Transcription of Florida Medicaid
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Florida Medicaid
Authorization Requirements Policy Agency for Health Care Administration June 2016 Florida Medicaid Florida Medicaid Authorization Requirements Policy June 2016 i Table of Contents Introduction .. 1 Description .. 1 Legal Authority .. 1 Definitions .. 1 Authorization Requirements .. 2 When to Request Authorization .. 2 Where to Obtain Authorization .. 2 Who Can Request Authorization .. 2 Submission Requirements .. 2 Determination Process .. 3 Review Criteria .. 3 Review Process .. 3 Notification .. 4 Final Arbiter .. 4 Appeals .. 4 Recipient Appeals .. 4 Reconsideration Requests .. 5 Florida Medicaid Authorization Requirements Policy June 2016 1 Introduction Description This policy contains general requirements for providers to obtain authorization to render Florida Medicaid services, when applicable.
• Recipient information, including Florida Medicaid identification number • Requesting provider information, including the provider’s National Provider Identifier
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