FL MEDICAID MARKET

Florida

Name: Florida Medicaid Managed Care RFP & Procurement Intelligence | Precapture
Creator: Precapture

transition

Molina assumes statewide CMS Plan operations October 1, 2026

Last verified 51 days ago

Last verified 51 days ago · unknown because newest item is older than 21 days

AWARD

Verification tier 2

Florida sets eight-month continuity protection for October 1 CMS Plan transition to Molina

November 10, 2025

Florida AHCA confirms that Molina Healthcare of Florida will assume statewide Children's Medical Services Plan operations from Sunshine Health on October 1, 2026. In a September 25 provider alert, AHCA said Molina's continuity-of-care period may extend through May 31, 2027: services authorized by Sunshine and documented courses of treatment in effect on October 1 remain covered until the authorization, treatment course or continuity period ends, or a new care plan and services are authorized, whichever occurs first. Members may continue seeing current providers during that period, and Molina must reimburse non-participating providers at their prior rate unless an alternative rate is agreed.

Precapture analysis

The eight-month protection materially lowers immediate disruption risk but creates a measurable transition test for Molina across authorization migration, out-of-network reimbursement, care-plan conversion, provider support and complaint resolution for medically complex children.

Plans in market

Plans in market 10

Aetna Better Health · Statewide Medicaid Managed Care · incumbent · source · as of 2025-02-04
Community Care Plan · Statewide Medicaid Managed Care · incumbent · source · as of 2025-02-04
Florida Community Care · Statewide Medicaid Managed Care · incumbent · source · as of 2025-02-04
Humana Medical Plan · Statewide Medicaid Managed Care · incumbent · source · as of 2025-02-04
Molina Healthcare · Statewide Medicaid Managed Care · incumbent · source · as of 2025-02-04

show all 10

Simply Healthcare · Statewide Medicaid Managed Care · incumbent · source · as of 2025-02-04
Sunshine Health · Statewide Medicaid Managed Care · incumbent · source · as of 2025-02-04
UnitedHealthcare · Statewide Medicaid Managed Care · incumbent · source · as of 2025-02-04
DentaQuest · SMMC Dental · incumbent · source · as of 2025-02-04
Liberty · SMMC Dental · incumbent · source · as of 2025-02-04

Plans in this market

Parent, plan, and program come from the plan graph. Enrollment and share use the latest CMS reported count. Operations counts are CMS MCPAR. A dollar amount is not on this page.

Plans in this market 210

Parent	Plan	Programs	Latest CMS enrollment	Share	MCPAR operations
not reported	AIDS Healthcare Foundation DBA Positive Healthcare, Inc.	not reported	1,958 (2018)	0.1% calculated	not reported
not reported	Positive Healthcare, Inc.	not reported	2,006 (2017)	0.1% calculated	not reported
not reported	Alignment	not reported	78 (2024)	0.0% calculated	not reported
Independence Blue Cross	AmeriHealth	not reported	44 (2024)	0.0% calculated	1 sanctions, 866 appeals resolved
AmeriHealth Caritas	Prestige Health Choice	not reported	106,105 (2021)	2.8% calculated	not reported

show all 210

Parent	Plan	Programs	Latest CMS enrollment	Share	MCPAR operations
AmeriHealth Caritas	AmeriHealth Caritas Florida	not reported	0 (2023)	0.0% calculated	not reported
not reported	Solis Health Plans, Inc.	not reported	1,203 (2024)	0.2% calculated	not reported
not reported	Lighthouse Health Plan, LLC	not reported	36,101 (2020)	1.1% calculated	not reported
CVS/Aetna	Aetna Better Health	not reported	148,692 (2021)	3.9% calculated	not reported
CVS/Aetna	Aetna Better Health	not reported	139,257 (2024)	5.2% calculated	not reported
CVS/Aetna	Aetna DBA Coventry Healthcare of FL, Inc.	not reported	50,172 (2018)	1.7% calculated	1 sanctions, 1,459 appeals resolved
CVS/Aetna	Aetna Health, Inc.	not reported	27,775 (2024)	4.9% calculated	not reported
CVS/Aetna	Coventry Healthcare of FL, Inc.	not reported	57,188 (2017)	1.8% calculated	not reported
not reported	DentaQuest	not reported	1,747,851 (2021)	43.2% calculated	not reported
not reported	Liberty	not reported	1,340,372 (2021)	33.1% calculated	not reported
Centene	Centene DBA Sunshine State Health Plan, Inc.	not reported	476,762 (2018)	15.8% calculated	not reported
Centene	Centene Venture Company Florida	not reported	264 (2024)	0.0% calculated	not reported
Centene	Magellan Complete Care, LLC	not reported	82,150 (2018)	2.7% calculated	not reported
Centene	Magellan Complete Care, LLC	not reported	25,100 (2021)	0.7% calculated	not reported
Centene	Magellan Complete Care, LLC.	not reported	65,329 (2017)	2.1% calculated	not reported
Centene	Staywell	not reported	660,996 (2017)	20.8% calculated	not reported
Centene	Staywell	not reported	7,322 (2019)	6.5% calculated	not reported
Centene	Staywell	not reported	10,838 (2020)	9.1% calculated	not reported
Centene	Staywell	not reported	11,865 (2021)	9.8% calculated	not reported
Centene	Staywell Health Plan of Florida	not reported	906,142 (2021)	23.8% calculated	not reported
Centene	Staywell Serious Mental Illness	not reported	103,737 (2020)	3.2% calculated	not reported
Centene	Staywell Serious Mental Illness	not reported	135,642 (2021)	3.6% calculated	not reported
Centene	Staywell-Serious Mental Illness	not reported	75,354 (2019)	2.5% calculated	not reported
Centene	Sunshine Sate Health Plan, Inc.	not reported	599,172 (2021)	15.7% calculated	not reported
Centene	Sunshine State Health Plan - Child Welfare	not reported	38,591 (2021)	1.0% calculated	not reported
Centene	Sunshine State Health Plan - SMI (Specialty Plan)	not reported	108,190 (2024)	31.1% calculated	not reported
Centene	Sunshine State Health Plan – Child Welfare	not reported	33,933 (2019)	1.1% calculated	not reported
Centene	Sunshine State Health Plan, Inc.	not reported	46,632 (2024)	8.2% calculated	1 sanctions, 27,009 appeals resolved
Centene	Sunshine State Health Plan, Inc.	not reported	31,933 (2021)	26.3% calculated	not reported
Centene	Sunshine State Health Plan, Inc.	not reported	1,089,262 (2024)	40.3% calculated	not reported
Centene	Sunshine State Health Plan, Inc. - Specialty Plan - Child Welfare	not reported	42,464 (2023)	1.1% calculated	not reported
Centene	Wellcare Health Insurance of Arizona, Inc.	not reported	352 (2024)	0.1% calculated	not reported
Centene	Wellcare Health Plan of Florida DBA Staywell	not reported	633,781 (2018)	20.9% calculated	not reported
not reported	Children's Medical Services Network	not reported	87,727 (2024)	25.2% calculated	not reported
not reported	Children's Medical Services Network - Specialty Plan	not reported	98,031 (2023)	20.6% calculated	3,957 appeals resolved
Cigna	Healthspring of FL, Inc.	not reported	1,835 (2024)	0.3% calculated	not reported
Cigna	Healthspring of Florida, Inc.	not reported	2,386 (2023)	0.4% calculated	not reported
not reported	South Florida Community Care Network DBA Community Care Plan	not reported	40,948 (2018)	1.4% calculated	not reported
Community Care Plan	Community Care Plan	not reported	40,057 (2024)	11.5% calculated	1 sanctions, 61 appeals resolved
not reported	NE PACE Partners	not reported	124 (2021)	4.0% calculated	not reported
not reported	DentaQuest of Florida, Inc.	not reported	1,275,169 (2024)	41.2% calculated	5,987 appeals resolved
not reported	Devoted Health Plan of Florida, Inc.	not reported	9,045 (2024)	1.6% calculated	not reported
not reported	Doctors Healthcare Plans, Inc.	not reported	2,536 (2024)	0.4% calculated	not reported
Elevance	Amerigroup Florida, Inc.	not reported	330,692 (2017)	10.4% calculated	not reported
Elevance	Amerigroup Florida, Inc.	not reported	305,344 (2018)	10.1% calculated	not reported
Elevance	Better Health, Inc.	not reported	100,744 (2017)	3.2% calculated	not reported
Elevance	Better Health, Inc.	not reported	93,304 (2018)	3.1% calculated	not reported
Elevance	Clear Health Alliance	not reported	9,922 (2019)	0.3% calculated	not reported
Elevance	Clear Health Alliance	not reported	10,837 (2020)	0.3% calculated	not reported
Elevance	Clear Health Alliance	not reported	12,141 (2021)	0.3% calculated	not reported
Elevance	Freedom Health, Inc.	not reported	14,519 (2024)	2.5% calculated	not reported
Elevance	HealthSun Health Plans, Inc.	not reported	38,873 (2024)	6.8% calculated	not reported
Elevance	Optimum Health Care, Inc.	not reported	7,019 (2024)	1.2% calculated	not reported
Elevance	Simply Healthcare Plan, Inc.	not reported	37,570 (2024)	6.6% calculated	not reported
Elevance	Simply Healthcare Plans DBA Clear Health Alliance	not reported	9,057 (2018)	0.3% calculated	not reported
Elevance	Simply Healthcare Plans, Inc.	not reported	618,781 (2021)	16.2% calculated	not reported
Elevance	Simply Healthcare Plans, Inc.	not reported	71,259 (2018)	2.4% calculated	not reported
Elevance	Simply Healthcare Plans, Inc.	not reported	541,525 (2024)	20.0% calculated	not reported
Elevance	Simply dba Clear Health Alliance - Specialty Plan	not reported	12,840 (2023)	2.7% calculated	not reported
Elevance	Simply dba Clear Health Alliance - Specialty Plan	not reported	8,551 (2024)	2.5% calculated	1 sanctions, 4,733 appeals resolved
not reported	Suncoast Neighborly Care, Inc.	not reported	295 (2018)	17.6% calculated	not reported
not reported	Suncoast Neighborly Care, Inc.	not reported	371 (2021)	11.9% calculated	not reported
not reported	Empath LIFE, LLC	not reported	10 (2024)	0.3% calculated	not reported
Florida Community Care	Florida Community Care	not reported	16,839 (2024)	0.6% calculated	1 sanctions, 727 appeals resolved
not reported	Children's Medical Services Network	not reported	68,067 (2020)	2.1% calculated	not reported
not reported	Children’s Medical Services Network	not reported	81,791 (2021)	2.1% calculated	not reported
not reported	Florida PACE	not reported	1,017 (2024)	35.1% calculated	not reported
not reported	Florida Pace Center	not reported	924 (2020)	40.3% calculated	not reported
not reported	Freedom Health, Inc.	not reported	113 (2018)	0.0% calculated	not reported
not reported	Florida Blue Medicare, Inc.	not reported	5,943 (2024)	1.0% calculated	not reported
not reported	Hope Select Care	not reported	244 (2018)	14.5% calculated	not reported
not reported	Hope Select Care	not reported	634 (2021)	20.4% calculated	not reported
not reported	Hope Select Care	not reported	500 (2024)	17.3% calculated	not reported
Humana	CarePlus Health Plans, Inc.	not reported	76,552 (2024)	13.4% calculated	not reported
Humana	Humana Health Insurance Company of Florida, Inc.	not reported	791 (2024)	0.1% calculated	not reported
Humana	Humana Insurance Company	not reported	12,505 (2024)	2.2% calculated	1 sanctions, 8,743 appeals resolved
Humana	Humana Medical Plan	not reported	547,549 (2024)	20.3% calculated	not reported
Humana	Humana Medical Plan	not reported	294,419 (2018)	9.7% calculated	not reported
Humana	Humana Medical Plan	not reported	510,450 (2020)	15.6% calculated	not reported
Humana	Humana Medical Plan	not reported	625,612 (2021)	16.4% calculated	not reported
Humana	Humana Medical Plan, Inc.	not reported	22,247 (2018)	21.9% calculated	not reported
Humana	Humana Medical Plan, Inc.	not reported	28,642 (2020)	23.9% calculated	not reported
Humana	Humana Medical Plan, Inc.	not reported	92,944 (2024)	16.3% calculated	not reported
Florida Community Care	Florida Community Care	not reported	11,994 (2021)	0.3% calculated	not reported
Florida Community Care	HPMP of Florida, Inc. dba Florida Complete Care	not reported	14 (2024)	0.0% calculated	not reported
not reported	InnovAge Florida PACE II, LLC	not reported	5 (2024)	0.2% calculated	not reported
not reported	InnovAge Florida PACE, LLC	not reported	16 (2024)	0.6% calculated	not reported
not reported	Liberty	not reported	1,144,327 (2020)	33.1% calculated	not reported
not reported	Vivida Health	not reported	20,929 (2021)	0.5% calculated	not reported
not reported	Leon Health Plans, Inc.	not reported	20,510 (2024)	3.6% calculated	not reported
not reported	Liberty Dental Plan of Florida, Inc.	not reported	1,030,662 (2024)	33.3% calculated	1 sanctions, 2,486 appeals resolved
not reported	MCNA Dental	not reported	961,500 (2021)	23.7% calculated	not reported
not reported	MMM of Florida, Inc.	not reported	1,083 (2024)	0.2% calculated	not reported
not reported	Managed Care of North America, Inc.	not reported	785,964 (2024)	25.4% calculated	1 sanctions, 580 appeals resolved
not reported	Medical Transportation Management, Inc.	not reported	91,965 (2024)	55.5% calculated	not reported
not reported	Florida PACE Center	not reported	741 (2018)	44.1% calculated	not reported
not reported	Florida Pace Center	not reported	1,132 (2021)	36.4% calculated	not reported
not reported	Modivcare Solutions, LLC	not reported	73,612 (2024)	44.5% calculated	not reported
Molina	Molina Healthcare of FL, Inc.	not reported	6,218 (2018)	6.1% calculated	not reported
Molina	Molina Healthcare of FL, Inc.	not reported	2,856 (2019)	2.6% calculated	not reported
Molina	Molina Healthcare of Florida	not reported	117,192 (2021)	3.1% calculated	not reported
Molina	Molina Healthcare of Florida	not reported	96,302 (2024)	3.6% calculated	not reported
Molina	Molina Healthcare of Florida - Specialty Plan	not reported	17,164 (2024)	4.9% calculated	not reported
Molina	Molina Healthcare of Florida, Inc.	not reported	6,242 (2017)	6.4% calculated	not reported
Molina	Molina Healthcare of Florida, Inc.	not reported	1,632 (2024)	0.3% calculated	1 sanctions, 1,793 appeals resolved
Molina	Molina Healthcare of Florida, Inc.	not reported	294,419 (2018)	9.7% calculated	not reported
Molina	Molina Healthcare of Florida, Inc.	not reported	1,518 (2023)	0.2% calculated	not reported
not reported	Morselife Home Care, Inc.	not reported	850 (2021)	27.3% calculated	not reported
not reported	Morselife	not reported	876 (2024)	30.2% calculated	not reported
not reported	Morselife Home Care, Inc.	not reported	655 (2020)	28.6% calculated	not reported
not reported	Mount Sinai Eldercare, Inc.	not reported	40 (2024)	1.4% calculated	not reported
not reported	NE PACE Partners	not reported	25 (2020)	1.1% calculated	not reported
not reported	Morselife Home Care, Inc.	not reported	323 (2017)	20.0% calculated	not reported
not reported	Prestige Health Choice	not reported	325,327 (2018)	10.7% calculated	not reported
not reported	Community Care Plan	not reported	52,545 (2021)	1.4% calculated	not reported
Community Care Plan	Community Care Plan	not reported	44,766 (2017)	1.4% calculated	not reported
not reported	Children's Medical Services	not reported	52,412 (2018)	1.7% calculated	1 sanctions, 2,409 appeals resolved
not reported	Suncoast	not reported	303 (2024)	10.5% calculated	not reported
not reported	Suncoast Neighborly Care, Inc.	not reported	322 (2020)	14.1% calculated	not reported
not reported	The PACE Place	not reported	126 (2024)	4.4% calculated	not reported
not reported	Trinity Health PACE of Pensacola, Inc.	not reported	3 (2024)	0.1% calculated	not reported
not reported	Ultimate Health Plans, Inc.	not reported	509 (2024)	0.1% calculated	not reported
UnitedHealth	Care Improvement Plus South Central Insurance Company	not reported	113,154 (2023)	17.6% calculated	not reported
UnitedHealth	Care Improvement Plus South Central Insurance Company	not reported	104,764 (2024)	18.4% calculated	not reported
UnitedHealth	Preferred Care Network, Inc.	not reported	36,881 (2023)	5.7% calculated	not reported
UnitedHealth	Preferred Care Network, Inc.	not reported	11,984 (2024)	2.1% calculated	not reported
UnitedHealth	Preferred Care Partners, Inc.	not reported	36,881 (2023)	5.7% calculated	not reported
UnitedHealth	Preferred Care Partners, Inc.	not reported	20,398 (2024)	3.6% calculated	not reported
UnitedHealth	United Healthcare of FL, Inc.	not reported	19,081 (2017)	19.5% calculated	not reported
UnitedHealth	United Healthcare of FL, Inc.	not reported	19,069 (2018)	18.8% calculated	not reported
UnitedHealth	United Healthcare of Florida	not reported	263,434 (2020)	8.0% calculated	not reported
UnitedHealth	United Healthcare of Florida	not reported	371,682 (2022)	10.0% calculated	not reported
UnitedHealth	United Healthcare of Florida, Inc.	not reported	270,886 (2017)	8.5% calculated	not reported
UnitedHealth	United Healthcare of Florida, Inc.	not reported	260,672 (2018)	8.6% calculated	not reported
UnitedHealth	United Healthcare of Florida, Inc.	not reported	308,502 (2021)	8.1% calculated	not reported
UnitedHealth	UnitedHealthcare Dual Complete LP	not reported	31,940 (2024)	5.6% calculated	not reported
UnitedHealth	UnitedHealthcare of Florida	not reported	271,904 (2024)	10.1% calculated	1 sanctions, 4,911 appeals resolved
not reported	Prominence Healthfirst of Florida, Inc.	not reported	217 (2024)	0.0% calculated	not reported
not reported	Miami Children's Health Plan	not reported	25,653 (2020)	0.8% calculated	not reported
not reported	Miami Children’s Health Plan	not reported	14,617 (2019)	0.5% calculated	not reported
not reported	AIDS Healthcare Foundation DBA Positive Healthcare, Inc.	not reported	1,899 (2016)	0.1% calculated	not reported
not reported	Aetna Health, Inc.	not reported	27,775 (2022)	100.0% calculated	not reported
not reported	AmeriHealth	not reported	120,711 (2022)	24.1% calculated	not reported
not reported	American Eldercare, Inc.	not reported	19,464 (2016)	21.1% calculated	not reported
not reported	Amerigroup Florida, Inc.	not reported	352,788 (2016)	11.1% calculated	not reported
not reported	Better Health, Inc.	not reported	99,998 (2016)	3.1% calculated	not reported
not reported	Care Improvement Plus South Central Insurance Comp	not reported	104,760 (2022)	20.6% calculated	not reported
not reported	CarePlus Health Plans, Inc.	not reported	76,552 (2022)	15.1% calculated	not reported
not reported	Centene Venture Company Florida	not reported	264 (2022)	0.1% calculated	not reported
not reported	Children's Medical Services Network	not reported	51,987 (2016)	1.6% calculated	not reported
not reported	Children's Medical Services Network	not reported	93,106 (2022)	18.6% calculated	not reported
not reported	Community Care Plan	not reported	58,820 (2022)	11.8% calculated	not reported
not reported	Coventry Healthcare oF FL, Inc.	not reported	4,859 (2016)	5.3% calculated	not reported
not reported	Coventry Healthcare of FL, Inc.	not reported	58,403 (2016)	1.8% calculated	not reported
not reported	DentaQuest of Florida, Inc.	not reported	1,794,970 (2022)	42.3% calculated	not reported
not reported	Devoted Health Plan of Florida, Inc.	not reported	9,045 (2022)	1.8% calculated	not reported
not reported	Doctors Healthcare Plans, Inc.	not reported	2,536 (2022)	0.5% calculated	not reported
not reported	Florida Blue Medicare, Inc.	not reported	5,943 (2022)	1.2% calculated	not reported
not reported	Florida PACE	not reported	952 (2022)	37.7% calculated	not reported
not reported	Florida Pace Center	not reported	517 (2016)	39.0% calculated	not reported
not reported	Freedom Health, Inc.	not reported	110 (2016)	0.0% calculated	not reported
not reported	Freedom Health, Inc.	not reported	14,519 (2022)	2.9% calculated	not reported
not reported	HealthSpring of Florida, Inc.	not reported	1,835 (2022)	0.4% calculated	not reported
not reported	HealthSun Health Plans, Inc.	not reported	38,873 (2022)	7.6% calculated	not reported
not reported	Hope Select Care	not reported	503 (2022)	19.9% calculated	not reported
not reported	Hope Select care	not reported	312 (2016)	23.5% calculated	not reported
not reported	Humana Health Insurance Company of Florida, Inc.	not reported	791 (2022)	0.2% calculated	not reported
not reported	Humana Medical Plan	not reported	341,638 (2016)	10.7% calculated	not reported
not reported	Humana Medical Plan, Inc.	not reported	92,944 (2022)	18.3% calculated	not reported
not reported	Liberty Dental Plan of Florida, Inc.	not reported	1,405,522 (2022)	33.2% calculated	not reported
not reported	MMM of Florida, Inc.	not reported	1,083 (2022)	0.2% calculated	not reported
not reported	Magellan Complete Care, LLC	not reported	57,471 (2016)	1.8% calculated	not reported
not reported	Managed Care of North America, Inc.	not reported	1,039,030 (2022)	24.5% calculated	not reported
not reported	Medical Transportation Management, Inc.	not reported	173,918 (2022)	100.0% calculated	not reported
not reported	Modivcare Solutions, LLC	not reported	110,765 (2022)	100.0% calculated	not reported
not reported	Molina Healthcare of FL, Inc.	not reported	6,023 (2016)	6.5% calculated	not reported
not reported	Molina Healthcare of Florida - Specialty Plan	not reported	28,007 (2022)	5.6% calculated	not reported
not reported	Molina Healthcare of Florida, Inc.	not reported	323,343 (2016)	10.1% calculated	not reported
not reported	Molina Healthcare of Florida, Inc.	not reported	1,632 (2022)	0.3% calculated	not reported
not reported	Morselife	not reported	682 (2022)	27.0% calculated	not reported
not reported	Morselife Home Care, Inc.	not reported	222 (2016)	16.7% calculated	not reported
not reported	Morselife Home Care, Inc.	not reported	399 (2018)	23.8% calculated	not reported
not reported	Optimum Health Care, Inc.	not reported	7,019 (2022)	1.4% calculated	not reported
not reported	Preferred Care Network, Inc.	not reported	11,984 (2022)	2.4% calculated	not reported
not reported	Preferred Care Partners, Inc.	not reported	20,398 (2022)	4.0% calculated	not reported
not reported	Prestige Health Choice	not reported	309,404 (2016)	9.7% calculated	not reported
not reported	Simply DBA Clear Health Alliance - Specialty Plan	not reported	13,307 (2022)	2.7% calculated	not reported
not reported	Simply Healthcare Plan, Inc.	not reported	37,570 (2022)	7.4% calculated	not reported
not reported	Simply Healthcare Plans DBA Clear Health Alliance	not reported	9,196 (2016)	0.3% calculated	not reported
not reported	Simply Healthcare Plans, Inc.	not reported	83,211 (2016)	2.6% calculated	not reported
not reported	Solis Health Plans, Inc.	not reported	1,203 (2022)	0.2% calculated	not reported
not reported	South Florida Community Care Network	not reported	44,189 (2016)	1.4% calculated	not reported
not reported	Suncoast	not reported	297 (2022)	11.8% calculated	not reported
not reported	Suncoast Neighborly Care, Inc.	not reported	275 (2016)	20.7% calculated	not reported
not reported	Sunshine State Health Plan - SMI (Specialty Plan)	not reported	157,430 (2022)	31.5% calculated	not reported
not reported	Sunshine State Health Plan, Inc.	not reported	38,671 (2016)	41.9% calculated	not reported
not reported	Sunshine State Health Plan, Inc.	not reported	46,632 (2022)	9.2% calculated	not reported
not reported	The Pace Place	not reported	92 (2022)	3.6% calculated	not reported
not reported	Ultimate Health Plans, Inc.	not reported	509 (2022)	0.1% calculated	not reported
not reported	United Healthcare Dual Complete LP	not reported	31,940 (2022)	6.3% calculated	not reported
not reported	United Healthcare of FL, Inc.	not reported	18,560 (2016)	20.1% calculated	not reported
not reported	United Healthcare of Florida, Inc.	not reported	277,615 (2016)	8.7% calculated	not reported
not reported	Vivida Health	not reported	28,509 (2022)	5.7% calculated	not reported
not reported	WellCare Health Insurance of Arizona, Inc.	not reported	352 (2022)	0.1% calculated	not reported
not reported	Wellcare Health Plan of Florida DBA Staywell	not reported	676,011 (2016)	21.2% calculated	not reported

CMS reported enrollment

CMS reporting years in this file run from 2016 through 2024. Retrieved 2026-11-01. The latest reporting year is 2024, which is behind the retrieval date. Enrollment figures are the CMS cell for that reporting year. Share is calculated from CMS reported total enrollment for that state, program, and year. Precapture does not combine rows. A year missing from a trend was not reported. A plan and region with more than one CMS row in a year has no trend and no year-over-year change. The dataset says a reported 0 may not truly represent 0 when a state suppressed a small count. CMS reported.

National market share

CNET (Non-Emergency Medical Transportation)

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Modivcare Solutions, LLC	–	unmatched	–	not reported	not reported	not reported	not reported	2022: 110,765

Capitated Non-Emergency Transportation (CNET) (Non-Emergency Medical Transportation)

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Medical Transportation Management, Inc.	–	unmatched	–	not reported	not reported	not reported	not reported	2022: 173,918

Capitated Non-Emergency Transportation (NEMT)

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Medical Transportation Management, Inc.	Medical Transportation Management, Inc.	Medical Transportation Management, Inc.	Regions B, C, D, E, and F	CMS reported 91,965 (2024)	55.5%	-82,498 (-47.3%)	-5.1 pts	2023: 174,463; 2024: 91,965
Modivcare Solutions, LLC	Modivcare Solutions, LLC	Modivcare Solutions, LLC	Regions A, G, H, and I	CMS reported 73,612 (2024)	44.5%	-39,383 (-34.9%)	+5.1 pts	2023: 112,995; 2024: 73,612

DSNP (Other Prepaid Health Plan (PHP) (limited benefits))

DSNP (Other Prepaid Health Plan (PHP) (limited benefits)) 22

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Care Improvement Plus South Central Insurance Comp	–	unmatched	–	not reported	not reported	not reported	not reported	2022: 104,760
CarePlus Health Plans, Inc.	–	unmatched	–	not reported	not reported	not reported	not reported	2022: 76,552
Centene Venture Company Florida	–	unmatched	–	not reported	not reported	not reported	not reported	2022: 264
Devoted Health Plan of Florida, Inc.	–	unmatched	–	not reported	not reported	not reported	not reported	2022: 9,045
Doctors Healthcare Plans, Inc.	–	unmatched	–	not reported	not reported	not reported	not reported	2022: 2,536

show all 22

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Florida Blue Medicare, Inc.	–	unmatched	–	not reported	not reported	not reported	not reported	2022: 5,943
Freedom Health, Inc.	–	unmatched	–	not reported	not reported	not reported	not reported	2022: 14,519
HealthSpring of Florida, Inc.	–	unmatched	–	not reported	not reported	not reported	not reported	2022: 1,835
HealthSun Health Plans, Inc.	–	unmatched	–	not reported	not reported	not reported	not reported	2022: 38,873
Humana Health Insurance Company of Florida, Inc.	–	unmatched	–	not reported	not reported	not reported	not reported	2022: 791
Humana Medical Plan, Inc.	–	unmatched	–	not reported	not reported	not reported	not reported	2022: 92,944
MMM of Florida, Inc.	–	unmatched	–	not reported	not reported	not reported	not reported	2022: 1,083
Molina Healthcare of Florida, Inc.	–	unmatched	–	not reported	not reported	not reported	not reported	2022: 1,632
Optimum Health Care, Inc.	–	unmatched	–	not reported	not reported	not reported	not reported	2022: 7,019
Preferred Care Network, Inc.	–	unmatched	–	not reported	not reported	not reported	not reported	2022: 11,984
Preferred Care Partners, Inc.	–	unmatched	–	not reported	not reported	not reported	not reported	2022: 20,398
Simply Healthcare Plan, Inc.	–	unmatched	–	not reported	not reported	not reported	not reported	2022: 37,570
Solis Health Plans, Inc.	–	unmatched	–	not reported	not reported	not reported	not reported	2022: 1,203
Sunshine State Health Plan, Inc.	–	unmatched	–	not reported	not reported	not reported	not reported	2022: 46,632
Ultimate Health Plans, Inc.	–	unmatched	–	not reported	not reported	not reported	not reported	2022: 509
United Healthcare Dual Complete LP	–	unmatched	–	not reported	not reported	not reported	not reported	2022: 31,940
WellCare Health Insurance of Arizona, Inc.	–	unmatched	–	not reported	not reported	not reported	not reported	2022: 352

Dental (Dental only (PAHP))

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
DentaQuest	Catalyst Institute	Catalyst Institute	Statewide	not reported	not reported	not reported	not reported	2018: 0; 2019: 1,493,696; 2020: 1,559,144; 2021: 1,747,851
Liberty	Catalyst Institute	Catalyst Institute	Statewide	not reported	not reported	not reported	not reported	2018: 0; 2019: 1,025,115; 2020: 1,144,327; 2021: 1,340,372
MCNA Dental	MCNA Health Care Holdings, LLC	MCNA Health Care Holdings, LLC	Statewide	not reported	not reported	not reported	not reported	2018: 0; 2019: 576,393; 2020: 754,814; 2021: 961,500

Dual Eligible Special Needs Plan (DSNP) (Other Prepaid Health Plan (PHP) (limited benefits))

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Aetna Health, Inc.	–	unmatched	–	not reported	not reported	not reported	not reported	2022: 27,775

Dual Eligible Special Needs Plan (Other PHP (limited benefits))

Dual Eligible Special Needs Plan (Other PHP (limited benefits)) 38

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Aetna Health, Inc.	CVS Health Corporation	CVS/Aetna	Broward, Miami-Dade, Hernando, Hillsborough, Palm Beach, Pasco, Pinellas, Polk, St. Lucie, Clay, Duval, Marion, St. Johns, Orange, Osceola, Seminole, Lake, Sumter, Manatee, Sarasota, Flagler, Volusia, Charlotte, Collier, Lee, Citrus, Indian River	not reported	not reported	not reported	not reported	2023: 39,647
Aetna Health, Inc.	CVS Health Corporation	CVS/Aetna	Broward, Miami-Dade, Hernando, Hillsborough, Palm Beach, Pasco, Pinellas, Polk, St. Lucie, Clay, Duval, Marion, St. Johns, St. Lucie, Alachua, Nassau, Putnam, Brevard, Orange, Osceola, Seminole, Lake, Sumter, Manatee, Sarasota, Palm Beach, Flagler, Volusia, Charlotte, Collier, Lee, Citrus, Indian River, Escambia, Santa Rosa, Highlands	CMS reported 27,775 (2024)	4.9%	not reported	not reported	2024: 27,775
Alignment	Alignment	Alignment	Clay, Duval, Manatee, Sarasota	CMS reported 78 (2024)	0.0%	+78	+0.0 pts	2023: 0; 2024: 78
AmeriHealth Caritas Florida	AmeriHealth Caritas Florida	AmeriHealth Caritas Florida	Broward, Dade, Palm Beach	not reported	not reported	not reported	not reported	2023: 0
AmeriHealth	AmeriHealth	AmeriHealth	Broward, Dade, Palm Beach	CMS reported 44 (2024)	0.0%	not reported	not reported	2024: 44

show all 38

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Care Improvement Plus South Central Insurance Company	UnitedHealthcare	UnitedHealth	Statewide	CMS reported 104,764 (2024)	18.4%	-8,390 (-7.4%)	+0.8 pts	2023: 113,154; 2024: 104,764
CarePlus Health Plans, Inc.	Humana	Humana	Broward, Miami-Dade, Palm Beach, Hernando, Hillsborough, Lake, Marion, Orange, Osceola, Pasco, Pinellas, Polk, Seminole, Sumter, Brevard, Clay, Duval, Flagler, Indian River, St. Johns, Volusia	CMS reported 76,552 (2024)	13.4%	+956 (+1.3%)	+1.7 pts	2023: 75,596; 2024: 76,552
Centene Venture Company Florida	Centene	Centene	Baker, Clay, Duval, Nassau, St. Johns, Escambia, Santa Rosa, Walton	CMS reported 264 (2024)	0.0%	+117 (+79.6%)	+0.0 pts	2023: 147; 2024: 264
Devoted Health Plan of Florida, Inc.	Devoted Health, Inc.	Devoted Health, Inc.	Miami-Dade, Broward, Palm Beach, Orange, Osceola, Seminole, Clay, Duval, Nassau, Pinellas, Hillsborough, Polk, Hernando, Pasco, Lake, Marion, Sumter, Manatee, Brevard, Indian River, Martin, St. Lucie, Flagler, Volusia, Escambia, Santa Rosa	not reported	not reported	not reported	not reported	2023: 10,191
Devoted Health Plan of Florida, Inc.	Devoted Health, Inc.	Devoted Health, Inc.	Miami-Dade, Broward, Palm Beach, Orange, Osceola, Seminole, Clay, Duval, Nassau, St. Johns, Pinellas, Hillsborough, Polk, Hernando, Pasco, Lake Marion, Sumter, Manatee, Brevard, Indian River, Martin, St. Lucie, Flagler, Volusia, Escambia, Santa Rosa, Lake	CMS reported 9,045 (2024)	1.6%	not reported	not reported	2024: 9,045
Doctors Healthcare Plans, Inc.	Doctors Healthcare Plans, Inc.	Doctors Healthcare Plans, Inc.	Miami-Dade, Broward	CMS reported 2,536 (2024)	0.4%	+98 (+4.0%)	+0.1 pts	2023: 2,438; 2024: 2,536
Florida Blue Medicare, Inc.	Guidewell Mutual Holding Corporation	Guidewell Mutual Holding Corporation	Miami-Dade, Broward, Palm Beach, St. Lucie, Brevard, Lake, Orange, Osceola, Seminole, Sumter, Hillsborough, Polk, Clay, Duval, Marion, Charlotte, Collier, Hernando, Lee, Manatee, Pasco, Pinellas, Sarasota, Escambia, Okaloosa, Santa Rosa, Walton	not reported	not reported	not reported	not reported	2023: 5,939
Florida Blue Medicare, Inc.	Guidewell Mutual Holding Corporation	Guidewell Mutual Holding Corporation	Miami-Dade, Broward, Palm Beach, St. Lucie, Brevard, Orange, Osceola, Lake, Seminole, Sumter, Hillsborough, Polk, Clay, Duval, Marion, Collier, Hernando, Pasco, Pinellas, Charlotte, Lee, Manatee, Sarasota, Escambia, Okaloosa, Santa Rosa, Walton	CMS reported 5,943 (2024)	1.0%	not reported	not reported	2024: 5,943
Freedom Health, Inc.	Anthem/Elevance	Elevance	Brevard, Broward, Charlotte, Citrus, Collier, Hernando, Hillsborough, Indian River, Lake, Lee, Manatee, Marion, Martin, Orange, Osceola, Palm Beach, Pasco, Pinellas, Polk, Sarasota, Seminole, St. Lucie, Sumter, Volusia	CMS reported 14,519 (2024)	2.5%	+2,828 (+24.2%)	+0.7 pts	2023: 11,691; 2024: 14,519
HPMP of Florida, Inc. dba Florida Complete Care	Independent Living Systems	Independent Living Systems, LLC	Alachua, Brevard, Broward, Duval, Escambia, Hillsborough, Indian River, Lee, Marion, Martin, Miami-Dade, Orange, Osceola, Palm Beach, Pasco, Pinellas, Polk, Santa Rosa, Sarasota, Seminole, St. Lucie, Volusia	CMS reported 14 (2024)	0.0%	not reported	not reported	2024: 14
HealthSun Health Plans, Inc.	Anthem/Elevance	Elevance	Palm Beach, Broward, Miami-Dade	CMS reported 38,873 (2024)	6.8%	+2,741 (+7.6%)	+1.2 pts	2023: 36,132; 2024: 38,873
Healthspring of FL, Inc.	Cigna	Cigna	Bay, Escambia, Okaloosa, Santa Rosa, Walton, Lake, Marion, Orange, Osceola, Polk, Seminole, Sumter, Brevard, Clay, Duval, Flagler, Volusia, Hernando, Hillsborough, Manatee, Pasco, Pinellas, Sarasota, Charlotte, Collier, Lee, Indian River, Martin, St. Lucie, Broward, Miami-Dade, Palm Beach	CMS reported 1,835 (2024)	0.3%	not reported	not reported	2024: 1,835
Healthspring of Florida, Inc.	Cigna	Cigna	Bay, Escambia, Okaloosa, Santa Rosa, Walton, Lake, Marion, Orange, Osceola, Polk, Seminole, Sumter, Brevard, Clay, Duval, Flagler, Nassau, Putnam, St. Johns, Volusia, Hernando, Hillsborough, Manatee, Pasco, Pinellas, Sarasota, Broward, Miami-Dade, Palm Beach, Charlotte, Collier, Lee, Indian River, Martin, St. Lucie	not reported	not reported	not reported	not reported	2023: 2,386
Humana Health Insurance Company of Florida, Inc.	Humana, Inc.	Humana	Bradford, Calhoun, Dixie, Franklin, Gadsden, Gilchrist, Gulf, Hamilton, Holmes, Jackson, Jefferson, Lafayette, Levy, Liberty, Madison, Suwanee, Taylor, Union, Wakulla, Washington, Brevard, Broward, Glades, Indian River, Martin, Miami-Dade, Okeechobee, Palm Beach, St. Lucie	CMS reported 791 (2024)	0.1%	-3,298 (-80.7%)	-0.5 pts	2023: 4,089; 2024: 791
Humana Insurance Company	Humana Insurance Company	Humana	Alachua, Baker, Bay, Bradford, Calhoun, Charlotte, Citrus, Clay, Collier, Columbia, DeSoto, Dixie, Duval, Escambia, Flagler, Franklin, Gadsden, Gilchrist, Gulf, Hamilton, Hardee, Hendry, Hernando, Highlands, Hillsborough, Holmes, Jackson, Jefferson, Lafayette, Lake, Lee, Levy, Liberty, Madison, Manatee, Marion, Nassau, Okaloosa, Orange, Osceola, Pasco, Pinellas, Polk, Putnam, Santa Rosa, Sarasota, Seminole, St Johns, Sumter, Suwannee, Taylor, Union, Volusia, Wakulla, Walton, Washington	CMS reported 12,505 (2024)	2.2%	not reported	not reported	2024: 12,505
Humana Medical Plan, Inc.	Humana, Inc.	Humana	Broward, Miami-Dade, Palm Beach, Citrus, Hardee, Hernando, Highlands, Hillsborough, Manatee, Pasco, Pinellas, Polk, Sarasota, Flagler, Volusia, Alachua, Baker, Bradford, Clay, Columbia, Duval, Nassau, Putnam, St. Johns, Lake Marion, Orange, Osceola, Seminole, Sumter, Bay, Escambia, Okaloosa, Santa Rosa, Walton, Glades, Indian River, Martin, Okeechobee, St. Lucie, Manatee	CMS reported 92,944 (2024)	16.3%	not reported	not reported	2024: 92,944
Humana Medical Plan, Inc.	Humana, Inc.	Humana	Broward, Miami-Dade, Palm Beach, Citrus, Hernando, Hillsborough, Manatee, Pasco, Pinellas, Flagler Volusia, Alachua, Baker, Bradford, Clay, Columbia, Duval, Nassau, Putnam, St. Johns, Lake, Marion, Orange, Osceola, Seminole, Sumter, Bay, Escambia, Okaloosa, Santa Rosa, Walton, Glades, Indian River, Martin, Okeechobee, St. Lucie, Hardee, Highlands, Polk, Sarasota, Charlotte, Collier, DeSoto, Lee	not reported	not reported	not reported	not reported	2023: 108,203
Leon Health Plans, Inc.	Leon Health Holdings, LLC	Leon Health Holdings, LLC	Miami-Dade	CMS reported 20,510 (2024)	3.6%	-318 (-1.5%)	+0.4 pts	2023: 20,828; 2024: 20,510
MMM of Florida, Inc.	MMM of Florida, Inc.	MMM of Florida, Inc.	-	CMS reported 1,083 (2024)	0.2%	not reported	not reported	2024: 1,083
Molina Healthcare of Florida, Inc.	Molina Healthcare of Florida, Inc.	Molina	Baker, Bradford, Brevard, Broward, Charlotte, Clay, Collier, DeSoto, Duval, Glades, Hardee, Hendry, Hillsborough, Manatee, Miami-Dade, Orange, Osceola, Palm Beach, Pasco, Pinellas, Polk, Sarasota, Seminole, Volusia	CMS reported 1,632 (2024)	0.3%	+114 (+7.5%)	+0.1 pts	2023: 1,518; 2024: 1,632
Optimum Health Care, Inc.	Anthem/Elevance	Elevance	Brevard, Broward, Charlotte, Citrus, Collier, Hernando, Hillsborough, Indian River, Lake, Lee, Manatee, Marion, Martin, Orange, Osceola, Palm Beach, Pasco, Pinellas, Polk, Sarasota, Seminole, St. Lucie, Sumter, Volusia	CMS reported 7,019 (2024)	1.2%	+712 (+11.3%)	+0.3 pts	2023: 6,307; 2024: 7,019
Preferred Care Network, Inc.	UnitedHealthcare	UnitedHealth	Miami-Dade, Broward	CMS reported 11,984 (2024)	2.1%	-24,897 (-67.5%)	-3.6 pts	2023: 36,881; 2024: 11,984
Preferred Care Partners, Inc.	United	UnitedHealth	Miani-Dade, Broward, Palm Beach, Charlotte, Hernando, Hillsborough, Lee, Manatee, Pasco, Pinellas, Polk, Sarasota, Brevard, Clay, Duval, Flagler, Indian River, Osceola, St. Johns, Orange, Seminole, Lake Marion, Sumpter, Collier, St. Lucie, Volusia	not reported	not reported	not reported	not reported	2023: 36,881
Preferred Care Partners, Inc.	UnitedHealthcare	UnitedHealth	Miami-Dade, Palm Beach, Charlotte, Hernando, Hillsborough, Lee, Manatee, Pasco, Pinellas, Polk, Sarasota, Brevard, Clay, Duval, Flagler, Indian River, Osceola, St. Johns, Orange, Seminole, Lake, Marion, Sumpter, Collier, St. Lucie, Volusia	CMS reported 20,398 (2024)	3.6%	not reported	not reported	2024: 20,398
Prominence Healthfirst of Florida, Inc.	Universal Health Services, Inc.	Universal Health Services, Inc.	Palm Beach	CMS reported 217 (2024)	0.0%	-137 (-38.7%)	-0.0 pts	2023: 354; 2024: 217
Simply Healthcare Plan, Inc.	Anthem/Elevance	Elevance	Miami Dade, Polk, Orange, Osceola, Seminole, Broward, Hillsborough, Pinellas, Hernando, Pasco, Palm Beach, Clay, Duval, St. Johns	not reported	not reported	not reported	not reported	2023: 32,277
Simply Healthcare Plan, Inc.	Anthem/Elevance	Elevance	Miami-Dade, Polk, Orange, Osceola, Seminole, Broward, Hillsborough, Pinellas, Hernando, Pasco, Palm Beach, Clay, Duval, St. Johns, Pinellas, Broward	CMS reported 37,570 (2024)	6.6%	not reported	not reported	2024: 37,570
Solis Health Plans, Inc.	Athena Healthcare Holdings, LLC	Athena Healthcare Holdings, LLC	Miami-Dade, Hillsborough, Broward, Palm Beach	CMS reported 1,203 (2024)	0.2%	-287 (-19.3%)	-0.0 pts	2023: 1,490; 2024: 1,203
Sunshine State Health Plan, Inc.	Centene	Centene	The geographic areas served by Sunshine State Health Plan, Inc. during 2023 and 2024 (SMMC 2.0 Contract 2018-2024, Contract No. FP060) encompassed all eleven (11) numerical regions of the state (currently nine (9) alphabetical regions A through I in SMMC 3.0). Sunshine operated statewide as a Comprehensive LTC plan, while also providing two (2) Specialty Plan services: Child Welfare, and Serious Mental Illness (post-merger with WellCare of Florida, Inc. dba Staywell Health Plan of Florida, Inc. effective 10/01/2021). Sunshine also agreed to take on assignment of Staywell's Behavioral Health and Supportive Housing Assistance Pilot program enhancements in Regions 5 and 7 (currently Regions C and E) as part of the merger.	CMS reported 46,632 (2024)	8.2%	not reported	not reported	2024: 46,632
Sunshine State Health Plan, Inc.	Centene	Centene	The geographic areas served by Sunshine State Health Plan, Inc. during 2023 and 2024 (SMMC 2.0 Contract 2018-2024, Contract No. FP060) encompassed all eleven (11) numerical regions of the state (currently nine (9) alphabetical regions A through I in SMMC 3.0). Sunshine operated statewide as a Comprehensive LTC plan, while also providing two (2) Specialty Plan services: Child Welfare, and Serious Mental Illness (post-merger with Wellcare of Florida, Inc. d/b/a Staywell Health Plan of Florida, Inc. effective 10/01/2021). Sunshine also agreed to take on assignment of Staywell's Behavioral Health and Supportive Housing Assistance Pilot program enhancements in Regions 5 and 7 (currently Regions C and E) as part of the merger.	not reported	not reported	not reported	not reported	2023: 35,215
Ultimate Health Plans, Inc.	Ultimate Healthcare Holdings, LLC	Ultimate Healthcare Holdings, LLC	Citrus, Orange, Osceola, Seminole, Manatee, Sarasota, Polk, Hernando, Pasco, Hillsborough, Pinellas, Lake, Marion, Sumter, Indian River, St. Lucie	CMS reported 509 (2024)	0.1%	-397 (-43.8%)	-0.1 pts	2023: 906; 2024: 509
UnitedHealthcare Dual Complete LP	UnitedHealthcare	UnitedHealth	Alachua, Baker, Bradford, Citrus, Clay, Columbia, Dixie, Duval, Flagler, Gilchrist, Hamilton, Hardee, Hernando, Highlands, Hillsborough, Lafayette, Lake, Levy, Manatee, Marion, Miami-Dade, Nassau, Polk, Putnam, St. Johns, Sumter, Suwannee, Union, Volusia	CMS reported 31,940 (2024)	5.6%	-27,542 (-46.3%)	-3.6 pts	2023: 59,482; 2024: 31,940
Wellcare Health Insurance of Arizona, Inc.	Centene	Centene	Alachua, Baker, Bay, Bradford, Brevard, Broward, Calhoun, Charlotte, Citrus, Clay, Collier, Columbia, DeSoto, Dixie, Duval, Escambia, Flagler, Franklin, Gadsden, Gilchrist, Glades, Gulf, Hamilton, Hardee, Hendry, Hernando, Highlands, Hillsborough, Holmes, Indian River, Jackson, Jefferson, Lafayette, Lake, Lee, Leon, Levy, Liberty, Madison, Manatee, Marion, Martin, Miami-Dade, Nassau, Okaloosa, Okeechobee, Orange, Osceola, Palm Beach, Pasco, Pinellas, Polk, Putnam, Santa Rosa, Sarasota, Seminole, St. Johns, St. Lucie, Sumter, Suwannee, Taylor, Union, Volusia, Wakulla, Walton, Washington	CMS reported 352 (2024)	0.1%	-1,043 (-74.8%)	-0.2 pts	2023: 1,395; 2024: 352

Long-Term Care Program (MLTSS only (PIHP and/or PAHP))

Long-Term Care Program (MLTSS only (PIHP and/or PAHP)) 13

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Aetna Better Health	CVS Health	CVS/Aetna	Regions 6, 7, 11	not reported	not reported	not reported	not reported	2019: 4,107
Aetna Better Health	CVS Health	CVS/Aetna	Regions 6, 7, and 11	not reported	not reported	not reported	not reported	2020: 4,241; 2021: 4,462
Florida Community Care	Independent Living Systems, LLC	Independent Living Systems, LLC	Statewide	not reported	not reported	not reported	not reported	2019: 6,749; 2020: 11,519; 2021: 16,101
Humana Medical Plan, Inc.	Humana, Inc.	Humana	Statewide	not reported	not reported	not reported	not reported	2019: 27,510; 2020: 28,642; 2021: 28,960
Molina Healthcare of FL, Inc.	Molina Healthcare, Inc.	Molina	Regions 8, 11	not reported	not reported	not reported	not reported	2019: 2,856

show all 13

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Molina Healthcare of Florida, Inc.	Molina Healthcare, Inc.	Molina	Regions 8 and 11	not reported	not reported	not reported	not reported	2020: 3,060; 2021: 3,471
Simply Healthcare Plans, Inc.	Anthem, Inc.	Elevance	Regions 5, 6, 7, 10, 11	not reported	not reported	not reported	not reported	2019: 7,993
Simply Healthcare Plans, Inc.	Anthem, Inc.	Elevance	Regions 5, 6, 7, 10, and 11	not reported	not reported	not reported	not reported	2020: 10,570; 2021: 12,759
Staywell	WELLCARE OF FLORIDA	Centene	Regions 1, 2, 3, 4, 5, 6, 7, 8, 9, and 11	not reported	not reported	not reported	not reported	2020: 10,838; 2021: 11,865
Staywell	WellCare Management Group, Inc.	Centene	Regions, 1, 2, 3, 4, 5, 6, 7, 8, 9, 11	not reported	not reported	not reported	not reported	2019: 7,322
Sunshine State Health Plan, Inc.	Centene Corporation	Centene	Statewide	not reported	not reported	not reported	not reported	2019: 43,933; 2020: 39,202; 2021: 31,933
United Healthcare of Florida, Inc.	UnitedHealth Group	UnitedHealth	Regions 3, 4, 6, and 11	not reported	not reported	not reported	not reported	2020: 11,551; 2021: 11,770
United Healthcare of Florida	UnitedHealth Group	UnitedHealth	Regions 3, 4, 6, 11	not reported	not reported	not reported	not reported	2019: 11,386

Long-term Care Program (MLTSS only (PIHP and/or PAHP))

Long-term Care Program (MLTSS only (PIHP and/or PAHP)) 12

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Aetna DBA Coventry Healthcare of FL, Inc.	Aetna	CVS/Aetna	Regions 6, 7, 9, and 11	not reported	not reported	not reported	not reported	2018: 5,178
American Eldercare, Inc.	not reported	unmatched	Statewide	not reported	not reported	not reported	not reported	2016: 19,464
Amerigroup Florida, Inc.	Anthem Insurance Companies, Inc.	Elevance	Regions 10 and 11	not reported	not reported	not reported	not reported	2016: 4,773; 2017: 4,924; 2018: 5,369
Centene DBA Sunshine State Health Plan, Inc.	Centene Corporation	Centene	Regions 1, 3,4, 5, 6, 7, 8, 9, 10, and 11	not reported	not reported	not reported	not reported	2018: 43,443
Coventry Healthcare oF FL, Inc.	not reported	unmatched	Regions 6, 7, 9, and 11	not reported	not reported	not reported	not reported	2016: 4,859

show all 12

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Coventry Healthcare of FL, Inc.	Aetna	CVS/Aetna	Regions 6, 7, 9, and 11	not reported	not reported	not reported	not reported	2017: 5,006
Humana Medical Plan, Inc.	Humana	Humana	Regions 1, 6, 9, 10, and 11	not reported	not reported	not reported	not reported	2017: 20,896
Humana Medical Plan, Inc.	Humana	Humana	Statewide	not reported	not reported	not reported	not reported	2018: 22,247
Molina Healthcare of FL, Inc.	Molina Healthcare	Molina	Regions 5, 6, and 11	not reported	not reported	not reported	not reported	2016: 6,023; 2018: 6,218
Molina Healthcare of Florida, Inc.	Molina	Molina	Regions 5, 6, and 11	not reported	not reported	not reported	not reported	2017: 6,242
Sunshine State Health Plan, Inc.	Centene	Centene	Regions 1, 3,4, 5, 6, 7, 8, 9, 10, and 11	not reported	not reported	not reported	not reported	2016: 38,671; 2017: 41,489
United Healthcare of FL, Inc.	UnitedHealthcare	UnitedHealth	Regions 2, 3, 4, 5, 6, 7, 8, 9, and 11	not reported	not reported	not reported	not reported	2016: 18,560; 2017: 19,081; 2018: 19,069

Managed Medical Assistance Program (Comprehensive MCO)

Managed Medical Assistance Program (Comprehensive MCO) 55

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
AIDS Healthcare Foundation DBA Positive Healthcare, Inc.	AIDS Healthcare Foundation, Inc.	AIDS Healthcare Foundation	Regions 10 and 11	not reported	not reported	not reported	not reported	2016: 1,899; 2018: 1,958
Aetna Better Health	CVS Health	CVS/Aetna	Regions 6, 7, 11	not reported	not reported	not reported	not reported	2019: 89,639
Aetna Better Health	CVS Health	CVS/Aetna	Regions 6, 7, and 11	not reported	not reported	not reported	not reported	2020: 114,908; 2021: 148,692
Aetna DBA Coventry Healthcare of FL, Inc.	Aetna	CVS/Aetna	Region 11	not reported	not reported	not reported	not reported	2018: 50,172
Amerigroup Florida, Inc.	Anthem Insurance Companies, Inc.	Elevance	Regions 5, 6, 7, and 11	not reported	not reported	not reported	not reported	2016: 352,788; 2017: 330,692; 2018: 305,344

show all 55

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Better Health, Inc.	Anthem Insurance Companies, Inc.	Elevance	Regions 6 and 10	not reported	not reported	not reported	not reported	2016: 99,998; 2017: 100,744; 2018: 93,304
Centene DBA Sunshine State Health Plan, Inc.	Centene Corporation	Centene	Regions 3, 4, 5, 6, 7, 8, 9, 10, and 11	not reported	not reported	not reported	not reported	2018: 476,762
Children's Medical Services Network	Florida Department of Health	Florida Department of Health	Statewide	not reported	not reported	not reported	not reported	2016: 51,987; 2017: 50,685; 2020: 68,067
Children's Medical Services	State of Florida, Department of Health	State of Florida, Department of Health	Statewide	not reported	not reported	not reported	not reported	2018: 52,412
Children’s Medical Services Network	Florida Department of Health	Florida Department of Health	Statewide	not reported	not reported	not reported	not reported	2019: 56,816; 2021: 81,791
Clear Health Alliance	Anthem, Inc.	Elevance	Regions 1, 2, 3, 5, 6, 7, 8, 9, 10, and 11	not reported	not reported	not reported	not reported	2017: 9,378
Clear Health Alliance	SIMPLY	Elevance	Statewide	not reported	not reported	not reported	not reported	2019: 9,922; 2020: 10,837; 2021: 12,141
Community Care Plan	South Broward Hospital District (d/b/a Memorial Healthcare System) and North Broward Hospital District (d/b/a Broward Health)	South Broward Hospital District (d/b/a Memorial Healthcare System) and North Broward Hospital District (d/b/a Broward Health)	Region 10	not reported	not reported	not reported	not reported	2017: 44,766; 2019: 38,809; 2020: 44,614; 2021: 52,545
Coventry Healthcare of FL, Inc.	Aetna	CVS/Aetna	Region 11	not reported	not reported	not reported	not reported	2016: 58,403; 2017: 57,188
Florida Community Care	Independent Living Systems, LLC	Independent Living Systems, LLC	Statewide	not reported	not reported	not reported	not reported	2019: 5,525; 2020: 8,706; 2021: 11,994
Freedom Health, Inc.	Freedom Health, Inc.	Freedom Health, Inc.	Regions 3, 5, 6, 7, 8, 9, 10, and 11	not reported	not reported	not reported	not reported	2016: 110; 2017: 117; 2018: 113
Humana Medical Plan	Humana, Inc.	Humana	Statewide	not reported	not reported	not reported	not reported	2019: 432,760; 2020: 510,450; 2021: 625,612
Humana Medical Plan	Humana	Humana	Regions 1, 6, 9, 10, and 11	not reported	not reported	not reported	not reported	2016: 341,638; 2017: 324,243; 2018: 294,419
Lighthouse Health Plan, LLC	Baptist Health Care Inc. and Evolent LLC	Baptist Health Care Inc. and Evolent LLC	Regions 1 and 2	not reported	not reported	not reported	not reported	2020: 36,101
Lighthouse Health Plan, LLC	Baptist Health Care Inc. and Evolent LLC	Baptist Health Care Inc. and Evolent LLC	Regions 1, 2	not reported	not reported	not reported	not reported	2019: 29,303
Magellan Complete Care, LLC.	Magellan	Centene	Regions 2, 4, 5, 6, 7, 9, 10, and 11	not reported	not reported	not reported	not reported	2017: 65,329
Magellan Complete Care, LLC	Magellan Health Services, Inc.	Centene	Regions 4, 5, 7	not reported	not reported	not reported	not reported	2019: 24,316
Magellan Complete Care, LLC	Magellan Health Services, Inc.	Centene	Regions 4, 5, and 7	not reported	not reported	not reported	not reported	2020: 21,292; 2021: 25,100
Magellan Complete Care, LLC	Magellan Health	Centene	Regions 2, 4, 5, 6, 7, 9, 10, and 11	not reported	not reported	not reported	not reported	2016: 57,471; 2018: 82,150
Miami Children's Health Plan	Variety Children's Hospital (d/b/a Nicklaus Children's Hospital) and Evolent LLC	Variety Children’s Hospital (d/b/a Nicklaus Children’s Hospital) and Evolent LLC	Regions 9 and 11	not reported	not reported	not reported	not reported	2020: 25,653
Miami Children’s Health Plan	Variety Children’s Hospital (d/b/a Nicklaus Children’s Hospital) and Evolent LLC	Variety Children’s Hospital (d/b/a Nicklaus Children’s Hospital) and Evolent LLC	Regions 9, 11	not reported	not reported	not reported	not reported	2019: 14,617
Molina Healthcare of Florida, Inc.	Molina Healthcare	Molina	Regions 1, 4, 6, 7, 8, 9, and 11	not reported	not reported	not reported	not reported	2016: 323,343; 2017: 346,196; 2018: 294,419
Molina Healthcare of Florida	Molina Healthcare, Inc.	Molina	Regions 8 and 11	not reported	not reported	not reported	not reported	2020: 101,519; 2021: 117,192
Molina Healthcare of Florida	Molina Healthcare, Inc.	Molina	Regions 8, 11	not reported	not reported	not reported	not reported	2019: 95,278
Positive Healthcare, Inc.	AIDS Healthcare Foundation	AIDS Healthcare Foundation	Regions 10 and 11	not reported	not reported	not reported	not reported	2017: 2,006
Prestige Health Choice	AmeriHealth Caritas	AmeriHealth Caritas	Regions 9 and 11	not reported	not reported	not reported	not reported	2020: 88,659; 2021: 106,105
Prestige Health Choice	AmeriHealth Caritas	AmeriHealth Caritas	Regions 9, 11	not reported	not reported	not reported	not reported	2019: 79,610
Prestige Health Choice	Prestige Health Choice	Prestige Health Choice	Regions 2, 3, 5, 6, 7, 8, 9, and 11	not reported	not reported	not reported	not reported	2016: 309,404; 2017: 324,321; 2018: 325,327
Simply Healthcare Plans DBA Clear Health Alliance	Anthem Insurance Companies, Inc.	Elevance	Regions 1, 2, 3, 5, 6, 7, 8, 9, 10, and 11	not reported	not reported	not reported	not reported	2016: 9,196; 2018: 9,057
Simply Healthcare Plans, Inc.	Anthem Insurance Companies, Inc.	Elevance	Region 11	not reported	not reported	not reported	not reported	2016: 83,211; 2017: 81,284; 2018: 71,259
Simply Healthcare Plans, Inc.	Anthem, Inc.	Elevance	Regions 5, 6, 7, 10, 11	not reported	not reported	not reported	not reported	2019: 454,393
Simply Healthcare Plans, Inc.	Anthem, Inc.	Elevance	Regions 5, 6, 7, 10, and 11	not reported	not reported	not reported	not reported	2020: 480,883; 2021: 618,781
South Florida Community Care Network DBA Community Care Plan	Community Care Health Plan (WI)	Community Care Health Plan (WI)	Region 10	not reported	not reported	not reported	not reported	2018: 40,948
South Florida Community Care Network	not reported	unmatched	Region 10	not reported	not reported	not reported	not reported	2016: 44,189
Staywell Health Plan of Florida	WellCare Management Group, Inc.	Centene	Regions 1, 2, 3, 4, 5, 6, 7, 8, 9, 11	not reported	not reported	not reported	not reported	2019: 772,343
Staywell Health Plan of Florida	WellCare Management Group, Inc.	Centene	Regions 1, 2, 3, 4, 5, 6, 7, 8, 9, and 11	not reported	not reported	not reported	not reported	2020: 815,357; 2021: 906,142
Staywell Serious Mental Illness	WELLCARE OF FLORIDA DBA STAYWELL-SMI	Centene	Statewide	not reported	not reported	not reported	not reported	2020: 103,737; 2021: 135,642
Staywell-Serious Mental Illness	WellCare Management Group, Inc.	Centene	Statewide	not reported	not reported	not reported	not reported	2019: 75,354
Staywell	Wellcare Health Plan of Florida	Centene	Regions 2, 3, 4, 5, 6, 7, 8, and 11	not reported	not reported	not reported	not reported	2017: 660,996
Sunshine Sate Health Plan, Inc.	Centene Corporation	Centene	Statewide	not reported	not reported	not reported	not reported	2021: 599,172
Sunshine State Health Plan - Child Welfare	Centene Corporation	Centene	Statewide	not reported	not reported	not reported	not reported	2020: 37,708; 2021: 38,591
Sunshine State Health Plan – Child Welfare	Centene Corporation	Centene	Statewide	not reported	not reported	not reported	not reported	2019: 33,933
Sunshine State Health Plan, Inc.	Centene Corporation	Centene	Statewide	not reported	not reported	not reported	not reported	2016: 31,129; 2017: 32,186; 2018: 34,219; 2019: 504,116; 2020: 532,372
Sunshine State Health Plan, Inc.	Centene	Centene	Regions 3, 4, 5, 6, 7, 8, 9, 10, and 11	not reported	not reported	not reported	not reported	2016: 468,119; 2017: 480,071
United Healthcare of Florida, Inc.	UnitedHealth Group	UnitedHealth	Regions 3, 4, 6, and 11	not reported	not reported	not reported	not reported	2021: 308,502
United Healthcare of Florida, Inc.	UnitedHealthcare	UnitedHealth	Regions 3, 4, 7, and 11	not reported	not reported	not reported	not reported	2016: 277,615; 2017: 270,886; 2018: 260,672
United Healthcare of Florida	UnitedHealth Group	UnitedHealth	Regions 3, 4, 6, 11	not reported	not reported	not reported	not reported	2019: 242,089
United Healthcare of Florida	UnitedHealth Group	UnitedHealth	Regions 3, 4, 6, and 11	not reported	not reported	not reported	not reported	2020: 263,434
Vivida Health	Lee Memorial Health System	Lee Memorial Health System	Region 8	not reported	not reported	not reported	not reported	2019: 8,766; 2020: 14,683; 2021: 20,929
Wellcare Health Plan of Florida DBA Staywell	WellCare	Centene	Regions 2, 3, 4, 5, 6, 7, 8, and 11	not reported	not reported	not reported	not reported	2016: 676,011; 2018: 633,781

Program of All- Inclusive Care for the Elderly (Program of All-inclusive Care for the Elderly (PACE))

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Florida Pace Center	Miami Jewish Health Systems	Miami Jewish Health Systems	Miami- Dade and Broward counties	not reported	not reported	not reported	not reported	2021: 1,132
Hope Select Care	Hope Hospice and Community Services, Inc.	Hope Hospice and Community Services, Inc.	Collier, Charlotte, and Lee counties	not reported	not reported	not reported	not reported	2021: 634
Morselife Home Care, Inc.	Morse Life Home Care, Inc.	Morse Life Home Care, Inc.	Palm Beach county	not reported	not reported	not reported	not reported	2021: 850
NE PACE Partners	Community Hospice of Northeast Florida, Inc.	Community Hospice of Northeast Florida, Inc.	Duval and Clay counties	not reported	not reported	not reported	not reported	2021: 124
Suncoast Neighborly Care, Inc.	Empath Health Inc.	Empath Health	Pinellas county	not reported	not reported	not reported	not reported	2021: 371

Program of All-Inclusive Care for the Elderly (PACE)

Program of All-Inclusive Care for the Elderly (PACE) 12

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Empath LIFE, LLC	Empath LIFE, LLC	Empath LIFE, LLC	Hillsborough County	CMS reported 10 (2024)	0.3%	not reported	not reported	2024: 10
Florida PACE	Florida PACE	Florida PACE	Region Codes: 02, 03	CMS reported 1,017 (2024)	35.1%	-9 (-0.9%)	-2.8 pts	2023: 1,026; 2024: 1,017
Hope Select Care	Hope Select Care	Hope Select Care	Region Codes: 01, 02	CMS reported 500 (2024)	17.3%	+1 (+0.2%)	-1.2 pts	2023: 499; 2024: 500
InnovAge Florida PACE II, LLC	InnovAge Florida PACE II, LLC	InnovAge Florida PACE II, LLC	Orange, Osceola, Lake, Sumter, Seminole	CMS reported 5 (2024)	0.2%	not reported	not reported	2024: 5
InnovAge Florida PACE, LLC	InnovAge Florida PACE, LLC	InnovAge Florida PACE, LLC	Hillsborough, Hernando, Pasco	CMS reported 16 (2024)	0.6%	not reported	not reported	2024: 16

show all 12

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Morselife	Morselife	Morselife	Martin County	not reported	not reported	not reported	not reported	2023: 748
Morselife	Morselife	Morselife	Martin	CMS reported 876 (2024)	30.2%	not reported	not reported	2024: 876
Mount Sinai Eldercare, Inc.	Mount Sinai Eldercare, Inc.	Mount Sinai Eldercare, Inc.	Miami-Dade	CMS reported 40 (2024)	1.4%	not reported	not reported	2024: 40
Suncoast	Suncoast	Suncoast	Pinellas County	not reported	not reported	not reported	not reported	2023: 316
Suncoast	Suncoast	Suncoast	Pinellas	CMS reported 303 (2024)	10.5%	not reported	not reported	2024: 303
The PACE Place	The PACE Place	The PACE Place	Region Code: 04	CMS reported 126 (2024)	4.4%	+9 (+7.7%)	+0.0 pts	2023: 117; 2024: 126
Trinity Health PACE of Pensacola, Inc.	Trinity Health PACE of Pensacola, Inc.	Trinity Health PACE of Pensacola, Inc.	Escambia, Okaloosa, Santa Rosa	CMS reported 3 (2024)	0.1%	not reported	not reported	2024: 3

Program of All-Inclusive Care for the Elderly (Program of All-inclusive Care for the Elderly (PACE))

Program of All-Inclusive Care for the Elderly (Program of All-inclusive Care for the Elderly (PACE)) 11

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Florida PACE Center	Miami Jewish Health	Miami Jewish Health	Miami-Dade County	not reported	not reported	not reported	not reported	2017: 683; 2018: 741
Florida Pace Center	Florida Pace Center	Florida Pace Center	Miami-Dade County	not reported	not reported	not reported	not reported	2016: 517; 2019: 877
Florida Pace Center	Florida Pace Center	Florida Pace Center	Miami-Dade and Broward counties	not reported	not reported	not reported	not reported	2020: 924
Hope Select Care	Hope Select Care	Hope Select Care	Collier, Charlotte, and Lee Counties	not reported	not reported	not reported	not reported	2018: 244; 2019: 316
Hope Select Care	Hope Select Care	Hope Select Care	Collier, Charlotte, and Lee counties	not reported	not reported	not reported	not reported	2017: 322; 2020: 365

show all 11

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Hope Select care	not reported	unmatched	Collier, Charlotte, and Lee counties	not reported	not reported	not reported	not reported	2016: 312
Morselife Home Care, Inc.	Morselife Home Care, Inc.	Morselife Home Care, Inc.	Palm Beach County	not reported	not reported	not reported	not reported	2016: 222; 2017: 323; 2018: 399; 2019: 557
Morselife Home Care, Inc.	Morselife Home Care, Inc.	Morselife Home Care, Inc.	Palm Beach county	not reported	not reported	not reported	not reported	2020: 655
NE PACE Partners	NE PACE Partners	NE PACE Partners	Duval and Clay counties	not reported	not reported	not reported	not reported	2020: 25
Suncoast Neighborly Care, Inc.	Suncoast Neighborly Care, Inc.	Suncoast Neighborly Care, Inc.	Pinellas County	not reported	not reported	not reported	not reported	2016: 275; 2017: 287; 2018: 295; 2019: 299
Suncoast Neighborly Care, Inc.	Suncoast Neighborly Care, Inc.	Suncoast Neighborly Care, Inc.	Pinellas county	not reported	not reported	not reported	not reported	2020: 322

Program of All-inclusive Care for the Elderly (PACE)

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Florida PACE	–	unmatched	Region Codes: 02, 03	not reported	not reported	not reported	not reported	2022: 952
Hope Select Care	–	unmatched	Region Codes: 01, 02	not reported	not reported	not reported	not reported	2022: 503
Morselife	–	unmatched	–	not reported	not reported	not reported	not reported	2022: 682
Suncoast	–	unmatched	–	not reported	not reported	not reported	not reported	2022: 297
The Pace Place	–	unmatched	Region Code: 04	not reported	not reported	not reported	not reported	2022: 92

Statewide Medicaid Managed Care - MMA + LTSS (Comprehensive MCO + MLTSS)

Statewide Medicaid Managed Care - MMA + LTSS (Comprehensive MCO + MLTSS) 10

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Aetna Better Health	Aetna Better Health	CVS/Aetna	Region Codes: 06, 07, 11	CMS reported 139,257 (2024)	5.2%	-54,800 (-28.2%)	-0.1 pts	2022: 184,503; 2023: 194,057; 2024: 139,257
Florida Community Care	Florida Community Care	Florida Community Care	Region Codes: 01, 02, 03, 04, 05, 06, 07, 08, 09, 10, 11	CMS reported 16,839 (2024)	0.6%	-142 (-0.8%)	+0.2 pts	2022: 14,547; 2023: 16,981; 2024: 16,839
Humana Medical Plan	Humana Medical Plan	Humana	Region Codes: 01, 02, 03, 04, 05, 06, 07, 08, 09, 10, 11	CMS reported 547,549 (2024)	20.3%	-200,946 (-26.8%)	+0.0 pts	2022: 742,117; 2023: 748,495; 2024: 547,549
Molina Healthcare of Florida	Molina Healthcare of Florida	Molina	Region Codes: 08, 11 Counties: Charlotte, Collier, Desoto, Glades, Hendry, Lee, Sarasota, Dade, Monroe	CMS reported 96,302 (2024)	3.6%	-38,994 (-28.8%)	-0.1 pts	2022: 135,324; 2023: 135,296; 2024: 96,302
Simply Healthcare Plans, Inc.	Simply Healthcare Plans, Inc.	Elevance	Region Codes: 01, 02, 05, 06, 07, 09, 10, 11 Counties: Escambia, Okaloosa, Santa Rosa, Walton Bay, Calhoun, Franklin, Gadsden, Gulf, Holmes, Jackson, Jefferson, Leon, Liberty, Madison, Taylor, Wakulla, Washington, Pasco, Pinellas, Hardee, Highlands, Hillsborough, Manatee, Polk, Brevard, Orange, Osceola, Seminole, Indian River, Martin, Okeechobee, Palm Beach, St. Lucie, Broward, Dade, Monroe	CMS reported 541,525 (2024)	20.0%	not reported	not reported	2022: 716,771; 2024: 541,525

show all 10

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Simply Healthcare Plans, Inc.	Simply Healthcare Plans, Inc.	Elevance	Region Codes: 01, 02, 05, 06, 07, 09, 10, 11	not reported	not reported	not reported	not reported	2023: 742,754
Sunshine State Health Plan, Inc. - Specialty Plan - Child Welfare	Sunshine State Health Plan, Inc.	Centene	Region Codes: 01, 02, 03, 04, 05, 06, 07, 08, 09, 10, 11	not reported	not reported	not reported	not reported	2023: 42,464
Sunshine State Health Plan, Inc.	Sunshine State Health Plan, Inc.	Centene	Region Codes: 01, 02, 03, 04, 05, 06, 07, 08, 09, 10, 11	CMS reported 1,089,262 (2024)	40.3%	-348,252 (-24.2%)	+1.4 pts	2022: 1,535,557; 2023: 1,437,514; 2024: 1,089,262
United Healthcare of Florida	United Healthcare of Florida	UnitedHealth	Region Codes: 03, 04, 06, 11 Counties: Alachua, Bradford, Citrus, Columbia, Dixie, Gilchrist, Hamilton, Hernando, Lafayette, Lake, Levy, Marion, Putnam, Sumter, Suwannee, Union	not reported	not reported	not reported	not reported	2022: 371,682
UnitedHealthcare of Florida	UnitedHealthcare of Florida	UnitedHealth	Region Codes: 03, 04, 06, 11 Counties: Alachua, Bradford, Citrus, Columbia, Dixie, Gilchrist, Hamilton, Hernando, Lafayette, Lake, Levy, Marion, Putnam, Sumter, Suwannee, Union	CMS reported 271,904 (2024)	10.1%	-105,307 (-27.9%)	-0.1 pts	2023: 377,211; 2024: 271,904

Statewide Medical Managed Care - Dental (Dental only (PAHP))

Statewide Medical Managed Care - Dental (Dental only (PAHP)) 6

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
DentaQuest of Florida, Inc.	DentaQuest of Florida, Inc.	DentaQuest of Florida, Inc.	Statewide	CMS reported 1,275,169 (2024)	41.2%	-458,461 (-26.4%)	-0.3 pts	2023: 1,733,630; 2024: 1,275,169
DentaQuest of Florida, Inc.	–	unmatched	Entire State	not reported	not reported	not reported	not reported	2022: 1,794,970
Liberty Dental Plan of Florida, Inc.	Liberty Dental Plan of Florida, Inc.	Liberty Dental Plan of Florida, Inc.	Statewide	CMS reported 1,030,662 (2024)	33.3%	-354,508 (-25.6%)	+0.1 pts	2023: 1,385,170; 2024: 1,030,662
Liberty Dental Plan of Florida, Inc.	–	unmatched	Entire State	not reported	not reported	not reported	not reported	2022: 1,405,522
Managed Care of North America, Inc.	Managed Care of North America, Inc.	Managed Care of North America, Inc.	Statewide	CMS reported 785,964 (2024)	25.4%	-265,181 (-25.2%)	+0.2 pts	2023: 1,051,145; 2024: 785,964

show all 6

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Managed Care of North America, Inc.	–	unmatched	Entire State	not reported	not reported	not reported	not reported	2022: 1,039,030

Statewide Medical Managed Care - MMA Only (Comprehensive MCO)

Statewide Medical Managed Care - MMA Only (Comprehensive MCO) 11

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
AmeriHealth	AmeriHealth	AmeriHealth	Region Codes: 09, 11	CMS reported 86,473 (2024)	24.8%	-33,516 (-27.9%)	-0.4 pts	2022: 120,711; 2023: 119,989; 2024: 86,473
Children's Medical Services Network - Specialty Plan	Children's Medical Services Network - Specialty Plan	Children's Medical Services Network - Specialty Plan	Region Codes: 01, 02, 03, 04, 05, 06, 07, 08, 09, 10, 11	not reported	not reported	not reported	not reported	2023: 98,031
Children's Medical Services Network	Children's Medical Services Network	Children's Medical Services Network	Region Codes: 01, 02, 03, 04, 05, 06, 07, 08, 09, 10, 11	CMS reported 87,727 (2024)	25.2%	not reported	not reported	2024: 87,727
Children's Medical Services Network	–	unmatched	Region Codes: 01, 02, 03, 04, 05, 06, 07, 08, 09,10, 11	not reported	not reported	not reported	not reported	2022: 93,106
Community Care Plan	Community Care Plan	Community Care Plan	Region Code: 10	not reported	not reported	not reported	not reported	2022: 58,820; 2023: 57,985

show all 11

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Community Care Plan	Community Care Plan	Community Care Plan	Region Code:10	CMS reported 40,057 (2024)	11.5%	not reported	not reported	2024: 40,057
Molina Healthcare of Florida - Specialty Plan	Molina Healthcare of Florida - Specialty Plan	Molina	Region Codes: 04, 05, 07	CMS reported 17,164 (2024)	4.9%	-9,682 (-36.1%)	-0.7 pts	2022: 28,007; 2023: 26,846; 2024: 17,164
Simply DBA Clear Health Alliance - Specialty Plan	–	unmatched	Region Codes: 01, 02, 03, 04, 05, 06, 07, 08, 09, 10, 11	not reported	not reported	not reported	not reported	2022: 13,307
Simply dba Clear Health Alliance - Specialty Plan	Simply dba Clear Health Alliance - Specialty Plan	Elevance	Region Codes: 01, 02, 03, 04, 05, 06, 07, 08, 09, 10, 11	CMS reported 8,551 (2024)	2.5%	-4,289 (-33.4%)	-0.2 pts	2023: 12,840; 2024: 8,551
Sunshine State Health Plan - SMI (Specialty Plan)	Sunshine State Health Plan - SMI (Specialty Plan)	Centene	Region Codes: 01, 02, 03, 04, 05, 06, 07, 08, 09, 10, 11	CMS reported 108,190 (2024)	31.1%	-51,430 (-32.2%)	-2.5 pts	2022: 157,430; 2023: 159,620; 2024: 108,190
Vivida Health	–	unmatched	Region Code: 08	not reported	not reported	not reported	not reported	2022: 28,509

Plan operations (CMS MCPAR)

Counts, rates, dates, and status are the CMS MCPAR cells for that plan, program, and reporting year. The appeal rate is calculated from CMS reported appeals resolved in favor of the enrollee divided by CMS reported appeals resolved. It is not a CMS-published rate. A plan links when the name matches one enrollment plan in that same state and program. Unmatched is shown and is not guessed. A sanction amount is not on this page. Retrieved 2026-11-02. CMS MCPAR.

National plan operations · Federal compliance deadlines

Appeals, grievances, and enrollment share (2024)

Appeals, grievances, and enrollment share (2024) 21

Plan	Parent	Program	Appeals resolved	In favor of enrollee	Appeal rate	Grievances resolved	Medicaid enrollment share	Managed care enrollment share
Healthy Start MomCare Network	unmatched	Healthy Start MomCare Network	not reported	not reported	not reported	not reported	0.3%	100%
DentaQuest of Florida	DentaQuest of Florida, Inc.	Statewide Medicaid Managed Care - Dental	2,713	not reported	not reported	1,512	36.9%	36.9%
Liberty Dental of Florida	Liberty Dental Plan of Florida, Inc.	Statewide Medicaid Managed Care - Dental	1,118	not reported	not reported	1,551	30%	30%
Managed Care of North America (MCNA)	Managed Care of North America, Inc.	Statewide Medicaid Managed Care - Dental	295	not reported	not reported	871	23.1%	25.6%
Aetna	CVS/Aetna	Statewide Medicaid Managed Care - Long Term Care (LTC)	112	not reported	not reported	180	0.1%	0.1%

show all 21

Plan	Parent	Program	Appeals resolved	In favor of enrollee	Appeal rate	Grievances resolved	Medicaid enrollment share	Managed care enrollment share
Florida Community Care	Florida Community Care	Statewide Medicaid Managed Care - Long Term Care (LTC)	464	not reported	not reported	157	0.4%	0.5%
Humana	Humana	Statewide Medicaid Managed Care - Long Term Care (LTC)	2,019	not reported	not reported	3,049	0.5%	0.5%
Molina Health Care of Florida	Molina	Statewide Medicaid Managed Care - Long Term Care (LTC)	413	not reported	not reported	511	0.1%	0.1%
Simply Health Care Plan	Elevance	Statewide Medicaid Managed Care - Long Term Care (LTC)	1,640	not reported	not reported	314	0.3%	0.3%
Sunshine State Health Plan	Centene	Statewide Medicaid Managed Care - Long Term Care (LTC)	3,918	not reported	not reported	907	0.6%	0.6%
United Health Care Plan	UnitedHealth	Statewide Medicaid Managed Care - Long Term Care (LTC)	464	not reported	not reported	172	0.2%	0.2%
Aetna	CVS/Aetna	Statewide Medicaid Managed Care - Managed Medical Assistance (MMA)	713	not reported	not reported	1,408	3.8%	4.3%
Amerihealth	AmeriHealth	Statewide Medicaid Managed Care - Managed Medical Assistance (MMA)	426	not reported	not reported	798	2.4%	2.7%
Children's Medical Services - Specialty Plan	Children's Medical Services Network - Specialty Plan	Statewide Medicaid Managed Care - Managed Medical Assistance (MMA)	3,957	not reported	not reported	1,091	2.3%	2.6%
Community Care Plan	Community Care Plan	Statewide Medicaid Managed Care - Managed Medical Assistance (MMA)	18	not reported	not reported	99	1.1%	1.2%
Florida Community Care	Florida Community Care	Statewide Medicaid Managed Care - Managed Medical Assistance (MMA)	54	not reported	not reported	61	0.4%	0.5%
Humana	Humana	Statewide Medicaid Managed Care - Managed Medical Assistance (MMA)	1,951	not reported	not reported	13,081	15.1%	16.7%
Molina Health Care of Florida	Molina	Statewide Medicaid Managed Care - Managed Medical Assistance (MMA)	515	not reported	not reported	3,729	3.2%	3.5%
Simply Health Care Plan	Elevance	Statewide Medicaid Managed Care - Managed Medical Assistance (MMA)	1,395	not reported	not reported	2,119	15.1%	16.7%
Sunshine State Health Plan	Centene	Statewide Medicaid Managed Care - Managed Medical Assistance (MMA)	11,087	not reported	not reported	3,021	33.8%	37.5%
United Health Care Plan	UnitedHealth	Statewide Medicaid Managed Care - Managed Medical Assistance (MMA)	2,175	not reported	not reported	2,745	7.5%	8.3%

Sanctions (2024)

Plan	Parent	Topic	Date	Corrective action plan	Remediation status
Healthy Start MomCare Network	unmatched	Other, specify (Failure to meet contractual requirements related to the submission and implementation of a Corrective Action Plan)	2023-08-14	Yes	Remediation in progress
Healthy Start MomCare Network	unmatched	Other, specify (Failure to meet contractual requirements related to the submission and implementation of a Corrective Action Plan)	2023-08-14	Yes	Remediation in progress

Award history

Statewide Medicaid Managed Care AHCA ITN 010-22/23: awarded. AHCA posted ITN 010-22/23 on April 11, 2023. The April 12, 2024 notice of agency decision says AHCA intends to award contracts to Florida Community Care, LLC; Humana Medical Plan, Inc.; Simply Healthcare Plans, Inc.; South Florida Community Care Network, LLC d/b/a Community Care Plan; and Sunshine State Health Plan, Inc. The respondent list also names Aetna Better Health of Florida Inc., AmeriHealth Caritas Florida, Inc., ImagineCare LLC, Molina Healthcare of Florida, Inc., Sentara Care Alliance, LLC, and UnitedHealthcare of Florida, Inc. The notice does not print evaluation scores or a contract term. A protest decision was not in the retrieved notice.
Statewide Medicaid Prepaid Dental: not published by state.

Retrieved 2026-11-03. Sources and scores

Early procurement signals

No official early-procurement document has been retrieved for this state. This is not a finding that no signal exists. Early signals

Contract amendments

No official Medicaid managed-care contract amendment has been retrieved for this state. This is not a finding that no amendment exists. Contract amendments

Medicaid policy

Indiana rows are official policy instruments. Other states show only Federal Register notices of hearings on SPA disapprovals, which are a narrow slice and not waiver or SPA coverage.

Federal Register notices of hearings on SPA disapprovals are read from the Federal Register JSON API. That covers no approved SPAs, waivers, or section 1115 demonstrations.

Coverage not_collected.

No official Medicaid managed-care policy instrument has been retrieved for this state. This is not a finding that no waiver, state plan amendment, or rule exists. Medicaid policy

Federal Register SPA disapproval hearing notices (2015 or later): 0

Plan financials

No official Medicaid plan financial filing has been retrieved for this state. This is not a finding that no filing exists, and it is not a zero. Plan financials. Coverage: not_collected.

Federal compliance deadlines

Cited federal Medicaid managed care deadlines, with the Federal Register citation, the effective date, the compliance date, and the plan obligation.

Subscriber analysis

Subscriber analysis is available to signed-in readers. This public page keeps the evidence and leaves out the interpretation.