asked Questions
Managed Medical Assistant Program (MMA)

Recipients Who Are Required To Enroll In A Plan

QUESTION (Q)* ANSWER (A)

 

Q:          What if my current plan will not participate in the MMA program?

A:         If your current plan is not participating in the MMA program, you must pick a different plan. The plan you pick must cover your services with your current providers for up to 60 days while you move to new providers in the plan's network. You may want to pick the plan that has most of the doctors and service providers that are important to you.

 

Q:        What if no MMA plans include all of my current providers?

A:         The plan you pick must cover your services with your current providers for up to 60 days while you move to new providers in the plan's network. You may want to pick the plan that has most of the doctors and service providers that are important to you.

 

Q:        What if I do not choose an MMA plan?

A:         If you do not choose an MMA plan in time, the State will choose one for you. Your packet includes the name of the MMA plan that would be chosen for you and the MMA plan's start date. Also keep in mind that you will have 90 days to change your MMA plan from the date your enrollment in the plan begins. After 90 days, you may only change your plan during Open Enrollment or with a state-approved good cause reason. Open Enrollment is a period of time, once a year that allows you to change plans without a state-approved reason.

 

Q:        I am enrolled in the Medicaid MediPass program. Can I stay under MediPass?

A:         No. The MediPass program is going away. You must choose an MMA plan that best fits your needs.

 

Q:        I am enrolled in a Medicaid dental plan. Can I stay in it?

A:         No. The Medicaid dental plans are going away. Dental services are now being covered by the MMA plans. You will want to choose an MMA plan that best meets your needs.

 

Q:        I am enrolled in a Medicaid prepaid mental health plan. Can I stay in it?

A:         No. The Medicaid prepaid mental health plans are going away. Mental health services are now being covered by the MMA plans. You will want to choose an MMA plan that best meets your needs.

 

Q:        I am on straight Medicaid (fee-for-service Medicaid). I received a letter that stated I must choose an MMA plan. Can I choose to stay on straight Medicaid or fee-for-service?

A:         Because of changes in Florida law, most people on Medicaid must enroll in an MMA plan and cannot stay on fee-for-service Medicaid. If you do not choose an MMA plan by the date stated in the letter, the State will choose one for you.

 

Q:        Will my MMA program or enrollment into this program cancel my Medicare?

A:         No, the MMA program will not change your Medicare. You are allowed to be enrolled in this program and Medicare at the same time because they cover different services.

 

Q:        Will my current providers, including physician doctor's visit, hospital, mental health or transportation to covered services be available in the new program?

A:        Each plan will have its own network of providers, which may include your current providers and/or facilities. Each plan must cover all of the Medicaid services listed, below. When you receive your enrollment packet, review the list of services provided by each plan. You may want to choose a plan that has your current providers and/or facilities in its network.

 

The Services listed will be available through all MMA Plans

Physician Services, Including 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, prostheses, and orthoses

Chiropractic services

Nursing care

Family planning services and supplies

Podiatric services

Healthy Start services

Physical, occupational, respiratory, and speech therapy services

Hearing services

Laboratory and imaging services

Home health services

Renal dialysis services

Hospice services

Respiratory equipment and supplies

Optometrist services

Rural health clinic services

Birthing center services

Substances abuse treatment services

Transportation to covered services

 

 

 

Members of the public can email comments and suggestions about the Statewide Medicaid Managed Care program to:

FLMedicaidmanagedcare@ahca.myflorida.com

Or mail them to:

Statewide Medicaid Managed Care program

Office of the Deputy Secretary for Medicaid

Agency for Health Care Administration

2727 Mahan Drive, MS #8

Tallahassee, Florida 32308

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