Required Reporting

Find required federal and state reporting.

Required Reporting

Find required federal and state reporting.

Required Reporting

Florida Healthy Kids Corporation's mission is to decrease the number of uninsured kids by developing child-centered health plans and connecting families to coverage. Through partnerships with accredited health and dental plans, as well as a commitment to high-quality services and continuous improvement, work toward achieving this mission is completed every day.

Accreditation

Plan Accreditation Status

Florida Healthy Kids Corporation contracts with quality plans that are accredited by nationally recognized accrediting entities.

Accreditation is a “seal of approval” given to a plan by an independent organization that evaluates the practices and performances of the plan. Accreditation shows that the plan meets certain quality criteria.

Health Plans

Florida Healthy Kids Health Plan	Accrediting Entity	Accreditation	Accreditation Level (as applicable)	Expiration Date
Aetna Better Health of Florida	NCQA¹	Health Plan	Commendable	03/25/2023
Community Care Plan	NCQA	Health Plan	Commendable	12/02/2024
Simply Healthcare Plans	NCQA	Health Plan	Commendable	07/10/2022

Dental Plans

Florida Healthy Kids Dental Plan	Accrediting Entity	Accreditation	Accreditation Level (as applicable)	Expiration Date
Argus Dental Plan	AAAHC²	Health Plan	N/A	08/14/24
DentaQuest of Florida, Inc.	NCQA	Credentialing/Recredentialing	N/A	03/23/23
MCNA Dental	URAC³	Dental Plan, version 7.4	Full	12/01/2023
MCNA Dental	NCQA	Credentialing/Recredentialing	N/A	07/06/2025

¹ National Committee for Quality Assurance (NCQA): http://www.ncqa.org/
² Accreditation Association for Ambulatory Health Care (AAAHC): http://www.aaahc.org/
³ Utilization Review Accreditation Commission (URAC): https://www.urac.org/

Contracts

Plan Contracts

The current Florida Healthy Kids health and dental plan contracts for Title XXI coverage are available below.

Transition of Care Policy
FHKC Uniform Credentialing Policy

Health Plans

Aetna Better Health of Florida	Community Care Plan	Simply Healthcare
Executed Contract	Executed Contract	Executed Contract
Amendment 1	Amendment 1	Amendment 1
Amendment 2	Amendment 2	Amendment 2
Amendment 3	Amendment 3	Amendment 3
Amendment 4	Amendment 4	Amendment 4
Amendment 5	Amendment 5	Amendment 5
Amendment 6	Amendment 6	Amendment 6
Amendment 7	Amendment 7	Amendment 7
Amendment 8	Amendment 8	Amendment 8
Amendment 9	Amendment 9	Amendment 9
Amendment 10	Amendment 10	Amendment 10
Amendment 11	Amendment 11	Amendment 11
Amendment 12	Amendment 12	Amendment 12
Amendment 13	Amendment 13	Amendment 13
Amendment 14	Amendment 14	Amendment 14

Dental Plans

DentaQuest	Liberty Dental Plan	MCNA Dental
Executed Contract	Executed Contract	Executed Contract
Amendment 1	Amendment 1	Amendment 1
Amendment 2	Amendment 2	Amendment 2
Amendment 3	Amendment 3	Amendment 3
Amendment 4		Amendment 4

External Audits and Reviews

Audits

2021 Florida Healthy Kids Periodic Audit Report Argus Final

2021 Florida Healthy Kids Periodic Audit Report Community Care Plan Final

2021 Florida Healthy Kids Periodic Audit Report DentaQuest Final

2021 Florida Healthy Kids Periodic Audit Report MCNA Final

2021 Florida Healthy Kids Periodic Audit Report Simply Final

Quality Review Technical Reports

Florida Healthy Kids Corporation contracts with an external quality review organization (EQRO) to provide quality review of the Florida Healthy Kids health and dental plans. The EQRO provides quality reviews related to performance improvement projects, performance measures, compliance with standards and encounter data validation.