florida medicaid provider phone number

Published by on May 29, 2021

FHCP Claims Department P.O. What You Can Do When Calling this Number: ... Medicare and Medicaid Plans Provider Call Center: 800-600-9007. Starting on December 1, 2018, Humana, Staywell, and Sunshine Health (the “MCOs”) will require providers to use HHAeXchange to submit confirmed visits and bill directly to each MCO through the free HHAeXchange Portal. Medicaid is a medical assistance program that helps provide access to healthcare for families with low-income and individuals. Medicaid consultants from the St. Petersburg, FL region will help individuals apply for Medicaid in the state of Florida. Persons can also contact their local ACCESS Service Center for additional information or assistance with the application process. Influenza or 'flu' is a viral respiratory illness, mainly spread by droplets made when people with flu cough, sneeze or talk. You can call Monday through Friday. All hard copy (CMS-1500, UB-04) claims must be submitted by mail to the address listed below. To verify the status of your claims, please call our Provider Claims Representatives at the numbers listed below. You can call Medicaid Choice Counseling toll-free at 1-877-711-3662 (TTY 1-866-467-4970), Monday–Thursday, 8 a.m.–8 p.m., and Friday, 8 a.m.–7 p.m.You can also visit the SMMC website at www.flmedicaidmanagedcare.com.A Medicaid Choice Counselor will help you select a plan. Florida Community Care (FCC) is implementing this change effective for dates of service on or after June 19, 2020 when prior authorization is required for the service. Statewide Medicaid Managed Care: Continuity of Care Provisions. Any entity that bills Medicaid for Medicaid-compensable services provided to Medicaid This website provides information and news about the Medicare program for health care professionals only.All communication and issues regarding your Medicare benefits are handled directly by Medicare and not through this website. You can call Monday through Friday. The AVRS requires the use of a nine-digit active Florida Medicaid provider identification (ID) number to verify recipient eligibility. The benefit information provided is a brief summary, not a complete description of benefits. Florida Blue offers affordable health insurance plans to individuals, families, and businesses. 8. Florida Relay 711 or TTY 1-800-955-8771. The benefit information provided is a brief summary, not a complete description of benefits. The Alabama Medicaid Agency pays for most medicines legally prescribed by a doctor or authorized health professional when dispensed by a licensed doctor or pharmacist in accordance with state and federal laws. Learn more. WellCare Health Plans Florida Medicaid Provider Manual Effective November 20. Main Phone Number: 1-800-615-8720 If you use an out-of-network provider, you may have to pay the full cost of the benefits and services you get from that provider, except for emergency services. For more information, email Healthy Kids. Form and instructions to request patient care information Important updates, PDF opens new window about our transportation services provider. Routine Rides Call MTM at 1-844-239-5974 to schedule a routine ride. Box 12188, Tallahassee, FL 32317-2188 Commercial Insurance and Provider Recovery Email: fltpr@hms.com TPL Updates Fax: 844-845-8354 Provider Relations Fax: 877-256 … The email address and phone number listed above can also be used for eligibility, benefits and general inquiries. Find A Provider. Obtain a Florida Medicaid Provider Application. PHP is an HMO plan with a Medicare contract. 7 Background-Screening Instructions For All Applicants. Provider Claims Dispute Form – Prestige Health Choice. The purpose of the form is to improve care coordination for a patient across multiple providers by making it easier to share protected health information in a secure manner. Here you'll find phone numbers, addresses, emails and other contact information to help support providers. Magellan of Florida Hours of Operation: Monday – Friday, 8:00 a.m. – 7:00 p.m. Eastern time Excluding State of Florida holidays. Florida KidCare Programs. WaiverProvider.com lists providers in Florida. * Alert to Medicaid … By using our Provider Portal instead of calling to speak with a live agent, you are allowing our live customer service teams to prioritize services for providers who are actively assisting our most critical members during the pandemic. Or, call us at 1-877-687-1169 (Relay Florida 1-800-955-8770). The following information is to be submitted to Florida Medicaid Provider Enrollment 1. Medicaid is a medical assistance program that provides low-income families with access to free and low-cost medical care. Medicaid Program Important Phone Numbers Fraud. Contact Georgia Medicaid Medicaid is a medical assistance program that provides low-income families with access to free and low-cost medical care. A specialty Medicaid health plan for members in Florida. Limitations, copayments, and/or restrictions may apply. Individuals can also report potential inaccuracies via phone. LIBERTY PROVIDER SERVICE LINE Toll Free 833.276.0851 AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. Freedom Health, Inc. is an HMO with a Medicare contract and a contract with the state of Florida Medicaid program. Section 10: Behavioral Health Responsibilities of Behavioral Health Providers 110 Amended chart and description . The Provider Service Center helps with contracting, patient services, precertification and many other questions. Box 44117 Jacksonville, FL 32231-4117. With electronic claims submission, a system for online member eligibility verification, and a variety of other automated processes, working with MassHealth has never been easier. Routine Rides Call MTM at 1-844-239-5974 to schedule a routine ride. Important links: AAAHC AHCA HEDIS Florida Department of Financial Services NCQA Medicare Complaint Form Medicare Ombudsman Agent Contact Center. This Information is not a complete description of benefits. Report suspected instances of FWA or any other non-compliance activity. To enroll with Staywell, you must be eligible for Florida Medicaid. Log in to your account and send us a message. For more information contact the Managed Care Plan. All you need to do is set up a time to get your vaccine. ... card control number. (TTY users should call 711). We would like to show you a description here but the site won’t allow us. A separate application must be submitted on … 12 Steps After Completing The Medicaid Provider Enrollment Application. Georgia XIX EDI Services 1-877-261-8785. Providers are encouraged to use the Medicaid and NC Health Choice Provider and Health Plan Lookup Tool to confirm the availability and accuracy of information contained in their NCTracks provider enrollment record. Yes, in Florida you are encouraged to select your own providers. If you want Medicare to be able to give your personal information to someone other than you, you need to fill out an "Authorization to Disclose Personal Health Information." Medicaid provider application to ACS State Healthcare at 1800-377-8216. We would like to show you a description here but the site won’t allow us. Influenza. The Affordable Care Act requires states to collect an application fee, if applicable, prior to executing a provider agreement from a prospective or re-enrolling provider. For more than 11 years ATA of Florida, who is one of the largest networks dedicated exclusively to occupational, speech, and physical therapy, has been pioneering innovative approaches to ensure the highest standard of care while maximizing each therapist’s time and effort with patients. Our staff will help protect your assets from the Medicaid spend down and reduce your nursing home costs before entering into a retirement home in St. Petersburg, Florida. Welcome to the Provider Resources. Announcing the Revised CMS-10114 National Provider Identifier (NPI) Application/Update Form The National Provider Identifier (NPI) Application/Update Form (CMS-10114) has been revised to provide additional guidance on how to accurately complete the form. Call 1 … For the most comprehensive experience, we encourage you to visit Medicare.gov or call 1-800-MEDICARE. We take calls from 8 a.m. to 5 p.m. Limitations, copayments, and/or restrictions may apply. Electronically filed claims must use EDI Claims/ Payor ID number - 51062. You may have a $3 copayment per day for a nonemergency dental visit in a federally qualified health center. Become A Patient Today! Limitations, copayments, and/or restrictions may apply. Coastal Provider Dispute Request. ET. Please contact our Member Services number at (888) 456-4715 for additional information. If you are an Ambetter member you can reach us 24/7 through your online member account . Integrated Voice Response (IVR) 1 (800) 362-8312 Reporting issues via this mail box will result in an outreach to the provider’s office to verify all directory demographic data, which can take approximately 30 days. Phoenix, AZ 85040 Coastal Provider Dispute Request Form. Refer to 42 CFR 455, Subpart E – Provider Screening and Enrollment, Section 455.460 for the complete regulation. The revised form was recently approved by the Office of Management and Budget (OMB). Florida Healthy Kids Providers; Medicaid (MMA) Providers; CCP Employee Providers; Providers. (This contact will not be able to provide you with information concerning the status of an application or account.) Provider Assistance Center 1-800-842-8440. Florida Medicaid Phone Number. For more information contact the Managed Care Plan. Providers, please visit the provider section. Limitations, copayments, and/or restrictions may apply. Completed Florida Medicaid Provider Enrollment Application The current version can be submitted electronically or printed from: UnitedHealthcare is here to help providers who may need information, service or support on network management, provider contracting and more. Provider contact center: Contact information -- Florida, Part B First Coast Service Options’ (First Coast) provider contact center representatives are available Monday through Friday, from 8:00 AM-4:00 PM ET/CT (excluding scheduled holiday and training closures). Lighthouse Health Plan is a Managed Care Plan with a Florida Medicaid Contract. Humana is committed to supporting you as you care for your patients. Dental Plans and Program Main Corporate Phone: 800-417-7140 Corporate Headquarters: DentaQuest 465 Medford Street Boston, MA 02129-1454 Report Fraud: 800-237-9139 Media Related Inquiries: For your convenience, you can call our Compliance Hotline at 1-844-420-0080 (USA and Canada only) available 24 hours a day and 7 days a week provided by LightHouse Services. Families with children or adults who receive Medicaid services have no co-payments. Provider news. HMO and Medicare Advantage - 1-800-624-0756 (TTY: 711) Indemnity and PPO-based plans - 1-888-MD AETNA (1-888-632-3862) (TTY: 711) Voluntary plans - 1-888-772-9682 (TTY: 711) Worker's comp - 1-800-238-6288 (TTY: 711) ASA and Meritain - use phone number on member's ID card Reporting issues via this mail box will result in an outreach to the provider’s office to verify all directory demographic data, which can take approximately 30 days. Contact Us. The Florida Medicaid Dental Health Program covers many of the costs of routine dental care. Contact A Florida Medicaid Provider’s Office – Once you’ve received your card, you can now schedule a visit with your Medicaid accepted health care provider. The bond required of Medicaid providers in Florida is $50,000 for each Federal Employer Identification Number. She faxes the bill to Florida Medicaid so it's aware she's accumulated $200 toward her $1,000 share-of-cost for May. Table of Contents Instructions for Completing The Medicaid Provider Enrollment Application. The Provider Service Center helps with contracting, patient services, precertification and many other questions. Call at least three business days before you need a ride. For help with pediatric therapy provider access issues, please contact 1-844-405-4296 or email Martha Villalba Medicaid: 1-844-405-4296 Medicare Advantage: 1-844-405-4297 Nevada Medicaid and Nevada Check Up News (First Quarter 2021 Provider Newsletter) []Attention Behavioral Health Providers: Monthly Behavioral Health Training Assistance (BHTA) Webinar Scheduled [See Web Announcement 2009]. Provider Claims Dispute Form – Prestige Health Choice. Provider Services Provider Enrollment. Accurate Biometrics is a trusted, FDLE-approved vendor of live scan fingerprinting and Level 2 background checks for AHCA/Medicaid health care providers. Miami Children's Health Plan is a Managed Care Plan with a Florida Medicaid Contract. ET. Orlando Florida Medicaid Office Contact Information. Address, Phone Number, and Hours for Orlando Florida Medicaid Office, a Medicaid Office, at Rio Grande Avenue, Orlando FL. Additional Documents Required at the Initiation of the Medicaid Waiver Services Agreement • Proof of active and appropriate Florida Medicaid Number • Documentation of Successful completion pre-service training, if applicable • Copy of Declaration Pages of General or Professional Liability Business Insurance Alternatively, persons may call the ACCESS Customer Call Center at 1-866-762-2237. Contact Us Phone: (Toll Free) 877-FLRECOV (877-357-3268) Casualty, Estate, Trust/Annuity Email: flsubro@conduent.com Fax: 844-845-8352 Correspondence and Payments: Florida Medicaid TPL Recovery Program P.O. Medicaid provider bonds in Florida ensure that principals (companies, agencies and healthcare providers) that allow patients to use Medicaid as an insurance method pay the state the required fees. Once you’ve received your Florida Medicaid card, you can now schedule a visit with your Medicaid accepted health care provider. Medicaid's Appendix K's for our four Medicaid waivers were approved by the federal government on December 17, 2020. We would like to show you a description here but the site won’t allow us. The Center for Medicaid and CHIP Services (CMCS) is committed to working in close partnership with states, as well as providers, families, and other stakeholders to support effective, innovative, and high quality health coverage programs. The benefit information provided is a brief summary, not a complete description of benefits. Contact Us. If you have a complaint about a provider or a concern about the quality of care or services you have received, please send an e-mail with your name, AHCCCS identification number, date of birth, phone number, the name of the provider and a short description of the complaint or concern to: Access to Covered Medicaid Services (Web form) For more information please refer to NPI: What You Need to Know The NPI Registry Public Search is a free directory of all active National Provider Identifier (NPI) records. Another option is to access CMS.gov, select Contacts Database and search for a Medicaid office for a Medicaid customer service representative in your area. Box 10348 Daytona Beach, FL 32120-0348 or Claims may also be sent electronically to FHCP via our payer ID number, 59322 or Miami Children's Health Plan is a Managed Care Plan with a Florida Medicaid Contract. For more than 11 years ATA of Florida, who is one of the largest networks dedicated exclusively to occupational, speech, and physical therapy, has been pioneering innovative approaches to ensure the highest standard of care while maximizing each therapist’s time and effort with patients. The following are key services for which you may have a question and the phone number for that service: FLORIDA MEDICAID SMMC PROVIDER CONTACT & INFORMATION GUIDE. Sign in with your Florida Medicaid account (use new password if you recently completed a reset). This information is available for free in other languages and formats. Florida Medicaid Health Care Alert December 07, 2018. Co-payments are based on a sliding scale. Florida Medicaid Out-of-State Provider Enrollment Application St. Petersburg Field Office 525 Mirror Lake Dr. N, Suite 510 St. Petersburg, FL 33701-3219 Attn: Out-of-State Exceptional Claims Each exceptional claim request submitted must include an individual letter on the provider’s letterhead, explaining the request for exceptional handling. Submit a Paper Claim by Mail. Click on this link for more information. We take calls from 8 a.m. to 5 p.m. 2020 Page 5 of 136. secure provider portal: https://provider.wellcare.com Finding a Medicaid/CHIP Provider Status of a Medicaid/CHIP Application If you need assistance in any of the areas noted, you will need to contact the agency for Medicaid/CHIP in your state of residence or the state you have questions about in order to receive assistance. To ensure the safety of your protected health information (PHI), please send us a message through the Secure Member Portal or Provider Portal, or you can call us at 1-866-796-0530 to speak directly to a customer service representative. Call (727) 841-8943 to order information on becoming a provider in Florida. Sign in with your Florida Medicaid account (use new password if you recently completed a reset). Office hours are 8 a.m. to 5 p.m. (Central Time), Monday through Friday. Organizations enrolling in SCDHHS Medicaid program are required to submit their Employer Identification Number (EIN) and NPI. Provider Bulletins. ×. Florida Healthy Kids: 844-405-4298 (TTY 711) Long-Term Care: 877-440-3738 (TTY 711) Already a member? If you are not enrolled in a plan, call the Medicaid Helpline at 1-877-254-1055 to find out the name and phone number for Medicaid Office Location; Florida Agency for Health Care Administration 2727 Mahan Drive Tallahassee, FL 32308; Medicaid Office Phone Number; The phone number to call the Florida Medicaid office … This line is open 8 a.m. to 8 p.m. Eastern time, Monday through Friday. Your report provides the Office of the Attorney General the information we need to investigate and, when appropriate, prosecute those who seek to harm our most vulnerable citizens. UHC Members should call the number on the back of their ID card, and non-UHC members can call 888-638-6613 TTY 711. Coastal Home Health Recommendation & Status Report. Please complete this form to report patient or resident abuse, neglect, or exploitation, as well as attempts to commit fraud against the Kentucky Medicaid Program. Please include: • the amount of the expense; • the date the expense was incurred; and • the date and amount of any payments that you have made for the expense. Talk to an advocate Mon – Thurs: 9 a.m. to 5 p.m. Prestige Health Choice operates as a Medicaid managed care plan through Florida's Statewide Medicaid Managed Care (SMMC) program. Customer Call Center. Additional Information Info Glossary; FAQ; Agency Phone Numbers; Letters And Brochures; Medicaid Fair Hearing; Dental Plans Dental. If you have a complaint about a provider or a concern about the quality of care or services you have received, please send an e-mail with your name, AHCCCS identification number, date of birth, phone number, the name of the provider and a short description of the complaint or concern to: Access to Covered Medicaid Services (Web form) Search Providers Page. Medicaid Coverage and Limitations Provider Handbook, and the Florida Medicaid Provider ... Ped-I-Care Phone 800-492-9634 Fax (866) 256-2015 SFCCN Phone T21: 1-866-202-1132, Fax (954) ... an authorization number will be assigned for the requested service and must be on the claim for payment. Please refer to the "Related Links" for a list of State Health Departments. Contact Us If you have questions, please call 1-877-711-3662, TDD 1-866-467-4970, Monday through Thursday from 8 a.m. to 8 p.m.; Friday from 8 a.m. to 7 p.m. For more information, contact the Managed Care Plan. If you are not already a MassHealth provider, or if you wish to enroll in the Primary Care Clinician (PCC) Plan, it's easy to join. Please make sure you have your Maryland Medicaid 9 digit provider number, recipient ID, date of service and or the Invoice control Number (ICN) for the claim(s) in question. Call FaxBack and enter your NPI/API, the member’s ID, and specific dates of service. The information on this website is available for free in other languages. We provide members with access to both mental and physical healthcare. Sign in with your Florida Medicaid account (use new password if you recently completed a reset). Next, let your Medicaid plan know you need a ride and they will take care of the rest. For more information contact the Managed Care Plan. Florida Community Care (FCC) is implementing this change effective for dates of service on or after June 19, 2020 when prior authorization is required for the service. It will be updated regularly as new information is available. Medicaid eligiblity requirements for Florida vary from other states. • Sign and adhere to all conditions of the Medicaid Provider Agreement and be officially enrolled in the Medicaid program to participate in electronic claims submission, including POS. Provider Enrollment Help Line Information Florida Medicaid's Web Portal solution provides communication and self-service tools to the provider community. As the first Provider Service Network in Florida, CCP has managed Medicaid services since March 2000. Press #2 on your phone keypad. Suncoast Interim Region Manager: Michael Taylor: Office Address: 1313 North Tampa Street Suite 515 Tampa, FL 33602. Activation of the baby’s Medicaid ... • You can contact a Medicaid representative by phone at 1-877-254-1055 (8:00 am ET – 5:00 pm ET). Address for Premium Payments: Florida Healthy Kids Corporation P.O. Important notice: Starting Jan. 1, 2020, there will be changes to Florida Healthy Kids health plans throughout the state. Florida Medicaid Provider Bulletin AGENCY FOR HEALTH CARE ADMINISTRATION. Prestige Health Choice is … Influenza can cause mild to severe illness. If you are establishing a payee (pay to) other than your own social security number . Member and Provider Services: 1-800-327-8613 (TTY 711) Available 24 hours Flmcccustomerservice@magellanhealth.com Phone: 602-417-4000 In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Phone 1-800-MEDICARE (1-800-633-4227) For specific billing questions and questions about your claims, medical records, or expenses, log into your secure Medicare account, or call us at 1-800-MEDICARE.. HMO and Medicare Advantage - 1-800-624-0756 (TTY: 711) Indemnity and PPO-based plans - 1-888-MD AETNA (1-888-632-3862) (TTY: 711) Voluntary plans - 1-888-772-9682 (TTY: 711) Worker's comp - 1-800-238-6288 (TTY: 711) ASA and Meritain - use phone number on member's ID card Medicaid Fraud Hotline 1–877–87 FRAUD; Consumer. Atypical Providers -- CMS defines atypical providers as "providers that do not provide health care, as defined under HIPAA in Federal regulations at 45 CFR section 160.103." Please visit our Provider Online Directory at: providersearch.molinahealthcare.com to validate your information and notify us if there are any updates. The Department of Community Health also administers the PeachCare for Kids® program, a comprehensive health care program for uninsured children living in Georgia. v Press #4 on your phone keypad for Provider Enrollment (enrollment, changes and updates of provider files) PROVIDER RELATIONS DIVISION. Provider Alerts The Florida Medicaid program has an email alert system to supplement the present method of receiving Provider Alerts information and to notify registered providers or interested parties of "late-breaking" health care information.

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