Florida Medicaid Provider Bulletin Summer 2008 Banner

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National Provider Identifier (NPI) Issues

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) required the adoption and use of an NPI for all health care providers. The NPI replaces all identifiers, including Medicaid provider numbers, on HIPAA standard electronic transactions. As a Florida Medicaid provider, you must register your NPI with Florida Medicaid in order to establish a crosswalk between your NPI and your Medicaid Provider ID. If you have not registered your NPI with Florida Medicaid, you must do so in order to avoid any future disruption of payments.

If you have registered your NPI with Florida Medicaid, but have not yet submitted claims using your NPI or have been notified by us that you are using your NPI incorrectly on your claims submissions, please take a moment now to review your crosswalk information and how it is submitted to Florida Medicaid. Once you have verified and/or corrected your crosswalk and submission method, please submit some test transactions using both the NPI and the Medicaid ID. The Agency will monitor the success or failure of these transactions and report back if successful or not.