Join a provider network where Care is the Heart of Our Work®
The AmeriHealth Caritas Florida Family of Health Plans will be offering an array of products and expanded services in Florida. By providing quality, affordable health care insurance no matter the health barrier, the social condition or material and economic security, we align our whole-person model of care vision to empower those in need during their full life’s journey.
AmeriHealth Caritas Florida is currently developing an expanded network of hospital, physicians and ancillary healthcare providers in order to qualify for the Florida Statewide Medicaid Managed Care Program (SMMC). We intend to respond to the Invitation to Negotiate (ITN) for the SMMC scheduled for release in the fourth quarter of this year.
Our goal is to work with the Florida Agency for Health Care Administration (AHCA) to arrange for the delivery of health services, including Long-Term Care (LTC), to Floridians that are Medicaid eligible. We want to work with dedicated providers like you to deliver high quality, coordinated, and integrated health care services to underserved populations throughout Florida.
Health Insurance Market Place
AmeriHealth Caritas Next offers affordable health plans for eligible individuals or families who do not have coverage through their employer and do not qualify for Medicare or Medicaid. AmeriHealth Caritas Next is available in select southeastern Florida counties with whole-person care for today, tomorrow, and whatever comes next.
Medicare Advantage Dual-Eligible Special Needs Plan
AmeriHealth Caritas VIP Care is a Medicare Advantage D-SNP plan for those beneficiaries that are dually eligible for both Medicare and Medicaid. AmeriHealth Caritas VIP Care offers extra benefits and support to assist our dual-eligible members in accessing their Part A, B and D benefits that are normally provided under traditional Medicare. AmeriHealth Caritas VIP Care administers the Medicare Advantage and enhanced benefits for beneficiaries. Our approach integrates proven, established care management, preventive services, and other programs that effectively coordinate care for aged, blind, and disabled individuals.
We work better when we work together.
We work effectively and efficiently with our dedicated providers. Together we can help deliver quality, cost-effective, integrated health care services to improve health outcomes to Floridians.
How to join:
Please contact our Provider Network Management team at 1-844-411-0590.
To contact us with questions:
- By phone: 1-800-617-5727
- By email: PNM_Inquiries@amerihealthcaritasfl.com
Please complete the Request to Contract Form (PDF) to get started.
Why join AmeriHealth Caritas Florida?
AmeriHealth Caritas Florida leverages the expertise, resources, and more than 35 years of experience of our affiliate AmeriHealth Caritas organizations in improving the lives of our Medicaid members in Florida.
Using our Population Health Management Model, AmeriHealth Caritas Florida is committed to advancing and empowering providers, improving quality of care and health outcomes, and controlling health care costs for the Florida SMMC program. Managed care is more than a business to us; it is an opportunity to meet the needs of the underserved and make a difference in their lives. As a mission-based managed care organization, we put care at the heart of our work for our members, their families, and the communities we serve.
- Population health management.
Our population health management strategy uses a person-centered approach that supports providers in listening to and respecting member and family choices, including cultural, spiritual, and linguistic preferences.
- Disease management and healthy behaviors programs.
We encourage members to actively participate in improving and maintaining their health, and we reward them for practicing healthy behaviors.
- Behavioral health resources and support.
We recognize that physical health is just one part of wellness. That is why we integrate behavioral health services and administer them directly. We offer tools and training to help providers screen for behavioral health conditions, such as depression and substance use disorder. We design new programs to improve member health, tailored to the needs of the membership.
- Partnership with the community.
We collaborate with existing community organizations on programs and care plans to connect members with the help they need.
- Local presence.
We staff our Florida health plan with local professionals who know the community because they already live and work here.
We will support your practice with technology to simplify administration, from claims submission to patient health management.