Please review the guidance below and update your system accordingly. Vivida Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Please contact our customer service number at: MMA:1-888-716-8787| LTC:1-800-791-9233| TTY: 711 | 24 hours a day. Sunshine Health will also operate the Department of Healths Children's Medical Services Health Plan beginning Oct. 1, 2021. Data rates may apply. Box 30608 Explains how to receive, load and send 834 EDI files for member information. The benefits described may not be offered in all plans or in all states. For information about coronavirus (COVID-19), please visit our Florida Medicaid COVID-19 web-page. Guidelines for proper claims submissions effective October 1, 2021 Centene's acquisition of WellCare's Medicaid products, including Staywell Health Plan, will be complete October 1, 2021. . If you continue to use this site we will assume that you are happy with it. The Agency successfully completed the implementation of the Statewide Medicaid Managed Care (SMMC) program in 2014. Mon Fri 8am 7pm. Get answers to frequently asked questions for people with Medicaid and Medicare, Caregiver For those who have questions about Medicaid eligibility requirements, applying for Medicaid in person may be the best option, as there are representatives to assist with the process. By continuing to use our site, you agree to our Privacy Policy and Terms of Use. Plans that are low cost or no-cost, Medicare dual eligible special needs plans Staywell Health Plan (Staywell) provides health care and long-term care services to people who qualify for Florida Medicaid. For inpatient claims, the date of service refers to the members discharge date. Monday Friday, 8 a.m. 4:30 p.m., Eastern time, Theresa Bell Stay up to date on any provider notices by bookmarking and reviewing Provider News. Nothing is more important than taking care of you and your family. File or Submit a Claim | Aetna Medicaid Florida 888-778-4651 (TTY: 711), 800-322-2758 extension 1500290 (TTY: 711). How much is a Kel-Tec 9 millimeter pistol? Levy, The MMA Plan is available in the following counties: The Health & Home Connection SMMC LTC Program is available in the following counties: Eligible Medicaid recipients will receive a letter with enrollment information, including information on how to enroll. A paper Medicaid application form is available for applicants who prefer not to use the internet to apply for Medicaid. The call is free. Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. A minimum one-year, initial contract period may be required for some dental and vision plans, excluding Dental Savings Plus. You can choose your own doctor, and you get extras that other Florida Medicaid plans dont offer. We want your claim submissions processed as efficiently as possible. UnitedHealthcare Community Plan (Medicaid (MMA) and LTC). If you must submit paper claims, you must mail to the appropriate payers P.O. In addition to writing corrected on the claim, the corrected information should be circled so that it can be identified. Bradford, February 14th, 2022. EFT makes it possible for us to deposit electronic payments directly into your bank account. The guides detail billing guidelines, duplicate billing, corrected claims processes and many more topics. If you dont want to leave our site, choose the X in the upper right corner to close this message. Florida Medicaid Filing Services, Inc. . Some plans may require copayments, deductibles and/or coinsurance for these benefits. A decision will be sent to you within 30 days. If you dont want to leaveyourstatesite, choose the X in the upper right corner to close this message. Suwannee, Centenes acquisition ofWellCare'sMedicaid products,includingStaywellHealth Plan, will be completeOct. 1, 2021. 800-477-6931 (TTY: 711) . Billing and Claims | Sunshine Health Billing and Claims Please see the Provider Billing Manual and Billing Quick Reference Guides (QRGs). To find out where to apply for Medicaid, you first must look at all the options available in Florida. Each bill must include all diagnoses and procedure applicable to the admission. Through this transition, we are committed to adding more value to better serve you. For more information contact the plan or read the Member Handbook. All health plans hospice information (PDF), Hospice guidelines Medicaid and Long-Term Care services (PDF), Centers for Medicare & Medicaid Services (CMS) ICD-10 resources, Conversion tool for Diagnostic and Statistical Manual of Mental Disorders(DSM-5) to ICD-10 (PDF). Medical Claim Payment Reconsiderations and Appeals - Humana Services are limited to those circumstances where the childs condition creates a disability and impairment to their physical development. In an emergency, call 911 or go to the nearest emergency room. This system will ask you to select the reason for your call, and we will call you back by the end of the next business day. Marion, Per informazioni in lingue alternative, seleziona il link del nome del piano appropriato qui di seguito. Columbia, Beginning Jan. 1, 2022, Centenes Medicare brands, including Allwell, Health Net, Fidelis Care, Trillium Advantage, Ohana Health Plan, and TexanPlus will transition to the Wellcare brand. Humana legal entities that offer, underwrite, administer or insure insurance products and services, Be completely vaccinated against COVID-19 (number of doses depends on persons age), Sign in to their Go365 for Humana Healthy Horizons account, Upload an image of their completed vaccination card. Here are some resources for people with Medicaid and Medicare. Plus, our provider network is growing to give you even more choices.