Issues with Medicaid?

The new Statewide Medicaid Managed Care (SMMC) contracts were rolled out in December 2018, January 2019, and February 2019. Providers experiencing issues with proper payments from plans or other issues related to the roll out are encouraged to first attempt to resolve the issue with the SMMC plan directly. SMMC plan contacts can be located here. Should the SMMC plan fail to correct the error in payment or otherwise resolve the issue in a timely manner, a formal complaint should be submitted to the Agency for Health Care Administration (AHCA). Filing a formal complaint is the only way AHCA can track complaints to identify a pattern of behavior by a plan. Information on filing a formal complaint with AHCA is available here. Complaints may be submitted online or by calling 1-877-254-1055 Monday through Friday, 8am-5pm EST.