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Florida Medicaid Health Care Alerts Archive

This page contains links for all Florida Medicaid Health Care Alerts sent since August 2019 that are more than 90 days old.

March 2024

March 22, 2024Maternal Fetal Medicine Rate Increase SFY 2022-23 & 2023-24
March 18, 2024Workshop: Rule 59G-4.252, Diabetic Supply Services & Cancelled Meeting
March 12, 2024Public Hearing for Rule 59G-1.010, F.A.C., Definitions

February 2024

February 27, 20242/28/24 Hearing Cancelled & Rescheduled: Rule 59G-4.250, Prescribed Drug Services
February 23, 2024Diagnosis Related Group (DRG) Payment System Educational Session
February 23, 2024Enhanced Ambulatory Patient Grouping (EAPG) Payment System Educational Session
February 21, 2024NOW AVAILABLE! Updated NPI Mapping Logic and NPI to Medicaid ID Search Engine
February 19, 2024Workshop: 59G-6.010, F.A.C., Payment Methodology for Nursing Home Services
February 16, 2024Diagnosis Related to Group (DRG) Payment System Educational Session
February 16, 2024Enhanced Ambulatory Patient Grouping (EAPG) Payment System Educational Session
February 14, 2024DEADLINE EXTENDED: Nurses Available to Provide Private Duty Nursing (PDN) in Florida
February 13, 20242/14/24 Hearing Canceled & Rescheduled: Rule 59G-4.250, Prescribed Drug Services
February 7, 2024RESPONSE REQUIRED: Nurses Available to Provide Private Duty Nursing (PDN) in Florida

January 2024

January 23, 20241115 Children’s Health Insurance Program Eligibility Extension Request
January 8, 2024Seeking Provider Comments in Relation to Statewide Medicaid Prepaid Dental Program Re-Procurement

December 2023

December 27, 2023CORRECTED Public Hearing for the following rules: Rule 59G-4.150, Inpatient Hospital Services and Rule 59G-4.190, Laboratory Services
December 27, 2023NEW Durable Medicaid Equipment and Medical Supply Services Coverage Policies
December 20, 2023Medicaid Reimbursement for Rapid Whole Genome Sequencing
December 19, 2023Developmental Disabilities Individual Budgeting (iBudget) Waiver Renewal Request
December 19, 2023Sunshine State Health Plan, Inc. Pharmacy Benefit Management Vendor Transition to Express Scripts, Inc. Statewide
December 19, 2023Children's Medical Services Health Plan Pharmacy Benefit Management Vendor Transition to Express Scripts, Inc. Statewide
December 14, 20237.3% Pediatric Rate Increases for Physicians Serving Children (Ages 0-20)
December 12, 2023REVISED: Provider Payments
December 8, 2023Updated Community Behavioral Health Services Fee Schedule
December 8, 2023Updated Durable Medical Equipment and Medical Supply Services Fee Schedule

November 2023

November 11, 2023REVISED: Provider Payments
November 9, 2023REMINDER: Seeking Provider Comments in Relation to Statewide Medicaid Managed Care Program Re-Procurement
November 8, 2023Invitation to Negotiate Released for Comprehensive IDD Pilot Program
November 3, 2023Prescribed Pediatric Extended Care Provider Fee Schedule Rate Increase
November 3, 2023UPDATE: Hurricane Idalia -- Key Medicaid Information for Fee-For-Service and Managed Care Providers 
November 3, 2023UPDATE: Seeking Provider Comments in Relation to Statewide Medicaid Managed Care Program Re-Procurement

October 2023

October 27, 2023Seeking Provider Comments in Relation to Statewide Medicaid Managed Care Program Re-Procurement
October 19, 2023Seeking Provider Comments in Relation to Statewide Medicaid Managed Care Program Re-Procurement
October 18, 2023Dental Provider Incentive Program (DPIP)
October 6, 2023AHCA Releases Invitation to Negotiate for 2023 Statewide Medicaid Prepaid Dental Program Re-Procurement

September 2023

September 29, 2023Updated Behavior Analysis Coverage Policy Effective Date
September 20, 2023Now Available! New TML Tip Sheet and Updated PML and PPL Tip Sheets
September 8, 2023Rulemaking Workshop for Rule 59G-4.250, F.A.C., Prescribed Drug Services
September 6, 2023Billing Agent and Clearinghouse Enrollment
September 5, 2023 Now Available! TML, PML, and PPL Sample Test Files 
September 1, 2023Rulemaking Workshop: Durable Medical Equipment and Medical Supply Services

August 2023

August 29, 2023Rulemaking Workshop for Rule 59G-4.150, F.A.C., Inpatient Hospital Services and Rule 59G-4.190, F.A.C., Laboratory Services
August 28, 2023Tropical Storm Idalia - Key Medicaid Information for Fee-for-Service and Managed Care Providers 
August 21, 2023Rulemaking Hearing for Rule 59G-4.002, F.A.C., Provider Reimbursement Schedules and Billing Codes
August 21, 2023Rule 59G-4.085, F.A.C., Early Intervention Services
August 21, 2023Statewide Medicaid Managed Care Open Enrollment Begins Oct. 1
August 16, 2023Fee-For-Service Referring, Ordering, Prescribing, and Attending (ROPA) Provider Claim Requirements

July 2023

July 28, 2023Comprehensive Intellectual and Developmental Disabilities Managed Care Pilot Waiver Request
July 24, 2023Rule Development Workshop for Rule 59G-13.081, DD/iBudgeting Waiver Services Provider Rate Table
July 7, 2023SBIRT CME Opportunity for Providers

June 2023

June 26, 2023Provider Payments
June 16, 2023UnitedHealthcare of Florida, Inc. Vision Vendor Transition to MARCH Vision Care Group, Inc.
June 8, 2023FL ARPA HCBS Enhanced Funding Opportunity Announcement: One-Time Non-Waiver HCBS Retention Payment
June 2, 2023Health and Dental Plan Encounter Resubmission Timeliness Reporting

May 2023

May 16, 2023NPI Initiative Page
May 15, 2023Posting of a Request for Information (RFI) relating to the Procurement of the Statewide Medicaid Prepaid Dental Program
May 15, 2023Posting of a Request for Information (RFI) relating to Dual-Eligible Special Needs Plan Program
May 12, 2023Community Behavioral Health Telemedicine-Eligible Services
May 4, 2023Ending of Federal Public Health Emergency: Updated Co-Payment and Telemedicine Guidance for Medical and Behavioral Health Providers

April 2023

April 19, 2023Behavior Analysis Florida Medicaid Flexibilities Ending May 11, 2023
April 13, 2023SBIRT CME Opportunity for Providers
April 11, 2023AHCA Releases Invitation to Negotiate for SMMC Re-Procurement
April 10, 2023Announcing Update to Patient Responsibility for Hospice and Waiver
April 5, 2023Florida Nursing Home Fair Rental Value Survey

March 2023

March 31, 2023Rulemaking Workshop for Rule 59G-4.002, Provider Reimbursement Schedules and Billing Codes
March 30, 2023Florida Medicaid Transfer of Diabetic Supply Coverage from the Durable Medical Equipment Benefit to the Pharmacy Benefit
March 28, 20231115 Family Planning Waiver Extension Request
March 20, 2023Florida Community Care EVV Services Vendor Transition to HHAX Effective 4/3/2023
March 17, 2023Temporary Suspension of ROPA Related Claim Denials for Community Behavioral Health Providers

February 2023

February 24, 2023Announcing Update to Patient Responsibility for Hospice
February 17, 2023Payment Error Rate Measurement (PERM) Information for Medicaid and CHIP Providers

January 2023

January 31, 2023Rule 59G-13.070 / 59G-13.081 DD/iBudget Waiver Services/Provider Rate Table Notice of Public Hearing
January 18, 2023SBIRT CME Opportunity for Providers
January 18, 2023Rule 59G-4.085, Early Intervention Services Notice of Additional Hearing
January 11, 2023All Provider Alert
January 4, 2023Rule 59G-1.010, Definitions - Notice of Rule Development and Correction

December 2022

December 27, 2022UPDATE: Fee-For-Service Referring, Ordering, Prescribing, and Attending (ROPA) Provider Claim Requirements
December 22, 2022SMMC Data Book Public Meeting - Deadline to Submit Questions in Advance is 12/29/2022
December 16, 2022School-Based Services ROPA Requirement Update

November 2022

November 30, 2022Rule 59G-4.125, Behavior Analysis Services
November 29, 2022Update: Tropical Storm Nicole
November 29, 2022Florida’s Statewide Transition Plan for Implementing the HCBS Rule Requirements–30 Day Public Comment Period
November 22, 2022Agency for Health Care Administration Releases Statewide Medicaid Managed Care Re-Procurement Data Book
November 17, 2022NPI - Do You Know Alert Series #6 of 9: Updating a Taxonomy
November 10, 2022NPI – Do You Know Alert Series #5 of 9: Verifying a Taxonomy
November 9, 2022Tropical Storm Nicole - Key Medicaid Information for Fee-for-Service and Managed Care Providers
November 7, 2022NPI – Do You Know Alert Series #4 of 9: Organizational Entity Types
November 3, 2022Instructions for Counties Designated by FEMA for Hurricane Ian Disaster

October 2022

October 28, 2022NPI – Do You Know Alert Series #3 of 9: Updating an NPI
October 21, 2022NPI – Do You Know Alert Series #2 of 9: Verifying NPI Information
October 21, 2022Rule 59G-4.085, Early Intervention Services Notice of Proposed Rule Hearing
October 14, 2022NPI - Do You Know Alert Series #1 of 9: Obtaining an NPI
October 11, 2022Effective 11-1-22 Vivida Health Members will Transfer to Simply Healthcare Plans, Inc.
October 10, 2022Donor Human Milk Coverage in Florida Medicaid
October 6, 2022SBIRT: CME Opportunity for Providers
October 5, 2022Rulemaking Hearing: 59G-4.170 ICF/DD services
October 5, 2022Rulemaking Workshop: 59G-4.022 Anesthesia Services
October 3, 2022Medicaid Hospice Rates with Minimum Wage Increase

September 2022

September 28, 2022Medicaid Nursing Home Rates with Minimum Wage Increases
September 28, 2022UPDATE: Fee-For-Service Referring, Ordering, Prescribing, and Attending (ROPA) Provider claim requirements
September 27, 2022Medicaid Provider Minimum Wage Fee Schedule Increases
September 27, 2022Hurricane Ian -- Key Medicaid Information for Fee-For-Service and Managed Care Providers
September 26, 2022National Provider Identifier Federal Requirement for Behavior Analysis Service Providers
September 19, 2022DSNP Health Plans - Encounter Submission Onboarding Checklist and Guidance
September 6, 2022Statewide Medicaid Managed Care Open Enrollment Begins Oct. 1

August 2022

August 30, 2022Medicaid Provider Minimum Wage Requirements: Supplemental Wage Agreement
August 29, 2022REMINDER: Medicaid Provider Minimum Wage Supplemental Wage Agreement
August 29, 2022Rule 59G-4.125, Behavior Analysis Services Notice of Proposed Rule Hearing
August 19, 2022School-Based Services ROPA Requirement Update
August 4, 2022Medicaid Provider Minimum Wage Fee Schedule Increases and Supplemental Wage Agreement

July 2022

July 27, 2022BA Fee Schedule: Additional CPT Code Training
July 26, 2022Compliance with Electronic Visit Verification (EVV)
July 20, 2022Fee Schedule and BA Policy FAQ Release
July 15, 2022Licensed Nurse Registry Enrollment in Florida Medicaid
July 13, 2022REMINDER: Verification of National Provider Identifier (NPI) information on file with Florida Medicaid
July 7, 2022Screening, Brief Intervention, and Referral to Treatment (SBIRT) Continuing Medical Education (CME) Opportunity for Providers
July 7, 2022Update: Health and Dental Plan Encounter Accuracy Reporting for July 2022
July 5, 2022Provider Payments
July 5, 2022Minimum Wage Increase to $15.00 Per Hour for Hospital and Ambulatory Surgical Center (ASC) Inpatient and Outpatient Services
July 5, 2022Minimum Wage Increase to $15.00 Per Hour for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID)

June 2022

June 28, 2022Fee-For-Service Referring, Ordering, Prescribing, and Attending (ROPA) Provider claim requirements
June 23, 2022State Fiscal Year 2022-23 Enhanced Ambulatory Patient Groups 3M Grouper Version Update Inpatient Only listing
June 23, 2022Behavior Analysis CPT Fee Schedule Effective Date: August 1, 2022
June 3, 2022Update: Health and Dental Plan Encounter Accuracy Reporting for June 2022
June 2, 2022Provider Type(s): 67 Public Comment Period on Developmental Disabilities Individual Budgeting (iBudget) Waiver Amendment

May 2022

May 19, 2022Rule 59G-4.002 Provider Reimbursement Schedules and Billing Codes Rulemaking Hearing
May 18, 2022REMINDER UPDATE: Supplemental Application Period for HCBS Funding to Support Programs for 1099 Workers Deadline May 20, 2022
May 13, 2022Moratorium – Behavior Analysis Provider Enrollment Extended Through November 13, 2022
May 10, 2022Posting of a Request for Information (RFI) relating to the Procurement of the Statewide Medicaid Managed Care (SMMC) Program
May 6, 2022Update on Florida's HCBS Enhanced Funding Opportunity: One-Time Provider Stipend and One-Time Provider Retention Payments
May 2, 2022Update: Health and Dental Plan Accuracy Reporting for May 2022

April 2022

April 22, 2022Florida Nursing Home Non-Emergency Resident Transportation Costs
April 19, 2022Update on Florida’s Home Community Based Services (HCBS) Enhanced Funding Opportunity: One-Time Provider Stipend and One-Time Provider Retention Payments
April 19, 2022Enhanced National Provider Identifier (NPI) Self-Service Feature Now Available to Behavior Analysis (BA) Service Providers
April 18, 2022Best Care Assurance, LLC d/b/a Vivida Health Transportation Vendor Transition to Medical Transportation Management, Inc. (MTM)
April 15, 2022Simply Healthcare Plans, Inc. (Simply) and Clear Health Alliance (Clear) Podiatry Services Vendor Transition to Podiatry Network Solutions, LLC
April 15, 2022Simply Healthcare Plans, Inc. (Simply) and Clear Health Alliance (Clear) Dermatology Services Vendor Transition to Dermatology Network Solutions, LLC
April 14, 2022Humana Healthy Horizons (Humana) Transition of Statewide Routine Vision Services (Optometry) to iCare Health Solutions Effective May 1, 2022
April 12, 2022Screening, Brief Intervention, and Referral to Treatment (SBIRT) Continuing Medical Education (CME) Opportunity for Providers
April 5, 2022Medicaid Coverage of COVID-19 Over the Counter (OTC) Home Tests
April 4, 2022Health and Dental Plan Accuracy Reporting for March and April 2022

March 2022

March 29, 2022Rule 59G-4.002, Provider Reimbursement Schedules and Billing Codes Notice of Rule Development Workshop
March 29, 2022Rule 59G-4.125, Behavior Analysis Services Notice of Rule Development Workshop
March 25, 2022Florida’s Statewide Transition Plan for Implementing the Home and Community-Based Settings Rule Requirements – 30-Day Public Comment Period
March 24, 2022Update: National Provider Identifier Federal Requirement for Behavior Analysis Service Providers
March 17, 2022Florida Nursing Home Fair Rental Value Survey
March 15, 2022Service Limits for Community Behavioral Health and Targeted Case Management Services
March 8, 2022New LOR 3 for ICF/IID
March 7, 2022Mental Health Target Case Management Provider Requirements
March 4, 2022National Provider Identifier Federal Requirement for Behavior Analysis Service Providers

February 2022

February 25, 2022New and Enhanced Self-Service Features Now Available
February 18, 2022Aetna Better Health of Florida, Inc. (Aetna) Transitioning Behavioral Health Services In-House in Regions 6, 7, & 11 Effective 3/1/2022
February 16, 2022Revised PML Tip Sheet
February 15, 2022Important Upcoming Policy Change: New and Enhanced Self-Service Features Available February 2022
February 7, 2022NPI Crosswalk Enhancement Notice of Availability to Test Provider Master List and Pending Provider List Changes
February 4, 2022REMINDER: Florida AHCA Application Period for HCBS Provider Funding
February 3, 2022Reminder: Electronic Visit Verification (EVV) for BA Discontinued Effective February 5, 2022
February 2, 2022New CARC/RARC Combinations for X12 837 Submissions

January 2022

January 28, 20222022 Fee Schedule Updates
January 28, 2022Reminder: Florida AHCA Application Period for HCBS Provider Funding 18 DAYS LEFT TO APPLY - APPLICATIONS DUE BY FEBRUARY 14, 2022
January 26, 2022Reminder: Electronic Visit Verification (EVV) for BA Discontinued Effective February 5, 2022
January 18, 2022Update: Electronic Visit Verification (EVV) for BA Discontinued Effective February 5, 2022
January 18, 2022Screening, Brief Intervention, and Referral to Treatment (SBIRT) Continuing Medical Education (CME) Opportunity for Providers
January 13, 2022Molina Healthcare of Florida (Molina) Transitioning Behavioral Health Services In-House in Regions 8 & 11 Effective 2/1/2022
January 13, 2022D-SNP: UnitedHealthcare of Florida, Inc. and UnitedHealthcare Insurance Company Name Change to Care Improvement Plus South Central Insurance Company d/b/a UnitedHealthcare Dual Complete
January 10, 2022Behavior Analysis Fee-for-Service-Suspending Electronic Visit Verification for Behavior Analysis Services (EVV)
January 10, 2022REMINDER: Florida Agency for Health Care Administration Application Period for Home and Community-Based Services (HCBS) Provider Funding

December 2021

December 17, 2021Florida Agency for Health Care Administration Announces Application Period for Home and Community-Based Services Provider Funding
December 9, 2021Emphasis on High Quality, Transparent, and Cost-Effective Health Care Clearly Prioritized in Governor DeSantis’ Freedom First Budget
December 8, 2021Updated: Florida Nursing Home October 1, 2021, Rate Enhancement Provider Alert Update
December 3, 2021Molina Healthcare of Florida’s Physical, Occupational, Respiratory and Speech Therapy Vendor Expansion of ATA/HN1 in Regions 4, 5 & 7 Effective January 1, 2022

October/November

November 30, 2021United States District Court of the Western District of Louisiana Issues Nationwide Preliminary Injunction Against Biden CMS Vaccine Mandate
November 23, 2021Secretary Marstiller Statement on Florida’s Challenge Against the Biden Administration’s Vaccine Mandate
November 19, 2021Medicaid Coverage of COVID-19 Vaccines
November 18, 2021In Case You Missed It: Governor Ron DeSantis Signs Legislation to Protect Florida Jobs
November 10, 2021Behavior Analysis: Provider Enrollment Moratorium Extended Through May 13, 2022 and Fee Schedule Transition to Current Procedural Terminology (CPT) Codes
November 10, 2021Florida Nursing Home October 1, 2021, Rate Enhancement
November 4, 2021Medicaid Coverage of COVID-19 Monoclonal Antibody Infusions
October 7, 2021SBIRT: CME Opportunity for Providers

September

September 29, 2021Reminder: Providers Must Check Recipient’s Eligibility Before Billing Dual Eligible Special Needs Plans (D-SNPs) or Fully Liable Medicare Advantage Plans
September 29, 2021Rule 59G-4.251, Prescribed Drugs Reimbursement Methodology Notice of Public Hearing
September 27, 2021Home Health Fee-for-Service Electronic Visit Verification Transition to Mobile Caregiver+ App
September 23, 2021Final Reminder: Effective 10-1-21 Fee-For-Service Claims will be Denied if Referring, Ordering, Prescribing, and Attending Providers are Not Enrolled
September 23, 2021Final Reminder: Effective 10-1-21 Pharmacy Claims will be Denied if Prescribers are Not Enrolled and Identified by National Provider Identifier (NPI)
September 22, 2021Home Health Fee-for-Service Electronic Visit Verification Transition to Mobile Caregiver+ App
September 21, 2021New Location Code (NLC) Wizard and National Provider Identifier (NPI) Crosswalk Enhancement Notifications
September 15, 2021Rule 59G-1.060, Provider Enrollment Policy Notice of Public Hearing
September 15, 2021Rule 59G-4.140, Hospice Services Notice of Public Hearing
September 8, 2021PREP Act Vaccines Administered by Pharmacists
September 3, 2021Effective 10-1-21 WellCare of Florida, Inc. d/b/a Staywell Health Plan of Florida, Inc. (Staywell) Members will Transfer to Sunshine State Health Plan, Inc. (Sunshine)

August

August 20, 2021Home Health Provider Moratorium Ending
August 20, 2021Reminder: Effective 10-1-21 Claims will be Denied if Referring, Ordering, Prescribing, and Attending Providers are Not Enrolled
August 20, 2021Effective 9-1-21 Magellan Complete Care Members will Transfer to Molina Healthcare of Florida, Inc
August 19, 2021ENS Service Available for Providers
August 18, 20211915(b)/(c) Long-Term Care (LTC) Waiver Renewal
August 12, 2021Providers Must Bill Fully Liable Medicare Advantage Plans for All Services
August 9, 2021Rule 59G-4.132, Home Health Electronic Visit Verification Program Notice of Public Hearing
August 5, 2021Rule 59G-4.251, Prescribed Drugs Reimbursement Methodology Notice of Public Workshop

July

July 29, 2021Moratorium – Home Health Agency Provider Enrollment Lifted Effective September 1, 2021
July 26, 20211115 Managed Medical Assistance (MMA) Waiver Amendment
July 26, 20211115 Family Planning Waiver Amendment
July 22, 2021Deadlines for the Hospital Directed Payment Program
July 13, 2021Rule 59G-4.002, Provider Reimbursement Schedules and Billing Codes Notice of Public Hearing
July 6, 2021Rule 59G-4.127, Florida Assertive Community Treatment Services Notice of Public Hearing
July 6, 2021Rule 59G-6.045, Payment Methodology for Services in Facilities Not Publicly Owned and Not Publicly Operated Notice of Public Hearing
July 6, 2021Sept 1 is the Deadline for Medicaid Provider Funding for Health Information Exchange Participation
July 2, 2021Florida True Health, Inc., d/b/a Prestige Health Choice Name Change to AmeriHealth Caritas Florida, Inc.

June

June 30, 2021Reprocessing Fee-For-Service Independent Laboratory Claims for Calendar Years 2018 and 2019
June 28, 2021Glove Rates Effective July 1, 2021
June 24, 2021Florida’s Statewide Transition Plan for Implementing the Home and Community-Based Settings Rule Requirements – 30 Day Public Comment Period
June 24, 2021 Rule 59G-4.132, Home Health Electronic Visit Verification Program [ pdf 220.1 kB ]
June 18, 2021 Reinstatement of Quarterly Requests of Federally Qualified Health Centers Wrap-Around Requests Effective July 1, 2021 [ pdf 299.5 kB ]
June 18, 2021 Reinstatement of PASRR and Bed Hold Requirements Effective July 1, 2021 [ pdf 349.9 kB ]
June 18, 2021Reinstatement of Interfacility Transfer Prior Authorization Requirements Effective July 1, 2021
June 18, 2021 Reinstatement of Eligibility Threshold for Interim Reimbursement Rate Requests Effective July 1, 2021 [ pdf 311.3 kB ]
June 18, 2021Reinstatement of Prior Authorization and Service Limits for Behavioral Health Services Effective July 1, 2021
June 18, 2021 Florida Medicaid COVID-19 Flexibilities Ending on July 1, 2021 [ pdf 341.6 kB ]
June 18, 2021 Florida Medicaid COVID-19 Flexibilities for PPEC Centers Effective July 1, 2021 [ pdf 273.7 kB ]
June 18, 2021 Reinstatement of iBudget Residential Habilitation Billing Requirements Effective July 1, 2021 [ pdf 343.4 kB ]
June 18, 2021Medicaid Reimbursement for Florida Assertive Community Treatment (FACT) Update
June 18, 2021 ICF/IID providers can continue to bill fee-for-service for Medicaid covered services provided to recipients enrolled in Dual Eligible Special Needs Plans (D-SNP) [ pdf 241.3 kB ]
June 17, 2021 Rule 59G-6.010, Payment Methodology for Nursing Home Services Notice of Public Hearing [ pdf 282.8 kB ]
June 9, 2021Reminder: Effective 10-1-21 Claims will be Denied if Referring, Ordering, Prescribing, and Attending Providers are Not Enrolled
June 9, 2021Effective 10-1-21 Pharmacy Claims will be Denied if Prescribers are Not Enrolled and Identified by National Provider Identifier (NPI)
June 7, 2021 Rule 59G-1.058, Eligibility Notice of Public Hearing [ pdf 293.1 kB ]

May

May 28, 2021 Now Available: New Location Code Wizard [ pdf 248.2 kB ]
May 26, 2021 Rule 59G-4.132, Home Health Electronic Visit Verification Program Notice of Public Workshop [ pdf 208.8 kB ]
May 25, 2021 Hospice System Update to High-Low Rate and 60 Day Count [ pdf 210.2 kB ]
May 21, 2021 Rule 59G-6.005 Reimbursement Methodology for Services Provided by Medical School Faculty - Notice of Public Hearing [ pdf 207.3 kB ]
May 20, 2021 Important Upcoming Policy Change: New Service Location Requests [ pdf 229.3 kB ]
May 20, 2021 Rule 59G-13.070, Developmental Disabilities Individual Budgeting Waiver Services Rule 59G-13.081, Developmental Disabilities Individual Budgeting Waiver Services Provider Rate Table Notice of Public Hearing [ pdf 210.8 kB ]
May 14, 2021 Rule 59G-1.060, Provider Enrollment Policy [ pdf 203.7 kB ]
May 12, 2021 Reminder: Effective 10-1-21 Claims will Deny if Referring, Ordering, Prescribing, and Attending Providers are Not Enrolled [ pdf 208.9 kB ]
May 6, 2021Update on Provider Enrollment Moratorium for Behavior Analysis Providers
May 5, 2021 Home Health Electronic Visit Verification in Managed Care Mandatory by June 21 [ pdf 217.6 kB ]
May 3, 2021 Update for Hospice Services Provided to Recipients in Dual Eligible Special Needs Plans (D-SNP) [ pdf 202.7 kB ]
May 3, 2021 Effective July 1:  Providers Must Bill Dual Eligible Special Needs Plans (D-SNP) for All Services [ pdf 241 kB ]
May 3, 2021 Screening, Brief Intervention, and Referral to Treatment (SBIRT) Procedure Codes Update [ pdf 217 kB ]

April

April 22, 2021 Rule 59G-6.045, Payment Methodology for Services in Facilities Not Publicly Owned and Not Publicly Operated Notice of Public Workshop [ pdf 281.8 kB ]
April 20, 2021Florida Nursing Home Fair Rental Value Survey
April 20, 2021 Rule 59G-4.002 Provider Reimbursement Schedules and Billing Codes Notice of Public Workshop [ pdf 263.9 kB ]
April 19, 2021 Reminder: Effective 5-1-21 Miami Children’s Health Plan, LLC Members will Transfer to Simply Healthcare Plans, Inc. [ pdf 311 kB ]
April 12, 2021 National Provider Identifier (NPI) Requirements [ pdf 274.5 kB ]
April 8, 2021 Reminder: Effective 10-1-21 Claims will Deny if Referring, Ordering, Prescribing, and Attending Providers are Not Enrolled [ pdf 331.9 kB ]
April 6, 2021Florida Medicaid Coverage of the COVID-19 Vaccine: UPDATED Vaccine Administration Rates
April 5, 2021 Rule 59G-4.193, Statewide Medicaid Managed Care Long-term Care Waiver Program Prioritization and Enrollment Notice of Public Hearing [ pdf 281 kB ]
April 1, 2021 Updates Relating to Changes of Ownership (CHOW) [ pdf 334.8 kB ]

March

March 30, 2021Reminder: Online Enrollment Wizard Enhancements Are Now Available
March 25, 2021Enhanced Process for Pediatric Therapy Complaints - Updated Number
March 23, 2021 Effective 5-1-21 Miami Children’s Health Plan, LLC Members will Transfer to Simply Healthcare Plans, Inc. [ pdf 311 kB ]
March 23, 2021 Enhanced Process for Pediatric Therapy Complaints [ pdf 420.4 kB ]
March 23, 2021
March 22, 2021 Rule 59G-6.010, Payment Methodology for Nursing Home ServicesNotice of Public Workshop [ pdf 207.4 kB ]
March 17, 2021 Medicaid Covers Transportation for COVID-19 Vaccinations [ pdf 212.5 kB ]
March 12, 2021 Rule 59G-13.070, Developmental Disabilities Individual Budgeting Waiver Services Rule 59G-13.081, Developmental Disabilities Individual Budgeting Waiver Services Provider Rate Table Notice of Public Workshop [ pdf 187.4 kB ]
March 4, 2021 Rule 59G-4.193, Statewide Medicaid Managed Care Long-term Care Waiver Program Prioritization and Enrollment Notice of Public Hearing [ pdf 209.6 kB ]
March 1, 2021 Interim Billing of Medicaid Plans for Inpatient Hospital Stays of Over 100 Days [ pdf 225.3 kB ]

February

February 19, 2021 Enrollment Wizard Enhancements Starting February 26, 2021 [ pdf 218.6 kB ]
February 17, 2021 Improved Provider Payment Complaints Process [ pdf 216.8 kB ]
February 10, 2021 Rule 59G-4.127, Florida Assertive Community Treatment Services Draft Coverage Policy [ pdf 184.1 kB ]
February 8, 2021 Electronic Visit Verification (EVV) Enforcement [ pdf 223.7 kB ]
February 5, 2021 Florida HIE’s Encounter Notification Service for Primary Care Providers [ pdf 209.3 kB ]
February 1, 2021 Rule 59G-1.060, Provider Enrollment Policy Notice of Public Workshop [ pdf 212.1 kB ]

January

January 28, 2021 Moratorium – Home Health Agency Provider Enrollment Extended Through July 29, 2021 [ pdf 220.3 kB ]
January 15, 2021 Rule 59G-1.060, Provider Enrollment Policy Notice of Public Workshop [ pdf 164.9 kB ]
January 15, 2021 Sunshine State Health Plan, Inc. Non-Emergent Transportation Vendor Change Effective 2/1/2021 [ pdf 212.1 kB ]
January 15, 2021 Wellcare of Florida, Inc. d/b/a Staywell Health Plan of Florida, Inc. Non-Emergent Transportation Vendor Changes Effective 2/1/2021 [ pdf 220.5 kB ]
January 14, 2021 Effective 2/1/2021 Lighthouse Health Plan Members will Transfer to Simply Healthcare Plans, Inc. [ pdf 211 kB ]
January 13, 2021 Public Comment Period on Development Disabilities Individual Budgeting (iBudget) Waiver Amendment [ pdf 219.5 kB ]
January 8, 2021 Assisting with Medicaid Discharges [ pdf 166.8 kB ]
January 6, 2021 Effective 10-1-21: Claims will Deny if Referring, Ordering, Prescribing, and Attending Providers are Not Enrolled [ pdf 231.2 kB ]
January 4, 2021

December

December 29, 2020
December 18, 2020 Florida Medicaid Coverage of the COVID-19 Vaccine [ pdf 674.4 kB ]
December 18, 2020 Best Care Assurance, LLC d/b/a/ Vivida Health (Vivida) Transitioning Third Party Administrator Effective 1/1/2021 [ pdf 651.5 kB ]
December 17, 2020 Behavior Analysis Fee-for-Service Regions 9, 10, and 11 Electronic Visit Verification (EVV) Mandatory Usage is December 28, 2020 [ pdf 660.9 kB ]
December 17, 2020 Simply Healthcare Plans, Inc. Vision Services Vendor Transition to iCare Health Solutions, LLC [ pdf 649.1 kB ]
December 16, 2020 South Florida Community Care Network d/b/a Community Care Plan (CCP) Transitioning Behavioral Health Services In-House Effective 1/1/2021 [ pdf 658.3 kB ]
December 16, 2020 Florida True Health, Inc. d/b/a Prestige Health Choice (Prestige) Transitioning Behavioral Health Services In-House Effective 1/1/2021 [ pdf 656.7 kB ]
December 15, 2020 Florida Community Care, LLC Behavioral Health Services Vendor Transition to Behavioral Services Network (BSN) [ pdf 651.1 kB ]
December 14, 2020 Update: Providers can continue to bill fee-for-service for Medicaid services provided to recipients enrolled in Dual Eligible Special Needs Plans (D-SNP) [ pdf 658.9 kB ]
December 11, 2020
December 8, 2020 Learn How Hospitals Can Meet the Federal Requirements for eNotifications to Practitioners Using Florida HIE’s ENS [ pdf 651.1 kB ]

November

November 25, 2020 Behavior Analysis Fee-for-Service Regions 9, 10, and 11 Electronic Visit Verification (EVV) Implementation Date is December 1, 2020 [ pdf 662.2 kB ]
November 25, 2020 Rule 59G-1.058, Eligibility Notice of Public Workshop [ pdf 657.6 kB ]
November 25, 2020 Rule 59G-8.600, Disenrollment from Managed Care Plans Notice of Proposed Rule Public Hearing [ pdf 655.7 kB ]
November 24, 2020 New EVV Requirements Effective December 4 for Providers in Statewide Medicaid Managed Care [ pdf 661.8 kB ]
November 20, 2020 Payment Error Rate Measurement (PERM) Webinar Training for Medicaid and CHIP Providers [ pdf 660.4 kB ]
November 20, 2020 Rule 59G-4.085, Early Intervention Services Notice of Public Workshop [ pdf 648.4 kB ]
November 18, 2020 HCB Settings Rule Assessments Via Virtual Protocol [ pdf 650.7 kB ]
November 17, 2020 Behavior Analysis Fee-for-Service Regions 9, 10, and 11 Electronic Visit Verification (EVV) Implementation Date is December 1, 2020 [ pdf 657.1 kB ]
November 17, 2020 Behavioral Health Participation with the Florida HIE’s Encounter Notification Service [ pdf 652.1 kB ]
November 17, 2020 Moratorium Extension: Behavior Analysis Provider Enrollment in Miami-Dade & Broward Counties [ pdf 654.4 kB ]
November 10, 2020 Behavior Analysis Fee-for-Service Regions 9, 10, and 11 Electronic Visit Verification (EVV) Implementation Date is December 1, 2020 [ pdf 657.5 kB ]
November 4, 2020 Behavior Analysis Fee-for-Service Regions 9, 10, and 11 Electronic Visit Verification (EVV) Implementation Date is December 1, 2020 [ pdf 657.5 kB ]

October

DateSubject of the Alert
October 27, 2020 Behavior Analysis Fee-for-Service Regions 9, 10, and 11 Electronic Visit Verification (EVV) Implementation Date is December 1, 2020 [ pdf 571 kB ]
October 27, 2020 Rule 59G-4.140, Hospice Services, Notice of Public Workshop [ pdf 563.8 kB ]
October 26, 2020 Webinar on How the Florida HIE’s ENS Helps Meet the Federal Requirements for Electronic Notification to Practitioners [ pdf 212.8 kB ]
October 23, 2020 Mandatory DOH COVID-19 Reporting Requirements for Laboratories and Point of Care COVID-19 Testing [ pdf 216.6 kB ]
October 16, 2020 Rule 59G-4.127, Florida Assertive Community Treatment Services Notice of Public Workshop [ pdf 237.2 kB ]
October 15, 2020 Encounter Notification Service Virtual Panel Discussion for Primary Care Providers [ pdf 234 kB ]
October 15, 2020 Behavior Analysis FFS Regions 9, 10, and 11 EVV Implementation Date is December 1, 2020 [ pdf 246 kB ]
October 5, 2020 Important Announcement for All Medicaid Providers-New Funding Opportunity Available [ pdf 576.9 kB ]
October 5, 2020 Updates to Health Care Clinic Licensure for Florida Medicaid Providers [ pdf 578.1 kB ]
October 5, 2020
October 2, 2020 Referring, Ordering, Prescribing, and Attending (ROPA) Provider Enrollment Application- Now Available [ pdf 569.1 kB ]

September

DateSubject of the Alert
September 25, 2020 Florida Community Care, LLC Transportation Vendor Transition to Ride2MD [ pdf 560.7 kB ]
September 15, 2020 iBudget Provider Retainer Payments – Recoupment Process [ pdf 236.9 kB ]
September 11, 2020 CMS Final Rule Requirement on Schedule II Partial Billing [ pdf 569.9 kB ]
September 9, 2020 Rule 59G-13.081, Developmental Disabilities Individual Budgeting Waiver Services Provider Rate Table Notice of Public Hearing [ pdf 571.6 kB ]
September 4, 2020 SMMC Long-Term Care Adult Community Support Services [ pdf 582.4 kB ]
September 4, 2020 State Fiscal Year 2019-20 Diagnosis-Related Groups and Enhanced Ambulatory Patient Groups 3M Grouper Version Update [ pdf 568.1 kB ]
September 3, 2020 Important Funding Announcement Assisted Living Facilities Now Eligible – 10 Days Left To Apply [ pdf 572.3 kB ]
September 2, 2020 Enrollment Site Visits for Behavior Analysis Providers [ pdf 245.6 kB ]

August

DateSubject of the Alert
August 31, 2020 Rule 59G-4.193, Statewide Medicaid Managed Care Long-term Care Waiver Program Prioritization and Enrollment Notice of Public Workshop [ pdf 574.4 kB ]
August 28, 2020 Rule 59G-4.002, Provider Reimbursement Schedules and Billing Codes Notice of Public Hearing [ pdf 570.2 kB ]
August 26,2020 EXTENSION GRANTED: Important Funding Announcement For All Medicaid Providers [ pdf 580.8 kB ]
August 21, 2020 IMPORTANT UPDATE: Rule 59G-13.070, Developmental Disabilities Individual Budgeting Waiver Services Notice of Public Hearing [ pdf 239.6 kB ]
August 20, 2020 Update to the Electronic Visit Verification (EVV) Parameters in Statewide Medicaid Managed Care [ pdf 575.2 kB ]
August 19, 2020 Electronic Payment Option for Quality Assessment Fees for Nursing Facilities and Intermediate Care Facilities [ pdf 564.5 kB ]
August 19, 2020 Statewide Medicaid Managed Care Open Enrollment Begins Oct. 1 [ pdf 565.7 kB ]
August 18, 2020
August 12, 2020 Reminder: Important Funding Announcement for All Medicaid Providers [ pdf 580.3 kB ]
August 3, 2020 Rule 59G-8.600, Disenrollment from Managed Care Plans Notice of Rule Development Public Workshop [ pdf 564 kB ]
August 3, 2020 Extension Granted: Important Funding Announcement For All Medicaid Providers [ pdf 580.3 kB ]

July

DateSubject of the Alert
July 31, 2020 iBudget Telemedicine ADT Services [ pdf 633.5 kB ]
July 31, 2020 Final Reminder: Important Funding Announcement for All Medicaid Providers – 3 Days Left to Apply [ pdf 576.8 kB ]
July 29, 2020 Moratorium – Home Health Agency Provider Enrollment Extended With Modifications Through January 29, 2021 [ pdf 650 kB ]
July 22, 2020 Free Federal Telemedicine Training Opportunity [ pdf 574.7 kB ]
July 22, 2020 Reminder: Important Funding Announcement For All Medicaid Providers, July 22, 2020 [ pdf 577.4 kB ]
July 22, 2020 United Healthcare Transportation Vendor Transition to Logisticare [ pdf 562.3 kB ]
July 17, 2020
July 17, 2020 Reminder-Important Funding Announcement For All Medicaid Providers-16 Days Left To Apply [ pdf 242.5 kB ]
July 14, 2020
July 13, 2020 Reminder: Important Funding Announcement For All Medicaid Providers - July 13, 2020 [ pdf 241.6 kB ]
July 13, 2020 Electronic Visit Verification Implementation Date Postponed Due to COVID-19 Pandemic [ pdf 238 kB ]
July 13, 2020 Waiver of Prior Authorization Requirements for Hospital Transfers [ pdf 244.7 kB ]
July 6, 2020 Reminder: Important Funding Announcement For All Medicaid Providers [ pdf 576.4 kB ]
July 1, 2020
July 1, 2020 Reminder: Important Funding Announcement for All Medicaid Providers [ pdf 564.7 kB ]

June

DateSubject of the Alert
June 30, 2020 Updated 2020 Practitioner Laboratory Fee Schedule [ pdf 555.7 kB ]
June 17, 2020 Updated: Important Funding Announcement for All Medicaid Providers - June 17, 2020 [ pdf 580.4 kB ]
June 17, 2020
June 12, 2020 Important Funding Announcement For Hospitals-ACTION REQUIRED BY JUNE 15 [ pdf 571.6 kB ]
June 12, 2020
June 12, 2020
June 11, 2020 UPDATED: Important Funding Announcement For All Medicaid Providers [ pdf 578.2 kB ]
June 10, 2020 Important Funding Announcement For All Medicaid Providers [ pdf 571.2 kB ]
June 1, 2020 1115 Managed Medical Assistance (MMA) Waiver Extension [ pdf 573 kB ]

May

DateSubject of the Alert
May 29, 2020
May 22, 2020 Moratorium Extension: Behavior Analysis Provider Enrollment in Miami-Dade & Broward Counties [ pdf 569 kB ]
May 18, 2020
May 14, 2020 COVID-19: Additional Time for Nursing Facilities and Intermediate Care Facilities to Pay Quality Assessment Fee [ pdf 575.5 kB ]
May 14, 2020 Behavior Analysis Electronic Visit Verification Implementation Date Change Extended to August 1 [ pdf 652.2 kB ]
May 6, 2020
May 6, 2020
May 5, 2020
May 5, 2020
May 1, 2020

April

DateSubject of the Alert
April 28, 2020
April 27, 2020
April 27, 2020
April 16, 2020
April 16, 2020
April 15, 2020 Billing for Behavior Analysis Services via Telemedicine [ pdf 558 kB ]
April 15, 2020
April 15, 2020
April 14, 2020 Update: New FAQs Posted to Agency's COVID-19 Website [ pdf 564.9 kB ]
April 4, 2020 COVID-19: Frequency of Wrap-around Submissions for Federally Qualified Health Centers [ pdf 567.3 kB ]
April 4, 2020 Long-Term Care Provider Network Flexibilities During the State of Emergency Related to COVID-19 [ pdf 576.7 kB ]
April 3, 2020
April 3, 2020
April 1, 2020 Reminder: New Centralized Website for Agency Issued COVID-19 Alerts [ pdf 564.7 kB ]
April 1, 2020 Update: Providers can continue to bill fee-for-service for Medicaid services provided to recipients enrolled in Dual Eligible Special Needs Plans (D-SNP) [ pdf 574.6 kB ]

March

Date SentSubject of the Alert
March 31, 2020
March 27, 2020
March 27, 2020
March 26, 2020 Nursing Home Medicaid Cost Report Waiver of Sanctions for Late Reporting [ pdf 570.1 kB ]
March 22, 2020 New Centralized Website for Agency Issued COVID-19 Alerts [ pdf 564.9 kB ]
March 21, 2020 iBudget Waiver Provider Frequently Asked Questions [ pdf 565.5 kB ]
March 20, 2020
March 18, 2020
March 18, 2020
March 18, 2020 Electronic Visit Verification Implementation Date Changed to June 1, 2020 [ pdf 237 kB ]
March 18, 2020
March 17, 2020 April 1 - Prestige Health Choice Transportation Vendor Transition to Medical Transportation Management (MTM) [ pdf 562.6 kB ]
March 17, 2020 Rule 59G-13.081, Developmental Disabilities Individual Budgeting Waiver Services Provider Rate Table Notice of Rule Development Public Workshop [ pdf 571.8 kB ]
March 16, 2020
March 13, 2020
March 13, 2020 Dual Eligible Special Need Plans (DSNP) Nursing Facility Services Coverage [ pdf 563.1 kB ]
March 11, 2020 Florida Medicaid Health Plan Resources Webpage [ pdf 563.7 kB ]
March 11, 2020 Rule 59G-13.081, Developmental Disabilities Individual Budgeting Waiver Services Provider Rate Table [ pdf 565.2 kB ]
March 9, 2020

February

Date SentSubject of the Alert
February 28, 2020 Effective January 1: Providers Must Bill Dual Eligible Special Needs Plans (D-SNP) for All Services [ pdf 580 kB ]
February 28, 2020 Florida Nursing Home Fair Rental Value Survey [ pdf 235.5 kB ]
February 24, 2020 1915(c) Model Waiver Renewal [ pdf 753.3 kB ]
February 20, 2020 Rule 59G-13.070, Developmental Disabilities Individual Budgeting Waiver Services Notice of Public Hearing [ pdf 477.2 kB ]
February 20, 2020 Electronic Visit Verification Implementation Date Change - Now April 1, 2020 [ pdf 568.7 kB ]
February 17, 2020 Medication Assisted Treatment in Pregnancy Provider Alert [ pdf 559.1 kB ]
February 12, 2020 Fee-for-Services Pharmacy Claims – Prescriber Identifier [ pdf 563.8 kB ]
February 11, 2020 Vagus Nerve Stimulators [ pdf 561.9 kB ]
February 11, 2020 Moratorium – Home Health Agency Provider Enrollment Extended Through July 29, 2020 [ pdf 568.2 kB ]
February 6, 2020 Behavior Analysis Electronic Visit Verification – Group Administrator - Updated Instructions to Resolve Provider Contact Information [ pdf 570.4 kB ]
February 5, 2020 Provider Master List and Pending Provider List – Revised Layouts Available (Updated Release Date) [ pdf 476.3 kB ]

January

Date SentSubject of the Alert
January 31, 2020 Update to the Electronic Visit Verification (EVV) Parameters in Statewide Medicaid Managed Care [ pdf 280 kB ]
January 30, 2020 Medicare Dual Special Needs Plan (DSNP) recipients’ eligibility in the Florida Health Plan Portal [ pdf 561.2 kB ]
January 27, 2020 2020 Fee Schedule Updates [ pdf 562.6 kB ]
January 17, 2020 Provider Master List and Pending Provider List – Revised Layouts Available [ pdf 561.8 kB ]
January 8, 2020 Transition from Special Feed to Encounter data for Rate Setting Initiative: Capitated Network Provider Paid Amounts [ pdf 658.6 kB ]

December

Date SentSubject of the Alert
December 18, 2019 Home and Community-Based Settings (HCBS) Rule [ pdf 652.4 kB ]
December 18, 2019 South Florida Community Care Network d/b/a Community Care Plan Home Health and Durable Medical Equipment Transition for MMA Members to Coastal Care Services Effective January 1, 2020 [ pdf 654.5 kB ]
December 18, 2019 South Florida Community Care Network d/b/a Community Care Plan’s Physical, Occupational and Speech Therapy Transition to American Therapy Administrators of Florida/Health Network One (ATA/HN1) Effective January 1, 2020 [ pdf 655.4 kB ]
December 6, 2019 Provider Action Required by January 15, 2020 Update Rendering Providers’ Contact Information [ pdf 654.9 kB ]
December 2, 2019 Revised: Effective December 1 -- Changes to Prenatal Related Care Services when there is Third Party Liability [ pdf 654.1 kB ]

November

Date SentSubject of the Alert
November 26, 2019 Removal of Exemption Status for Prenatal Related Diagnosis Codes from the Third Party Liability (TPL) Matrix in FMMIS [ pdf 654.2 kB ]
November 22, 2019 New Medicaid Provider Enrollment Resources [ pdf 653 kB ]
November 21, 2019 Moratorium Extension – Behavior Analysis Provider Enrollment in Miami-Dade & Broward Counties [ pdf 210.7 kB ]
November 18, 2019 Rule 59G-6.010, Payment Methodology for Nursing Home Services Notice of Public Hearing [ pdf 648.4 kB ]
November 18, 2019 Rule 59G-6.090, Payment Methodology for County Health Departments Notice of Public Hearing [ pdf 648.4 kB ]
November 15, 2019 Behavior Analysis Electronic Visit Verification - Updated Instructions to Resolve Provider Contact Information [ pdf 654.5 kB ]
November 13, 2019 Florida HIE’s Encounter Notification Service (ENS) Webinar for Skilled Nursing Facilities (SNFs) [ pdf 654.5 kB ]
November 08, 2019 Claims Submitted with the Health Insurance Claim Numbers (HICNs) will deny Effective January 01, 2020 [ pdf 650.7 kB ]
November 05, 2019 Claims Submitted with the Health Insurance Claim Numbers (HICNs) will deny Effective January 01, 2020 [ pdf 651.7 kB ]
November 04, 2019 Behavior Analysis Services – Multidisciplinary Team and Comprehensive Diagnostic Evaluation Updates [ pdf 572.3 kB ]

October

Date SentSubject of the Alert
October 30, 2019 Behavior Analysis Electronic Visit Verification - Updated Instructions to Resolve Provider Contact Information [ pdf 567.6 kB ]
October 25, 2019 Rule 59G-4.197, Medical Foster Care Services Notice of Hearing [ pdf 561.9 kB ]
October 22, 2019 Florida HIE’s Encounter Notification Service (ENS) Webinar and PROMPT Demo [ pdf 570 kB ]
October 17, 2019 Medicaid Complaint Status Tool [ pdf 558.8 kB ]
October 02, 2019 Update: Electronic Visit Verification (EVV) in Statewide Medicaid Managed Care [ pdf 565.1 kB ]
October 01, 2019 Important Upcoming Policy Change: Provider Enrollment Changes for Case Management Agency Providers [ pdf 561.6 kB ]
October 01, 2019 Reminder: 270 /271 Health Care Eligibility Inquiry and Response Companion Guide Updates [ pdf 568.9 kB ]
October 01, 2019 Reminder: 834 Benefit Enrollment and Maintenance Companion Guide Changes [ pdf 220.7 kB ]

September

Date SentSubject of the Alert
September 27, 2019 Update: Electronic Visit Verification (EVV) in Statewide Medicaid Managed Care [ pdf 564.8 kB ]
September 23, 2019 Reminder: Nursing Facilities/Long Term Care (LTC) Submission Updates for Institutional Health Care Claim: (X12 837I) Transactions [ pdf 594.7 kB ]
September 18, 2019 Behavior Analysis Updates: Electronic Visit Verification and Comprehensive Diagnostic Evaluation [ pdf 240.2 kB ]
September 13, 2019 Simply Healthcare Plans, Inc. Pharmacy Benefits Manager (PBM) Transition to IngenioRx, Inc. [ pdf 652.6 kB ]
September 10, 2019 CORRECTION: Rule 59G-13.070, Developmental Disabilities Individual Budgeting Waiver Services Notice of Rule Development [ pdf 562.1 kB ]
September 09, 2019 Reminder: Nursing Facilities/Long Term Care (LTC) Submission Updates for Institutional Health Care Claim: (X12 837I) Transactions [ pdf 594.7 kB ]
September 09, 2019 Rule 59G-13.070, Developmental Disabilities Individual Budgeting Waiver Services Notice of Rule Development [ pdf 562 kB ]
September 06, 2019 UPDATE: Hurricane Dorian -- Key Medicaid Information for Fee-For-Service and Managed Care Providers [ pdf 566.4 kB ]
September 05, 2019 Rule 59G-4.370, Behavioral Health Intervention Services Notice of Proposed Rule Hearing [ pdf 561.5 kB ]

August

Date SentSubject of the Alert
August 30, 2019 Behavior Analysis Electronic Visit Verification - Revised Instructions to Update Provider Contact Information [ pdf 819.3 kB ]
August 30, 2019 Hurricane Dorian -- Key Medicaid Information for Fee-For-Service and Managed Care Providers [ pdf 565.8 kB ]
August 28, 2019 Rule 59G-4.330, Non-Emergency Transportation Services Notice of Proposed Rule Hearing [ pdf 211.9 kB ]
August 26, 2019 Florida HIE's Encounter Notification Service (ENS) Webinar and PROMPT Demo [ pdf 569.7 kB ]
August 20, 2019 Electronic Visit Verification Date Change and other Important Actions Needed [ pdf 568.1 kB ]
August 20, 2019 Important Upcoming Policy Change: Provider Enrollment Form Requirements [ pdf 564.2 kB ]
August 14, 2019 1915(c) Familial Dysautonomia (FD) Waiver Renewal [ pdf 568.8 kB ]
August 14, 2019 Cost Report Submissions and Paid Claims Listings for Hospitals [ pdf 563.7 kB ]
August 13, 2019 RY 2021 Payment Error Rate Measurement (PERM) for Florida [ pdf 568 kB ]
August 12, 2019 Behavior Analysis Electronic Visit Verification Update [ pdf 223.2 kB ]
August 09, 2019 Rule 59G-4.028, Behavioral Health Assessment Services [ pdf 562 kB ]
August 09, 2019 Rule 59G-4.330, Non-Emergency Transportation Services Notice of Public Workshop [ pdf 211.9 kB ]
August 06, 2019 New Effective Date for the Nursing Facilities/Long Term Care (LTC) Submission Updates for Institutional Health Care Claim: (X12 837I) Transactions [ pdf 596.2 kB ]
August 01, 2019 Rule 59G-6.090 Payment Methodology for County Health Departments Notice of Rule Development Workshop [ pdf 563.5 kB ]
Florida Medicaid Health Care Alerts