Florida is the second-largest home health market in the US with over 1,100 Medicare-certified agencies. Between high Medicare Advantage plan-switching, seasonal Medicaid churn, and 11 SMMC regions, eligibility gaps are relentless. ClientCare monitors every patient's coverage and screens your staff against the OIG/LEIE automatically.
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1,100+
Medicare-certified Florida HHAs
11
SMMC Medicaid regions
High MA
Medicare Advantage penetration
Florida has one of the highest Medicare Advantage enrollment rates in the country. Patients frequently switch between MA plans during open enrollment, and each plan change can disrupt eligibility mid-care without warning to your agency.
Florida's tourism-driven economy means a large seasonal workforce with fluctuating incomes. Medicaid eligibility shifts constantly as workers cycle between jobs — creating coverage gaps your billing team discovers too late.
AHCA administers Florida Medicaid through the Statewide Medicaid Managed Care program across 11 regions. Each region has different managed care plans, and patients who move between regions can silently lose coverage continuity.
Eligibility monitoring and compliance screening purpose-built for the Florida home health market — from Miami-Dade to the Panhandle.
ClientCare checks every Florida patient's Medicaid, Medicare, and Medicare Advantage status on a rolling basis — across all SMMC managed care plans. Know before the next visit, not after the denial.
Every staff member is screened against the federal exclusion list every month. 100% of your Florida workforce, zero sampling, fully automated.
Get notified the moment a patient's eligibility changes across any Florida Medicaid managed care plan or Medicare Advantage carrier. Plain-English alerts with the patient, payer, and recommended action.
Export your roster from WellSky, Axxess, AxisCare, or any system used by Florida agencies. Upload the CSV and screening starts automatically — no special formatting required.
Pull patient and staff CSVs from WellSky, Axxess, AxisCare, or any EMR used by your Florida agency. No special formatting required.
Drag and drop your files. Our system maps columns automatically, starts eligibility checks across all Florida SMMC managed care plans and Medicare Advantage carriers, and screens staff against the OIG/LEIE.
ClientCare monitors eligibility on a rolling basis across Florida Medicaid, Medicare, and MA plans. You get alerts the moment coverage changes — whether from plan-switching, redetermination, or regional migration.
We also serve home health agencies in: