This organizational chart will help you navigate our site. Special Feed Elimination - New Effective Date 07/01/20
Medicaid: Sunshine Health and WellCare Provider Relations Team Integration. Sunshine Health recommends that providers begin using the HHAeXchange Portal in advance of AHCA's Dec. 1, 2019, go live date. At Vivida Health, we’re proud to call ourselves a doctor-led organization. The claims processing changes are informational only and will not result in a denial at this time.Information can be found on the ROPA Provider Enrollment page on the public Web Portal under the Agency Initiatives tab. For inquiries regarding this change, please contact the Provider Enrollment Contact Center at 1-800-289-7799, Option 4.In preparation for compliance with federal requirements that all ordering or referring physicians or other professionals providing services to Medicaid recipients must be enrolled with the State Medicaid agency, new EOB codes and CARC/RARC combinations will appear on the remittance advice and X12 835 claim payment/advice transaction, respectively.Please review the Referring, Ordering, Prescribing, and Attending (ROPA) Professional and Institutional Claims quick reference guides to learn about the impacts of ROPA.
During the temporary coverage period, the pregnant woman will need to submit an application to have her ongoing Medicaid eligibility determined.Women with family income over the limit for Medicaid may qualify for the Medically Needy Program. There is no income limit for this program.Non-citizens, who are Medicaid eligible except for their citizenship status, may be eligible for Medicaid to cover a serious medical emergency.
Scheduled Maintenance
Provider Bulletins; Provider Fee Schedules; Provider Handbooks; Public Information for Providers; Medicaid Reimbursement Related Information. This plan is offered by the Florida Department of Health who has contracted with WellCare of Florida, Inc to provide managed care services to our members. You can visit If you are the treating physician of a child and you would like to attest to the eligibility of your patient for the CMS plan, please review the If physicians have questions about the CMS Clinical Eligibility Attestation, please contact a CMS plan nurse at 1-855-901-5390. Florida Medicaid and DXC Technology offices, including the field offices and provider call center, will be closed Friday, July 3, 2020, in observance of Independence Day. There is no need to file a separate ACCESS Florida Application unless nursing home services are needed.Individuals may apply for regular Medicaid coverage and other services using the online Medicare Savings Programs (Medicare Buy-In) help Medicare beneficiaries with limited finances pay their Medicare premiums; and in some instances, deductibles and co-payments.
The Secure Web Portal Maintenance Quick Reference Guide contains detailed step-by-step instructions on how to perform these actions.
Health Plan Portal User Manual Secure Web Portal User Guide The new codes are now available for providers to select when applying to Florida Medicaid.Providers may contact the Provider Enrollment Contact Center at 1-800-289-7799, Option 4, with any inquiries.The Agency for Health Care Administration (Agency) will be implementing the New Medicare Card Project (NMCP) in order to meet requirements detailed in the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), which mandates the Centers for Medicare & Medicaid Services (CMS) remove all SSNs on all Medicare beneficiary cards.To ensure all providers and insurers have access to the most up-to-date information on this initiative, a new The Agency for Health Care Administration has published a revised Providers are encouraged to visit the revised Background Screening page to review new information related to the types of screening activities that are performed by the Agency, as well as general information related to the requirement for providers to disclose ownership and controlling interest information and to submit to fingerprinting.Providers may contact the Provider Enrollment Contact Center with any inquiries at 1-800-289-7799, Option 4.Have you forgotten your password or has your password expired?Did you know that you can recover your password or reset your expired password by clicking on the “Once signed up for the Provider Alerts, the provider will receive any alert AHCA posts that pertains to that provider's type or region.To subscribe to the automated alert system, complete the online form on the The Managed Care pages provide managed care plans with helpful information and tools related to fiscal agent file exchange, guidance for understanding data, and reports.