Medicaid plans › Florida
Florida Medicaid Managed-Care Plans for Providers
Enrollments are billed 50% at the start and 50% at submission; everything else 100% at the start.
Florida Medicaid is run by the Florida Agency for Health Care Administration (AHCA). 3,050,800 people were enrolled in its 10 managed-care plans in 2024. To see their patients, a provider enrolls with Florida Medicaid through the Florida Medicaid Provider Enrollment Wizard, then applies to each plan separately.
| Plan | Members (2024) | Share | Parent |
|---|---|---|---|
| Sunshine State Health Plan | 1,197,452 | 39.3% | Centene |
| Simply Healthcare Plans | 550,076 | 18% | Elevance Health |
| Humana Medical Plan | 547,549 | 17.9% | Humana |
| UnitedHealthcare of Florida | 271,904 | 8.9% | UnitedHealth Group |
| Aetna Better Health | 139,257 | 4.6% | CVS Health |
| Molina Healthcare of Florida | 113,466 | 3.7% | Molina Healthcare |
| Children's Medical Services Network | 87,727 | 2.9% | In-state |
| AmeriHealth | 86,473 | 2.8% | Independence Health Group |
| Community Care Plan | 40,057 | 1.3% | In-state |
| Florida Community Care | 16,839 | 0.6% | In-state |
How Joining Works in Florida
First the state: Florida Medicaid enrollment through the Florida Medicaid Provider Enrollment Wizard, which gives you the Medicaid ID every plan asks for. Then the plans: each takes its own participation request and credentials you from your CAQH ProView (DataSpring) profile. 7 parent companies run plans here, and plans owned by the same company still contract state by state.
How to Join Each Florida Plan
Sunshine State Health Plan (Centene): Centene runs this plan alongside its Ambetter and Wellcare products. Each Centene plan takes its own contract request on the plan's provider website, credentials from your CAQH ProView (DataSpring) profile, and will not load a provider without the state Medicaid ID.
Simply Healthcare Plans (Elevance Health): Elevance Health plans take participation requests through the plan's provider site for that state, most of them now inside Availity Essentials, and credential from your CAQH ProView (DataSpring) profile. Each state is its own contract.
Humana Medical Plan (Humana): Humana's Medicaid plans take participation requests through Humana's provider site for that state and credential from your CAQH ProView (DataSpring) profile.
UnitedHealthcare of Florida (UnitedHealth Group): UnitedHealthcare Community Plans use UnitedHealthcare's provider onboarding: a participation request on the UnitedHealthcare provider site, credentialing from your CAQH ProView (DataSpring) profile, then a state-specific Community Plan agreement.
Aetna Better Health (CVS Health): Aetna Better Health plans each have a state-specific "Join our network" request on aetnabetterhealth.com. They are separate from Aetna's commercial network, so an Aetna commercial contract does not carry over.
Molina Healthcare of Florida (Molina Healthcare): Molina credentials each state separately. The contract request goes through the state's Molina provider site and requires an active state Medicaid enrollment; credentialing uses your CAQH ProView (DataSpring) profile.
AmeriHealth (Independence Health Group): Plans in the AmeriHealth Caritas family take participation requests on each plan's own provider website and credential from your CAQH ProView (DataSpring) profile.
Children's Medical Services Network, Community Care Plan, Florida Community Care: This plan is run in-state rather than by a national carrier, so participation requests go to the plan's own provider relations or contracting team, listed on its provider website.
Also in Florida: Medicare, Florida Medicaid and commercial credentialing.
Questions
Which Florida Medicaid plan is the largest?
Sunshine State Health Plan, with 1,197,452 members in 2024, 39.3% of the 3,050,800 people enrolled in Florida's Medicaid managed-care plans.
Do I have to join every Florida Medicaid plan?
No. Each plan is a separate contract. Practices usually start with the two or three largest plans in their county, then add others as patients ask for them. All of them require Florida Medicaid enrollment first.
Membership from KFF, Medicaid MCO Enrollment by Plan and Parent Firm, 2024. Plans change when the state rebids its contracts; we confirm the current list on every file.