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Welcome to the Florida Medicaid Provider Training e-Library that contains training resources for Medicaid providers on Medicaid policy.  Look through the list of PowerPoint presentations and videos on the "Upcoming Training and Schedules" and "Previous Training Materials" tabs and select the information that is of interest to you. Among the benefits of using this site are:Sign Up for Florida Medicaid Alert

  • You can choose the time that is convenient for you to review the training materials.
  • You can learn at your own pace with self-paced learning materials.
  • You can build your knowledge of Medicaid policy, decreasing the risk of non-compliance and avoiding billing errors.

Medicaid will continue offering teleconferences on different policy topics. Updates to the teleconferences schedule and training materials are located on the “Upcoming Training and Schedules” tab above.  We hope you find these educational materials helpful and appreciate your willingness to continue your education on Medicaid policy.


INFORMATION DISCLAIMER: The information provided using this training web site is merely intended to be general, summary information. It is not intended to take the place of either the written law or regulations.

Upcoming Training and Schedules


Florida Medicaid Recipients with Other Medical Insurances

Medicaid Coverage & Prior Authorization for Applied Behavior Analysis Services

Provider training on “Medicaid Coverage & Prior Authorization for Applied Behavior Analysis Services” will be held on the dates and times listed below.  We will  provide guidance about Florida Medicaid policy for Applied Behavior Analysis services,  the prior authorization request process, and information  about service codes, reimbursement rates, and billing process.

This training session will be offered on Thursday, May 30, 2013 at 1:00 p.m., ET.

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To join the webinar on Thursday, May 30, 2013 at 1:00 p.m., ET, please:

1. Go to
https://suncom.webex.com/suncom/k2/j.php?ED=178259457&UID=1372378112&HMAC=f08e088d2d4644a1592020a7ec3b9137b4be3acc&RT=MiMxMQ%3D%3D
2. Enter your name and email address.
3. Enter the session password: This session does not require a password.
4. Click "Join Now".
5. Follow the instructions that appear on your screen.

You don’t need to register or reserve space; just call and log-in at the designated time. To download the presentation to view during the webinar, right click on the link above and choose “Save Target As…” and save a copy of the presentation to your computer. You may also click on the hyperlink for the training presentation and view it online.

Any questions can be emailed prior to or during the webinar to: elibrarytraining@ahca.myflorida.com.  If you have any questions about the webinar, please contact elibrarytraining@ahca.myflorida.com.

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Training Presentation: Medicaid Coverage and Prior Authorization for Applied Behavior Analysis Services [2.02MB PDF]

To download the presentation to view during the webinar, right click on the link above and choose “Save Target As…” and save a copy of the presentation to your computer. You may also click on the hyperlink for the training presentation and view it online.

Any questions can be emailed prior to or during the webinar to: elibrarytraining@ahca.myflorida.com.  If you have any questions about the webinar, please contact elibrarytraining@ahca.myflorida.com.


Do you know where the drugs are going? Partners in Integrity.

Do you know where the drugs are going? Partners in Integrity

The Florida Medicaid program in partnership with the Centers for Medicare and Medicaid Services (CMS) is very pleased to present the provider training “Do you know where the drugs are going? Partners in Integrity.”  Pharmacists, technicians, and clerical staff at pharmacies are invited to attend the training.

Participants attending this training will be able to increase their knowledge about preventing drug diversion and minimizing the human and healthcare cost.

Training Presentations:

Do you know where the drugs are going? [1.44MB PDF]
What is a Prescribers Role in Preventing the Diversion of Prescribed Drugs? [6.72MB PDF]
Reporting Drug Diversion in Florida [778KB PDF]

If you have any questions, please contact elibrarytraining@ahca.myflorida.com


Policy Reminders - Florida Medicaid Dental Services

Policy  Reminders - Florida Medicaid Dental Services

The Florida Medicaid program invites Medicaid dental providers to a provider training on Policy Reminders Florida Medicaid Dental Services. The training provides an overview of current Medicaid policy stated in the “Florida Medicaid Dental Services Coverage and Limitations Handbook.”

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Training Presentation: Policy Reminders, Florida Medicaid Dental Services [1.86MB PDF]

To download the presentation to view during the teleconference, right click on the link above and choose “Save Target As…” and save a copy of the presentation to your computer. 

If you have any questions, please contact elibrarytraining@ahca.myflorida.com.


Verifying Medicaid Recipient Eligibility

Verifying Medicaid Recipient Eligibility training will be held monthly.  Medicaid providers are invited to participate. The training will be performed via teleconference.

Verifying Medicaid Recipient Eligibility Presentation

Training Presentation: Verifying Medicaid Recipient Eligibility [5.63MB PDF]

To download the presentation to view during the teleconference, right click on the link above and choose “Save Target As…”  and save a copy of the presentation to your computer. 

Frequently Asked Questions [710KB PDF]
 

Compliance Tips for Florida Medicaid Providers

Complliance Tips

The Agency for Health Care Administration (Agency) invites all Florida Medicaid providers to a webinar where we will share basic Florida Medicaid compliance tips with new Florida Medicaid providers and refresh current Florida Medicaid providers’ basic Medicaid compliance knowledge. We will cover topics on the Florida Medicaid Handbooks; licensures and certifications; changes to provider enrollment file; and inspection of records.  The webinar is being held on at a future date. Medicaid providers are invited to participate. The training will follow the training presentation below.

Training Presentation: Compliance Tips [3.29MB PDF]

 

If you have any questions about Medicaid training and the e-Library, please contact Yolanda Sacipa at: Yolanda.Sacipa@ahca.myflorida.com.

Previous Training Materials






Top Findings from the Community Behavioral Health On-Site Reviews

Presentation [PDF 976KB]

Top Findings From the Community Behavioral Health On-Site Reviews

 

Medicaid Provider Compliance Program & Provider Self Audits


Medicaid Provider Compliance Program & Provider Self Audits

Presentation [PDF 1.38MB]
 

Assistive Care Services



Overview of the Florida Medicaid Assistive Care Services

Presentation [PDF 1.41MB]
 

Home Health Visits Policy



Lessons Learned from the Miami-Dade Home Health Pilots - Home Health Visits Policy

Presentation [PDF 660KB]
 

Medicaid Policy Training for Obstetrical Ultrasound Providers

 

Medicaid Policy Training for Obstetrical Ultrasound Providers

 

Developmental Disability Waiver Support Coordinators




Developmental Disability Waiver Support Coordinators

 

Top Findings from the AHCA Review of Submitted Claims for  Physician Services in Nursing Facilities

Top Findings from the AHCA Review of Submitted Claims for Physician Services in Nursing Facilities

Presentation [PDF 1.95MB]

Audio of the February 29, 2012 teleconference. [MP3 18.7MB]

Transcript for the February 29, 2012 [PDF 114KB] teleconference

 

Medicaid Coverage & Prior Authorization for Applied Behavior Analysis Services

 

Medicaid Coverage &  Prior Authorization for Applied Behavior Analysis Services

Presentation [PDF 1.57MB]

 

Home Health Handbook Training

 

Home Health Handbook Training

Presentation [891KB PDF]

 



Assisted Living Facilities

Home & Community-Based Characteristics:
Home-Like Environment and Community Integration for Medicaid Waiver Recipients in Assisted Living Facilities

Training Presentation [383KB PDF]

 


Florida Medicaid Recipients with Other Medical Insurances

Florida Medicaid Recipients with Other Medical Insurances

Training Presentation: Florida Medicaid Recipients with Other Medical Insurances

 

 

 

 


 

Videos


**Due to the large file size, these videos may take longer to download.**

Note: All videos are closed captioned.

Verify Medicaid Recipient Eligibility



Verify Medicaid Recipient Eligibility

July 11, 2012 [MP4 282MB]
 

Medicaid Provider Compliance Program and Provider Self Audits, Fraud Prevention and Compliance Unit


Medicaid Provider Compliance Program and Provider Self Audits, Fraud Prevention and Compliance Unit

August 2011 [MP4 116.5MB]
 

Overview of the Florida Medicaid Assistive Care Services and Assisted Living



Overview of the Florida Medicaid Assistive Care Services and Assisted Living

August 2011 [MP4 68.32MB]
 

Medicaid Therapy Services Policy


Medicaid Therapy Services Policy

November 2011 [MP4 21.95MB]
 

Reference Information



Center for Medicare and Medicaid Services Toolkits

By accessing this link you will find a series of excellent training toolkits developed by the Centers for Medicare and Medicaid Services (CMS) and the Medicaid Education Medicaid Integrity Contractor (MIC)/StrategicHealthSolutions.

Managed Care Plans: Critical Partners in the Fight Against, Fraud, Waste and Abuse in Medicaid Toolkit [28MB, ZIP]
[For Download Only. Right click on the link and choose "Save Target As...." then save to a location on your computer.]

The toolkit offers clear and concise guidance to Managed Health Care Providers on detecting fraud, waste, and abuse; appropriate follow-up actions; sharing information; and making meaningful referrals.

The Compliance Toolkit includes the following materials:

  1. Presentation
  2. Fact Sheet
  3. Referral Guidelines
  4. Resource Handout

 


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Reporting Medicaid Fraud