Agency: Florida Agency for Health Care Administration
Market: Florida
Line of Business: Medicaid
Market: Florida
Line of Business: Medicaid
Agency: Florida Agency for Health Care Administration
Source: Medicaid Actuarial Services
Advanced financial and statistical support relating to Capitation Rates, Risk Adjustment Models, and Payment Methodologies.
Medicaid Actuarial Services
Institutional Reimbursement
Medicaid Actuarial Services
This post is useful for those seeking information on Medicaid actuarial services and related rates in Florida.
- Outlines Medicaid actuarial services provided by the Bureau, including advanced financial and statistical support for Capitation Rates, Risk Adjustment Models, and Payment Methodologies.
- Provides information on Managed Medical Assistance (MMA), Long-Term Care (LTC), and Dental Capitation Rates for various years.
- Includes a link to a Special Needs Plan Revenue and Expense Schedule Statement Template Tool.
Unit Responsibilities include:
- Support of Capitation Rate Development and Adjustment
- Management of External Actuarial Service Contracts
- Monitoring Medicaid Program Changes
- Trend Analysis
- Rate Impact Analysis
Medicaid Actuarial Services
This post is useful for those seeking information on Medicaid actuarial services and related rates in Florida.
- Outlines Medicaid actuarial services provided by the Bureau, including advanced financial and statistical support for Capitation Rates, Risk Adjustment Models, and Payment Methodologies.
- Provides information on Managed Medical Assistance (MMA), Long-Term Care (LTC), and Dental Capitation Rates for various years.
- Includes a link to a Special Needs Plan Revenue and Expense Schedule Statement Template Tool.
For Institutional Reimbursement rates, please click here.
SMMC Capitation Information
Managed Medical Assistance (MMA)
- 2022/2023 MMA Capitation Rates (October 2022 – September 2023) [
152.2 kB ]
- 2021/2022 MMA Capitation Rates (October 2021 – September 2022) [
422.8 kB ]
- 2020/2021 MMA Capitation Rates (October 2020 – September 2021) [
423.5 kB ]
- 2019/2020 MMA Capitation Rates (October 2019 – September 2020) [
460 kB ]
- 2018/2019 MMA Capitation Rates (SMMC Implementation – September 2019) [
405.3 kB ]
- Interim MMA Capitation Rates (October 2018 – SMMC Implementation) [
391 kB ]
- 2017/2018 MMA Capitation Rates (October 2017 – September 2018) [
442.6 kB ]
- 2016/2017 MMA Capitation Rates (September 2016 – September 2017) [
264.9 kB ]
- 2015/2016 MMA Capitation Rates (September 2015 – August 2016) [
89.8 kB ]
- 2014/2015 MMA Capitation Rates (July 2014 – August 2015) [
306.6 kB ]
- 2014 MMA Capitation Rates (May 2014 – June 2014) [
85.7 kB ]
Long-Term Care (LTC)
- 2022/2023 LTC Capitation Rates (October 2022 – September 2023) [
107.9 kB ]
- 2021/2022 LTC Capitation Rates (October 2021 – September 2022) [
401 kB ]
- 2020/2021 LTC Capitation Rates (October 2020 – September 2021) [
396.9 kB ]
- 2019/2020 LTC Capitation Rates (October 2019 – September 2020) [
398.8 kB ]
- 2018/2019 LTC Capitation Rates (SMMC Implementation – September 2019) [
395.4 kB ]
- Interim LTC Capitation Rates (October 2018 – SMMC Implementation) [
395.5 kB ]
- 2017/2018 LTC Capitation Rates (October 2017 – September 2018) [
394.6 kB ]
- 2016/2017 LTC Capitation Rates (September 2016 – September 2017) [
157.4 kB ]
- 2015/2016 LTC Capitation Rates (September 2015 – August 2016) [
55.9 kB ]
- 2014/2015 LTC Capitation Rates (September 2014 – August 2015) [
70.1 kB ]
- 2013/2014 LTC Capitation Rates (August 2013 – August 2014) [
55.7 kB ]
Dental
- 2022/2023 Dental Capitation Rates (October 2022 – September 2023) [
58.7 kB ]
- 2021/2022 Dental Capitation Rates (October 2021 – September 2022) [
378.9 kB ]
- 2020/2021 Dental Capitation Rates (October 2020 – September 2021) [
378.9 kB ]
- 2019/2020 Dental Capitation Rates (October 2019 – September 2020) [
59.8 kB ]
- 2018/2019 Dental Capitation Rates (SMMC Implementation – September 2019) [
374.9 kB ]
Medicare Dual Eligible Special Needs Plans (D-SNPs) and Fully Liable Medicare Advantage Plans
Special Needs Plan Revenue and Expense Schedule Statement Template Tool [ 160.5 kB ] Effective July 1
This dataset contains the total number of Medi-Cal Managed Care enrollees based on the reported month, plan type, county, and health plan.
Medi-Cal Managed Care Enrollment Report
The Medi-Cal Managed Care Enrollment Report is a dataset that contains information about the number of people enrolled in Medi-Cal Managed Care plans based on reported month, plan type, county, and health plan. This report is an important tool for policymakers and researchers who want to better understand the state of healthcare in California.

The dataset provides valuable insights into the number of people enrolled in Medi-Cal Managed Care plans, which are designed to provide affordable healthcare to low-income Californians. By analyzing the data in the report, policymakers and researchers can identify trends in enrollment, plan type, and county-level differences in enrollment rates.
One important trend that the report highlights is the increasing popularity of Medi-Cal Managed Care plans. As of the latest reported month, the total number of people enrolled in these plans was higher than ever before, indicating that more Californians are taking advantage of these affordable healthcare options.
Another important trend is the differences in enrollment rates across different counties in California. The report shows that some counties have higher enrollment rates than others, indicating that there may be disparities in access to healthcare across the state.
Overall, the Medi-Cal Managed Care Enrollment Report is an essential resource for anyone interested in understanding the state of healthcare in California. By providing detailed information about enrollment in Medi-Cal Managed Care plans, this report can help policymakers and researchers identify areas where improvements can be made, and ensure that all Californians have access to affordable, high-quality healthcare.
Medi-Cal Managed Care Enrollment Report
The Birth Count Query System is a highly useful online tool provided by the Florida Department of Health. It offers a plethora of data on birth counts in Florida, and can be accessed easily through this link: https://www.flhealthcharts.gov/FLQUERY_New/Birth/Count.
This comprehensive tool is an excellent resource for researchers and analysts who are interested in delving deeper into birth trends in Florida. The system provides data that is updated regularly, offering a wealth of information on birth counts across different areas of the state, as well as various demographics. By using this system, researchers and analysts can gain valuable insights into the factors that affect birth rates in Florida, and can make informed decisions based on the data provided by the tool. Additionally, the system can also be used to identify areas where further research is needed, helping to drive innovation in the field of birth rate analysis.