Centers for Medicare & Medicaid Services

Health Plan Overview

Insurance Company	Centers for Medicare & Medicaid Services
State	Florida
Website	medicaid.gov
Number of Hospitals in Network	14
Number of Plans Offered	6

Network Hospital Locations

Hospitals in Network (14)

Bethesda Hospital EastBaptist HospitalBaptist Medical CenterHomestead HospitalSouth Miami HospitalBoca Raton Regional HospitalGulf Breeze HospitalFlorida State Hospital Unit 31 MedWest Kendall Baptist HospitalBaptist Health Fishermen's Community HospitalMariners HospitalNemours Children's Hospital, FloridaEastside Psychiatric Hospital - Apalachee CenterWekiva Springs Center

Available Plans

HMO

3 plans

Medicaid

3 plans

Plan Details

Plan Name	Plan Type
All Medicaid insurance plans	Medicaid
CMS Medicaid	Medicaid
Medicaid HMOs	HMO
Medicaid Managed Care Medical Plans	HMO
Medicaid Replacement Plans	HMO
Traditional Medicaid	Medicaid

Recent News

2025-03-17

Florida has refiled a lawsuit against CMS regarding finalized rules on continuous eligibility for Medicaid. Separately, CMS approved Florida's waiver in December 2024 to expand eligibility for subsidized KidCare but requested a plan to demonstrate compliance with the continuous eligibility requirement.

2024-12-24

CMS has selected Florida as one of five states for in-person visits in 2025. The purpose of these visits is to provide targeted assistance to ensure compliance with provider enrollment, screening, and disclosure requirements, aiming to reduce payment error rates. This was noted in CMS activities for Quarter 1 of FY 2025.

2024-10-01

Florida has an approved State Directed Payment Preprint from CMS. This approval allows for a uniform increase for eligible public safety net hospitals for inpatient and outpatient services for the period of October 1, 2024, through September 30, 2025, with an approved amount of up to $388,500,819.