Florida’s Statewide Medicaid Managed Care program splits the state into nine Medicaid regions, labeled A through I, and your county decides which one you’re in.1Florida Senate. Florida Code 409.966 – Statewide Managed Care Program The region you live in controls which managed care plans you can enroll in, which provider networks are available, and who you’ll see for care. The Agency for Health Care Administration (AHCA) contracts a limited set of plans to serve each region, so a plan operating in one part of the state usually isn’t an option somewhere else.
The Nine Medicaid Regions by County
Find your county in the list below to identify your region.1Florida Senate. Florida Code 409.966 – Statewide Managed Care Program
- Region A — Panhandle and Big Bend: Bay, Calhoun, Escambia, Franklin, Gadsden, Gulf, Holmes, Jackson, Jefferson, Leon, Liberty, Madison, Okaloosa, Santa Rosa, Taylor, Wakulla, Walton, and Washington.
- Region B — North Central and First Coast: Alachua, Baker, Bradford, Citrus, Clay, Columbia, Dixie, Duval, Flagler, Gilchrist, Hamilton, Hernando, Lafayette, Lake, Levy, Marion, Nassau, Putnam, St. Johns, Sumter, Suwannee, Union, and Volusia.
- Region C — Tampa Bay West: Pasco and Pinellas.
- Region D — Tampa Bay East and Heartland: Hardee, Highlands, Hillsborough, Manatee, and Polk.
- Region E — Central Florida: Brevard, Orange, Osceola, and Seminole.
- Region F — Southwest Florida: Charlotte, Collier, DeSoto, Glades, Hendry, Lee, and Sarasota.
- Region G — Treasure Coast and Palm Beach: Indian River, Martin, Okeechobee, Palm Beach, and St. Lucie.
- Region H — Broward: Broward.
- Region I — South Florida: Miami-Dade and Monroe.
If You’ve Seen a Different Numbering
Some older AHCA materials still refer to the program’s previous 11-region system, numbered 1 through 11. The current statutory framework uses the nine lettered regions above. County assignments are largely the same underneath, but several formerly separate regions were consolidated when the state moved to the letter system. If you see a numbered region on an older document, check the county list rather than the label.
Why Florida Uses Regions
Nearly all Florida Medicaid recipients are required to enroll in a managed care plan rather than receive services through traditional fee-for-service Medicaid.2Medicaid.gov. Managed Care in Florida The regional model lets AHCA match plan options and provider networks to local conditions. A rural Panhandle county and downtown Miami don’t have the same healthcare infrastructure, and the region structure acknowledges that instead of forcing one statewide arrangement.
Each contracted plan has to maintain a provider network within its region that meets state access standards, including adequate numbers of primary care doctors, specialists, and behavioral health providers so enrollees can actually get appointments.3Online Sunshine. Florida Code 409.967 – Managed Care Plan Accountability
How Your Region Shapes Your Plan Choices
The SMMC program has three parts, and only plans AHCA has contracted to operate in your region will appear as options during enrollment.4Florida Statewide Medicaid Managed Care. Health Plans and Program
- Managed Medical Assistance (MMA): The core medical coverage most enrollees use, including doctor visits, hospital stays, prescriptions, mental health care, and transportation to medical appointments.
- Long-Term Care (LTC): Nursing facility care, assisted living, and home-based long-term services. Enrollees must be at least 18 and meet a nursing-home level of care to qualify.
- Dental: All Medicaid recipients enroll in a prepaid dental plan covering both children and adults.
A plan available in Region E won’t show up for someone living in Region A. Denser regions typically offer more competing plans; smaller regions have fewer.
Statewide Specialty Plans
A handful of plans serve specific populations statewide, regardless of region. The Children’s Medical Services Network (CMSN) plan, operated by the Department of Health, covers children under 21 with chronic conditions or special healthcare needs anywhere in Florida.5Agency for Health Care Administration. Children’s Medical Services Network Plan A separate Child Welfare Specialty plan serves children in the care of the Department of Children and Families. If you qualify for a specialty plan based on your circumstances, the state may assign you to it automatically.
What Happens When You Move
If you move to a different county, update your address with AHCA right away. A move across region boundaries means your current plan may not operate in the new area, and you’ll need to select from the plans contracted for your new region. Even a move within the same region can change which of your plan’s in-network providers are conveniently located, so it’s worth reviewing your network after any relocation.
Finding Your Region and Getting Help
The quickest way to confirm your region and see your plan options is the SMMC program website at flmedicaidmanagedcare.com, which lets you look up plans by county or ZIP code. It lists every MMA, LTC, and dental plan currently contracted for your area.
For one-on-one help, Florida’s Medicaid Choice Counselors take calls at 1-877-711-3662 (TDD 1-866-467-4970).6Florida Statewide Medicaid Managed Care. Statewide Medicaid Managed Care Long-Term Care Services Brochure Counselors can explain the differences between plans available in your region, walk you through coverage details, and complete your enrollment. Face-to-face meetings in your community or at home are also available. Federal rules require these counselors to be independent, so they cannot steer you toward any particular plan.7eCFR. 42 CFR 438.71 – Beneficiary Support System