Revised 7/1/16 ManagedMedicalAssistanceStandardPlansplan Name Regions of Operation Contact Amerigroup Florida 5, 6, 7, and 11 Telephone number: 1-800-600-4441 TDD: 711 Better Health 6 and 10 Telephone number: 1-800-514-4561 TDD: 711 Coventry Health Care of Florida d/b/a Aetna Better Health of Florida (Name Change Effective 2/27/2017) 11 Telephone number: 1-800-441-5501 TDD: 711 Humana Medicalplan 1, 6, 9, 10, and 11 Telephone number: 1-800-477-6931 TDD: 711 Molina Healthcare of Florida 1, 4, 6, 7, 8, 9, and 11 Telephone number: 1-866-422-2541 TDD: 800-955-8771 Prestige Health Choice 2, 3, 5, 6, 7, 8, 9, and 11 Telephone number: 1-855-355-9800 TDD: 1-855-358-5856 South Florida Community Care Network (SFCCN) d/b/a Community Care plan (CCP) (Name Change Effective 7/15/2016) 10 Telephone number: 1-866-899-4828 TDD: 1-855-655-5303 New website (Effective 7/15/2016) Simply 11 Telephone number: 1-800-887-6888 TDD: 711 Staywell 2, 3, 4, 5, 6, 7, 8, and 11 Telephone number: 1-866-334-7927 TDD: 1-877-247-6272 Sunshine Health plan 3, 4, 5, 6, 7, 8, 9, 10, and 11 Telephone number: 1-866-796-0530 TDD: 1-800-955-8770 Revised 7/1/16 UnitedHealthcare 3, 4, 7, and 11 Telephone
Revised 7/1/16 . Managed Medical Assistance Standard Plans . Plan Name Regions of Operation Contact Amerigroup Florida 5, 6, 7, and 11 Telephone number: 1 -800-600-4441
Walton . Holmes . Wakulla . Leon . Madison . Gadsden Jackson . Bay . Liberty . Gulf . Franklin Taylor . Lafayette Hamilton . Baker . Nassau . Duval . Flagler . Putnam ...
RICK SCOTT GOVERNOR JUSTIN SENIOR SECRETARY FOR IMMEDIATE RELEASE April 24, 2018 Contact: AHCA Communications Office AHCACommunications@ahca.myflorida.com (850) 412-3623
Florida Medicaid Preferred Drug List (08-15-2018) The Florida Medicaid Preferred Drug List (PDL) is subject to revision following consideration and recommendations by
Authorization for the Use and Disclosure of Protected Health Information . Page 2 of 2 . Instructions for Completing the Authorization for the Use and Disclosure of Protected Health Information Form. 1. Complete the first page of this form and return it to:
INTERNET ACCESS REQUEST/NEW USER APPLICATION FORM 1. Facility Information Facility Type Hospital AmSurg HMO ALF Facility Name License Number AHCA/File # Contact Person Last First Phone number with extension ( ) - Ext Contact Title
Medical plan comparison Plan feature $400 deductible Plan $900 deductible Plan In‐network Out‐of‐network In‐network Out‐of‐network Deductible (individual/family) $400/$800 (applies to medical …
Medical Benefits – Claim Instructions Any person who knowingly and with intent to injure, defraud or deceive any insurance company or other person files an application for insurance or statement of claim containing any
A SSnnaappssh hoott oooff Mtthee MFFllorriiddaa AMeeddiiccaaiidd mMaannaaggeedd MMeeddiiccaall Asssiissttaannccee PPrrooggrraam June 8, 2017 What Medicaid covered services are provided Plans must have a sufficient provider under the
Page 3 of 22 Fileid: … tions/P969/2017/A/XML/Cycle03/source 9:37 - 1-Mar-2018 The type and rule above prints on all proofs including departmental reproduction ...
Medical Billing Glossary Below is a complete list of terminology for all medical billers and coders. 5010 - Version 5010 of the X12 HIPAA transaction and code set standards for electronic healthcare transactions. This standard includes transactions for claims, referrals, claim status, eligibility, and
