Developmental disability services · In effect

Florida’s New ICMC Program Is Now Available Statewide

Eligible adults with developmental disabilities can now consider a voluntary managed-care alternative to remaining on the iBudget pre-enrollment list.

Effective: July 1, 2026

The short version: ICMC can provide coordinated Medicaid services, but enrolling removes the person from the iBudget pre-enrollment list. Families should compare providers, continuity protections, and return rights before choosing.

Who should pay attention

Adults age 18 or older who meet Florida Medicaid and developmental-disability requirements and are in any iBudget pre-enrollment category.

What changed

  • Florida launched the voluntary ICMC program statewide.
  • Enrollment is handled through Florida Medicaid Choice Counseling, not by choosing an iBudget waiver slot.
  • Florida says a participant may return to the iBudget pre-enrollment list and, after at least one year, may have a route to iBudget or the LTC waiver under program rules.

What to do now

  1. 1

    Call Choice Counseling at 1-877-711-3662, option 4, and verify eligibility before changing anything.

  2. 2

    Check every essential doctor, therapist, direct-care provider, medicine, equipment supplier, and authorization with the proposed plan.

  3. 3

    Ask for the effect on iBudget pre-enrollment status and continuity of care in writing.

What we are still watchingPlan networks, service coordination, and transition experience will matter more than the program name. Families should report unresolved access problems promptly.

Official sources

Sources checked August 9, 2026. We distinguish enacted or final changes from proposals and implementation details that are still pending.

General information only—not legal, medical, tax, insurance, or benefits advice. Follow the notice in your own case and use a qualified professional when a deadline or individual right is at stake.