Overview of MediPass

The Medicaid Provider Access System (MediPass) is a primary care case management program for Medicaid recipients developed and administered by Florida Medicaid. MediPass was established in 1991 to assure adequate access to coordinated primary care while decreasing the inappropriate utilization of medical services.

In MediPass, each participating Medicaid recipient selects or is assigned a health care provider who furnishes primary care services, 24-hour access to care and referral and authorization for specialty services and hospital care. The primary care provider is expected to monitor appropriateness of health care provided to their patients.

MediPass providers receive a $3.00 monthly case management fee for each of their enrolled patients, as well as the customary reimbursement according to the Medicaid Provider Handbook for all services rendered.

The MediPass Program has contracted with disease management organizations to provide disease management services to MediPass-enrolled recipients living with certain diseases.