Authorizations
How to Become a Medicaid Provider for Home Care
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
Which Medicaid managed care plans do home care agencies contract with in Florida?
Last verified October 17, 2026 · All Florida resources
Florida delivers long-term services and supports through 6 managed care plans in Statewide Medicaid Managed Care (SMMC) Long-Term Care program. Florida delivers Medicaid home and community-based long-term care, including personal care and homemaker services, through the SMMC Long-Term Care program, run by managed care plans under contracts that began February 1, 2025. Agencies contract with the plans that operate in their region. The state awarded Comprehensive Long-term Care Plus contracts to Humana, Simply Healthcare, Sunshine Health, Florida Community Care and Community Care Plan, and the state's choice counseling site also lists an LTC line for Aetna Better Health of Florida.
Which plans are there?
- Humana Medical Plan, Inc. (Humana Healthy Horizons)
- Simply Healthcare Plans, Inc.
- Sunshine State Health Plan, Inc. (Sunshine Health)
- Florida Community Care, LLC
- South Florida Community Care Network, LLC d/b/a Community Care Plan
- Aetna Better Health of Florida
Since February 2025 SMMC uses nine lettered regions (A to I). Humana, Simply and Sunshine were awarded statewide Comprehensive Long-term Care Plus contracts; Florida Community Care was awarded Regions A, B, C, D and I, and Community Care Plan Regions E, F, G, H and I.
For the programs that pay for home care, see Florida Medicaid waivers.
What should you confirm with the state?
Confirm which LTC plans operate in your region with AHCA or the plans, since region assignments changed in 2025.
More for Florida
Medicaid managed care by state: other states
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Authorizations
How Do You Keep Caregiver Hours Inside a Medicaid Authorization?
Track units remaining, the end date and the service code for every client, and check them before each schedule change. Hours over the cap are unbillable.
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