FL MCD 2025 State Renewal

Plan Types

100

This plan covers services like doctor visits, hospital stays, prescriptions, mental health care, and transportation to these services.

MMA

200

This plan provides services and support for ongoing needs like nursing facility care or in home supports.

LTC

300

This plan covers both MMA and LTC services.

Humana Comprehensive Plan

400

This plan is new and covers those members enrolled who need support with HIV (Human Immunodeficiency Virus) or SMI (Severe Mental Illness) services.

Humana Specialty Plan

500

HIV/SMI + LTC and MMA: This is another new plan and includes LTC and MMA services and supports with the services received under the Humana Specialty Plan. 

Humana Specialty Comprehensive Plan

Benefits/Eligibility

100

This benefit is now $50 a month per household.

Over-the-counter (OTC) medications and supplies-
* $50 per month allowance enables households to purchase products that support common occurring conditions such as:
 - Pain relivers
 - Diaper rash cream
 - Cough and cold relief medicine
 - First aid equipment that do not require prescriptions.
* Unused amounts do not roll over to the next month.

200

Effective February 1, 2025 these letters are being discontinued and will no longer be available.

Disenrollment and Proof of Eligibility 

300

These regions require a referral for a specialist.

Effective February 1, 2025: Only Regions G, H, and I require referrals to specialists

400

This change was made to the housing assistance benefit.

Housing Assistance: MMA, HIV, and SMI:
Up to $500 per household per year (unused allowance does not roll over to the next year)

500

Members on this plan types will have two care coaches

Humana Specialty Comprehensive Plan

Complaints

100

For dental complaints the member needs to be advised:

• They must speak with their dental carrier to file a complaint or appeal.
• • The dental carrier will need their Medicaid ID. Give the Medicaid ID when needed.
• • Give the name and phone number of the dental carrier.

200

How are ABA complaints handled 

• The Behavioral Health team handles ABA calls. Transfer the caller to the Behavioral Health team for the following ABA inquiries (7dd: 1350402)

300

Mental health complaints are handled by Humana besides member in what region? 

Florida Regions 1–2 (A) Information

400

ABA Complaints prior to Feb. 1st is handled by who

If a member previously received care through AHCA's vendor, and they have questions or complaints about claims or other issues that resulted from before February 1, 2025, they must contact Acentra, formerly eQHealth Solutions at 855-444-3747.

500

The complaint is related to the HIV and/or SMI specialty plan we must also send what

1. Send an email to the Care Management Team at [e-mail] to advise that a member enrolled with the HIV and/or SMI specialty plan is filing a complaint.
2. Include the following in the email:
   • Name and Member ID number
   • Callback phone number
   • Details of the complaint