How to become a Medicaid provider in Florida
To bill Florida Medicaid, enroll through Florida Medicaid Web Portal (FLMMIS) — Enrollment Wizard, run by Gainwell Technologies. The process has 6 steps, listed below with the documents the state asks for.
- Enrollment portal
- Florida Medicaid Web Portal (FLMMIS) — Enrollment Wizard
- Steps
- 6
- Documents
- 5
- Plans listed
- 8
On this page
Florida Medicaid enrollment at a glance
To bill Florida Medicaid, enroll through Florida Medicaid Web Portal (FLMMIS) — Enrollment Wizard, run by Gainwell Technologies. The process has 6 steps, listed below with the documents the state asks for.
- Program
- Florida Medicaid (Agency for Health Care Administration)
- Enrollment portal
- Florida Medicaid Web Portal (FLMMIS) — Enrollment Wizard
- Fiscal agent
- Gainwell Technologies (Florida Medicaid Web Portal / FLMMIS)
- Application fee
- Federal rule (42 CFR 455.460): the state must collect the CMS application fee from institutional providers that are newly enrolling or re-enrolling; individual physicians and non-physician practitioners are exempt, as are providers already enrolled in (or that already paid the fee to) Medicare or another state's Medicaid/CHIP. CMS set the fee at $750 for calendar year 2026.
- Fingerprinting
- Florida also requires Level 2 background screening (fingerprint-based, under s. 408.809, F.S.) as part of enrollment and revalidation. Federal rule (42 CFR 455.434, 455.450(c)): providers the state places in the 'high' categorical risk level, and anyone owning 5% or more of such a provider, must submit fingerprints for a criminal background check.
- Site visit
- AHCA assigns each provider type a limited, moderate or high risk level under 42 CFR 455.450. Federal rule (42 CFR 455.432, 455.450(b)-(c)): the state must do site visits before and after enrollment for providers in the 'moderate' or 'high' risk levels, and any enrolled provider must allow unannounced on-site inspections.
- Revalidation
- Florida calls revalidation 'renewal': AHCA re-enrolls every provider at least every five years, mailing a notice about 90 days before the provider agreement expires. Claims suspend if the online renewal is not finished by the expiration date. Federal rule (42 CFR 455.414): every enrolled provider must be revalidated at least once every 5 years.
- Provider manual
- Provider manual
Steps
- Use AHCA's Enrollment Readiness Tool to identify the provider type, enrollment category (full, limited, or rendering-only/ROPA), required documents and risk level
- Complete Level 2 background screening where required
- Apply online through the Enrollment Wizard in the Florida Medicaid Web Portal and upload all forms
- Fix any deficiencies within 21 days; AHCA aims to finish processing within 60 days
- Receive a nine-digit Medicaid provider number
- Get credentialed and contracted by each SMMC plan you want to join (plans must onboard within 60 days of a complete application)
Documents the state asks for
Joining managed-care plan networks
- Credentialing
- Most Florida Medicaid members are in the Statewide Medicaid Managed Care (SMMC) program across nine regions (A-I). Each SMMC plan credentials and re-credentials its own network under AHCA contract rules: plans must confirm each provider is enrolled with Florida Medicaid and holds a current AHCA provider agreement, and must fully enroll/onboard providers they choose to contract with within 60 days of a complete application (with $5,000 liquidated damages per credentialing failure). Florida also offers a 'limited' Medicaid enrollment for providers who serve only plan members. Centralized credentialing: no.
- Plans (state list)
- Aetna Better Health of Florida (AETNA)
- Community Care Plan (CCP)
- FCC
- Humana
- Molina Healthcare
- Simply Healthcare Plans
- Sunshine Health
- UnitedHealthcare
Frequently asked questions
How do I become a Medicaid provider in Florida?
To bill Florida Medicaid, enroll through Florida Medicaid Web Portal (FLMMIS) — Enrollment Wizard, run by Gainwell Technologies. The process has 6 steps, listed below with the documents the state asks for.
Is there an application fee to enroll in Florida Medicaid?
Federal rule (42 CFR 455.460): the state must collect the CMS application fee from institutional providers that are newly enrolling or re-enrolling; individual physicians and non-physician practitioners are exempt, as are providers already enrolled in (or that already paid the fee to) Medicare or another state's Medicaid/CHIP. CMS set the fee at $750 for calendar year 2026.
How often must Florida Medicaid providers revalidate?
Florida calls revalidation 'renewal': AHCA re-enrolls every provider at least every five years, mailing a notice about 90 days before the provider agreement expires. Claims suspend if the online renewal is not finished by the expiration date. Federal rule (42 CFR 455.414): every enrolled provider must be revalidated at least once every 5 years.