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This page contains important information for providing continued services to displaced Florida Medicaid recipients impacted by Hurricane Ian. 850-298-7123. List of CPT/HCPCS Codes | CMS - Centers for Medicare & Medicaid Services In Florida, most Medicaid recipients are enrolled in the Statewide Medicaid Managed Care program. 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. Disclaimer | The Agency for Health Care Administration (Agency) and the Agency's fiscal agent, Gainwell Technologies (Gainwell), have enacted the NPI Crosswalk Elimination initiative to mitigate NPI Crosswalk data issues. For purpose of comparison, the table also presents (a) the change in enrollment since the initial open of the Health Insurance Marketplaces . The Agency has posted new NPI Crosswalk Enhancement guidance that is located on the AHCA public Web Portal under Agency Initiatives/NPI Crosswalk Enhancement. For more information contact the Managed Care Plan. 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. code to match the state Provider Master List (PML). AHCA - Agency for Health Care Administration. 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 0000026201 00000 n 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. Providers participating in a Florida Medicaid managed care plan are federally required to enroll in Florida Medicaid. Please contact the Public Records office for questions about the public records requests. AHCA requirements PDF Provider Directory Data Quality - Texas Provider Links - Florida 0000017512 00000 n 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. Please visit the Hurricane Preparedness page on the public Web Portal under the Agency Initiatives tab. Under the Managed Care menu, you will want to select Provider Master List, which can be found under the Registration column (third from the right). 2023 Accurate Biometrics, Inc. | All rights reserved. endobj Provider Services - Florida 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 0000019074 00000 n Florida State Medicaid Managed Care - Home Page 0000019453 00000 n An official website of the United States government 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. The following self-service features are now available: NPI Self-Service Feature: A new NPI self-service tool is available to all providers via the secure Web Portal. 10/31/22. 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.