Florida Healthy Kids MCO Change Update

Dec 13, 2019 | News

Changes are coming to the Florida Healthy Kids (FHK) program next year.

Starting January 1, 2020, three Managed Care Organizations (MCOs) will provide coverage for all Florida Healthy Kids members—Aetna Better Health of Florida (Aetna) and Simply Healthcare (Simply) will provide statewide coverage, and Community Care Plan will also be available in the following 8 counties: Indian River, Okeechobee, St. Lucie, Martin, Palm Beach, Broward, Miami-Dade and Monroe.  
Therefore, after December 31, 2019, Staywell Kids, United Healthcare and Sunshine Health will no longer provide coverage for Florida Healthy Kids members.  
Impacted families were asked to select a new 2020 MCO during a Special Open Choice Period (October 28-November 30) so new member ID cards can be mailed and available for services starting January 1. If you are interested in becoming an Aetna, Simply, or Community Care Plan provider, please click here for Provider Relations contacts. 
Florida Healthy Kids is one of four Florida KidCare partners. Florida KidCare is the combined Medicaid and Children’s Health Insurance Program (CHIP) program, offering a seamless continuum of coverage for children from birth through the end of age 18. 
These changes apply only to Florida Healthy Kids members (children ages 5-18). If you are a network provider for other Florida KidCare programs, nothing else will change. 
There are no changes to the following Florida KidCare programs: 
Children’s Medical Services Managed Care Plan (CMS Plan) for children with special medical needs: (birth-18) 
Medicaid for Children: (birth-18) 
MediKids: (children ages 1-4) 

Download the Provider Bulletin for complete details including the FHK TRANSITION OF CARE POLICY and FLORIDA HEALTHY KIDS 2020 MCO MAP.

Have a news inquiry or need assistance?

Contact Scott VanDeman, Communications Coordinator at 850-224-3939 ext. 1005.