0000041535 00000 n For instructions, see ourFind A Provider Step-by-Step Guide (PDF). T(z2Vxv2m.4.7\m^n\mo!zN??^rK5J~(^zL Beginning October 8, 2021, a new self-service feature, the New Location Code (NLC) Wizard, will be available to eligible providers in the Florida Medicaid Secure Web Portal. Additional information on the status of your Florida Medicaid enrollment application is now available through self-service on the public Web Portal. Provider. Throughout this initiative, the Agency and Gainwell will keep the provider and health plan communities apprised of changes as they occur via Agency e-Alert notifications. 2023 UnitedHealthcare | All Rights Reserved, Florida Medicaid: Claim and AHCA data must match, Sign in to the UnitedHealthcare Provider Portal, Health plans, policies, protocols and guides, The UnitedHealthcare Provider Portal resources, Verify your provider enrollment information as it appears on file with AHCA. 0000000016 00000 n Additional information can be found on the ROPA page, under the Agency Initiatives tab on the public Web Portal. On June 2, 2022, Governor Ron DeSantis signed the Freedom First budget for State Fiscal Year (SFY) 2022-2023. post on health plan encounter submissions. Date: 10/31/22. 0000063432 00000 n Questions? 7:30 AM - 6 PM ET. You will need Adobe Reader to open PDFs on this site. `]).vpF'~E/\YY6GK%p &JjcsJ>z$W Kd2~@:_oVwL%JK1 v?x7#2B_>:f/7*jg*I3qnuDQgktd.S=~L\"#K7[G^3P0F>gf)8?&{y>h**|@lhb%85Px>jEff;HhCA?1gRhah8;?xuAk?yg?!yN?f~@oF a. the Master Provider file (MPF), a Texas Medicaid and Healthcare Partnership (TMHP) data warehouse-derived pool of provider records, b. the TMHP member-facing directory or "online provider lookup" (OPL) on the TMHP website, c. the provider reconcile files, a MAXIMUS data warehouse-derived pool of provider records, and d. Accessibility, document.write(new Date().getFullYear()) FL HealthSource, All Rights Reserved If the provider is not a fully enrolled provider (noted with "Y" under Registered Provider Column on Provider Master List) please contact WellCare at: 1-866-334- Provider Type(s): ALL Revised PML Tip Sheet Beginning March 1, 2022, an enhancement will be applied to the NPI Mapping Logic which will affect providers and health plans who submit claims and/or encounters to Florida Medicaid. The PML and PPL revised layouts will accommodate the new NPI Mapping Logic, which will be implemented on March 1st, 2022. An updated Provider Master List tip sheet is now available on the Managed Care Support section of the Florida Medicaid Web Portal that details the changes. 0000026034 00000 n <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 29 0 R 30 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Use the following chart to know whats needed to correct your claim based on the remittance denial code and go to our Claims Interactive Guide for instructions on how to submit a claim correction. Managed Care Provisional Out-of-network Provider Enrollment form to DXC Technology, at FL-emergent-enroll@dxc.com. Closure, 835 | Florida Medicaid Web Portal (flmmis.com), healthplan.support@gainwelltechnologies.com, Medicaid Provider Minimum Wage Requirements page, Florida Medicaid Agency for Health Care Administration, Florida Medicaid Health Information Network, Florida Medicaid Health Care Alerts Subscription, Centers for Medicare and Medicaid Services (CMS), Florida Health Finder - Consumer Information, You are using a browser that does not support the features required for use with this web application (JavaScript not enabled). This enhanced wizard allows Individual providers (Entity Type 1) to add additional service location addresses to their existing files. D2 r1@&F9`00Ig` \ . On the Florida Medicaid Web Portal you can access the Provider Master List. This list includes detailed information about a provider's type, specialty, NPI, and Medicaid status. following taxonomy edits are not new but will continue to pay and Beginning March 1, 2022, an enhancement will be applied to the NPI Mapping Logic which will affect providers and health plans who submit claims and/or encounters to Florida Medicaid. (Use fewer fields to produce more results: See Search Help), Privacy Statement | Limitations, co-payments and restrictions may apply. DXC will add the provider to the Florida Medicaid Management Information System (FLMMIS) and the Provider Master List, so that after the provider is paid encounters will successfully process in the FLMMIS. PLEASE CHECK SPELLING, SPACING, REFERRING 2 SERVICE ADDRESS IS INVALID- Have questions? 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. The list of certified browsers can be found on the. In Florida, most Medicaid recipients are enrolled in the Statewide Medicaid Managed Care program. 0000001417 00000 n 0000074223 00000 n Fill out the Statewide Medicaid Managed Care Registered Provider Initiative form (PDF) and submit it to: medicaideligibilityoutreach@ahca.myflorida.com. Date: Effective Nov. 1, 2022, if you submit claims with identifier information that doesnt match your provider enrollment data entered with the Agency for Health Care Administration (AHCA), your claims will be denied. document for a comprehensive list of 2023 scheduled maintenance dates. For more information contact the Managed Care Plan. The Enrollment Tracking Search feature has been updated to include application deficiency reasons. 0000001036 00000 n The agency will be posting related updates to X12 837 companion guides soon. 0000063183 00000 n AHCA maintains a Provider Master List (PML) on their Managed Care site ( for providers and MCOs to download and view. 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, Master List of Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Items Potentially Subject to Conditions of Payment, Medicare Fee-for-Service Compliance Programs, Master List of DMEPOS Items Potentially Subject to Conditions of Payment, Supplemental Medical Review Contractor (SMRC), Required Face-to-Face Encounter and Written Order Prior to Delivery List (PDF). ) 0000042555 00000 n <>/Metadata 210 0 R/ViewerPreferences 211 0 R>> Florida Medicaid will pay for medically necessary services provided to recipients diagnosed with COVID-19, regardless of whether the provider is located in-state or out-of-state. AHCA Find Medicaid Doctors, Dentists, and Specialists Find Medicaid Doctors, Dentists, and Specialists "To find doctors, dentists, and specialists in your community that serve Medicaid patients, go to www.flmedicaidmanagedcare.com or call 1-877-711-3662 to talk to a Choice Counselor." Online Form. Agency for Health Care Administration; P.O. . 49 0 obj <> endobj xref This page contains important information for providing continued services to displaced Florida Medicaid recipients impacted by Hurricane Ian. Left navigation requires javascript to be enabled in your browser. Master List of Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Items Potentially Subject to Conditions of Payment CMS has streamlined regulatory requirements to help simplify DMEPOS payment requirements and reduce provider and supplier burden. Managed Care Plan with a Florida Medicaid contract. All Contacts. AHCA will reopen ATNs for ALF providers who previously submitted an application that was terminated for incomplete documentation within the last six months. Please visit the Hurricane Preparedness page on the public Web Portal under the Agency Initiatives tab. They are located on the AHCA public web portal under Provider Services/EDI/Companion guides. This impacted providers who had more than one state Medicaid ID. To be reimbursed for services rendered to eligible Florida Medicaid recipients, providers not already enrolled in Florida Medicaid (out-of-state or in-state) must complete a provisional (temporary) enrollment application. For Providers Addiction Recovery and Treatment Services, Behavioral Health, Dental, Foster Care, High Needs Support, Long Term Care, Managed Care, Maternal and Child Health, Pharmacy Services and more DMAS - Department of Medical Assistance Services Cardinal CareVirginia's Medicaid Program Department of Medical Assistance Services Menu Sitemap The Agency is aware of concerns regarding requiring all organizational (Type 2) providers to acquire and apply new NPIs to their current and future service locations. endobj The program has three parts: Managed Medical Assistance, Long-Term Care, and Dental. 0000041273 00000 n %%EOF Providers are encouraged to stay connected by visiting the Florida Medicaid Public Web Portal often for the most up-to-date information on these changes. (cont. Locate the appropriate taxonomy code that is . YouTube page for Georgia Medicaid; How can we help? See the Florida Medicaid Provider Registration Guidefor directions for successfully completing the form. Disclaimer | If you dont take action by your PML expiration date, you will be terminated from the Sunshine Health network on your PML expiration date. This is done through the provision of quality services to meet the care needs of . To allow providers to prepare for changes related to this initiative, the Agency has moved the implementation date to 3/1/2022. Action Required: Please complete the application wizard with AHCA online to renew and/or complete your Medicaid ID registration. 7s]]7~}qn{wVZFl)[Vj}v~{=~{[j v{a-V'::n?Igcml7,[ -vOx7Kfo%ZNoFv>Z[OX&xuYXXOqk |}`aHvo9~4q={K(92jo!5#42A\v_p \|GNMGn\, Cj`oHu_duxRR0g8Qmz$F# Y= XX;w_ZpcK+(' q&JXGD\Cw6 \hzp#y:Nj:JDZ> The New Service Type or Address Request form will no longer be processed. Benefits, formulary, pharmacy network, premium and/or co-payments/co-insurance may change. There are three different programs that makeup the Statewide Medicaid Managed Care Managed Medical Assistance (MMA) Program, Long-term Care (LTC) Program, and Dental Program Learn More About MMA and LTC Learn More About Dental NPI - National Provider Identifier. Providers have a number of options to obtain claim status information from Medicare Administrative Contractors (MACs): Providers can enter data via the Interactive Voice Response (IVR) telephone systems operated by the MACs. Child Welfare Provider Directory - Region 3 (PDF) Serving Alachua, Bradford, Citrus, Columbia, Dixie, Gilchrist, Hamilton, Hernando, Lafayette, Lake, Levy, Marion, Putnam, Sumter, Suwannee and Union counties Child Welfare Provider Directory - Region 4 (PDF) Serving Baker, Clay, Duval, Flagler, Nassau, St. Johns and Volusia counties Statewide Medicaid Managed Care (SMMC) is the program where most Medicaid recipients receive their Medicaid services. Need access to the UnitedHealthcare Provider Portal? Effective October 1, 2021, any fee-for-service claim submitted with a National Provider Identifier for a ROPA provider not enrolled with Florida Medicaid will be denied. Share sensitive information only on official, secure websites. No records found. 304 0 obj <>stream PLEASE CHECK SPELLING, SPACING, REFERRING DETAIL SERVICE ADDRESS IS Community Care Plan is owned by South Florida's most experienced names in health care: Broward Health (North Broward Hospital District) and Memorial Healthcare System (South Broward Hospital District). %PDF-1.7 The Florida Medicaid Taxonomy Guide, found under Enrollment Forms on the Florida Medicaid Web Portal, open_in_new identifies taxonomies that correlate to provider types and specialties FLMMIS Provider Enrollment open_in_new lists provider types Claims, Billing and Payments on UnitedHealthcare Provider Portal to review and resubmit claims Questions? *@ ?&ny`mk(>sUM'A{808+D5RtJ)NK'KL.pn& E|mH.kvzYE.=,-2u-Gpf! TAXONOMY IS NOT VALID FOR REFERRING PROVIDER, TAXONOMY IS INVALID - DTL REFERRING PROVIDER, TAXONOMY IS MISSING - DTL REFERRING PROVIDER, TAXONOMY IS NOT VALID FOR DTL REFERRING PROVIDER, ROPA Taxonomy Is Invalid Attending Provider, ROPA Taxonomy Is Not Valid For Attending Provider, ROPA Taxonomy Is Missing Attending Provider, ROPA Taxonomy Is Not Valid For Ordering Provider, ROPA Taxonomy Is Invalid Dtl Ordering endstream endobj 269 0 obj <. The Agency has posted new NPI Crosswalk Enhancement guidance that is located on the AHCA public Web Portal under Agency Initiatives/NPI Crosswalk Enhancement. Please visit the Hurricane Preparedness page frequently to remain up-to-date with the latest information as it is made available. code to match the state Provider Master List (PML). It must be used in conjunction with the Florida Medicaid Provider Reimbursement Handbook, CMS-1500, which contains information about specific procedures for submitting claims for payment, and the Florida Medicaid Provider General Handbook, which describes the Florida Medicaid program. Medicaid Provider Directory - Region 3 (PDF) Serving Alachua, Bradford, Citrus, Columbia, Dixie, Gilchrist, Hamilton, Hernando, Lafayette, Lake, Levy, Marion, Putnam, Sumter, Suwannee and Union counties Medicaid Provider Directory - Region 4 (PDF) Serving Baker, Clay, Duval, Flagler, Nassau, St. Johns and Volusia counties For additional information and the latest updates from the Agency for Health Care Administration (Agency), please visit the COVID-19 page on the Agency's website. Example: ME99999 or ME069999. To distribute the funds appropriated for the Medicaid provider minimum wage requirement, AHCA has been directed to increase Medicaid managed care reimbursement rates and certain Medicaid fee-for-service fee schedules. 0000048276 00000 n hb```e``@(2K.D8pA5agE7KU1xt40[ q(K a`di)>LL3a<2^-pcIr|n0\a:MH330;X]?H3Q1@ G/ An updated Provider Master List tip sheet is now available on the Managed Care Support section of the This requirement follows the mandate the AHCA enacted on March 1, 2022, requiring all healthcare professionals providing care to Medicaid enrollees to include specific identifiers when filing claims. Changes will impact the process for registering, validating, and correcting new and existing provider information. Providers can search for all Medicaid IDs associated to an NPI without having to navigate away from their secure account to use other resources to find this information. Claims with a From Date of Service of February 28, 2022, the ZIP+4 from the NPI Crosswalk should be used. 786 0 obj <> endobj Steps to getting contracted plus plan information, Phone numbers and links for connecting with us, List of contracted, high-quality independent lab providers, Update, verify and attest to your practice's demographic data, Provider search for doctors, clinics and facilities, plus dental and behavioral health, Policies for most plan types, plus protocols, guidelines and credentialing information, Specifically for Commercial and Medicare Advantage (MA) products, Pharmacy resources, tools, and references, Updates and getting started with our range of tools and programs, Reports and programs for operational efficiency and member support, Resources and support to prepare for and deliver care by telehealth, Tools, references and guides for supporting your practice, Log in for our suite of tools to assist you in caring for your patients. 0000019074 00000 n Email Us. 805 0 obj <>/Filter/FlateDecode/ID[<08E51282E405684D9C17F1CE6F8C1661><5571271B0099974DBF27615CD82AD9C9>]/Index[786 41]/Info 785 0 R/Length 100/Prev 808182/Root 787 0 R/Size 827/Type/XRef/W[1 3 1]>>stream Community Care Plan (CCP) is a Provider Service Network (PSN) in Broward County. 0000018945 00000 n PLEASE CHECK SPELLING, SPACING, ATTENDING SERVICE ADDRESS IS INVALID- Completed and signed attestations can be submitted by the physician to the Department of Health via secure email at CMS.ClinicalEligibilityScreening@flhealth.gov or via fax to 850-488-3813. Providers will see multiple changes to the Web Portal over the next few months regarding NPI Crosswalk. trailer <<9525EF5C7FA24921844CA5259BD404D3>]/Prev 78233/XRefStm 1251>> startxref 0 %%EOF 85 0 obj <>stream Sign up to get the latest information about your choice of CMS topics. The alphabetical listing of providers by specialty allows you to easily locate all the providers in the area that have the same scope of practice. 292 0 obj <>/Filter/FlateDecode/ID[<0291B0836E45394FB468471EBBC545E0>]/Index[268 37]/Info 267 0 R/Length 115/Prev 471263/Root 269 0 R/Size 305/Type/XRef/W[1 3 1]>>stream Find a Provider Contact Us. We can help. State Profiles Every state's Medicaid and CHIP program is changing and improving - most states are expanding coverage for low-income adults; all states are modernizing their Medicaid/CHIP eligibility, enrollment and renewal processes and systems, and taking advantage of many of the new flexibilities provided by the Affordable Care Act. The type and amount of services depends on the age of the beneficiary, the type of Medicaid program in which the beneficiary is enrolled, and the type of services determined medically necessary by the beneficiary's Primary Care Provider. To verify a Nurse Licensure Compact Multi-State RN or LPN License, access NURSYS License Number Enter License Prefix and License Number with no spaces, leading zeros or colons. _b>? %PDF-1.6 % Default Pay Multiple Service Locations, Performing 826 0 obj <>stream endobj Providers participating in a Florida Medicaid managed care plan are federally required to enroll in Florida Medicaid. To access the tool, login to the secure Web Portal by clicking the Secure Web Portal Login button above. Medical Services Covered by Florida Medicaid Florida Medicaid covers a variety of medical services. Business Name Enter Business Name for Establishments or Last Name for Practitioner Last Name First Name City County Zip Code License Status Use the, Verify your information matches what you submit on your claims. Providers and health plans are encouraged to review the tip sheet to understand how the enhancement will affect their claims and/or encounter submissions. All rights reserved. Toll Free: (877) 423-4746. Official websites use .govA Please be sure to submit all five pages of the attestation. If you would like to search for a complete list of licensed providers, please visit our data portal. Transactions submitted with a From Date of Service of February 28, 2022, or earlier should use the taxonomy associated with the NPI Crosswalk. FLSMPLY-CD-003934-22 July 2022 . NPI to Medicaid ID Search Engine: The existing tool has been enhanced and is accessible via the secure Web Portal. In support of validation that a health care provider meets these requirements, AHCCCS publishes two listings as follows on a regular basis: AHCCCS Active, Registered Providers by NPI who may Refer, Order, Prescribe, or Attend ROPA Excepted Providers List (Residents, Interns, Pharmacists) Steps To Comply with ROPA During the Registration Extension Megamenu requires javascript to be enabled in your browser. Detail Default Pay Multiple Service Locations, Ordering PML - Provider Master List. People on Medicaid will get services using one or more of these plan types: Florida Medicaid Provider Reimbursement Handbook, CMS-1500 Illustration 1-1. from pg. Complete one or more search fields. An updated Provider Master List tip sheet is now available on the Managed Care Support section of the Florida Medicaid Web Portal that details the changes. 0000017333 00000 n To enroll, you must have an NPI. And to get an NPI, your application will need to include the taxonomy code that reflects your classification and specialization. hmo6 For more information contact the Managed Care Plan. Children's Medical Services Health Plan (KidCare), Complaints, Grievances and Appeals (Medicaid), Medicaid Supplemental Preferred Drug List, Pediatric Therapy Provider Access Contact, ROPA Provider Enrollment Application Now Available, Derrick Brooks and Sunshine Health encourage COVID-19 vaccinations, How to Create Positive New Habits in our New World, Statewide Medicaid Managed Care Registered Provider Initiative form (PDF), medicaideligibilityoutreach@ahca.myflorida.com, Call 1-800-289-7799, Option 4 for any additional provider enrollment questions. Default Pay Multiple Service Locations, Referring Call Us. 0000024293 00000 n Florida Department of Health | Division of Medical Quality Assurance Search Services, To verify a Nurse Licensure Compact Multi-State RN or LPN License, access. Monday - Friday. Health Plan Portal User Manual. Please try your search again with other search values. Sunshine Health is a managed care plan with a Florida Medicaid contract. The Claims with a From Date of Service of March 1, 2022, or after should use the ZIP+4 associated with the provider service location address. Providers can access this information on the Enrollment Status page under the Provider Services tab. Or start a search using ourFind A Providertool. hbbd```b``65 d3E`rX$LX$XDNL q%VV@&F`Jg-@ T Please review the Scheduled Maintenance Please review the Known Issues and Informational Items List for details listed related to the MMIS. On February 2, 2022, the Agency for Health Care Administration (Agency), along with its fiscal agent Gainwell Technologies (Gainwell), sent an alert informing health plans of new CARC/RARC combinations that will post and deny on Health Plans 835 transactions containing encounters. Medicaid & CHIP Enrollment Data. Some providers are called essential providers. They provide care to members statewide. 0000001251 00000 n For more information, or to submit questions related to the new layout, please email the Health Plan Support team at: healthplan.support@gainwelltechnologies.com. | r]G(c>|2]eVg\PP This requirement also helps ensure we have the proper information needed to promptly pay your claims. Health plans can access the sample test files with the new layout on the Submission Information page of the Florida Medicaid Web Portal. Any provider that has a payment suspension based on a credible allegation of fraud within the last 10 years,[23] Any provider excluded within the past 10 years by HHS-OIG or an SMA,[24, 25] Any provider that has a qualifying Medicaid overpayment,[ 26] The provider is enrolling within 6 months of the date of the lifting of a r>LFoc6rw,0-ccIp3@IqusJ. October 8, 2021, a new self . 0000048537 00000 n Providers who fail to sign the agreement will be subject to audits and recoupment of funds associated with the minimum wage requirement. 10/31/22. 0000048907 00000 n We maintain and annually update a List of Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS) Codes (the Code List), which identifies all the items and services included within certain designated health services (DHS) categories or that may qualify for certain exceptions. NPI Registration Form: The NPI Registration Form will be discontinued with the following exceptions: NPI to Medicaid ID Search Engine: The existing tool will be enhanced and will be accessible via the secure Web Portal. [q@R[Chu$%ZYy+zYY-R4ihlrQu-nKdq:T,dhMq)u"8,RG6~]YBgFAsA OAzcV!"bJHJ. Provider Information Reports The Agency for Health Care Administration (Agency) provides three reports of provider data, the Provider Master List, the Pending Provider List, and the Denied Provider List. These enhancements will be available to Fully enrolled, Limited enrolled, and ROPA enrolled providers. (Updated 02/15/2023). + 7B %PDF-1.4 % Additional information can be found in the NLC Quick Reference Guide (QRG), located in the Add Additional Locations section of the Enrollment Forms page. Billing provider taxonomy missing or invalid on claim, Submit corrected claim with correct billing provider taxonomy, Rendering provider taxonomy missing or invalid on claim, Submit corrected claim with correct rendering provider taxonomy. Change of Address (COA) Wizard: The current COA Wizard will be enhanced to allow Individual providers (Entity Type 1) to add additional service location addresses to their existing files. Secure .gov websites use HTTPSA The Florida Department of Health works to protect, promote & improve the health of all people in Florida through integrated state, county & community efforts. 0000026103 00000 n https:// 0000041970 00000 n X Providers HCBS Incident Reporting System Medicaid Pharmacy Preferred Drug Lists Provider Forms Provider Types Public Notices . Take the following steps to ensure your information is accurate and matches the data recorded with AHCA and UnitedHealthcare Community Plan: Resubmitting denied claims means youve safely connected to the .gov website. Please note that a new browser window will open. AHCA requires that every provider who participates with Medicaid or CHIP beneficiaries maintain an active status on their Medicaid ID. 521 '(6$17,6 *29(5125 0$5< & 0$<+(: 6(&5(7$5< +rph _ $erxw 8v _ 0hglfdlg _ /lfhqvxuh 5hjxodwlrq _ 5hsruw )udxg _ 5hsruw 0hglfdlg ,vvxh &rpsodlqw In accordance with 42 Code of Federal Regulations 455.410(b), all ordering or referring physicians, or other professionals providing services to Medicaid recipients must be enrolled with Florida Medicaid. The new NPI to Medicaid ID Search Engine tool will display an indicator to identify the Medicaid ID/service location that the NPI mapping logic will default to when there are multiple identical service locations for a single NPI. Address Maintenance Wizard: The current Change of Address (COA) Wizard has been renamed to the Address Maintenance Wizard. Primary: (404) 657-5468. You must include the following information for billing and rendering providers when submitting claims: What you need to do We recommend you use a certified browser to ensure that the application functions as expected. Procedure code lookups are now available on the Florida Medicaid Secure Web Portal via the new Recipient Procedure Lookup self-service tool. Revised CMS-1500 Claim Form (front . AHCA requires that every provider who participates with Medicaid or CHIP beneficiaries maintain an active status on their Medicaid ID. | Illinois Fingerprint Vendor Agency (license # 262.000016) Several of these new CARC/RARC combinations have been revised and will no longer cause a denial on encounter submissions. INVALID, REFERRING 2 ZIP CODE IS MISSING/ Default Pay Multiple Service Locations, Referring View the Master List (PDF). PLEASE CHECK SPELLING, SPACING. HWn]E8?p3==/),0@fX If you are a provider meeting the criteria above and currently have an Application Tracking Number (ATN), AHCAs Provider Enrollment team will assist you in completing the process. Refer to the Secure Web Portal Maintenance Quick Reference Guide for assistance. hbbd```b``A$"Y &$3&8d SIt+ Default Pay Multiple Service Locations, Other The new NPI self-service feature allows providers to update or add a new NPI to the Medicaid provider ID associated to the account the provider is logged into. 2 Prov 2 Default Pay Multiple Service Locations, To view the complete list of CORE/CAQH Compliant EOB Clarifications, visit our website at: 835 | Florida Medicaid Web Portal (flmmis.com), For more information, or to submit questions related to the revised edits, email the Health Plan Support team at healthplan.support@gainwelltechnologies.com. The Agency is also required to enter into a supplemental wage agreement with each impacted Medicaid Provider by October 1, 2022, to ensure compliance with the minimum wage requirements. Responsible for assisting plans and providers with the provider enrollment process, both initial and renewal; submitting provider maintenance to the Medicaid fiscal agent; receiving, tracking, and monitoring escalated issues, legislative requests, and public records requests; performing onsite reviews; coordinating and delivering plan and 0000022399 00000 n 0000015958 00000 n The Agency for Health Care Administration (Agency) and its fiscal agent, Gainwell Technologies, would like to notify providers of upcoming enhancements to the Florida Medicaid secure Web Portal. 0 Also, as delineated in the budget, if providers dont use the rate increase as intended, employees may bring civil action against the provider.
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